This Is Your VA
- Where We Were
- Where We Are
- Accelerating Care Initiatives
- How Are We Doing?
- How Can We Do Better?
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• The Valley Coastal Bend is comprised of 20 counties in deep South Texas and encompasses the Laredo, McAllen, Harlingen, and Corpus Christi Outpatient Clinic service areas.
VA Texas Valley Coastal Bend
Health Care System
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Harlingen VA Outpatient Clinic McAllen VA Outpatient Clinic
Corpus Christi VA Outpatient Clinic Laredo VA Outpatient Clinic
VA Health Care Center at Harlingen Corpus Christi VA Specialty Clinic
McAllen VA Outpatient Clinic
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Active Patients: 11,177 (August 2014)
• New Services include Optometry, Prosthetics, and Physical Therapy
Current Services in VATVCBHCS
Active Services
Primary Care Pathology and Laboratory Mental Health Prosthetics Amputee Clinic Dermatology Minor Procedures Rheumatology Infectious Disease Pulmonary Orthopedics Neurology Gastroenterology Urology Dental Physical Therapy
Oncology Optometry Ophthalmology Podiatry Physical Medicine & Rehabilitation Geriatrics and Extended Care Home and Community Based Care Cardiology ENT Audiology Nutrition Social Work Women’s health Pharmacy Radiology/MRI/CT Services Telemedicine
Rio Grande Valley Inpatient
Contracts
Fiscal Year Vendor
Authorized
BDOC ADC
Unique
Patients Payment Amount
FY11 South Texas Health System 7,123 20 797 $14,323,198
FY11 Valley Baptist Health System 4,838 13 644 $10,099,086
Total 11,961 33 1,441 $24,422,284
FY12 South Texas Health System 6,964 19 935
$13,876,800.46
FY12 Valley Baptist Health System 5,267 14 761 $11,424,363.69
Total 12,231 33 1,696 $25,301,164.15
FY13 South Texas Health System 7,501 21 1,276 $11,789,598.30
FY13 Valley Baptist Health System 4,949 14 994 $9,098,690.51
Total 12,450 35 2,270 $20,888,288.81
FY14 thru June South Texas Health System 6,213 23 1,071 $8,165,838.51
FY14 thru June Valley Baptist Health System 4,847 18 915 $7,648,258.38
FY14 thru June Total 11,078 41 1,986 $15,814,096.89
Note: Numbers are based on paid claims from VSSC – Non-VA Care Cube thru 07/01/14. Unpaid or pending claims are not included in
the data counts. From Strategic Analysis Service – ADUSH for Policy & Planning.
Number of Rio Grande Valley Market
Veterans Seeking Care at the
San Antonio VA
SOURCE: VSSC Enrollment Cube
Date Pulled: 9/4/14
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
2010 2011 2012 2013 2014
Cameron Co
Hidalgo Co
Jim Hogg Co
Starr Co
Willacy Co
Zapata Co
VCB Total
Year Cameron
Co
Hidalgo
Co
Jim Hogg
Co
Starr
Co
Willacy
Co
Zapata
Co
VCB
Total
2010 1,304 2,689 42 123 78 58 4,294
2011 934 1,838 21 91 64 27 2,975
2012 248 419 11 17 12 15 722
2013 114 212 2 8 6 3 345
2014
YTD 105 158 3 4 4 3 277
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Rio Grande Valley Market Veterans
Seeking Care at the San Antonio VA
Non-VA Care (Fee) Update
FY-14 (Thru August)
Total Fee Authorizations for the entire VATVCBHCS:
• FY10 for VCB:
• 19,936 Authorizations
• FY11 for VCB:
• 29,762 Authorizations
• FY 12 for VCB:
• 26,579 Authorizations
• FY13 for VCB:
• 24,938 Authorizations
• FY14 for VCB (Thru July):
• 34,921 Authorizations
Source: VSSC Non-VA Medical
Care Program Performance 14
Site Oct 2010 Oct 2011 Oct 2012 Oct 2013 2014 YTD
Harlingen 184 295 340 409 426
Corpus Christi 82 92 108 140 152
McAllen 70 80 91 100 116
Laredo 20 25 27 35 45
VCB Totals 356 492 566 684 739
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VCB Staffing Growth
VCB Staffing Growth
0
100
200
300
400
500
600
700
800
10/1/10 10/1/11 10/1/12 10/1/13 2014 YTD
Laredo
McAllen
Corpus
Harlingen
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VA National Audit Findings
• The National Access Audit results show that as of May 15, 2014, wait times
were:
• New Patient Primary Care average wait time was 85.22 days
• New Patient Specialty Care average wait time was 145.18 days
• New Patient Mental Health average wait time was 55.4 days
• Established Patient Primary Care average wait time was 12.45 days
• Established Patient Specialty Care average wait time was 1.22 days
• Established Patient Mental Health average wait time 1.77 days
• We had 853 Veterans who had been waiting for 90 days or longer for a
Specialty Appointment: 87 for Audiology, 56 for Ophthalmology, 484 for
Optometry, 66 for Podiatry, 42 for Poly-trauma, and 118 for Physical Therapy
• We had 215 Veterans who had been waiting for 90 days or longer for a Primary
Care Appointment
• There were inconsistencies throughout VATVCBHCS in the determination and
use of the “Desired Date” for established patients
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VCB Response to Findings
• In response to the Accelerated Access to Care Initiative, on May 23 we
began calling all these Veterans and offered the opportunity to move
their appointment up, send to Non-VA Care, or keep the scheduled
appointment.
• We administered additional training for all scheduling staff.
• New Scheduling Review Process.
• Added Mid Level Provider and their teams to McAllen (MOPC),
Harlingen (HOPC),Corpus Christi (CCOPC), and Laredo (LOPC)
Outpatient clinics to assist with walk-in patients.
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VCB Response to Findings
• We are adding one Primary Care Team (Physician, RN, LVN, MSA) to each
McAllen (MOPC) and Harlingen Outpatient Clinic (HOPC).
• One Audiologist to each HOPC and Corpus Christi Naval Air Station
(CCNAS).
• Optometrist and Ophthalmologist to Corpus Christi Specialty Clinic (CCSC).
• Two Eye Techs, one at CCSC and one at Harlingen Health Care Center
(HCC).
• Neurologist, Respiratory Therapist, and Nurse Practitioner for Poly-Trauma
and sleep clinics at HCC
• We have 20 Recruitments for vacant Mental Health positions, and we will be
adding a Professional Counselor and a Behavioral Health Physician
Assistant for CCOPC, and a Psychologist for MOPC.
• We are adding a Nurse and a Management Analyst to assist with scheduling
reviews to ensure that appropriate scheduling practices are being followed.
• We are adding additional RN & MSA to the Non-VA Care staff to improve the
timeliness of processing and coordination of acre
VATVCBHCS Wait Times Update
(Does not count Non-VA Care Appointments)
VATVCBHCS 16-May 1-Jun 15-Jun 1-Jul 15-July 1- Aug 15-Aug 1-Sep Appointments
Scheduled 16,789 18,709 19,728 19,735 19,023
18,674 18,335 18,719 New Pt Ave W/T
PC 85.22 63.54 55.72 50.04 49.35 51.73 49.27 47.93 New Pt Ave W/T
SC 145.18 114.01 91.02 81.7 77.51 68.83 62.46 54.21 New Pt Ave W/T
MH 55.4 23.63 22.42 27.33 30.27 27.27 24.47 29.35 Est Pt Ave W/T
PC 12.45 14.34 15.04 15.74 16.60 19.25 21.77 23.75 Est Pt Ave
W/TSC 1.22 1.21 1.67 4.23 6.37 7.86 9.6 10.18
Est Pt Ave W/T MH 1.77 2.49 3.59 4.63 5.93 8.55 10.12 11.09
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• The contracts include:
– Inpatient Specialty care
– Outpatient Care
– Including Skilled Home Health
and Home Infusion Therapy
– Mental Health Care
– Limited Emergency Care
– Limited Newborn Care for enrolled
Female Veterans after delivery
• The contracts do not include:
– Dental Care
– Nursing Home Care
– Long Term Acute Care
Hospitals (LTAC)
– Homemaker and Home
Health Aide Services
– Chronic Dialysis Treatments
– Compensation and Pension
Examinations
What is PC3 (TriWest) Contract?
• VHA has awarded national contracts for surgical and medical specialty
providers under a VHA program called Patient-Centered Community Care
(PC3). The PC3 contractor for Valley Coastal Bend is TriWest. As TriWest
continues to build a larger and more diverse provider network, VCB will
send more Veterans to PC3 contracts instead of using the traditional fee
“voucher”.
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Self Check-in Kiosks are here
- Successfully deployed 38 kiosks at 7 VCB
sites.
- Week of August 4th – Harlingen & McAllen
- Week of August 26th - Corpus Christi &
Laredo
- From August 4, 2014 through September 3,
2014, we had:
- Number of Kiosk Successful Check-In; 1,597
How do I Stay up to date with the New Health Care System?
Stay connected: www.texasvalley.va.gov
Like us: www.facebook.com/VCBHCS
Follow Us: www.twitter.com/VCBHCS
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