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ITEM DESCRIPTION QTY UNIT COST COST -------------------------------------------------------------------------------- 1 PROJECT ORIGINALLY SENT TO CCA 1 JB 449984.00 449984.00 ON MARCH 12, 2008 AND WAS SUBSEQUENTLY ASSIGNED TO MARGARET NEIDIGH. REFER TO SPECIAL REMARKS FOR CANCELLATION OF PREVIOUSLY ISSUED TRANSACTION. PROJECT 640-08-198C VA/DOD AMBULATORY CARE CENTER FEASIBILITY STUDY, MONTEREY CLINIC SCOPE OF WORK ENTER '^' TO HALT: UNIT TOTAL ITEM DESCRIPTION QTY UNIT COST COST -------------------------------------------------------------------------------- PROJECT SUMMARY: VA PALO ALTO HEALTH CARE SYSTEM (VAPAHCS) AND THE DEPARTMENT OF THE ARMY HAVE DISCUSSED COLLABORATIVE INITIATIVES TO ENHANCE THE DELIVERY OF HEALTHCARE SERVICES FOR VA AND DOD BENEFICIARIES WHO RESIDE IN MONTEREY, CALIFORNIA. TO THAT END, BOTH ORGANIZATIONS [VA & DOD] EXPRESSED INTEREST IN EXPLORING INNOVATIVE APPROACHES TO DELIVERING HEALTHCARE FOR THE 77,300 ELIGIBLE BENEFICIARIES WHO LIVE IN THE MONTEREY/SANTA CRUZ CATCHMENT AREA. ENTER '^' TO HALT: UNIT TOTAL ITEM DESCRIPTION QTY UNIT COST COST -------------------------------------------------------------------------------- THIS FEASIBILITY STUDY WILL PROVIDE A DETAILED JOINT-USE AMBULATORY CARE CENTER ANALYSIS TO DETERMINE WHETHER A COMBINED VA/DOD FACILITY WOULD GENERATE TANGIBLE FINANCIAL BENEFITS AND IMPROVE THE DELIVERY OF HEALTHCARE SERVICES FOR VA AND DOD BENEFICIARIES RESIDING IN MONTEREY AND SURROUNDING COMMUNITIES. PROJECT GOALS: DOD'S EXISTING OUTPATIENT FACILITIES AT THE DEFENSE LANGUAGE INSTITUTE (DLI) ENTER '^' TO HALT: UNIT TOTAL ITEM DESCRIPTION QTY UNIT COST COST -------------------------------------------------------------------------------- ARE LIMITED TO PROVIDING PRIMARY CARE TO ACTIVE DUTY PERSONNEL ONLY, WHICH LACKS ADEQUATE CAPACITY TO MEET THE NEEDS OF FAMILY MEMBERS AND RETIREES. VA ALSO OPERATES AN OUTPATIENT CLINIC IN MONTEREY THAT CARES FOR 8,000 PATIENTS ANNUALLY; HOWEVER, THE EXISTING CLINIC IS LAND LOCKED AND DOES NOT HAVE THE CAPACITY OR STAFFING TO ACCOMMODATE DOD BENEFICIARIES. THIS MARKET ANALYSIS [STUDY] OF EXISTING AND PROJECTED HEALTHCARE DEMAND FOR VA AND DOD ENTER '^' TO HALT: UNIT TOTAL ITEM DESCRIPTION QTY UNIT COST COST -------------------------------------------------------------------------------- BENEFICIARIES RESIDING IN THE MONTEREY BAY AND SURROUNDING COMMUNITIES / COUNTIES IS EXPECTED TO PROVIDE SUPPORTING DOCUMENTATION AND FORMULATE HEALTHCARE DEMAND PROJECTIONS OVER A 20 YEAR TIME HORIZON. THE PRIMARY OBJECTIVE IS TO DETERMINE WHETHER A SHARED FACILITY WOULD BE COST EFFECTIVE FOR BOTH AGENCIES [VA & DOD). SHOULD THE STUDY BE VIABLE WITH POSITIVE RATES OF RETURN, VA WOULD CONTINUE TO PURSUE MAJOR CONSTRUCTION FUNDING IN A FUTURE FUNDING CYCLE. IF FINANCIALLY ENTER '^' TO HALT: U