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Community Based Outpatient Clinic Reviews at VA Connecticut Healthcare System, West Haven, CT

Report Information

Issue Date
Report Number
13-00026-272
VISN
State
Connecticut
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Recommendations
4
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
The VA Office of Inspector General reviewed the VA Connecticut Healthcare System’s six Community Based Outpatient Clinics (CBOCs) during the week of June 24, 2013. The purpose of the review was to assess whether the CBOCs provide veterans with consistent and safe high-quality health care. The review covered the clinical care components of women’s health cervical cancer screening and tetanus and pneumococcal vaccinations. We also randomly selected the following CBOCs for site visits and evaluated credentialing and privileging, environment of care, and emergency management processes: New London VA Primary Care Center, New London, CT; and Stamford VA Primary Care Center, Stamford, CT. OIG noted opportunities for improvement and made a total of four recommendations to the Veterans Integrated Service Network (VISN) and facility managers.

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that managers ensure that patients with normal cervical cancer screening results are notified of results within the required timeframe and that notification is documented in the EHR.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that managers ensure that clinicians document all required pneumococcal vaccine administration elements and that compliance is monitored.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that laboratory specimens are secured during transport from the New London and Stamford CBOCs and CBOCs’ contract laboratories to the parent facility.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that all identified EOC deficiencies and corrective actions are tracked and trended for the New London and Stamford CBOCs.