Report Summary

Title: Healthcare Inspection Evaluation of Community Based Outpatient Clinics Fiscal Year 2011
Report Number: 11-01406-247
Issue Date: 8/16/2012
City/State: Framingham, MA
Charlottesville, VA
Jennings, LA
Lafayette, LA
Bridgeport, TX
Sherman, TX
Caldwell, ID
Twin Falls, ID
Spring City, PA
Springfield, PA
Sarasota, FL
Sebring, FL
Paragould, AR
Salem, MO
Cottonwood, AZ
Lake Havasu City, AZ
Stamford, CT
Waterbury, CT
North Charleston, SC
Savannah, GA
Nephi, UT
Pocatello, ID
Georgetown, DE
Ventnor, NJ
Guayama, PR
Ponce, PR
Goshen, IN
Belton, MO
Nevada, MO
Stockton, CA
Springfield, MA
Morehead City, NC
Raleigh, NC
Clarksville, TN
Cookeville, TN
Wichita Falls, TX
Klamath Falls, OR
Branson, MO
Harrison, AR
Conroe, TX
Lufkin, TX
Hammond, LA
Houma, LA
Bradford, PA
Franklin, PA
Camp Hill, PA
Pottsville, PA
Mission, SD
Newcastle, WY
Hibbing, MN
Rochester, MN
San Antonio, TX
Uvalde, TX
Tyler, TX
Alamogordo, NM
Artesia, NM
Bellemont, AZ
Kingman, AZ
Gillette, WY
Powell, WY
Pueblo, CO
Anaheim, CA
Laguna Hills, CA
Escondido, CA
Oceanside, CA
Lancaster, CA
Sepulveda, CA
Bennington, VT
Littleton, NH
Jamestown, NY
Lackawanna, NY
Hagerstown, MD
Petersburg, WV
Ft. Pierce, FL
Okeechobee, FL
Charleston, WV
Williamson, WV
New Philadelphia, OH
Mansfield, OH
Agana Heights, GU
Hilo, HI
Capitola, CA
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: CBOC Reports
Release Type: Unrestricted
Summary: The purpose was to evaluate selected activities, assessing whether the community based outpatient clinics (CBOCs) are operated in a manner that provides veterans with consistent, safe, high-quality health care. CBOCs overall appear to be providing a quality of care that is not substantially different from parent VA medical centers. The CBOCs generally met Veterans Health Administration (VHA) directives and guidelines. We made recommendations affecting Women’s Health Liaisons, Computerized Patient Record System, Short-Term Fee Basis local policy, urban CBOCs’ outsourcing services, mental health emergencies plans, competency assessments, auditory privacy, security of patients’ personal information, security vulnerabilities in the allocated Information Technology network space, validation of invoices, contract provisions and acquisition planning, and contractors’ awareness of VA standards for coordination of care for mental health services. To improve operations, we made 13 recommendations to the Under Secretary for Health.