# VA - 21-01724-84 - 5
> **Closed** recommendation · 2022-02-16
**Report:** Care in the Community Consult Management During the COVID-19 Pandemic at the Martinsburg VA Medical Center in West Virginia ([detail](https://api.ai-analytics.org/ig-report/31787))
**OIG report number:** 21-01724-84
**Recommendation number:** 5
## Text
The Martinsburg VA Medical Center Director ensures a process is in place to review and address consults for patients who died prior to being scheduled or seen by a community care provider to determine if an adverse event occurred as a result of a delay in processing a patient’s consult.
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*Source: oversight.gov · AI Analytics · CC0 1.0*