 The studys primary objective is to determine whether the PRSS improves the optimal timing of photocoagulation in diabetic patients in VA. Secondary objectives include assessing if the program: 1 leads to improved compliance with retinopathy screening and surveillance visits; 2 improves patient and provider satisfaction with VA diabetic eye care; 3 reduces eye care visit rates among diabetics receiving eye care at VA; 4 decreases health care resource utilization; and 5 improves the cost-effectiveness of eye care for patients with diabetes 