Department of Veterans Affairs

1
Department of Veterans Affairs

• VA CMOP Update
• 2007

2
VA HEALTH CARE SYSTEM

• U.S. integrated health care system
• Approximately 25 million eligible veterans
• Over 7.6 million enrollees
• (5 million obtain healthcare)
• Comprehensive care
• Approx. 150 medical centers
• gt800 Outpatient clinics
• 135 nursing homes
• 180,000 employees

3
Prescription Dispensing Trends
30-day Equivalent Rxs
Actual Rxs
4
30-day Equivalent Rxs
Total
CMOP
VAMC
5
Type of Prescriptions FY 2005
Percent New 46
Percent Refill 53
Percent Partial 1
6
CMOP Breaking News

• CMOP reviews (procurement, finance, etc)
• CMOP replacement initiatives in process
• CMOP Central VISTA completed
• CMOP Central Database activated
• Re-establishment of CMOP Advisory Board Structure

7
CMOPs Technology at WorkConsolidated Mail
Outpatient Pharmacy

• 200 Million 30 Day Equivalents / Year
• Performance
• Error Rates less than 0.0006
• Patient Satisfaction Rating 90 VG/E
• Productivity greater than 75,000 Rx/FTEE/year
• JCAHO Accredited (No recommendations)

8
CMOP Costs Workload(average per
prescription/2006)

• Personal Services 0.80
• Operating 0.42
• Mail 1.19
• (Capitalization 0.15/Rx)
• Drug 29.00
• Penetration ( of VA workload) 80
• 90-day Rx ( of VA workload) 50

9
(No Transcript)
10
CMOP Costs Workload(Annual 2006)

• Personal Services 76.2 million
• Operating 40.2 million
• Mail 112.7 million
• Drug 2.8 billion
• Total Expenditures 3.1 billion
• Total volume 95 million Rxs
• Productivity 76K Rx/FTEE

11
CMOP Staffing Inventory

• Total staffing 1260 FTEE
• VA staff approx. 32
• Contract staff approx. 67
• CWT, trainees, discontinued
• Inv. Turnover rate 30 turns/year
• Inv. Annual shrinkage lt0.1

12
CMOP-Dallas System Accepted
13
CMOP-Chelmsford (MA)New System Activation
Pending
14
CMOP-Tucson (AZ)New System Activation Pending
15
Projected CMOP Capacity vs. Workload
16
CMOP Partnering

• Department of Defense
• Indian Health
• Bureau of Prisons
• NIH/National Library of Medicine
• Health Revenue Center- Topeka
• ChampVA Meds-by-Mail

17
Other Initiatives

• Prescription verification pilot
• Pharmacy call center
• Long-term care repackaging
• Specialty CMOPs (CS, Med-Surg, etc)

18
Questions?

• Timothy Stroup
• 5000 So. 13th St.
• Leavenworth, KS 66048
• [phone]
• Fax [phone]
• Email timstroup_at_email.com
• VA Email tim.stroup_at_va.gov