CBOC PERFORMANCE EVALUATION PROJECT

CBOC Characteristics

CBOC PERFORMANCE EVALUATION PROJECT

CBOC Characteristics

by

Health Services Research and Development Center of ExcellenceVA Puget Sound Health Care System – Seattle Division

for the

Management Decision and Research CenterHealth Services Research and Development Service

Department of Veterans Affairs

February 17, 1999

TABLE OF CONTENTS

CBOC Characteristics – Background and Description 3

Findings 5

Figure 1. Total number of CBOCs in operation by fiscal year 5

Figure 2. Number of CBOCs by VISN and FY of first veteran visit 5

Figure 3. Number of urban and rural CBOCs by VISN 6

Figure 4. Number of urban and rural CBOCs by CBOC type 6

Figure 5. Primary health care and mental health services by CBOC location 7

Figure 6. Primary health care and mental health services by CBOC type 7

Figure 7. Number of CBOCs by FY and CBOC type 8

Figure 8. Number of CBOCs in each VISN by CBOC type 8

Figure 9. Number of unique veterans seen at each CBOC in FY 98 by CBOC type 9

Figure 10. Average number of visits per veteran in FY 98 by CBOC type 10

Figure 11. Ancillary services by CBOC type 11

Figure 12. Transportation services by CBOC type 11

Figure 13. Days of operation by CBOC type 12

Figure 14. CBOC requirements for specialty care referral to parent VA by CBOC type 13

Figure 15. CBOC requirements for receiving fee-basis specialty care from a provider outside of the CBOC or parent VA by CBOC type 13

Figure 16. Percent of CBOCs providing services to non-VA patients by CBOC type 14

Figure 17. Percent of all visits at CBOC that are for veterans by CBOC type 14

Figure 18. Miscellaneous characteristics by CBOC type 15

Appendix A. CBOC Characteristics 16

Appendix B. CBOC Characteristics Questionnaire 18

Appendix C. Characteristics for CBOCs in Operation On or Before 9/30/98 21

3

CBOC CHARACTERISTICS

BACKGROUND AND HIGHLIGHTSFrom 1995 to 1998, VHA approved over 230 community-based outpatient clinics(CBOCs) and by the end of fiscal year 1998 , over 130 CBOCs were activelyproviding health care to veterans. Because of this rapid growth and in order to learnabout these CBOCs, the Under Secretary for Health requested that the HealthServices Research and Development Service (HSR&D), through its ManagementDecision and Research Center (MDRC) conduct a system-wide evaluation of CBOCs.

In response to the Under Secretary’s request, the MDRC contracted with the HSR&DCenter of Excellence at Seattle, in collaboration with the HSR&D Centers ofExcellence in Little Rock and Minneapolis to design and carry out the evaluations.The study team convened a national CBOC Performance Evaluation Committee withrepresentation from VHA Headquarters, HSR&D, VISN offices, VA medicalfacilities, and CBOCs to guide the development of the performance details onmeasures and characteristics.

The initial tasks of the project were to develop the performance measures andcharacteristics by which CBOCs would be categorized and evaluated; and to collectinformation regarding the characteristics of each active CBOC. The CBOCperformance measures and characteristics selected by the Committee were presentedin an earlier report 1.

Reported here are CBOC characteristics data for CBOCs that completed thecongressional review process and began serving veterans between March 1995 andSeptember 1998. Details on future reports will present the actual performance ofCBOCs in several domains: access to care, cost, mental health, quality, satisfaction,and utilization.

The key findings of the report include:

♦ There were 139 CBOCs active at the end of FY 98 with 1 to 16 CBOCs perVISN.

♦ A larger number of urban CBOCs were VA-staffed whereas rural CBOCs weremore evenly split between VA-staffed and contract.

♦ Mental health services were available at a higher percentage of VA-staffedCBOCs than contract CBOCs.

♦ Mental health services were available at 51% of urban CBOCs and 26% of ruralCBOCs.

1 CBOC Performance Evaluation: Recommended CBOC Performance Measures and CBOCCharacteristics. Management Decision and Research Center. Health Services Research andDevelopment. Department of Veterans Affairs. November 12, 1998

4

♦ VA-staffed compared to contract CBOCs tended to serve a greater number ofunique veterans and to have a higher average number of visits per veteran.

♦ A higher percentage of contract CBOCs had onsite pharmacy, laboratory, EKG,and radiology services, while a higher percentage of VA-staffed CBOCs offereddietary and social work services.

♦ VA-staffed CBOCs had greater access via public transportation.♦ Contract CBOCs offered slightly more days of clinical service.♦ A higher percentage of contract CBOCs required approval by the parent VA for

fee-basis specialty care outside of the CBOC or parent VA facility.♦ VA-staffed CBOCs served veterans almost exclusively while veterans were only a

small part of the workload at most contract CBOCs.♦ All CBOCs entered data into VistA either at the CBOC or through the parent VA

facility.♦ Less than 10% of CBOCs had telemedicine technology.

The findings are presented in more detail below.

5

FINDINGSA. There was a dramatic increase in CBOCs from FY 95 to FY 98

There was a marked increase in the number of CBOCs from FY 95 to FY 98, with 4(2.9% of the total) beginning operation in FY 95, 7 (5.0%) in FY 96, 32 (23.0%) inFY 97 and 96 (69.1%) in FY 98 (Figure 1). By the end of the forth quarter of FY 98there were 139 active CBOCs with a range of 1 to 16 CBOCs per VISN (Figure 2).

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 495 96 97 98

Quarter

0

20

40

60

80

100

120

140

Num

ber o

f CB

OC

s

FY FY FY FY

Figure 1. Total number of CBOCs in operation by fiscal year

0

2

4

6

8

10

12

14

16

18

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Joint

VISN

FY 95 (N=4) FY 96 (N=7) FY 97 (N=32) FY 98 (N=96)

Figure 2. Number of CBOCs by VISN and fiscal year of first veteran visit

6

B. Urban locations had a greater number of VA-staffed CBOCs whereas rural locations had a similar number of VA-staffed and contract CBOCs

Seven VISNs had only urban CBOCs while fifteen VISNs had both urban and ruralCBOCs (Figure 3). Almost two thirds of rural CBOCs were located in VISNs 4, 15,16, 17, and 18. There were 60 VA-staffed CBOCs and 23 contract CBOCs in urbanlocations; and 28 VA-staffed CBOCs and 25 contract CBOCs in rural locations(Figure 4).

0

1

2

3

4

5

6

7

8

9

10

VISN

Urban (N=84)

Rural (N=53)

Figure 3. Number of urban and rural CBOCs by VISN

0

10

20

30

40

50

60

70

Urban Rural

CBOC Location

VA-Staffed (N=88)

Contract (N=49)

Figure 4. Number of urban and rural CBOCs by CBOC type

7

C. A higher percentage of urban CBOCs and VA-staffed CBOCs had mental health services

Mental health services were available at 51.2% of urban CBOCs and 26.4% of ruralCBOCs (figure 5). In addition, mental health services were provided at a higherpercentage of VA-staffed CBOCs (53.9%) than contract CBOCs (18.0%) (Figure 6).

0

10

20

30

40

50

60

70

80

90

100

Pr im a ry Hea l th Ca re M e n t a l H e a l t h C a r e

S e r v i c e s P r o v i d e d

Per

cent

of C

BO

CS

U r b a n ( N = 8 4 )

R u r a l ( N = 5 3 )

Figure 5. Primary health care and mental health services by CBOClocation

0

10

20

30

40

50

60

70

80

90

100

Primary Health Care Mental Health CareServices Provided

Per

cent

of C

BO

Cs

VA-Staffed (N=89)

Contract (N=50)

Figure 6. Primary health care and mental health services by CBOC type

8

D. VISNs differ in the reliance on VA-staffed versus contracted CBOCs

There was a marked increase in the number of both VA-staffed and contract staffCBOCs from FY 95 to FY 98 overall(Figure 7). In FY 98, 64.0% of the total numberof CBOCs had VA staff, 36.0% had contracted staff. The number of VA-staffedCBOCs ranged from zero to 11 per VISN and the number of contract CBOCs rangedfrom zero to 10 per VISN (Figure 8). Seven VISNs had exclusively VA-staffedCBOCs, an additional 6 VISNs had predominantly VA-staffed CBOCs, and 8 VISNshad predominantly contract CBOCs.

0

20

40

60

80

100

120

140

FY 95 (N=4) FY 96 (N=11) FY 97 (N=43) FY 98 (N=139)Year

Contract (N=50)

VA-Staffed (N=89)

Figure 7. Number of CBOCs by fiscal year and CBOC type

0

2

4

6

8

10

12

14

16

18

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Joint

VISN

Contract (N=50)

VA-Staffed (N=89)

Figure 8. Number of CBOCs in each VISN by CBOC type

9

E. VA-staffed CBOCs tended to serve a greater number of unique veterans

In FY 98 the average number of unique veterans seen at a VA-staffed CBOC was 944(range 106 to 2716) and at a contract CBOC was 522 (range 6 to 2200) (Figure 9).2

2 Numbers include only CBOCs that initiated veteran services prior to July 1998.

Figure 9. Number of unique veterans seen at each CBOC in FY 98 by CBOC type2

0

5

10

15

20

25

30

35

40

0-399 400-799 800-1199 1200-1599 1600-1999 2000+

Number of Unique Veterans Seen

Num

ber

of C

BO

Cs

Contract (N=35)

VA-Staffed (N=65)

10

F. VA-staffed CBOCs had a higher average number of visits per veteran

In FY 98 the average number of CBOC visits per veteran at VA-staffed CBOCs was3.0 (range 1.16 to 7.35 visits/veteran/CBOC) and at the contract CBOCs was 2.47(range 1.0 to 5.22 visits/veteran/CBOC) (Figure 10). 3 Adjustment for case-mix wasnot included.

0

10

20

30

40

50

60

0-1.99 2-3.99 4-5.99 6+

Average Number of Visits per Veteran

Num

ber

of C

BO

Cs

Contract (N=35)

VA-Staffed (N= 65)

3 Numbers include only CBOCs that initiated veteran services prior to July 1998.

Figure 10. Average number of visits per veteran in FY 98 by CBOC type3

11

G. Contract CBOCs had more onsite pharmacy, laboratory, EKGand radiology services whereas VA-staffed CBOCs hadgreater access via public transportation

A higher percentage of contract CBOCs had onsite pharmacy, laboratory tests, EKG,and radiology services, while a higher percentage of VA-staffed CBOCs offereddietary and social work services (Figure 11). Public transportation access -- bus,subway or voluntary transportation (e.g., Disabled American Veterans) -- wasavailable for 89.7% of VA-staffed CBOCs and 63.3% of contract CBOCs (Figure12).

0

10

20

30

40

50

60

70

80

90

100

OnsitePharmacy

OtherPharmacy

Draw Blood Blood Test Urine Test Radiology EKG DietaryServices

Social Work 24-Hour ER

Services Provided

VA-Staffed (N=88)

Contract (N=50)

Figure 11. Ancillary services by CBOC type

0

10

20

30

40

50

60

70

80

90

100

Bus Subway Voluntary Services Any Public Transportation Taxi

Transportation Services

VA-Staffed (N=87)

Contract (N=49)

Figure 12. Transportation services by CBOC type

12

H. Contract CBOCs offered slightly more days of clinical service

94.0% of contract CBOCs offered services 3 to 5 days per week compared to 88.8%of VA-staffed CBOCs. 22.0% of contract CBOCs were regularly open on weekendscompared to 2.2% of VA-staffed CBOCs (Figure 13).

0

10

20

30

40

50

60

70

80

90

100

1-2 days 3-5 days Weekends Evenings

Days of Operation

VA-Staffed (N=89)

Contract (N=50)

Figure 13. Days of operation by CBOC type

13

I. Referral requirements for specialty care varied by CBOC type

Nearly all VA-staffed and contract CBOCs required a referral by a CBOC providerfor specialty care at the parent VA facility. 40.0% of contract CBOCs also requiredapproval by the parent VA in contrast to 13.5% of VA-staffed CBOCs (Figure 14).

Approximately 50% of VA-staffed and contract CBOCs required a referral by aCBOC provider for fee basis specialty care outside of the CBOC and the parent VAfacility. In addition, 90.0% of contract CBOCs and 73.0% of VA-staffed CBOCsrequired approval by the parent VA (Figure 15).

0

10

20

30

40

50

60

70

80

90

100

Referral by CBOC Provider Approval by Parent VA

Referral Requirements

VA-Staffed (N=88)

Contract (N=50)

0

10

20

30

40

50

60

70

80

90

100

Referral by CBOC Provider Approval by Parent VA

Referral Requirements

VA-Staffed (N=89)

Contract (N=50)

Figure 14. CBOC requirements for specialty care referral to parent VA by CBOC type

Figure 15. CBOC requirements for receiving fee-basis specialty care from a provider outside of the CBOC or the parent VA by CBOC type

14

J. VA-staffed CBOCs served veterans almost exclusively while contract CBOCsserved many non-veterans

It is more common for contract CBOCs to have served non-Veterans compared toVA-staffed CBOCs. 68.0% (n=34) of contract CBOCs and 9.1% (n=8) of VA-staffedCBOCs provided health care to non-VA patients in addition to veterans (Figure 16).VA-staffed CBOCs served veterans almost exclusively while veterans were only asmall part of the workload at most contract CBOCs (Figure 17).

Figure 16. Percent of CBOCs providing services to non-VA patients by CBOC type

Figure 17. Percent of all visits at CBOC that are for veterans by CBOC type

0

10

20

30

40

50

60

70

80

90

100

Services provided to Non VA Patients

VA-Staffed (N=88)

Contract (N=50)

0

10

20

30

40

50

60

70

80

90

100

0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100

Percent of Vis i ts for Veterans

VA-Sta f fed (N=8)

Cont rac t (N=32)

15

K. Miscellaneous characteristics varied by CBOC type

All CBOCs entered data into VistA either at the CBOC or through the parent VA, butless than 10% of CBOCs had telemedicine technology. Over 70% of contract CBOCsrequired veterans to sign-up to receive health care at the CBOC, whereas 43.8% ofVA-staffed CBOCs required veterans to sign-up for health care. In FY 98 anevaluation report was available for 34.5% of VA-staffed CBOCs and 44.0% ofcontract CBOCs (Figure 18).

0

10

20

30

40

50

60

70

80

90

100

Patient data entered into VistA

Telemedicine available

VA patient must sign-up for CBOC care

CBOC evaluation report available for FY 98

VA-Staffed (N=88)

Contract (N=50)

Figure 18. Miscellaneous characteristics by CBOC type

APPENDICES

16

APPENDIX A: CBOC CHARACTERISTICS

The CBOC characteristics developed by the CBOC Performance EvaluationCommittee are listed below. The characteristics include identifiers and descriptiveinformation for the CBOC evaluation. Several characteristics (e.g., VA-staffed vs.contract, urban vs. rural, capitated vs. fee-basis, etc.) will be used for the comparisonof CBOCs during the analysis phase of the project.

After the set of CBOC Characteristics was formulated, HSR&D in Seattle developeda standardized questionnaire for collection of the data (see Appendix B). Informationon some CBOC characteristics will be collected separately (e.g., financial, staffing,etc.). A CBOC contact for each VISN was identified to coordinate the questionnairedistribution and data collection for CBOCs in their jurisdiction. The completedquestionnaires were forwarded to HSR&D in Seattle where the CBOC characteristicsdata were compiled and entered into a comprehensive CBOC database.

Identification CBOC name Station # Location: street, city, state, zipcode. Number of clinic sites (i.e., separate geographic locations) Administration VISN# Parent VA medical facility (name and station #) CBOC contact at VISN & parent VA facility (name, address, telephone number, e-mail) CBOC director (name, address, telephone number, e-mail) Location Distance from nearest VA facility Rural, urban (use MSH designation) Catchment area (by county or zipcode) Start Dates Date approved Date of first veteran visit (actual) Type of CBOC VA-staffed, contracted care, sharing arrangement, mixed staff Organizational structure (if contracted CBOC): HMO, provider network, group practice, individual providers, other Capacity Projected number of unique patients for fiscal year Projected number of visits for fiscal year Actual number of unique patients in fiscal year Actual number of visits in fiscal year Proportion of workload (visits) devoted to veteran CBOC care Staff Number of providers by type, including specialists Number of total FTEE by type Clinical FTEE by provider type

17

APPENDIX A – Con’t

Patients Method of selecting CBOC patients Method of disenrollment from CBOC Veteran user status, priority status, age distribution, sex distribution, distance from CBOC Services available on site Medical: primary care, mental health, specialty care, etc. Ancillary: laboratory, radiology, pharmacy, EKG, etc. Emergency coverageFinancial Financial agreement (for contract CBOC): capitation, contracted rate/visit, fee basis, discounted fee, etc. Contracted total cost and cost per patient Total recurring cost: i.e., cost of contract (if contract CBOC), laboratory/radiology/ pharmacy (unless included in contract) VA-paid salary, lease, etc. Cost inclusions Cost exclusions (e.g., donated space for VA run clinic) Adjusted cost (adjusting for categories not included in reported costs, e.g. space) Other Hours of operation Referral process: to VA facility, to non-VA facility (method, approval requirements, etc.) Electronic connection to VistA (for patient data) Telemedicine technology (e.g., telepathology, teleradiology, etc.) Transportation (public, voluntary, etc.) Method of monitoring CBOCs performance Availability of evaluation report for prior fiscal year

APPENDIX B

18

Department of Veterans AffairsHealth Services Research &

DevelopmentSeattle, WA

Community Based Outpatient Clinics (CBOC)

Characteristics

Please fill out one form for each CBOC in your VISN that began actually seeing patients on or before September 30, 1998.If a CBOC is located at more than one site (e.g., for a multi-site contract), please complete a separate form for each site.Thank you for your assistance in this project. If you have any questions please call Molly Bradshaw at 206-762-1010, ext.6549. Please do not complete this form for a Satellite Clinic. Only enter information about a clinic that has been formallyapproved as a CBOC.

2. CBOC station #1. Full name of CBOC

Street

City

State & Zip3a. CBOC Director (Name and Title) 3b. Director’s address (if different from above) 3c. Director’s phone number

3d. Email

4. Is this CBOC LINKED organizationally to other CBOCs? (i.e., CBOCs that are linked would probably have the same administration, have a common name, and be legally incorporated. Forexample, all the clinics in a multi-site group practice or HMO would be linked.)

¨ YES ¨ NO If YES, please list the name, location, and station number of all the linked CBOCs on the separate form entitled “Organizationally Linked CBOCs”.

Questions 5-6 relate to the Parent VA Medical Facility that is affiliated with the CBOC listed in box number one.5a. Name of Parent Medical Facility

City

State Zip

5b.Facility station #

6c. Contact person’s phone number6a. CBOC contact person at parent facility (Nameand Title)

6b. Contact person’s address (if different from 5a)Street

City

State & Zip

6d. Email

Remaining questions deal only with the CBOC listed in box number one.7. Date of first veteran

visit at CBOC (actualfirst date of veteranvisit – not projecteddate)

MONTH

DAY

YEAR

8. Describe the type of CBOC:

¨ VA Staffed (If checked, skip to question #10)

¨ Contract

¨ Mixed (VA Staffed & Contract)

¨ Other (specify)

9. If all or part of this CBOC has contracted primary health care or mental health providers, are the contracted providers:

¨ Individual providers ¨ Group practice

¨ HMO ¨ Provider network

¨ Other (specify)

10. Please describe the catchment area (i.e., geographic service area) by county or zip code for thisCBOC.

11a. Does this CBOC also see non-VA patients?

¨ YES ¨ NO

11b. If YES, approximately what percent of the primary health care/primary mental health care visits at this CBOC during FY 98 (i.e.10/1/97 to 9/30/98) were for VA patients?

%

APPENDIX B

19

12. Must a veteran commit or sign-up to receive primary health care/primary mental health care at this CBOC? (Check only one)

¨ YES, a veteran MUST commit or sign-up specifically for this CBOC

¨ NO, but a veteran in the CBOC catchment area MUST receive primary health care/primary mental health care at this CBOC

¨ NO, but a veteran in the CBOC catchment area MUST receive primary health care/primary mental health care at this CBOC or at linked CBOCs (see question #4)

¨ NO, a veteran in the CBOC catchment area MAY receive primary health care/primary mental health care at any CBOC or at the Parent VA facility as desired

If answer is YES in Question 12, continue with question #13-16, if not skip to question #17.13. How many veterans were signed up

for this CBOC: On October 1, 1997 (answer only if

CBOC was in operation on this date)

On September 30, 1998

14a. What are the criteria (if any) for a veteran to sign up for this CBOC?

¨ Proximity to CBOC ¨ Specific catchment area

Other (describe criteria):

14b. Are there any exclusion criteria or exclusion diagnoses thatpreclude veterans from signing up for this CBOC?

¨ YES ¨ NO

If YES, please describe criteria:

15. Veterans who signed up with this CBOC:

¨ MUST receive VA primary health care/primary mental health care only at this CBOC

¨ MAY receive VA primary health care/primary mental health care at this CBOC or other linked CBOC sites (see question #4)

¨ MAY receive primary health care/primary mental health care at the CBOC or at a parent VA facility as desired

¨ Other (specify) ___________________________________

16. What is the procedure for a veteran who has signed up for this CBOC to switchto another CBOC or Parent VA medical facility for primary healthcare/primary mental health care?

17. At the beginning of FY 98 (on 10/1/97):

a. What was the projected total number of veterans (unique SSNs) to be seen in FY 98 (i.e.10/1/97 to 9/30/98)?

b. What was the projected total number of veteran visits for FY 98?

At the end of FY 98 (on 9/30/98):

c. What was the actual number of veterans (unique SSNs) seen in FY 98 (i.e.10/1/97 to 9/30/98)?

d. What was the actual number of veteran visits in FY 98 (i.e.10/1/97 to 9/30/98)?

18. What were the hours of regular operation for this CBOC during FY 98?

Monday _______ AM / PM TO _______ AM / PM

Tuesday _______ AM / PM TO _______ AM / PM

Wednesday _______ AM / PM TO _______ AM / PM

Thursday _______ AM / PM TO _______ AM / PM

Friday _______ AM / PM TO _______ AM / PM

Saturday _______ AM / PM TO _______ AM / PM

Sunday _______ AM / PM TO _______ AM / PM

19. What services are available on site at this CBOC for VA patients? (Check all that apply)

¨ Primary health care

¨ Specialty care (If checked specify type) _____________________________________________________________________________________________

¨ Primary mental health care

If checked specify what type of providers: ¨ MSW, ¨ Ph.D., ¨ MD

¨ Specialty mental health care (If checked specify type, e.g., addictions, geriatrics) ____________________________________________________________

¨ On site Pharmacy ¨ Other Pharmacy services (specify) ___________________________________________________________________________

¨ Laboratory

If checked specify ability to: ¨ Draw blood samples on site ¨ Conduct basic blood tests on site ̈ Conduct basic urine tests on site

¨ Radiology ¨ EKG ¨ Dietary Services ¨ Social Work ¨ 24-hour emergency services (on site)

¨ Other (specify) _________________________________________________________________________________________________________________

APPENDIX B

20

23. How are data regarding this CBOC’s clinicvisits (patient SSN, visit date, patientdiagnosis, etc.) transferred into VistA?

¨ Terminals are available at CBOC

¨ Paper record of visit is transferred toparent VA where it is entered intoVistA

¨ CBOC clinic visit data are not entered into VistA

20. What is required for a CBOC patient toreceive specialty care (speech pathology,dermatology, cardiology, etc) at the parentVA? (Check all that apply)

¨ Self referral

¨ Referral by CBOC provider

¨ Approval by parent VA

¨ Other (specify)

21. If specialty care is available at this CBOC, what is required for a CBOC patient to receive specialty care (speech pathology, dermatology, cardiology, etc) at this CBOC? (Check all that apply)

¨ Self referral

¨ Referral by CBOC primary care provider

¨ Approval by parent VA

¨ Other (specify)

¨ Not applicable (i.e., specialty care isnot available at CBOC)

22. What is required for a CBOC patient toreceive fee-basis specialty care (speechpathology, dermatology, cardiology,etc)

from a provider outside of the VA whois not part of this CBOC? (Check allthat apply)

¨ Self referral

¨ Referral by CBOC provider

¨ Approval by parent VA

¨ Other (specify)23a. If CBOC data are entered into VistA at the

CBOC or Parent VA, is the CBOCdesignated by a:

¨ station number (different from parentstation number)

¨ as one or more unique clinic stops

24. Is this CBOC currentlyparticipating in telemedicine(telepathology, teleradiology,etc)?

¨YES

¨NO

25. Are the following forms of public transportationavailable to this CBOC? (Check all that apply)

¨ Bus

¨ Subway/Light Rail

¨ Taxi

¨ Voluntary services (e.g., Disabled American Veterans)

26a. How is the performance of this CBOC evaluated?(Describe the evaluation methods and criteria)

26b. Is an evaluation reportavailable for this CBOCfor FY 98 (i.e. 10/1/97 to9/30/98)?

¨YES

¨NO

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taffe

dV

A S

taffe

dN

O71

235

YE

SN

ON

O5

NO

NO

YE

SN

O1

689G

AW

ater

bury

VA

Prim

ary

Car

e C

ente

rW

ater

bury

C

T68

9V

A C

onne

ctic

ut H

CS

CT

8/98

VA

Sta

ffed

VA

Sta

ffed

NO

4040

YE

SN

ON

O5

NO

NO

YE

SN

O

267

0GE

Bin

gham

ton

CB

OC

Bin

gham

ton

NY

670

Syr

acus

e V

AM

CN

Y12

/96

VA

Sta

ffed

VA

Sta

ffed

NO

2715

12,1

79Y

ES

YE

SN

O5

YE

SY

ES

YE

SN

O2

500G

CG

len

Falls

Prim

ary

Car

e P

ract

ice

Gle

n Fa

llsN

Y50

0A

lban

y M

edic

al C

ente

rN

Y10

/97

Con

tract

Con

tract

YE

S14

3929

44Y

ES

YE

SN

O5

NO

NO

YE

SY

ES

252

8GD

Hor

izon

Hea

lth S

ervi

ces

Nia

gara

Fal

lsN

Y52

8V

AW

NY

HS

, Buf

falo

NY

12/9

7C

ontra

ctC

ontra

ctN

O37

01,

216

YE

SN

ON

O5

NO

NO

YE

SN

O

250

0GD

Clif

ton

Par

k P

rimar

y C

are

Pra

ctic

e,

Sar

atog

a, N

YC

lifto

n P

ark

NY

500

Alb

any

Med

ical

Cen

ter

NY

5/98

Con

tract

Con

tract

YE

S30

256

1Y

ES

YE

SN

O5

NO

NO

YE

SN

O

356

1HA

Hac

kens

ack

Hea

lth P

ract

ice,

Ber

gen

Cou

nty

Hac

kens

ack

NJ

561

VA

New

Jer

sey

HC

SN

J8/

95V

A S

taffe

dV

A S

taffe

dY

ES

2716

8117

YE

SY

ES

NO

5Y

ES

NO

YE

SN

O3

561G

ATr

ento

n H

ealth

Pra

ctic

eTr

ento

nN

J56

1V

A N

ew J

erse

y H

CS

NJ

1/96

VA

Sta

ffed

VA

Sta

ffed

YE

S10

1641

72Y

ES

YE

SN

O3

NO

NO

YE

SN

O

352

7GA

Sta

ten

Isla

nd V

eter

ans

Hea

lth C

are

Cen

ter

Sta

ten

Isla

ndN

Y52

7B

rook

lyn

VA

MC

800

Pol

y P

lace

NY

1/96

VA

Sta

ffed

VA

Sta

ffed

NO

946

6016

YE

SY

ES

NO

5N

ON

OY

ES

YE

S

3

VA

Vet

eran

s C

linic

, Roc

klan

d C

ount

y,

NY

New

City

NY

620

VA

Hud

son

Val

ley

HC

SN

Y4/

96V

A S

taffe

dV

A S

taffe

dN

O26

7319

634

YE

SY

ES

NO

5Y

ES

NO

YE

SY

ES

363

0GA

Har

lem

VA

Car

e C

ente

rN

YC

NY

630

VA

Med

ical

Cen

ter,

NY

CN

Y12

/96

VA

Sta

ffed

VA

Sta

ffed

NO

414

953

YE

SN

ON

O5

NO

YE

SY

ES

YE

S3

561G

BE

lizab

eth

Hea

lth P

ract

ice

Eliz

abet

h N

J56

1V

A N

ew J

erse

y H

CS

NJ

6/98

VA

Sta

ffed

VA

Sta

ffed

YE

S30

341

5Y

ES

YE

SN

O5

YE

SN

OY

ES

NO

352

6GB

Yon

kers

Com

mun

ity B

ased

Out

patie

nt

Clin

icY

onke

rs

NY

526

VA

Med

ical

Cen

ter,

Bro

nxN

Y7/

98V

A S

taffe

dV

A S

taffe

dN

O25

435

9Y

ES

NO

NO

5Y

ES

NO

YE

SN

O

452

9GA

Mer

cer C

o. C

BO

C M

erce

r Hea

lthpl

ace

Mer

cer

PA

529

VA

MC

, But

ler

PA

12/9

6V

A S

taffe

dV

A S

taffe

dY

ES

162

421

YE

SN

ON

O5

NO

NO

YE

SN

O

452

9GA

Mer

cer C

o. C

BO

C W

est M

iddl

esex

Fa

mily

Med

. Cen

ter

Wes

t Mid

dles

exP

A52

9V

AM

C, B

utle

rP

A1/

97V

A S

taffe

dV

A S

taffe

dY

ES

192

542

YE

SN

ON

O5

NO

NO

YE

S4

693G

BW

illia

msp

ort C

BO

CW

illia

msp

ort

PA

693

Wilk

es-B

arre

VA

MC

PA

7/97

VA

Sta

ffed

VA

Sta

ffed

NO

613

1419

YE

SY

ES

NO

1N

ON

OY

ES

YE

S4

642G

BV

A O

utpa

tient

Clin

ic a

t Cap

e M

ayC

ape

May

NJ

642

Phi

lade

lphi

a V

AM

CP

A10

/97

VA

Sta

ffed

VA

Sta

ffed

YE

S78

922

11Y

ES

NO

NO

5N

ON

OY

ES

NO

464

2GA

Out

patie

nt C

linic

at M

arsh

all H

all

Ft. D

ixN

J64

2P

hila

delp

hia

VA

MC

PA

10/9

7V

A S

taffe

dV

A S

taffe

dY

ES

1923

6056

YE

SY

ES

NO

5N

ON

OY

ES

NO

456

2GA

Cra

wfo

rd C

o. P

rimar

y C

are

Clin

icM

eadv

ille

PA

562

Erie

VA

Med

ical

Cen

ter

PA

11/9

7V

A S

taffe

dV

A S

taffe

dY

ES

606

1913

YE

SN

ON

O5

NO

NO

YE

SN

O4

562G

BA

shta

bula

Cou

nty

Prim

ary

Car

e C

linic

Ash

tabu

laO

H56

2E

rie V

A M

edic

al C

ente

rP

A11

/97

VA

Sta

ffed

VA

Sta

ffed

YE

S37

497

0Y

ES

NO

NO

2N

ON

OY

ES

NO

456

2GC

McK

ean

Cou

nty

Prim

ary

Car

e C

linic

Sm

ethp

ort

PA

562

Erie

VA

Med

ical

Cen

ter

PA

11/9

7C

ontra

ctC

ontra

ctY

ES

1919

YE

SN

ON

O5

NO

NO

YE

SN

O4

693G

CTo

byha

nna

CB

OC

Toby

hann

aP

A69

3W

ilkes

-Bar

re V

AM

CP

A12

/97

VA

Sta

ffed

VA

Sta

ffed

NO

200

401

YE

SY

ES

NO

5N

ON

OY

ES

YE

S4

646G

BG

reen

sbur

g V

A O

utpa

tient

Clin

icG

reen

sbur

gP

A64

6V

A P

ittsb

urgh

HC

SP

A2/

98C

ontra

ctC

ontra

ctY

ES

396

622

YE

SN

ON

O2

NO

NO

YE

SY

ES

446

0GA

VA

Prim

ary

Car

e C

linic

Mill

sbor

oD

E46

0W

ilmin

gton

DE

3/98

Con

tract

Con

tract

YE

S37

267

8Y

ES

NO

NO

1N

ON

ON

ON

O

469

3GE

Sch

uylk

ill C

o. C

BO

C/G

ood

Sam

arita

n H

ealth

Cen

ter

Sch

uylk

ill H

aven

PA

693

Wilk

es-B

arre

VA

MC

PA

3/98

VA

Sta

ffed

VA

Sta

ffed

NO

335

740

YE

SN

ON

O5

NO

NO

YE

SY

ES

459

5GB

Sch

uylk

ill C

o. C

BO

CP

otts

ville

PA

595

Leba

non

VA

Med

ical

Cen

ter

PA

4/98

Con

tract

Con

tract

YE

S49

072

6Y

ES

NO

NO

5N

ON

OY

ES

NO

450

3GB

Jam

es E

. Van

Zand

t VA

Out

patie

nt C

linic

, C

lear

field

, PA

Dub

ois

PA

503

VA

MC

, Alto

ona

PA

6/98

VA

Sta

ffed

VA

Sta

ffed

NO

569

1583

YE

SN

ON

O1

NO

NO

.N

O4

595G

CLa

ncas

ter C

ount

y C

BO

CLa

ncas

ter

PA

595

Leba

non

VA

Med

ical

Cen

ter

PA

9/98

Con

tract

Con

tract

YE

S13

113

1Y

ES

YE

SN

O5

NO

NO

.N

O

452

9GB

Law

renc

e C

o. C

BO

C -

New

Cas

tle -

Jam

ison

Hea

lth C

ente

r Dow

ntow

nN

ew C

astle

PA

529

VA

MC

, But

ler

PA

9/98

VA

Sta

ffed

VA

Sta

ffed

YE

S19

19Y

ES

NO

NO

2N

ON

OY

ES

NO

568

8GA

Ale

xand

ria C

omm

unity

Clin

icA

lexa

ndria

VA

688

Was

hing

ton

DC

VA

MC

DC

4/98

VA

Sta

ffed

VA

Sta

ffed

NO

192

429

YE

SN

OY

ES

5N

ON

OY

ES

561

3GB

Hag

erst

own

CB

OC

Hag

erst

own

MD

613

Mar

tinsb

urg

WV

5/98

VA

Sta

ffed

VA

Sta

ffed

YE

S15

6224

47Y

ES

YE

SN

O2

NO

NO

YE

SN

O5

512G

BS

outh

ern

Mar

ylan

d C

BO

CC

harlo

tte H

all

MD

512

VA

Mar

ylan

d H

CS

MD

6/98

Con

tract

Con

tract

NO

292

725

YE

SY

ES

NO

4N

OY

ES

YE

SN

O

665

8GA

Taze

wel

l Fam

ily P

hysi

cian

sTa

zew

ell

VA

658

VA

MC

Sal

emV

A8/

97C

ontra

ctC

ontra

ctN

O20

390

4Y

ES

NO

NO

5N

ON

OY

ES

YE

S6

659G

AC

harlo

tte V

A O

utpa

tient

Clin

icC

harlo

tteN

C65

9V

AM

C, S

alis

bury

NC

9/98

VA

Sta

ffed

VA

Sta

ffed

NO

YE

SY

ES

NO

5N

ON

OY

ES

NO

761

9GB

VA

Out

patie

nt C

linic

eD

otha

nA

L61

9C

entra

l Ala

bam

a H

CS

AL

12/9

7C

ontra

ctC

ontra

ctY

ES

2200

5033

YE

SN

ON

O5

NO

NO

YE

SY

ES

755

7GA

Mac

on C

BO

CM

acon

GA

557

VA

MC

. Dub

linG

A8/

98C

ontra

ctC

ontra

ctY

ES

435

490

YE

SY

ES

NO

5N

ON

OY

ES

NO

753

4GB

Myr

tle B

each

Prim

ary

Car

e C

linic

Myr

tle B

each

SC

534

VA

MC

, Cha

rlest

onS

C9/

98V

A S

taffe

dV

A S

taffe

dN

O23

939

1Y

ES

YE

SN

O5

NO

NO

NO

NO

755

7GB

Alb

any

CB

OC

Alb

any

GA

557

VA

MC

. Dub

linG

A9/

98C

ontra

ctC

ontra

ctY

ES

344

374

YE

SY

ES

NO

5N

ON

OY

ES

NO

851

6GA

Sar

asot

aS

aras

ota

FL51

6V

AM

C, B

ay P

ines

FL5/

97V

A S

taffe

dV

A S

taffe

dN

O19

8077

41Y

ES

NO

NO

5N

ON

OY

ES

NO

854

6GC

Hom

este

adH

omes

tead

FL54

6V

AM

C M

iam

iFL

5/97

VA

Sta

ffed

VA

Sta

ffed

NO

997

4123

YE

SY

ES

NO

5N

ON

OY

ES

YE

S8

673G

BB

arto

wB

arto

wFL

673

Tam

paFL

8/97

VA

Sta

ffed

VA

Sta

ffed

YE

S62

631

89Y

ES

NO

NO

5N

ON

OY

ES

YE

S8

673G

CB

rook

svill

e B

rook

svill

e FL

673

Tam

paFL

3/98

VA

Sta

ffed

VA

Sta

ffed

YE

S45

616

31Y

ES

NO

NO

5N

ON

ON

OY

ES

857

3GA

Val

dost

aV

aldo

sta

GA

573A

4N

orth

FL/

Sou

th G

A V

eter

ans

Hea

lth

Sys

tem

FL4/

98V

A S

taffe

dV

A S

taffe

dN

O11

1721

14Y

ES

NO

YE

S5

NO

NO

NO

YE

S8

548G

AFt

. Pie

rce

Ft. P

ierc

eFL

548

Wes

t Pal

m B

each

VA

MC

FL6/

98C

ontra

ctC

ontra

ctN

O10

6619

03Y

ES

NO

NO

5N

ON

OY

ES

YE

S8

546G

DP

embr

oke

Pin

esP

embr

oke

Pin

esFL

546

VA

MC

Mia

mi

FL7/

98V

A S

taffe

dV

A S

taffe

dN

O31

447

0Y

ES

YE

SN

O5

NO

NO

YE

SY

ES

851

6GB

So.

St.

Pet

ersb

urg

St.

Pet

ersb

urg

FL51

6V

AM

C, B

ay P

ines

FL7/

98V

A S

taffe

dV

A S

taffe

dN

O16

526

2Y

ES

NO

NO

5N

ON

OY

ES

NO

*

Rep

orte

d he

re a

re C

BO

C c

hara

cter

istic

s da

ta fo

r CB

OC

s th

at c

ompl

eted

the

cong

ress

iona

l rev

iew

pro

cess

and

beg

an s

ervi

ng v

eter

ans

betw

een

Mar

ch 1

995

and

Sept

embe

r 199

8.

App

endi

x C

- Se

lect

ed C

hara

cter

istic

s fo

r C

BO

Cs

in O

pera

tion

On

or B

efor

e 9/

30/9

8*

Revi

sed

3-23

-99

VIS

NC

BO

C

Sta

tion

# C

BO

C N

ame

City

Sta

teV

AM

F S

tatio

n #

Par

ent V

A /

City

Sta

teD

ate

of

1st V

isit

CB

OC

Sta

ff

(Phy

sici

ans)

CB

OC

Sta

ff

(Tot

al)

Vet

. Mus

t S

ign-

up

Uni

que

# V

ets.

FY

98

Act

ual

Vis

its

FY 9

8

Pri

mar

y H

ealth

C

are

Men

tal

Hea

lth

Car

e

Telemedicine

Weekdays Open

Evenings

Weekends

Public Trans.

98 E

valu

atio

n A

vaila

ble

962

6GB

Prim

ary

Car

e S

ervi

ces

at M

adis

onM

adis

onTN

626

VA

MC

, Nas

hvill

eTN

3/97

Con

tract

Con

tract

YE

S57

515

30Y

ES

NO

NO

5N

ON

OY

ES

YE

S9

626G

CU

rgen

tcar

e, In

c.B

owlin

g G

reen

K

Y62

6V

AM

C, N

ashv

ille

TN10

/97

Con

tract

Con

tract

YE

S85

024

18Y

ES

NO

NO

5N

ON

O.

YE

S9

626G

DTh

e Tr

over

Fou

ndat

ion,

Inc.

Hop

kins

ville

KY

626

VA

MC

, Nas

hvill

eTN

11/9

7C

ontra

ctC

ontra

ctY

ES

1080

2567

YE

SN

ON

O5

NO

NO

YE

SY

ES

960

3GA

Vet

eran

s Fo

rt K

nox

Clin

icFo

rt K

nox

KY

VA

MC

, Lou

isvi

lleK

Y2/

98V

A S

taffe

dV

A S

taffe

dY

ES

1717

6148

YE

SN

ON

O5

NO

NO

YE

SN

O9

614G

BA

cces

s Fa

mily

Hea

lth S

ervi

ces,

Inc.

Sm

ithvi

lleM

S61

4V

AM

C, M

emph

isTN

6/98

Con

tract

Con

tract

YE

S88

131

YE

SN

ON

O5

NO

NO

YE

SN

O9

581G

BC

harle

ston

Prim

ary

Car

e C

linic

Cha

rlest

onW

V58

1H

untin

gton

VA

MC

WV

8/98

VA

Sta

ffed

VA

Sta

ffed

YE

S32

536

2Y

ES

NO

NO

5N

ON

OY

ES

1053

8GA

Dep

t. of

Vet

. Affa

irs, C

BO

CA

then

sO

H53

8V

AM

C C

hilli

coth

e O

H8/

97V

A S

taffe

dV

A S

taffe

dN

O12

2473

74Y

ES

YE

SN

O5

NO

NO

YE

SY

ES

1054

1GB

Dep

t. of

Vet

. Affa

irs, C

BO

CLo

rain

OH

54

1V

AM

C, C

leve

land

OH

9/97

VA

Sta

ffed

VA

Sta

ffed

NO

1890

8278

YE

SY

ES

NO

5N

ON

OY

ES

YE

S10

757G

AD

ept.

of V

et. A

ffairs

, CB

OC

Zane

svill

eO

H75

7V

AM

C, C

olum

bus

OH

10/9

7V

A S

taffe

dV

A S

taffe

dN

O10

615

4Y

ES

YE

SN

O5

NO

NO

YE

SN

O10

552H

AD

ept.

of V

et. A

ffairs

, CB

OC

Spr

ingf

ield

OH

552

VA

MC

, Day

ton

OH

2/

98V

A S

taffe

dV

A S

taffe

dN

O39

783

4Y

ES

YE

SN

O5

NO

NO

YE

SN

O10

552G

AD

ept.

of V

et. A

ffairs

, CB

OC

Mid

dlet

own

OH

552

VA

MC

, Day

ton

OH

6/98

VA

Sta

ffed

VA

Sta

ffed

NO

410

1068

YE

SY

ES

NO

5N

ON

OY

ES

NO

1053

8GB

Dep

t. of

Vet

. Affa

irs, C

BO

CP

orts

mou

thO

H53

8V

AM

C, C

hilli

coth

e O

H7/

98V

A S

taffe

dV

A S

taffe

dN

O54

685

0Y

ES

YE

SN

O5

NO

NO

YE

SN

O10

541G

DD

ept.

of V

et. A

ffairs

, CB

OC

Man

sfie

ldO

H54

1V

AM

C, C

leve

land

OH

8/98

VA

Sta

ffed

VA

Sta

ffed

NO

829

1451

YE

SY

ES

NO

5N

ON

OY

ES

NO

10.1

154

1GC

Dep

t. of

Vet

. Affa

irsS

andu

sky

OH

VA

MC

, Cle

vela

ndO

H3/

98V

A S

taffe

dV

A S

taffe

dN

O61

919

87Y

ES

YE

SN

O5

NO

NO

YE

SN

O

1161

0GA

Sou

thbe

nd C

BO

CFo

rt W

ayne

IN61

0V

A N

orth

ern

Indi

ana

HC

SIN

4/98

Con

tract

Con

tract

YE

S68

145

YE

SY

ES

NO

5N

OY

ES

NO

NO

1155

3GA

Yal

e C

omm

unity

Hea

lth C

ente

rY

ale

MI

553

VA

MC

, Det

riot

MI

6/98

Con

tract

Con

tract

YE

S43

058

5Y

ES

NO

NO

5Y

ES

YE

SY

ES

NO

1257

8GE

Elg

in C

linic

Elg

inIL

578

Hin

es V

A H

ospi

tal

IL9/

98V

A S

taffe

dV

A S

taffe

dN

O58

60Y

ES

YE

SN

O5

NO

NO

NO

NO

1253

7HA

Woo

dlaw

n C

linic

Chi

cago

IL

537

VA

MC

Chi

cago

HC

S (w

est s

ide

div.

)IL

10/9

5V

A S

taffe

dV

A S

taffe

dN

O68

819

59Y

ES

NO

NO

5N

ON

OY

ES

YE

S12

585G

AH

anco

ck C

linic

Han

cock

MI

585

Iron

Mou

ntai

n V

AM

CM

I5/

97V

A S

taffe

dM

ixed

NO

239

773

YE

SN

ON

O2

NO

NO

YE

SY

ES

1269

5GA

Uni

on G

rove

Clin

icU

nion

Gro

veW

I69

5M

ilwau

kee

VA

MC

WI

4/98

VA

Sta

ffed

VA

Sta

ffed

NO

623

1800

YE

SY

ES

NO

2N

ON

OY

ES

NO

1258

5GB

Rhi

nela

nder

Clin

icR

hine

land

erW

I58

5Iro

n M

ount

ain

VA

MC

MI

5/98

VA

Sta

ffed

VA

Sta

ffed

NO

255

392

YE

SN

ON

O5

NO

NO

YE

SY

ES

1257

8GD

Chi

cago

Hei

ghts

Clin

ics

Chi

cago

Hei

ghts

IL57

8V

A C

hica

go H

CS

(lak

esid

e di

v)IL

8/98

VA

Sta

ffed

VA

Sta

ffed

NO

110

290

YE

SN

ON

O5

NO

NO

YE

SN

O12

585G

CM

enom

inee

Clin

icM

enom

inee

MI

585

Iron

Mou

ntai

n V

AM

CM

I8/

98C

ontra

ctM

ixed

NO

119

163

YE

SY

ES

NO

5N

ON

OY

ES

YE

S12

676G

AW

ausa

u C

linic

Wau

sau

WI

676

Tom

ah V

AM

CW

I9/

98C

ontra

ctC

ontra

ctN

O76

50Y

ES

NO

NO

4N

ON

OY

ES

NO

1343

7GB

Bis

mar

ck C

BO

CB

ism

arck

ND

437

VA

MC

Far

goN

D1/

98C

ontra

ctC

ontra

ctY

ES

639

1378

YE

SN

OY

ES

5N

OY

ES

YE

SY

ES

1361

8GB

Fairv

iew

Mes

aba

Clin

ic -

Hib

bing

Hib

bing

MN

618

Min

neap

olis

VA

MC

MN

5/98

Con

tract

Con

tract

YE

S17

747

0Y

ES

NO

NO

5N

OY

ES

YE

SN

O

1361

8GA

Qua

lity

Hea

lth A

llian

ce (c

ontra

ctor

offi

ce)

Man

kato

MN

618

Min

neap

olis

VA

MC

MN

5/98

Con

tract

Con

tract

YE

S13

435

4Y

ES

NO

NO

5N

OY

ES

NO

NO

1356

8GB

DV

A C

BO

C, P

ierr

e, S

DP

ierr

eS

D56

8B

lack

Hill

s H

CS

SD

7/98

Con

tract

Con

tract

YE

S16

928

0Y

ES

NO

NO

5N

OY

ES

YE

SN

O

1343

8GB

DV

A C

BO

C, P

ierr

e, S

DP

ierr

eS

D43

8R

oyal

C. J

ohns

on M

edic

al a

nd R

egio

nal

Offi

ce C

ente

rS

D7/

98C

ontra

ctC

ontra

ctY

ES

130

58Y

ES

NO

NO

5N

OY

ES

YE

SN

O

1463

6GA

Nor

folk

CB

OC

Pro

gram

Nor

folk

NE

636

VA

MC

, Om

aha

NE

12/9

7C

ontra

ctC

ontra

ctY

ES

323

922

YE

SN

ON

O5

YE

SY

ES

NO

NO

1455

5HB

VA

Clin

icM

ason

City

IA55

5V

A C

entra

l IA

HC

SIA

1/98

Con

tract

Mix

edY

ES

801

4180

YE

SN

ON

O1

NO

NO

YE

SN

O14

584G

BW

ater

loo

Out

patie

nt C

linic

Wat

erlo

oIA

584

VA

MC

, Iow

a C

ityIA

1/98

VA

Sta

ffed

VA

Sta

ffed

YE

S10

2534

27Y

ES

NO

NO

5N

ON

OY

ES

YE

S

1560

9GA

Mt.

Ver

non

CB

OC

Mt.

Ver

non

IL60

9M

ario

n V

AM

CIL

3/97

VA

Sta

ffed

VA

Sta

ffed

YE

S12

9826

75Y

ES

NO

NO

5N

ON

OY

ES

YE

S15

647G

AV

A O

utpa

tient

Clin

icW

est P

lain

sM

O64

7V

AM

C, P

opul

ar B

luff

MO

9/97

VA

Sta

ffed

VA

Sta

ffed

NO

972

2655

YE

SY

ES

NO

5N

ON

OY

ES

NO

1564

7GB

VA

Out

patie

nt C

linic

Par

agou

ldA

R64

7V

AM

C, P

opul

ar B

luff

MO

9/97

VA

Sta

ffed

VA

Sta

ffed

NO

917

2240

YE

SY

ES

NO

5N

ON

OY

ES

NO

1567

7GA

St.

Jose

ph V

A O

utpa

tient

Clin

icS

t. Jo

seph

MO

677L

VA

MC

, Lea

venw

orth

KS

9/97

VA

Sta

ffed

VA

Sta

ffed

NO

1012

1348

YE

SN

ON

O5

NO

NO

YE

SN

O15

647G

CV

A O

utpa

tient

Clin

icC

ape

Gira

rdea

uM

O64

7V

AM

C, P

opul

ar B

luff

MO

10/9

7V

A S

taffe

dV

A S

taffe

dN

O71

113

00Y

ES

YE

S5

NO

NO

YE

SN

O15

609G

BP

aduc

ah C

BO

CP

aduc

ahK

Y60

9M

ario

n V

AM

CIL

3/98

VA

Sta

ffed

VA

Sta

ffed

YE

S94

316

90Y

ES

NO

NO

5N

ON

ON

ON

O

1554

3GB

Fort

Leon

ard

Woo

d V

A C

BO

CFo

rt Le

onar

d W

ood

MO

543

Col

umbi

aM

O9/

98V

A S

taffe

dV

A S

taffe

dY

ES

6265

YE

SN

ON

O5

NO

NO

YE

SN

O

1658

4GA

Dur

ant

Dur

ant

MS

586

Jack

son,

VA

MC

MS

7/97

Con

tract

Con

tract

YE

S21

039

4Y

ES

NO

NO

5N

ON

OY

ES

YE

S16

598G

AM

t. H

ome

Mou

ntai

n H

ome

AR

598

Cen

tral A

rkan

sas

Vet

eran

s H

CS

AR

4/98

Con

tract

Con

tract

YE

S17

4320

52Y

ES

NO

NO

5N

ON

OY

ES

NO

1652

0GB

Pan

ama

City

Pan

ama

City

B

each

FL52

0B

iloxi

VA

MC

MA

6/98

VA

Sta

ffed

VA

Sta

ffed

NO

1250

1804

YE

SY

ES

NO

0N

ON

OY

ES

NO

1658

6GB

GV

Son

ny M

ontg

omer

y V

A O

utpa

tient

C

linic

Mer

idia

nM

S58

6Ja

ckso

n, V

AM

CM

S7/

98C

ontra

ctC

ontra

ctY

ES

575

642

YE

SN

ON

O5

NO

NO

NO

NO

1663

5GC

Pon

ca C

ityP

onca

City

OK

635

Okl

ahom

a V

AM

CO

K9/

98C

ontra

ctC

ontra

ctY

ES

450

28Y

ES

NO

NO

5N

ON

ON

OY

ES

*

Rep

orte

d he

re a

re C

BO

C c

hara

cter

istic

s da

ta fo

r CB

OC

s th

at c

ompl

eted

the

cong

ress

iona

l rev

iew

pro

cess

and

beg

an s

ervi

ng v

eter

ans

betw

een

Mar

ch 1

995

and

Sept

embe

r 199

8.

App

endi

x C

- Se

lect

ed C

hara

cter

istic

s fo

r C

BO

Cs

in O

pera

tion

On

or B

efor

e 9/

30/9

8*

Revi

sed

3-23

-99

VIS

NC

BO

C

Sta

tion

# C

BO

C N

ame

City

Sta

teV

AM

F S

tatio

n #

Par

ent V

A /

City

Sta

teD

ate

of

1st V

isit

CB

OC

Sta

ff

(Phy

sici

ans)

CB

OC

Sta

ff

(Tot

al)

Vet

. Mus

t S

ign-

up

Uni

que

# V

ets.

FY

98

Act

ual

Vis

its

FY 9

8

Pri

mar

y H

ealth

C

are

Men

tal

Hea

lth

Car

e

Telemedicine

Weekdays Open

Evenings

Weekends

Public Trans.

98 E

valu

atio

n A

vaila

ble

1767

4HA

Ham

ilton

CB

OC

Ham

ilton

TX67

4C

entra

l Tex

as V

eter

ans

HC

STX

4/95

Con

tract

Con

tract

YE

S68

528

81Y

ES

NO

NO

5N

ON

ON

OY

ES

1754

9HA

Tarr

ant C

o. P

rimar

y C

are

Net

wor

k (F

orm

erly

Dia

mon

d H

ill C

BO

C)

Fort

Wor

thTX

549

VA

Nor

th T

exas

HC

STX

3/96

Con

tract

Con

tract

YE

S73

196

YE

SN

ON

O5

NO

NO

NO

YE

S17

671G

CD

el R

io C

BO

CD

el R

ioTX

671

Sou

th T

exas

Vet

eran

s H

CS

TX6/

97C

ontra

ctC

ontra

ctN

O34

64Y

ES

NO

NO

5N

ON

ON

OY

ES

1767

1GD

Eag

le P

ass

CB

OC

Eag

le P

ass

TX67

1S

outh

Tex

as V

eter

ans

HC

STX

6/97

Con

tract

Con

tract

NO

618

YE

SN

ON

O5

NO

NO

YE

SY

ES

1754

9GA

Cam

p Fa

nnin

CB

OC

(For

mer

ly T

yler

C

BO

C)

Tyle

rTX

549

VA

Nor

th T

exas

HC

STX

6/97

Con

tract

Con

tract

YE

S40

513

56Y

ES

NO

NO

5N

ON

ON

OY

ES

1767

1GA

Bro

wns

ville

CB

OC

Bro

wns

ville

TX67

1S

outh

Tex

as V

eter

ans

HC

STX

7/97

Con

tract

Con

tract

NO

187

644

YE

SN

ON

O3

YE

SY

ES

NO

YE

S17

674G

AP

ales

tine

CB

OC

Pal

estin

eTX

674

Cen

tral T

exas

Vet

eran

s H

CS

TX4/

98V

A S

taffe

dV

A S

taffe

dY

ES

676

1779

YE

SN

ON

O5

NO

NO

YE

SN

O

1754

9GC

Bon

ham

Are

a P

rimar

y C

are

Net

wor

k (fo

rmer

ly B

onha

m C

BO

C)

She

rman

TX54

9V

A N

orth

Tex

as H

CS

TX6/

98C

ontra

ctC

ontra

ctY

ES

484

676

YE

SN

ON

O5

NO

NO

YE

SY

ES

1767

1GH

Bee

ville

CB

OC

Bee

ville

TX67

1S

outh

Tex

as V

eter

ans

HC

STX

9/98

Con

tract

Con

tract

NO

77

YE

SN

ON

O5

NO

NO

NO

NO

1767

1GG

Alic

e C

BO

CS

an D

iego

TX67

1S

outh

Tex

as V

eter

ans

HC

STX

9/98

Con

tract

Con

tract

NO

77

YE

SN

ON

O5

NO

NO

NO

NO

1767

1GI

Kin

gsvi

lle C

BO

CK

ings

ville

TX67

1S

outh

Tex

as V

eter

ans

HC

STX

9/98

Con

tract

Con

tract

NO

33

YE

SN

ON

O5

NO

NO

NO

NO

1767

4GB

Bro

wnw

ood

CB

OC

Bro

wnw

ood

TX67

4C

entra

l Tex

as V

eter

ans

HC

STX

9/98

VA

Sta

ffed

VA

Sta

ffed

YE

S12

12Y

ES

NO

NO

5N

ON

ON

ON

O

1851

9HB

Ft. S

tock

ton

Com

mun

ity P

rimar

y C

are

Clin

icFt

. Sto

ckto

nTX

519

VA

MC

, Big

Spr

ing

TX4/

95C

ontra

ctC

ontra

ctY

ES

9726

2Y

ES

YE

SN

O5

NO

NO

YE

SN

O18

519H

CV

A M

edic

al C

linic

in A

bile

neA

bile

neTX

519

VA

MC

, Big

Spr

ing

TX12

/95

VA

Sta

ffed

VA

Sta

ffed

YE

S24

8611

539

YE

SN

ON

O5

NO

NO

NO

YE

S18

678G

AS

ierr

a V

ista

CB

OC

Ft. H

uach

uca

AZ

678

Tucs

on V

AM

CA

Z4/

97V

A S

taffe

dV

A S

taffe

dY

ES

1102

5175

YE

SN

OY

ES

5N

ON

ON

OY

ES

1851

9HF

VA

MC

in S

an A

ngel

oS

an A

ngel

oTX

519

VA

MC

, Big

Spr

ing

TX7/

97V

A S

taffe

dV

A S

taffe

dY

ES

986

4827

YE

SN

ON

O5

NO

NO

YE

SY

ES

1867

8GB

Yum

a C

BO

CY

uma

AZ

678

Tucs

on V

AM

CA

Z10

/97

VA

Sta

ffed

VA

Sta

ffed

YE

S13

9142

14Y

ES

YE

SY

ES

5N

ON

OY

ES

YE

S18

649G

AK

ingm

an C

BO

CK

ingm

anA

Z64

9V

AM

C, P

resc

ott

AZ

3/98

VA

Sta

ffed

VA

Sta

ffed

NO

956

2319

YE

SY

ES

NO

5N

ON

OY

ES

NO

1850

1GF

Gua

dalu

pe H

ospi

tal

San

ta R

osa

NM

501

Alb

uque

rque

VA

MC

NM

5/95

Con

tract

Con

tract

NO

5215

5Y

ES

NO

NO

5N

ON

OY

ES

NO

1867

8GC

Cas

a G

rand

e C

BO

CC

asa

Gra

nde

AZ

678

Tucs

on V

AM

CA

Z7/

98V

A S

taffe

dV

A S

taffe

dY

ES

324

653

YE

SY

ES

YE

S5

NO

NO

YE

SN

O18

519G

AV

A M

edic

al C

linic

in O

dess

aO

dess

aTX

519

VA

MC

, Big

Spr

ing

TX9/

98V

A S

taffe

dV

A S

taffe

dY

ES

2199

6058

YE

SY

ES

NO

5N

ON

OY

ES

YE

S18

519H

DV

A M

edic

al C

linic

in S

tam

ford

Sta

mfo

rdTX

519

VA

MC

, Big

Spr

ing

TX9/

98C

ontra

ctC

ontra

ctY

ES

710

YE

SN

ON

O5

NO

NO

YE

SN

O18

519G

BV

A M

edic

al C

linic

in H

obbs

Hob

bsN

M51

9V

AM

C, B

ig S

prin

gTX

9/98

VA

Sta

ffed

VA

Sta

ffed

YE

S18

319

0Y

ES

YE

SN

O5

NO

NO

YE

SN

O

1966

6GB

Cas

per C

BO

CC

aspe

rW

Y66

6V

AM

C S

herid

anW

Y4/

97V

A S

taffe

dV

A S

taffe

dY

ES

549

2308

YE

SY

ES

NO

5N

ON

ON

ON

O19

436G

CM

isso

ula

Prim

ary

Car

e C

linic

Mis

soul

aM

T43

6V

A M

onta

na H

CS

MT

6/97

VA

Sta

ffed

VA

Sta

ffed

NO

973

1866

YE

SY

ES

NO

5N

ON

OY

ES

NO

1943

6GB

Gre

at F

alls

Prim

ary

Car

e C

linic

Gre

at F

alls

MT

436

VA

Mon

tana

HC

SM

T9/

97V

A S

taffe

dV

A S

taffe

dN

O11

0317

81Y

ES

YE

SN

O5

NO

NO

NO

NO

1955

4GB

Aur

ora

Col

orad

oA

uror

a C

O55

4V

AM

C, D

enve

rC

O1/

98V

A S

taffe

dV

A S

taffe

dY

ES

1311

4244

YE

SY

ES

NO

5N

ON

OY

ES

YE

S

1966

6GC

Riv

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8.