SGT Todd Chemrinow 7372735 <div class="images-v2-count-0"></div> In the local VA district, who determines which VHA directives they follow and which one the district gets to ignore? 2021-11-16T23:36:24-05:00 SGT Todd Chemrinow 7372735 <div class="images-v2-count-0"></div> In the local VA district, who determines which VHA directives they follow and which one the district gets to ignore? 2021-11-16T23:36:24-05:00 2021-11-16T23:36:24-05:00 SGT Private RallyPoint Member 7372761 <div class="images-v2-count-0"></div>They ate all supposed to be followed as they are not optional. Response by SGT Private RallyPoint Member made Nov 17 at 2021 12:02 AM 2021-11-17T00:02:33-05:00 2021-11-17T00:02:33-05:00 Sgt Private RallyPoint Member 7372762 <div class="images-v2-count-0"></div>No one on RallyPoint can provide an answer. Have you talked to the folks at the local VA district about your issue? Response by Sgt Private RallyPoint Member made Nov 17 at 2021 12:03 AM 2021-11-17T00:03:08-05:00 2021-11-17T00:03:08-05:00 SrA John Monette 7373249 <div class="images-v2-count-0"></div>Speak to a Patient Advocate. Get your state VA involved if need be. Response by SrA John Monette made Nov 17 at 2021 8:23 AM 2021-11-17T08:23:34-05:00 2021-11-17T08:23:34-05:00 SSgt Christophe Murphy 7373409 <div class="images-v2-count-0"></div>VA wide policies should be adhered to regardless of geographic location. Specific hospitals may have additional policies that manage the care they provide and their branch locations/clinics but it would generally be for that specific Hospital. For example some Hospitals are considered branch locations of larger Hospitals. Truman VA Hospital in Columbia Missouri is a branch off of the much larger Kansas City Hospital. Response by SSgt Christophe Murphy made Nov 17 at 2021 10:09 AM 2021-11-17T10:09:04-05:00 2021-11-17T10:09:04-05:00 2021-11-16T23:36:24-05:00