Review of Community Based Outpatient Clinics and Other Outpatient Clinics of John J. Pershing VA Medical Center, Poplar Bluff, Missouri

The VA Office of Inspector General conducted a review of the John J. Pershing 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 Pocahontas VA Clinic, Pocahontas, AR, as a representative site and evaluated the environment of care on September 15, 2015. OIG noted opportunities for improvement and made 10 recommendations in the following focused review areas: Alcohol Use Disorder Care, HIV Screening, Outpatient Documentation, Outpatient Lab Results Management, and Environment of Care.