S02 - Attachment 32 - Workload History_Projections.docx

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Bonner County, Idaho, Community Based Outpatient Clinic
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36C26019R0032
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S02 - Attachment 5 - Number Memorandum 11-91-17 Medication Reconciliation.docx DOCX document
S02 - Attachment 7 - Numbered Memorandum 114-02-19 Reporting Imaging Exam Results.docx DOCX document
S02 - Attachment 18 - Sample Patient Handbook.pdf PDF
S02 - Attachment 9 - Ancillary Testing Policy and Provider-Performed Microscopy (PPM) Testing Policy.docx DOCX document
S02 - Attachment 25 - Local Pharmacy Limited Formulary of Emergent Items.xlsx XLSX spreadsheet
S02 - Attachment 10 - Numbered Memorandum 116-09-13 Suicide Risk Management Program.docx DOCX document
S02 - Attachment 21 - VA Outpatient Radiology Scheduling Policy and Guidance.pdf PDF
S02 - Attachment 37 - Past Performance.docx DOCX document
S02 - Attachment 11 - Home Telehealth Operations Manual.pdf PDF
S02 - Attachment 4 - VHA Directive 1330.01(2), Health Care Services for Women Veterans.pdf PDF
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S02 - Attachment 34 - DBA WD ID20200010 (Mod.-5) 11-20-20.pdf PDF
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S02 - Attachment 16 - VHA Directive 2012-030 Credentialing of Health Care Professionals.pdf PDF
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S02 - Attachment 2 - VHA Handbook 1660.3 Appendix A Conflict of Interest Acknowledgement Form.pdf PDF
S02 - 36C26019R0032.pdf PDF
S02 - Attachment 23 - VHA Directive 1088 Communicating Test Results to Providers and Patients.pdf PDF
S02 - Attachment 8 - Spokane Laboratory Users Guide 2013.docx DOCX document
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S02 - Attachment 1 - VA Handbook 6500.6 Appendix D Contractor Rules of Behavior.pdf PDF
S02 - Attachment 28 - VHA Handbook 1101.11(3) Coordinated Care for Traveling Veterans.pdf PDF
S02 - Attachment 14 - VHA Directive 1608 Comprehensive Environment of Care (CEOC) Program.pdf PDF
S02 - Attachment 29 - MGVAMC SOP COS-2018-002 Mann-Grandstaff IVF-ART Consult Processing.pdf PDF
S02 - Attachment 6 - VHA Directive 1104 Radiology Picture Archiving and Communication Systems (PACS).pdf PDF
S02 - Attachment 20 - One Consult Model Imaging Training.pdf PDF
S02 - Attachment 26 - VAMC SOP COS-2018-001 Mann-Grandstaff Mammogram Screening and Breast Cancer Management.pdf PDF
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S02 - Attachment 3 - Contractor Certification - Immigration and Nationality Act of 1952 as amended.docx DOCX document
S02 - Attachment 13 - Numbered Memorandum 00-53-116 Patient Rights_Responsibilities.docx DOCX document
S02 - Attachment 30 - VHA Directive 1341 Providing Health Care for Transgender and Intersex Veterans.pdf PDF
S02 - Attachment 24 - VAMC Numbered Memorandum 113-03-14 Reporting Critical Tests and Critical Test Results.docx DOCX document
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Attachment 32 Workload History / Projections –

As of 9/5/2018, enrollment at the current Bonner County VA Contract Clinic is 1,554. The following is a listing of estimated numbers of veterans residing in Bonner, Boundary, Pend Oreille, and Sanders Counties as of 2018 according to VSSC Veteran Pop, Enrollment and Market Penetration Projections.

COUNTY
VETERANS
Bonner County, ID
4,179
Boundary County, ID
1,065
Pend Oreille County, WA
1,491
Sanders County, MT
1,444

Not all these veterans are actually “enrolled” with the VA system.

There are eight Priority Groups to which veterans may be assigned after processing. All applications for all eight groups are input into VistA by the VA for reporting and accountability purposes, but those veterans in Priority Group 8, who applied after 1/17/2003, are ineligible and will not receive services by the Contractor. Veterans may choose either to be seen at VA or to be enrolled in a CBOC/OOSC. VA will notify eligible veterans about the availability of the Bonner County OOSC and the services to be provided there. The Government estimates that each patient will make 2.06 visits per contract year to the CBOC.

The numbers of veterans residing in the counties identified above and estimated number of visits per patient per year as stated above are estimates and are to be used for information purposes only. VA in no way guarantees the accuracy of the estimates. Contractor fully understands and agrees that costs for any additional visits above the estimated average visits per unique veteran patient and all primary care services as specified in the Description/Specifications/Work Statement are borne by the Contractor and are included in the capitation rates agreed to by the Contractor in the Schedule of Services and Prices/Costs section.

Patients have the right to receive primary care from other than VA or a CBOC. The VA, however, encourages patients to have only one primary care provider; and it is VA’s expectation that the patient is seen at the VA OOSC at least once per 12-month period, or as often as deemed clinically appropriate by the veteran’s VHA OOSC Primary Care Provider.

Statistical Information: Bonner County OOSC, currently located in Sandpoint, Idaho, USA, has been in operation since August 2010. The following is the most recent statistical information for services provided by this OOSC.

Number of Visits and Uniques by month during the period 9/1/2017 – 8/31/2018:

MONTH
VISITS
UNIQUES
Sep-2017
342
318
Oct-2017
538
428
Nov-2017
308
259
Dec-2017
315
267
Jan-2018
350
289
Feb-2018
310
256
Mar-2018
361
312
Apr-2018
382
322
May-2018
321
284
Jun-2018
409
358
Jul-2018
332
302
Aug-2018
738
550

Age and Sex Distribution during the period 10/1/2017 – 9/5/2018:

AGE GROUP
FEMALE
MALE
GRAND TOTAL
< 25
0
8
8
25-34
16
148
164
35-44
27
208
235
45-54
41
312
353
55-64
21
532
553
65-74
71
1,563
1,634
75-84
5
676
681
85+
1
238
239
Grand Total
182
3,685
3,867

14 Most Frequent ICD Diagnoses during the period 10/1/2017 – 9/5/2018:

CODE
DESCRIPTION
M54.5
Low Back Pain
M54.2
Cervicalgia
M25.512
Pain Left Shoulder
M25.511
Pain Right Shoulder
M25.561
Pain Right Knee
E78.5
Hyperlipidemia, Unspecified
E78.2
Mixed Hyperglycemia
E11.9
Diabetes Mellitus w/o Complications
E11.65
Diabetes Mellitus w/Hyperglycemia
E03.9
Hyperthyroidism, Unspecified
E55.9
Vitamin D Deficiency, Unspecified
I10
Essential Primary - Hypertension
I25.1
Atherosclerotic Heart Disease of Native Coronary Artery w/o Angina Pectoris
I48.91
Unspecified Atrial Fib

The following laboratory tests were collected at Bonner County OOSC and performed at VA during the period 10/1/2017 – 9/5/2018:

LABORATORY TEST
AMOUNT
Chemistry Panels
10,656
Bacteriology
3
Coag
131
Hematology Diff, PLT, ES
213
Hematology
5,077
Send out test
1,051
Serology
7
Tosoh
567
Urinalysis
293
Total
17,998

The following diagnostic imaging procedures include x-ray, MRI, CT, and other advanced imaging modalities representing the top 10 procedures performed by MGVAMC for veteran enrolled at the Bonner County OOSC during the period 10/1/2016 – 9/30/2017:

PROCEDURE
AMOUNT
CT Thorax w/o Contrast
72
CT Abdomen and Pelvis w/ Contrast
24
MRI Lumbar Spine w/o Contrast
18
Knees Bilateral WT Bearing
16
Knee 4 or More Views
14
Lumbar Spine Comp w/ Flex/E
13
CT Lumbar Spine w/o Contrast
8
CT Lower Extremity w/o Contrast
8
CT Guided ESI of L Spine
8
Chest 2 View PA/AP and Lat
7
Total
188

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