Healthcare Inspection Delay in Cancer Diagnosis Iowa City VA Medical Center, Iowa City, Iowa

The purpose of this review was to determine the validity of allegations regarding a delay in cancer diagnosis and treatment, and quality of care issues at the Iowa City VA Medical Center, Iowa City, Iowa. We substantiated that 52 days elapsed from the time the patient’s initial computed tomography scan showed an abnormality to the biopsy which showed pancreatic cancer, and also substantiated that the patient was misinformed regarding non-VA care and reimbursement for travel. We recommended that the Acting Veterans Integrated Service Network (VISN) Director ensure that the Acting Medical Center Director monitors reporting of abnormal tests and makes provisions for staff to refer patients to the appropriate administrative support offices when there are questions related to eligibility and travel pay. The Acting VISN and Acting Medical Center Directors concurred with the recommendations and provided acceptable action plans