Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference...
-
Upload
sasha-sartain -
Category
Documents
-
view
217 -
download
1
Transcript of Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference...
![Page 1: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/1.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
2011 VA/DoD Joint Venture Conference
Naval Branch Health Clinic Key West
&VA Outpatient Clinic Key West
![Page 2: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/2.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
2
![Page 3: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/3.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
3
NAVAL BRANCH HEALTH CLINIC KEY WEST
• Service provided: Pharmacy Prescription Fill and Dispensing• Agreement: Reimbursement for packaging and processing in house is cost plus $8.00 and is cost plus $2.00 for Centralized Mail Order Pharmacy processing.• Baseline and Current Status: 2009, 2010, and 2011• Quantitative Results from the Agreement: Revenue generated• Qualitative Value of the Agreement: New prescriptions for VA patients are filled at the DoD pharmacy in house providing safe, efficient, and convenient service to our patients. Staff consists of one pharmacist and four technicians.
![Page 4: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/4.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
$76,784
$39,455
$18,533
$80,580
$71,035
$34,337
$19,088
$69,701
$62,082
$36,649
$18,331
$75,604
$0.00
$10,000.00
$20,000.00
$30,000.00
$40,000.00
$50,000.00
$60,000.00
$70,000.00
$80,000.00
$90,000.00
Pharmacy Lab Radiology Utilities
Reimbursables from VA to DoD
FY09 Reimbursables FY10 Reimbursables FY11 Reimbursables
4
![Page 5: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/5.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
5
NAVAL BRANCH HEALTH CLINIC KEY WEST
• Service provided: Utilities (includes housekeeping, pest control and biohazard disposal) • Agreement: Utilities and housekeeping are reimbursed to the DoD at 10% of total costs for the building. This amount billed is based on the square footage of the building used for the Veteran’s Administration. • Baseline and Current Status: 2009, 2010, 2011• Quantitative Results from the Agreement: Revenue generated • Qualitative Value of the Agreement: There is no separate system to measure utility usage, or housekeeping, telephone, bio-hazardous waste, and pest control services.
![Page 6: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/6.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
$76,784
$39,455
$18,533
$80,580
$71,035
$34,337
$19,088
$69,701
$62,082
$36,649
$18,331
$75,604
$0.00
$10,000.00
$20,000.00
$30,000.00
$40,000.00
$50,000.00
$60,000.00
$70,000.00
$80,000.00
$90,000.00
Pharmacy Lab Radiology Utilities
Reimbursables from VA to DoD
FY09 Reimbursables FY10 Reimbursables FY11 Reimbursables
6
![Page 7: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/7.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
7
NAVAL BRANCH HEALTH CLINIC KEY WEST
• Service provided: Laboratory Services • Agreement: NBHC provides phlebotomy, specimen processing, and packaging for transfer. • Baseline and Current Status: 2009, 2010, 2011• Quantitative Results from the Agreement: Revenue generated • Qualitative Value of the Agreement: NBHC is currently billeted for two laboratory technicians. In house services include: complete CBC with differential, urinalysis, wet prep, KOH, rapid strep, mono, HCG blood and urine, influenza, and hemoccults at 90% of CMAC rate for Miami. A VA courier picks up laboratory tests that cannot be performed at NBHC and transports them to the VA in Miami for processing. In 2011, 45% of 25,182 specimens were VA.
![Page 8: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/8.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
$76,784
$39,455
$18,533
$80,580
$71,035
$34,337
$19,088
$69,701
$62,082
$36,649
$18,331
$75,604
$0.00
$10,000.00
$20,000.00
$30,000.00
$40,000.00
$50,000.00
$60,000.00
$70,000.00
$80,000.00
$90,000.00
Pharmacy Lab Radiology Utilities
Reimbursables from VA to DoD
FY09 Reimbursables FY10 Reimbursables FY11 Reimbursables
8
![Page 9: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/9.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
9
NAVAL BRANCH HEALTH CLINIC KEY WEST
• Service provided: Radiology • Agreement: NBHC provides X-ray services at 90% of the CMAC rate for Miami.• Baseline and Current Status: 2009, 2010, 2011• Quantitative Results from the Agreement: Revenue generated• Qualitative Value of the Agreement: NBHC Key West received a digital radiography machine ten months ago improving efficiency and accuracy for the technicians and the radiologists who read the films electronically at Naval Hospital Jacksonville. Approximately 48% of patients seen are VA and an average of 300 x-rays per month are completed. Staff consists of three x-ray technicians.
![Page 10: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/10.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
$76,784
$39,455
$18,533
$80,580
$71,035
$34,337
$19,088
$69,701
$62,082
$36,649
$18,331
$75,604
$0.00
$10,000.00
$20,000.00
$30,000.00
$40,000.00
$50,000.00
$60,000.00
$70,000.00
$80,000.00
$90,000.00
Pharmacy Lab Radiology Utilities
Reimbursables from VA to DoD
FY09 Reimbursables FY10 Reimbursables FY11 Reimbursables
10
![Page 11: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/11.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
11
VETERAN’S OUTPATIENT CLINIC KEY WEST
• Service provided: Mental Health• Agreement: provided by the VA at the TRICARE allowable amount• Baseline and Current Status: An average of five active duty evaluations per month• Qualitative Value of the Agreement: Medication management, fitness-for-duty evaluations, and physician exchange with DoD providers.
![Page 12: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/12.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
12
VETERAN’S OUTPATIENT CLINIC KEY WEST
• Service provided: Physical Therapy• Agreement: provided by the VA at the TRICARE allowable amount.• Quantitative Results from the Agreement: Limited DoD patients are seen.• Qualitative Value of the Agreement: Convenience, familiarity, interdisciplinary approach.
![Page 13: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/13.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
13
Joint Venture Performance Measures
PMs USED TO TRACK JV SUCCESS: • Annual Revenue Generated: 2010, 2011 (TBD)
• Access to Care and Missed Opportunities: 2010, 2011
DATA SOURCES USED FOR THE PMs: • Reimbursable Amounts to the VA and DoD
• Rates for Psychiatry
OUTCOMES FOR EACH PM LISTED: • FY 2010
$1,346,354 - DVAMC - Miami$ 194,161 - Key West97% and 12%
• FY 2011$TBD DVAMC - Miami$TBD - Key West 97% and 15%
![Page 14: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/14.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
14
Future Initiatives and/or Proposals
NEAR TERM (1-2 YEARS) INITIATIVES
• Advertise optometry services for comprehensive vision examinations.
• Propose amending sharing agreement if VA hires additional employees.
Will require additional office space and/or exam rooms.
LONG TERM (>2 YEARS) GOALS / INITIATIVES / STRATEGIES
• Use DoD/VA Joint Venture Key West as a model for future sites.
• Increase access to care for Physical Therapy.
![Page 15: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/15.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
15
Best Practices – Lessons Learned
BEST PRACTICES
• Emergency Preparedness: Hurricane, Anti-Terrorism, CBRN
• Life Safety Drills
• Disruptive Patient Management Training
• Face to Face Interdisciplinary Team Approach
LESSONS LEARNED
• VA must have CHCS access to order lab tests, x-rays, and pharmaceuticals.
![Page 16: Naval Branch Health Clinic & VA Outpatient Clinic Key West 2011 VA/DoD Joint Venture Conference Naval Branch Health Clinic Key West & VA Outpatient Clinic.](https://reader031.fdocuments.us/reader031/viewer/2022032702/56649cb05503460f94975367/html5/thumbnails/16.jpg)
Naval Branch Health Clinic & VA Outpatient Clinic Key West
16
Current Issues
CURRENT ISSUES
• Separate standards for Audiology/Spirometry testing
• Physical Therapy space and resources are limited.
• AHLTA does not communicate with VA VISTA/CPRS
• Funding approved funds for building maintenance