Alaska VA Healthcare System Primary Care Brief to

Alaska VA Healthcare System Primary Care Brief to the Alaska Primary Care Association April 2017

Sites of VA Care Anchorage VA Outpatient Clinic Muldoon Clinic VA/DOD Joint Venture Hospital Joint Base Elmendorf-Richardson Domiciliary Care for Homeless Veterans

Sites of VA Care Cont’d VA Sites of Care, cont. Fairbanks VA Community Based Outpatient Clinic Homer VA Outreach Clinic Juneau VA Outreach Clinic Mat-Su VA Community Based Outpatient Clinic

AVAHS: The Journey He a g ldin ar c h t al e ui B Fee program 90% of budget DRRTP activation: ARH – then Benson & C St 1992 1993/ Outpatient 1996 Clinic 1991 Activated tem s y S Joint Venture, 3 rd MDG Activated 1997 Kenai CBOC New Facility Fairbanks CBOC Move New Muldoon Clinic 2012 2009 2014 2008 2010 2001 2006 Kenai 1999 CBOC Opened Fairbanks CBOC Activated CHOICE Juneau Outreach 2007 Clinic Care Closer to Home VA/Do. D JV Rural Outreach Mat-Su CBOC Homeless 4

Primary Care Workload FY 16 Unique Primary FY 16 Primary Care Patients Care Visits (V 20) (463) Alaska VA Medical Center 10, 069 38, 951 (V 20) (463 GA) Fairbanks 2, 120 9, 258 (V 20) (463 GB) Kenai 1, 642 10, 575 (V 20) (463 GC) Mat-Su 1, 425 6, 973 15, 256 65, 757

Primary Care Panel Statistics Current Panel PROVIDER Panel TEAM Intensity FTE Assigned Score Veterans JUNEAU PACT 01 0. 88 0. 89 824 ANCHORAGE PACT 01 1 0. 96 1, 185 ANCHORAGE PACT 03 0. 5 1 0 ANCHORAGE PACT 04 0. 9 1. 05 782 ANCHORAGE PACT 05 1 1. 04 1, 172 ANCHORAGE PACT 06 0. 8 1. 05 941 ANCHORAGE PACT 08 0. 8 1. 04 939 ANCHORAGE PACT 09 0. 3 0. 89 7 ANCHORAGE PACT 11 0. 5 1. 14 467 PACT 12 *TELE-PC* 0. 2 1. 23 210 PACT 14 *TELE-PC* 1 0. 98 897 PACT 15 *TELE-PC* 0. 8 0. 97 771 PACT 16 *TELE-PC* 1 0. 91 919 FBX PACT 01 1 0. 9 1, 010 FBX PACT 03 PA/MD 1 0. 95 310 FBX PACT 04 *TELE-PC* 0. 5 0. 87 756 KEN PACT 01 1 0. 9 1, 022 KEN PACT 02 0. 8 1 595 MATSU RAVEN PACT *TELE PC* 0. 5 0. 97 227 MATSU TEAM ORCA *WH* 1 1. 02 931 15. 48 13, 965

Access Completed Appointment Wait Times March 2017 Average Wait from Create Date Average Wait from Preferred Date New to Established Appt Ratio Same Day Appts Percent (V 20) (463) Alaska VA Medical Center Mental Health 22. 5 3. 2 0. 1 11. 66% Primary Care 16. 9 2. 4 0. 01 8. 72% Specialty Care 20. 8 4. 3 0. 41 14. 46% (V 20) (463 GA) Fairbanks Mental Health 17. 62 0. 5 0. 13 5. 68% Primary Care 16. 6 2. 3 0. 06 8. 85% Specialty Care 28. 9 7. 0 0. 38 4. 60% (V 20) (463 GB) Kenai Mental Health 28. 6 0. 1 0. 05 4. 19% Primary Care 14. 4 1. 1 0. 04 15. 77% Specialty Care 42. 0 7. 3 0. 32 2. 22% (V 20) (463 GC) Mat-Su Mental Health 15. 9 0. 6 0. 05 6. 25% Primary Care 8. 7 0. 6 0. 00 12. 15% Specialty Care