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

AVAHS: The Journey Building a Healthcare System CHOICE New Muldoon Clinic Fairbanks CBOC Move Building a Healthcare System Kenai CBOC New Facility 2012 2009 Joint Venture, 3rd MDG Activated 2008 2014 DRRTP activation: ARH – then Benson & C St 2010 Fee program 90% of budget 2001 Juneau Outreach Clinic Care Closer to Home VA/DoD JV Rural Outreach Homeless 1997 2006 2007 Director; relatively young organization, timeline. Kenai CBOC Opened 1999 1992 Mat-Su CBOC Fairbanks CBOC Activated 1993/ 1996 Outpatient Clinic Activated 1991

FY16 Unique Primary Care Patients Primary Care Workload   FY16 Unique Primary Care Patients FY16 Primary Care Visits (V20) (463) Alaska VA Medical Center 10,069 38,951 (V20) (463GA) Fairbanks 2,120 9,258 (V20) (463GB) Kenai 1,642 10,575 (V20) (463GC) Mat-Su 1,425 6,973 15,256 65,757

Current Panel Assigned Veterans Primary Care Panel Statistics TEAM PROVIDER FTE Panel Intensity Score Current Panel Assigned Veterans JUNEAU PACT 01 0.88 0.89 824 ANCHORAGE PACT 01 1 0.96 1,185 ANCHORAGE PACT 03 0.5 ANCHORAGE PACT 04 0.9 1.05 782 ANCHORAGE PACT 05 1.04 1,172 ANCHORAGE PACT 06 0.8 941 ANCHORAGE PACT 08 939 ANCHORAGE PACT 09 0.3 7 ANCHORAGE PACT 11 1.14 467 PACT 12 *TELE-PC* 0.2 1.23 210 PACT 14 *TELE-PC* 0.98 897 PACT 15 *TELE-PC* 0.97 771 PACT 16 *TELE-PC* 0.91 919 FBX PACT 01 1,010 FBX PACT 03 PA/MD 0.95 310 FBX PACT 04 *TELE-PC* 0.87 756 KEN PACT 01 1,022 KEN PACT 02 595 MATSU RAVEN PACT *TELE PC* 227 MATSU TEAM ORCA *WH* 1.02 931 15.48 13,965

Completed Appointment Wait Times 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 (V20) (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% (V20) (463GA) Fairbanks 17.62 0.5 0.13 5.68% 16.6 2.3 0.06 8.85% 28.9 7.0 0.38 4.60% (V20) (463GB) Kenai 28.6 0.05 4.19% 14.4 1.1 0.04 15.77% 42.0 7.3 0.32 2.22% (V20) (463GC) Mat-Su 15.9 0.6 6.25% 8.7 0.00 12.15%