Cumulative from 1 st Qtr FY 2002 through 3 rd Qtr FY 2012 (October 1, 2001 June 30, 2012) Released September 2012

Transcription

1 Report on VA Facility Specific Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans Coded with Potential PTSD Cumulative from st Qtr FY 2002 through 3 rd Qtr FY 202 (October, 200 June 30, 202) Released September 202 Epidemiology Program Post-Deployment Health Group Office of Public Health Veterans Health Administration Department of Veterans Affairs Cumulative from FY rd Qtr FY 202, Released September 202 i

2 Table of Contents Introduction... Background... Data Sources... 2 OEF/OIF/OND Veteran Roster... 2 VHA Health Care Utilization Records... 2 Distribution of Veterans by Diagnostic Code and Facility... 3 Summary... 3 Table of OEF/OIF/OND Veterans with Potential PTSD Using VA Facilities... 4 Cumulative from FY rd Qtr FY 202, Released September 202 ii

3 Introduction This is a quarterly report on Veterans who have used Department of Veterans Affairs (VA) health care and who served in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), or Operation New Dawn (OND). This report shows the number and distribution of Veterans with potential (or provisional diagnosis of) Post-traumatic stress disorder (PTSD) by VA medical center (VAMC), Veterans Integrated Service Network (VISN), and Vet Center. The data only apply to OEF/OIF/OND Veterans who have accessed VA health care, and do not represent all recent Veterans who have become eligible for VA health care. This report is created by linking the Department of Defense (DoD) roster of returning Veterans to VA s electronic inpatient and outpatient health records and Vet Center records. Suggested citation: Epidemiology Program, Post Deployment Health Group, Office of Public Health, Veterans Health Administration, Department of Veterans Affairs. (202). Report on VA Facility Specific Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn Veterans Coded with Potential PTSD, from st Qtr FY 2002 through 3 rd Qtr FY 202. Washington, DC: Author. Retrieved from (URL) Check for updates. Background This report is provided in response to a Government Accountability Office (GAO) request that VA enumerate the total number of OEF, OIF, and OND Veterans who were diagnosed with PTSD, by VISN and specific VAMC using VA inpatient and outpatient records. It was also requested that this information be aggregated with Vet Center utilization data. The Veterans Health Administration (VHA) prepared an initial report in October 2004 for health care utilization during FY 2004 (October, 2003-September 30, 2004). This current report covers VA health care data for FY 2002 through 3 rd Qtr FY 202 (October, 200 June 30, 202). Cumulative from FY rd Qtr FY 202, Released September 202

4 Data Sources OEF/OIF/OND Veteran Roster Since October 2003, the Department of Defense (DoD) Defense Manpower Data Center (DMDC) has sent the VA, Office of Public Health, Post-Deployment Health Group, Epidemiology Program (EP), a periodically updated personnel roster of troops who participated in OEF/OIF/OND and who had separated from active duty and became eligible for VA benefits. The roster was originally prepared based on the pay records of individuals but more recently has been based on a combination of pay records and operational records provided by each branch of service. Based on the latest DMDC file received on July, 202, there are a total of,55,707 unique OEF/OIF/OND Veterans (including 5,709 Veterans who died in-theater) who, as of May 202, have separated from active duty following a deployment. For each Veteran, their demographic (social security number, name, date of birth, gender, education, etc.) and military service specific data (branch, rank, unit component, deployment dates, etc.) were included in the record. Beginning in 3rd Qtr FY 2009 (April, June 30, 2009), Veterans who died in-theater are included in both the DMDC total roster and health care utilization frequencies because this is a cumulative report going back to 2002, and, due to the duration of the OEF/OIF/OND conflict and repeated deployments, a certain number of these Veterans may have accessed VA health care services for the evaluation and/or treatment of PTSD. VHA Health Care Utilization Records The roster was checked against VA s inpatient (PTF) and outpatient (OPC) electronic patient records available through June 30, 202 to identify those who had sought treatment in VA facilities and to identify the International Classification of Diseases, 9 th Revision, Clinical Modification (ICD-9-CM) diagnostic codes used to describe the visits. These are administrative data and are not based on a review of each patient record. For the purpose of this report, a search was conducted of individual health care utilization records during FY rd Qtr FY 202 following first deployments in Iraq or Afghanistan. For identification of a potential PTSD patient, we used ICD-9-CM, The Vet Center counts were based on the data provided to EP on August 29, 202 by the Readjustment Counseling Service (RCS). The RCS staff matched the same DMDC roster with Vet Center users records through 3 rd Qtr FY 202. Cumulative from FY rd Qtr FY 202, Released September 202 2

5 Distribution of Veterans by Diagnostic Code and Facility A Veteran is counted only once in any facility specific category. For example, a Veteran who received health care from two or more medical centers within the same VISN was counted once for that VISN. Likewise, a Veteran who used services across two or more VISN facilities and a Vet Center was counted only once for the national overall total. The number for Primary indicates the total number of unique Veterans whose primary reason for the inpatient or outpatient visit was for treatment or evaluation of PTSD. The number for Any indicates the total number of unique Veterans coded with PTSD, whether or not the primary reasons for the inpatient or outpatient visit was for treatment or evaluation of PTSD. Both Primary and Any categories may include a preliminary diagnosis. Summary A query of VHA health care utilization databases using the May 202 DMDC roster yielded a total of 228,875 OEF/OIF/OND Veterans coded with PTSD at a VAMC and 5,73 Veterans who received Vet Center service for PTSD. Of these, 96,070 were seen only at a VAMC; 8,368 only at a Vet Center; and 32,805 were seen at both facilities. In summary, based on the electronic patient records available through June 30, 202, a grand total of 247,243 OEF/OIF/OND Veterans were seen for potential PTSD at VHA facilities following their return from Iraq or Afghanistan. Cumulative from FY rd Qtr FY 202, Released September 202 3

6 OEF/OIF/OND Veterans with Potential PTSD Using VA Facilities Table : Number and Distribution of Unique OEF/OIF/OND Veterans with Potential PTSD Utilizing VA Facilities during FY rd Qtr FY 202 VISN-Facility Inpatients Outpatients Total Patients 2 Vet Centers 3 Grand Total 4 Primary 5 Any 6 Primary 4 Any 5 Primary 4 Any 5 PTSD Outreach Others -BEDFORD , , ,204 -BOSTON ,367 2,776 2,380 2, ,946 3,223 -MANCHESTER.. 899, , ,2,67 -NORTHAMPTON , , , ,84 -PROVIDENCE 55 54,066,207,068, ,40,363 -TOGUS 54 3,79,322,8, ,93,720 -WEST HAVEN ,329 2,490 2,330 2, ,29 2,693 -WHITE RIVER JCT 62 33,00,3,006,52, ,95 VISN 644,43 9,54 0,576 9,553 0,668 4,475 3,728,629 2,634 2-UPSTATE N.Y. HCS ,243 5,793 5,258 5,825,044 6,485 4,967 6,237 VISN ,243 5,793 5,258 5,825,044 6,485 4,967 6,237 3-BRONX , , ,7 3-EAST ORANGE ,56 2,790 2,566 2, ,490,080 3,253 3-MONTROSE VA HUDSON HCS NY , ,086 3-N.Y. HARBOR HCS ,293 2,586 2,300 2,68 53,53,027 2,84 3-NORTHPORT 75 80,038,94,040, ,242 VISN ,240 7,978 7,253 8,027,99 24,84 2,924 8,827 4-BUTLER CLARKSBURG ,26 38,027 4-COATESVILLE 9 93,067,3,080,44...,44 4-ERIE JAMES E VAN ZANDT VAMC ,03 882, ,067 4-LEBANON 65 55,438,560,443,575 38,06 93,739 4-PHILADELPHIA ,74 2,963 2,742 2, ,00 To protect the privacy of Veterans, frequencies of fewer than 0 individuals are not reported 2 The total patient counts were generated by matching a cumulative roster of,55,707 unique OEF/OIF/OND Veterans who had been separated from active duty as of May 202, with VA PTF and OPC databases for FY 2002 through 3 rd Qtr FY 202. The DoD DMDC identified and provided the identity of these Veterans to the VA EP on July, The Vet Center counts were based on matching the DMDC OEF/OIF/OND roster with Vet Center users records through 3rd Qtr FY The number for Grand Total (n= 247,243) indicates the sum of Any Total Patients (n=228,875) and Vet Center PTSD (n=5,73) after excluding duplicates (n=32,805). 5 The number for Primary indicates the total number of unique Veterans whose primary reason for the inpatient or outpatient visit was for treatment or evaluation of PTSD. 6 The number for Any indicates the total number of unique Veterans with PTSD whether or not the primary reasons for the inpatient or outpatient visit was for treatment or evaluation of PTSD. Cumulative from FY rd Qtr FY 202, Released September 202 4

7 VISN-Facility Inpatients Outpatients Total Patients 2 Vet Centers 3 Grand Total 4 Primary 5 Any 6 Primary 4 Any 5 Primary 4 Any 5 PTSD Outreach Others 4-PITTSBURGH-UNIV DR ,096 95,25 83, ,84 4-WILKES BARRE 30 28,7,340,73, , ,57 4-WILMINGTON ,049 98,036 VISN 4 399,076 9,762 0,76 9,774 0,849 2,882 6,446 2,07 2,6 5-BALTIMORE 88 98,752 2,060,76 2, , ,264 5-MARTINSBURG 65 67,567,65,567, ,78 5-WASHINGTON ,705 3,074 2,73 3,05 946, ,536 VISN ,702 6,400 5,73 6,433,575 4,34,090 7,080 6-ASHEVILLE-OTEEN BECKLEY DURHAM ,089 2,298 2,094 2, , ,63 6-FAYETTEVILLE NC ,348 3,843 3,360 3, , ,994 6-HAMPTON ,032 2,284 2,033 2, , ,489 6-RICHMOND ,093 2,358 2,04 2, , ,665 6-SALEM ,035,59,07,223 69,236 6-SALISBURY ,56 3,852 3,60 3, , ,20 VISN 6 875,572 3,679 5,302 3,700 5,47 2,777 43,078,443 6,554 7-ATLANTA ,847 4,256 3,849 4, , ,585 7-AUGUSTA ,868 2,09,875 2, ,077 7-BIRMINGHAM 65 2,3 2,567 2,3 2, , ,742 7-CHARLESTON ,780 3,208 2,785 3, , ,479 7-COLUMBIA SC ,9 3,484 3,96 3, ,2 04 3,79 7-DUBLIN. 4,9,330,9, ,366 7-MONTGOMERY ,697 3,09 2,74 3, ,087 7-TUSCALOOSA 20 84,459,506,468,59...,59 VISN 7 638,579 7,736 9,485 7,744 9,570 2,538 9,78,038 20,503 8-BAY PINES ,080 2,255 2,085 2, , ,388 8-MIAMI ,75 2,387 2,79 2, ,023,330 2,76 8-N FL/S GA HCS ,56 3,60 3,64 3, , ,99 8-ORLANDO FL VAMC.. 2,976 3,290 2,976 3, , ,55 8-SAN JUAN PR ,45,77,452, ,266,26,978 8-TAMPA ,493 3,24 2,55 3, ,422 8-W PALM BEACH ,24,239,28, ,340 VISN 8 574,835 3,787 5,50 3,800 5,77 3,398 5,900 3,675 7,037 9-HUNTINGTON ,473 56,42 9-LEXINGTON-LEESTOWN ,67,747,62, ,855 9-LOUISVILLE ,325,526,334,569 99,682 37,604 9-MEMPHIS ,537,786,544, , ,65 9-MOUNTAIN HOME ,858 2,042,859 2, ,25 9-VA MID TENN HCS NASH TN ,824 4,247 3,840 4, , ,665 VISN 9 670,607 0,55,725 0,575,846 2,47 7, ,948 0-CHILLICOTHE ,00...,00 0-CINCINNATI 9 206,663,794,666,86 2 2, ,845 0-CLEVELAND-WADE PARK ,527 2,784 2,528 2,83 250,726,606 2,890 Cumulative from FY rd Qtr FY 202, Released September 202 5

8 VISN-Facility Inpatients Outpatients Total Patients 2 Vet Centers 3 Grand Total 4 Primary 5 Any 6 Primary 4 Any 5 Primary 4 Any 5 PTSD Outreach Others 0-COLUMBUS-IOC..,256,439,256, ,605 0-DAYTON ,245,404,257, ,483 VISN ,040 7,775 7,054 7, ,58 2,563 8,28 -ANN ARBOR HCS 7 8,705,906,74, ,986 -BATTLE CREEK ,925 2,095,935 2,22 390, ,298 -DETROIT VAMC 44 37,24,388,35,45 375,075 80,588 -ILLIANA HCS DANVILLE IL 45 49,374,609,374,62 98,5,483,693 -INDIANAPOLIS-0TH ST 97 25,783 2,044,79 2, , ,08 -NORTHERN INDIANA HCS 42 28,48,296,53,308 72,055 26,384 -SAGINAW. 4,342,50,342, ,539 VISN 453,003 9,358 0,54 9,367 0,566,495 7,073 2,39,3 2-HINES ,035 2,50 2,039 2, ,323 2-IRON MOUNTAIN MADISON ,063,202,07, ,9 469,320 2-MILWAUKEE ,28 2,355 2,33 2, ,465 2-NORTH CHICAGO 64 49,090,339,08, ,493 2-TOMAH 53 36,08,205,084, ,249 2-VA CHICAGO HCS 84 7,333,538,339, ,703 VISN 2 405,0 8,322 9,296 8,344 9,386,270 34,8 2,32 9,884 5-VA HEARTLAND-E VH MO ,78 4,5 3,724 4, , ,396 5-VAMC HEARTLAND-W KANSAS MO ,267 5,838 5,382 5, ,343,26 6,237 VISN 5 763,450 8,83 9,77 8,938 9,948,68,376 2,006 0,45 6-ALEXANDRIA 64 26,369,553,379, ,600 6-FAYETTEVILLE AR ,690,82,693, ,952 6-GULF COAST HCS ,366 2,622 2,372 2, , ,60 6-HOUSTON ,922 4,97 3,945 4, ,400 6-JACKSON ,84,000, , ,274 6-LITTLE ROCK ,98 3,23 3,00 3, ,389 6-MUSKOGEE 67 82,58,64,524, ,827 6-OKLAHOMA CITY ,390 2,694 2,399 2, ,93 6-SHREVEPORT 95 88,538,66,542, ,239 40,897 6-SOUTHEAST LA HCS,82 2,046,82 2, , ,387 VISN 6,207 2,352 9,273 2, 9,34 2,260 4,00 5,727,753 22,992 7-DALLAS ,83 5,58 5,88 5, , ,020 7-SAN ANTONIO ,876 5,485 4,88 5,503,354 4, ,090 7-VA CENTRAL TEXAS HCS ,300 6,983 6,34 7,006,37 32,86,350 7,58 VISN 7 667,378 6,30 7,775 6,49 7,833 3,63 38,846 2,32 9,377 8-AMARILLO HCS , , ,39 8-EL PASO HCS..,50,654,50,654 00, ,694 8-NEW MEXICO HCS ,268 2,447 2,270 2, ,736 8-NORTHERN ARIZONA HCS PHOENIX ,34 4,524 4,46 4, , ,769 8-SOUTHERN ARIZONA HCS ,956 2,2,972 2, ,505,57 2,42 8-WEST TEXAS HCS Cumulative from FY rd Qtr FY 202, Released September 202 6

9 VISN-Facility Inpatients Outpatients Total Patients 2 Vet Centers 3 Grand Total 4 Primary 5 Any 6 Primary 4 Any 5 Primary 4 Any 5 PTSD Outreach Others VISN 8 5,040,595 2,67,607 2,736 2,454 9,906 2,655 3,594 9-CHEYENNE 2 942, , ,94 9-DENVER ,872 5,623 4,888 5, ,756,748 5,976 9-FORT HARRISON 34 94,633,82,634,83 554, ,030 9-GRAND JUNCTION SALT LAKE CITY HTHCARE ,484 2,82 2,488 2, , ,087 9-SHERIDAN VISN 9 588,05 0,47,793 0,433,838 2,465 2,746 3,432 2, ALASKA HCS & RO ,506 2,45, BOISE ,66,50 20-PORTLAND ,389 3,886 3,390 3, , ,54 20-PUGET SOUND HCS ,284 5,879 5,364 5,974,320 9,064 2,085 6, S.ORG REHAB WHITE CITY SPOKANE 39 09,039,82,042, ,45 2,865, VA ROSEBURG HCS ,072,045, ,965 36,20 20-WALLA WALLA VISN ,387 2,687 4,248 2,735 4,328 3,698 9,994 9,372 5,848 2-CENTRAL CALIFORNIA HCS 63 56,24,265,25, , ,36 2-HONOLULU 29 55,442,607,444,64 293,253 2,95,737 2-MANILA NCHC MARTINEZ ,849 3,509 2,850 3, , ,86 2-PALO ALTO-PALO ALTO ,803 3,098 2,824 3, ,856,499 3,34 2-SAN FRANCISCO 36 36,270,373,273, ,488 2-SIERRA NEVADA HCS , VISN ,797,066 9,87,97 2,233,909 6,97, GREATER LA HCS ,993 4,668 3,997 4, ,92 2,3 4, LOMA LINDA ,02 3,58 3,027 3, , , VA LONG BEACH HCS CA ,72 3,479 3,77 3, ,33 3, VA SAN DIEGO HCS CA ,50 5,09 4,508 5, ,487 3,989 5, VA SOUTHERN NEVADA HCS 58 39,359,53,369, ,690 VISN ,397 5,7 7,084 5,40 7,200 2,884 8,200 8,676 8,34 23-FARGO 39 90,076,273,077, , , FORT MEADE MINNEAPOLIS ,82 2,84,85 2,25 507, , SIOUX FALLS ,334, ST CLOUD 56 64,333,49,335,43...,43 23-VA NEB-WESTERN IA HCS ,520 4,929 4,522 4, ,37,304 5,22 VISN ,2 9,273 0,405 9,276 0,479,985 8,47 3,972,274 Unique Counts,6 24, ,52 227, , ,875 5,73 324,899 77, ,243 7 In 2002, VA merged VISNs 3 and 4 to form VISN 23. Cumulative from FY rd Qtr FY 202, Released September 202 7