Federal Reports

The VA Office of Inspector General reviewed the Community Based Outpatient Clinics (CBOCs) and primary care clinics (PCCs) of the Wilmington VA Medical Center. The purpose of the review was to determine whether the CBOCs and PCCs provide safe, consistent, and high-quality health care for our veterans. The review covered the clinical care components of alcohol use disorder and medication management and evaluated if processes were in place for designated women’s health providers to maintain proficiency in women’s health. We also randomly selected the Cape May County CBOC, Cape May, NJ, and Kent County CBOC, Dover, DE, for site visits during the week of March 3, 2014, to evaluate the environments of care. OIG noted opportunities for improvement and made 10 recommendations in the following reviews: Alcohol Use Disorder, Medication Management, Designated Women’s Health Provider Proficiency, and Environment of Care.

The audit objectives were to determine whether program funds were managed in accordance with the ARC and Federal grant requirements

The OIG found official stations were generally appropriate for TVA's most frequent travelers. However, we noted departments with employees who frequently travel to multiple locations assign official stations in differing ways. Additionally, controls and policies could be strengthened by including guidance on evaluating official stations and requiring approval from the appropriate level of management for decisions not to change official stations based on the dollar values of travel expenses incurred or expected to be incurred. As part of our audit we followed up on TVA management's actions taken in response to the OIG's previous travel review, Inspection 2006-522I, Review of TVA Travel Reimbursements, we noted action plans agreed to in the past do not appear to have been fully implemented.