Community-Based Outpatient Clinics (CBOC)
From 1995 to 1998, VHA approved over 230 community-based outpatient clinics (CBOCs) and by the end of fiscal year 1998, over 130 CBOCs were actively providing health care to veterans. Because of this rapid growth and in order to learn about these CBOCs, the Under Secretary for Health requested that the Health Services Research and Development Service (HSR&D), through its Management Decision and Research Center (MDRC), conduct a system-wide evaluation of CBOCs.
In response to the Under Secretary's request, the MDRC contracted with the HSR&D Center of Excellence at Seattle, in collaboration with the HSR&D Centers of Excellence in Little Rock and Minneapolis, to design and carry out the evaluation. The study team convened a national CBOC Performance Evaluation Committee with representation from VHA Headquarters, HSR&D, VISN offices, VA medical facilities, and CBOCs to guide the development of potential CBOC performance measures and characteristics by which CBOCs would be profiled. The committee identified potential performance measures in six areas: access, patient satisfaction, utilization, quality, cost and mental health.
Five study reports are linked to this webpage:
Note that these are only measures recommended by the HSR&D Evaluation team. They have not been formally received or adopted by the Office of Quality and Performance.