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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.
| Boundary County, ID |
| 1,065 |
| Pend Oreille County, WA |
| 1,491 |
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:
Age and Sex Distribution during the period 10/1/2017 – 9/5/2018:
| AGE GROUP |
| FEMALE |
| MALE |
| GRAND TOTAL |
| Grand Total |
| 182 |
| 3,685 |
| 3,867 |
14 Most Frequent ICD Diagnoses during the period 10/1/2017 – 9/5/2018:
| M25.512 |
| Pain Left Shoulder |
| M25.511 |
| Pain Right Shoulder |
| 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:
| Hematology Diff, PLT, ES |
| 213 |
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:
| 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 |
| 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 |