Community Based Outpatient Clinic and Primary Care Clinic Reviews at VA Central Iowa Health Care System, Des Moines, Iowa

The VA Office of Inspector General reviewed the Community Based Outpatient Clinics (CBOCs) and primary care clinics (PCCs) of the VA Central Iowa Health Care System. The purpose of the review was to determine whether the CBOCs and PCCs provide safe, consistent and high-quality health care for our veterans. The review covered the clinical care components of alcohol use disorder and medication management and evaluated if processes were in place for designated women’s health providers to maintain proficiency in women’s health. We also randomly selected the Fort Dodge, IA, and Marshalltown, IA, CBOCs for site visits during the week of November 18, 2013, to evaluate the environments of care. OIG noted opportunities for improvement and made two recommendations for the environment of care.