In 1992, VA in collaboration with the Defense and Veterans Brain Injury Center (DVBIC) established four comprehensive TBI centers to provide care for these veterans. In March/April 2003, VA began to receive increasing numbers of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) TBI injured service members. As the number of OIF/OEF TBI patients has grown, so has the need to track and monitor care to meet the lifelong needs of these veterans. In March 2007, a Computerized Patient Record System (CPRS) OIF/OEF TBI Screening Reminder was released. This is a first-line screening tool to identify potential TBI patients. Additional information about veterans who have been identified as possible TBI patients by the initial Screening Reminder needs to be collected through a follow-up evaluation. Aggregate data about the number of veterans that have been screened will be sent to a national database at the Austin Information Technology Center (AITC), but Reminder results of individual veterans are not available at the AITC. Individual patient results from initial screening and follow-up evaluations are needed in the TBI Registry in order to provide relevant responses to key stakeholders, such as members of Congress, to monitor the quality of care and to implement system improvements.
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