Review of Community Based Outpatient Clinics and Other Outpatient Clinics of Central Texas Veterans Health Care System, Temple, Texas

The VA Office of Inspector General conducted a review of the Central Texas Veterans Health Care System’s Community Based Outpatient Clinics (CBOCs) and other outpatient clinics to evaluate for safe, consistent, and high-quality health care. The review evaluated the clinics’ compliance with selected VHA requirements for alcohol use disorder care, human immunodeficiency virus (HIV) screening, outpatient documentation, and outpatient lab results management. We also randomly selected the Brownwood, TX, CBOC as a representative site and evaluated the environment of care on April 15, 2015. OIG noted opportunities for improvement and made seven recommendations in the following focused review areas: Alcohol Use Disorder Care, Outpatient Lab Results Management, and Environment of Care.