Veterans Health Administration: Audit of Community-Based Outpatient Clinic Management Oversight

摘要

Community-based outpatient clinics (CBOCs) are a key part of the Veterans Health Administration's (VHA's) health care delivery system because they increase veterans' access to care and allow veterans to receive care closer to their homes and communities. Based on the best available VA data, VHA spent over $2.9 billion to provide services to about 2.8 million patients at 783 VA- and contractor-staffed CBOCs in FY 2009. This audit evaluated the effectiveness of VHA's management oversight of CBOCs. The audit objectives were to evaluate VHA CBOC monitoring and evaluation policies and processes and examine CBOC management controls related to the Primary Care Management Module (PCMM) and the completion of required traumatic brain injury (TBI) and military sexual trauma (MST) screenings.