,The Community Nursing Home (CNH) database contains a list of all Community Nursing Home facilities under local contract to Veterans Health Administration (VHA). CNH facilities are not managed by VA. Instead, CNH facilities are private or public facilities licensed by the state where they provide the patient services. Each day all Veterans Affairs Medical Center (VAMC) that have a contract with a CNH enter information about the CNH into the Fee Basis module of Veterans Health Information Systems and Technology Architecture. This information is sent via MailMan to the VA Austin Information Technology Center where it is collected in a queue. A quarterly batch process is run on the queue. VAMCs that have sent invalid data or VAMCs that have contracts and did not send data are notified. Valid data is processed and used to update the database. Quarterly reports are sent to the CNHs, VAMCs, Veterans Integrated Service Networks (VISNs), Geriatrics & Extended Care Strategic Health Care Group, and VA Central Office (VACO).,

,The Non-VA Care Medical and Pharmacy System (FEE) automates the Veterans Health Administration (VHA) Fee for Service program. It authorizes and pays private physicians, hospitals, and pharmacists for products and services provided to Veterans approved for the program. Veterans are reimbursed through VistA Fee for medically-related expenses including travel. Information is entered into the VistA Fee system through Veterans Health Information Systems and Technology Architecture (VistA) online menus. VistA Fee is run at the Austin Information Technology Center and interfaces with the Financial Management System (FMS), the Beneficiary Identification and Records Locator System (BIRLS), and the VHA Work Measurement database (VWM), to produce payments, accounting updates, and reports. VistA Fee facilitates money management, master record updating, and input error resolution. Daily reports indicating all payments processed and erroneous input transactions are transmitted to approximately 170 Veterans Affairs Medical Centers (VAMCs). Letters are sent to Veterans on a monthly basis detailing payments made on their behalf to Non-VA Care Service providers. Monthly, quarterly, semi-annual and annual reports are sent to the Veterans Affairs Central Office (VACO) and VAMCs. The Non-VA Care Fee Basis Medical System is commonly referred to as Central FEE.,

,The Veterans Health Administration (VHA) Resident Supervision Handbook (VHA Handbook 1400.1) requires facility directors to report annually the status of their residency training programs to their Veterans Integrated Service Network (VISN) Director. VISN Directors review and then forward those reports to the VHA Chief Academic Affiliations Officer. This database enables electronic, paperless reporting of this information from VA Medical Centers to the VISN and from the VISN to the Office of Academic Affiliations.,

Health Care: All Veterans who received either VA inpatient care, VA outpatient care, purchased (fee basis) care, VA long-term services and support, or VA pharmacy care were included. VA Health Care enrollees who did not seek care from VA during the current year were not included. Veterans who only sought care from a VHA Vet Center were not included. Veterans Health Administration (VHA) provides Health Care.

,Some VA facilities host non-VA legal service providers that can assist Veterans free of charge.,