IG report on several V.A's (NOT GOOD) read below an the web link,
The VA Office of Inspector General (OIG) conducted a healthcare inspection addressing confidential allegations of a patient’s delays in renal cancer care and lack of care coordination at the Cheyenne VA Medical Center (Cheyenne), Wyoming, and the Iowa City VA Health Care System (Iowa City), Iowa. The OIG substantiated that Cheyenne clinicians failed to provide timely and proper surveillance (follow-up) for the patient’s renal cell carcinoma and left nephrectomy (kidney) surgery. Contributing factors included a lack of clear communication among providers through electronic health record.
http://links.govdelivery.com/track?t...8-00693-41.pdf