HomeVA Spinal Cord Injury SystemSCI Support Clinic/Primary Care Team in the Non-SCI CenterLocation of Care

6.9. Location of Care

Veterans with SCI/D that live a long distance from the SCI Center and within a closer proximity to a VA Medical Center without an SCI Center, must be cared for by both the SCI Center, and the SCI/D Support Clinic or SCI/D PCT at the closer VA facility. This is commonly referred to as the Hub and Spoke system of care.

  1. Primary care management for Veterans with SCI/D is encouraged from the closest VA Medical Center; this could be a medical center with an SCI Center, SCI Support Clinic or SCI Primary Care team.
  2. Use of a community-based outpatient clinic (CBOC) is discouraged for Veterans with SCI/D. However, for patients who choose to receive their care at a CBOC, the SCI team at the parent VA facility of the CBOC, must assist with the tracking, consultation, and appropriate referrals of the patient for specialty care services.
VA Spinal Cord Injury Centers can be found in this related Knowledge Book.


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