Review of Community Based Outpatient Clinics and Other Outpatient Clinics of Mann-Grandstaff VA Medical Center, Spokane, Washington

The VA Office of Inspector General conducted a review of the Mann-Grandstaff VA Medical Center’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 Wenatchee, WA, CBOC as a representative site and evaluated the environment of care on June 10, 2015. OIG noted opportunities for improvement and made seven recommendations in the following focused review areas: Alcohol Use Disorder Care, HIV Screening, Outpatient Lab Results Management, and Environment of Care.