The Home Based Primary Care (HBPC) database receives and compiles data from local Hospital Based Home Care (HBHC) sanctioned programs at Veterans Affairs Medical Centers (VAMCs) that run home care programs under the Home Based Primary Care program. The primary purpose is to provide HBPC management with case mix, case load, and other performance information. The HBPC information system is referred to as HBC at the VA Austin Information Technology Center and as HBHC at the local level. The HBHC automated a paper-based system of reporting home care episodes. When an admission form is completed, an episode is opened and input into HBHC for a potential home care patient. The patient is evaluated and accepted to or rejected from the program. When a patient leaves the program for any reason an episode is closed and a discharge form completed and input into HBHC. HBHC runs a nightly extract of information within the Veterans Health Information Systems and Technology Architecture. Extractions include information on all Patient Care Encounters (PCEs) with the patient and home visits made by home care providers. Details of which provider(s) made the visit, the date, any diagnosis and any procedures performed are included. Each local application sends its data to the Austin HBC database on a monthly basis. A monthly report is prepared based on this information identifying the active cases at each VAMC. A more detailed quarterly report is produced that includes national comparisons among sites.