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Home News Community Based Outpatient Clinic Reviews: Stamford and Waterbury, CT North Charleston (Goose Creek), SC and Savannah, GA Nephi, UT and Pocatello, ID (3/16/2011)

Community Based Outpatient Clinic Reviews: Stamford and Waterbury, CT North Charleston (Goose Creek), SC and Savannah, GA Nephi, UT and Pocatello, ID (3/16/2011)

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The VA Office of Inspector General reviewed six Community Based Outpatient Clinics (CBOCs) during the week of December 6, 2010. CBOCs were reviewed in Veterans Integrated Service Network (VISN) 1 at Stamford and Waterbury, CT; in VISN 7 at North Charleston (Goose Creek), SC, and Savannah, GA; and, in VISN 19 at Nephi, UT and Pocatello, ID. The parent facilities of these CBOCs are VA Connecticut HCS, Ralph H. Johnson VAMC, and VA Salt Lake City HCS, respectively. The purpose of the review was to assess whether CBOCs are operated in a manner that provides veterans with consistent, safe, high-quality health care. The review covered five areas: quality of care measures, credentialing and privileging, environment of care and emergency management, management of laboratory results, and CBOC contracts. We noted opportunities for improvement and made the following recommendations to VISN and facility managers: VA Connecticut HCS: Ensure facility managers fully implement the improvement plan to communicate normal test results at the Stamford and Waterbury CBOCs. Conduct monthly visual inspections of all portable fire extinguishers at the Waterbury CBOC.nrRalph H. Johnson VAMC: Align exit signage to identify the correct pathway of egress at the Goose Creek CBOC. VA Salt Lake City HCS: Require that provider privileges are consistent with the services provided at the Pocatello CBOC. Require that ordering providers document patient notification and treatment actions in response to critical laboratory test results at the Pocatello CBOC. Ensure that the Contracting Officer makes provisions to award contracts within a timeframe in accordance with VA policies, procedures, and directives to avoid the need for sole source emergency purchase orders at the Nephi CBOC. Assess the collectability of $119,000 in overpayments to the vendor with the assistance of the Regional Counsel. Initiate the necessary contract modifications for the satellite clinic. Ensure the contract provision includes a prorated reduction of an annual capitated rate payment for services provided less than 12 months.





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