In the local VA district, who determines which VHA directives they follow and which one the district gets to ignore? https://www.rallypoint.com/answers/who-determains-in-the-local-va-district-which-vha-directives-they-follow-and-which-one-the-district-gets-to-ignore <div class="images-v2-count-0"></div> Tue, 16 Nov 2021 23:36:24 -0500 In the local VA district, who determines which VHA directives they follow and which one the district gets to ignore? https://www.rallypoint.com/answers/who-determains-in-the-local-va-district-which-vha-directives-they-follow-and-which-one-the-district-gets-to-ignore <div class="images-v2-count-0"></div> SGT Todd Chemrinow Tue, 16 Nov 2021 23:36:24 -0500 2021-11-16T23:36:24-05:00 Response by SGT Private RallyPoint Member made Nov 17 at 2021 12:02 AM https://www.rallypoint.com/answers/who-determains-in-the-local-va-district-which-vha-directives-they-follow-and-which-one-the-district-gets-to-ignore?n=7372761&urlhash=7372761 <div class="images-v2-count-0"></div>They ate all supposed to be followed as they are not optional. SGT Private RallyPoint Member Wed, 17 Nov 2021 00:02:33 -0500 2021-11-17T00:02:33-05:00 Response by Sgt Private RallyPoint Member made Nov 17 at 2021 12:03 AM https://www.rallypoint.com/answers/who-determains-in-the-local-va-district-which-vha-directives-they-follow-and-which-one-the-district-gets-to-ignore?n=7372762&urlhash=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? Sgt Private RallyPoint Member Wed, 17 Nov 2021 00:03:08 -0500 2021-11-17T00:03:08-05:00 Response by SrA John Monette made Nov 17 at 2021 8:23 AM https://www.rallypoint.com/answers/who-determains-in-the-local-va-district-which-vha-directives-they-follow-and-which-one-the-district-gets-to-ignore?n=7373249&urlhash=7373249 <div class="images-v2-count-0"></div>Speak to a Patient Advocate. Get your state VA involved if need be. SrA John Monette Wed, 17 Nov 2021 08:23:34 -0500 2021-11-17T08:23:34-05:00 Response by SSgt Christophe Murphy made Nov 17 at 2021 10:09 AM https://www.rallypoint.com/answers/who-determains-in-the-local-va-district-which-vha-directives-they-follow-and-which-one-the-district-gets-to-ignore?n=7373409&urlhash=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. SSgt Christophe Murphy Wed, 17 Nov 2021 10:09:04 -0500 2021-11-17T10:09:04-05:00 2021-11-16T23:36:24-05:00