Community Based Outpatient Clinic Reviews Flint, MI; Toledo, OH; Appleton and Union Grove, WI

The VA Office of Inspector General reviewed four Community Based Outpatient Clinics (CBOCs) during the weeks of June 11 and 25, 2012. CBOCs were reviewed in Veterans Integrated Service Network (VISN) 11 at Flint, MI; and Toledo, OH; and, in VISN 12, at Appleton and Union Grove, WI. The purpose of the review was to assess whether CBOCs are operated in a manner that provides veterans with consistent, safe, high-quality health care. The review covered the following focused topic areas: women’s health, management of diabetes mellitus-lower limb peripheral vascular disease, heart failure follow-up, credentialing and privileging, and environment and emergency management. OIG noted opportunities for improvement and made a total of 14 recommendations to the VISN and facility managers.