As the number of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Traumatic Brain Injury (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 is collected through a Comprehensive TBI evaluation. Reminder results, in the form of Health Factors, Comprehensive TBI evaluation data, and Comprehensive TBI Follow-up results of individual Veterans will be sent to a national database. This data will be aggregated 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. In addition, tracking applications will be used to collect data on TBI patient appointments.

The Spinal Cord Dysfunction (SCD) module supports the maintenance of local and national registries for the tracking of patients with spinal cord injury and disease from both traumatic and non-traumatic causes. SCD includes features for clinical, management, and research staff. Clinicians benefit from the ability to see profiles of SCD patients, ensure that regular annual exams are completed, and measure patient outcomes. Managers have a suite of reports that reflect the resources needed to care for SCD patients. Researchers have access to a national registry for all Veteran SCD patients and their associated health care events.

The Functional Status and Outcome Database (FSOD) captures and tracks information about patient rehabilitative care throughout the VA. FSOD supports the entry of information from acute and sub-acute inpatient rehabilitation programs, as well as a broad range of outpatient rehabilitation programs. Outcome-based information including length of stay and cost is also tracked. Participating Veterans Affairs Medical Center staff enter information into FSOD on-line through a software program called VA FIMware (Functional Independence Measurement (FIM)). Users throughout the VA can access stored FSOD data through VA FIMware. Quarterly, FSOD data is transferred electronically to the Uniform Data System for Medical Rehabilitation (UDSmr) server in Buffalo, New York. The UDSmr database contains a U.S. national roll-up of rehabilitative programs. Users include all VA personnel involved in rehabilitative care and the UDSmr.