The PFCC self-assessment tool was utilized to evaluation and outpatient clinic and the White City VA. Many elements within the tool are not applicable to this setting and are outside the procedural practice. The gaps discussed will be the areas in which PFCC may improve patient care outcomes. Leadership and Management scored high in all areas except one. Patients and families do not participate in policy, procedure, program guidelines, or Governing board activities. This area was therefore scored at a one. By including Veterans who receive care at the facility in the planning and development of new programs, this local population may be better served. Their insight into the facility arrangement, patient flow, and education would be valuable.