The Remote Order Entry System (ROES) is the front end of the Denver Acquisition & Logistics Center's (DALC) order fulfillment production system. ROES is used by VA and Department of Defense clinicians to place orders for certain types of medical products and services that are maintained under contract by the DALC. The most substantial product line handled through ROES is hearing aids. The ROES application and database are tailored for efficiency in ordering the specified devices and other items available from the DALC, and tracking them upon issue to an individual patient when appropriate. Other product lines handled through ROES include hearing aid accessories and batteries, cochlear implants, prosthetic items, aids for the visually impaired, and assistive devices. A line of service provided by the DALC and facilitated by ROES is that of hearing aid repair. The ROES application and database tie together the DALC enterprise business functions of contracting/acquisition management, order fulfillment, distribution management, finance, and product life cycle support. Extensive order tracking, serialized device registration, patient/device history, and sales/financial reporting are also supported by the database.

The National Prosthetics Patient Database (NPPD) established a central database of Prosthetics data recorded at each Veterans Health Administration facility. Its objective was to enable clinical reviews to increase quality, reduce costs, and improve efficiency of the Prosthetics program. Increase the quality of the services to our Veterans by providing a means to develop consistency in services, review prescription and management practices, develop training, monitor Home Medical Equipment, and measure performance improvements. Reduce costs by comparing costs system-wide, identifying common items for consolidated contracting, identifying costs for Medical Cost Care Funds (MCCF) purposes and improving contracting cost benefit. Improve efficiency by validating the data, improving budget management, determining where coding errors occur, providing training, and comparing unique social security numbers for multiple site usage and item issue. The NPPD Menu provides patient information, patient eligibility, Prosthetic treatment, date of provision, cost, vendor, and purchasing agent information. This system tracks average cost data and its usage and provides on both a monthly and quarterly basis detailed and summary reports by station, Veterans Integrated Service Network (VISN) and agency. The NPPD Menu resides in Veterans Health Information Systems and Technology Architecture (VistA) at the medical center level. This data is updated quarterly. Data is rolled up at each facility and transmitted to Hines. The data is then loaded into the Corporate Data Warehouse (CDW) from which data extracts are done. The data is also put into a ProClarity cube and is available to VA local, regional, and national managers online. National managers have the ability to properly monitor, oversee and manage the national program and regional managers are able to effectively manage their respective areas using this tool. The primary purpose of this database is to provide financial and clinical oversight of the Prosthetics program and is used primarily by the Prosthetics and Sensory Aids (PSA) including VISN staff, VISN Prosthetics Representatives, Prosthetics Program Managers and other Prosthetics staff.

The Clinical Case Registries (CCR) replaced the former Immunology Case Registry and the Hepatitis C Case Registry with local and national databases. The CCR:HIV and CCR:HCV are administrative and clinical databases designed to provide population-based data on VA patients infected with Human Immunodeficiency Virus (HIV) and/or Hepatitis C virus (HCV). Each Veterans Health Information Systems and Technology Architecture (VistA) system contains a local CCR where patients who are potentially HIV or HCV infected are identified based on International Classification of Diseases (ICD-9) codes and/or positive antibody test results. The local HIV or HCV coordinator must review these cases to determine which patients are truly infected and should be added to the local registry. The local CCR provides extensive reporting capabilities to the local HIV and HCV clinicians to monitor their patient population. The local CCR software also extracts data elements from multiple VistA packages and transmits Health Level Seven (HL7) messages to the national database at VA Austin Information Technology Center. The national database is used for monitoring clinical outcomes, assessing resource utilization and quality assurance.