 Tools: We used the Chronic Illness Care model and Evidence Based Quality Improvement methods to develop tools for disseminating TIDES to additional medical centers and practices in 3 TIDES VISNs and two medical centers with 10 practices in one additional VISN. These tools were then used for national implementation. Dissemination: We served as technical expert consultants by 1 carrying out national and regional training; 2 linking to national patient care services, employee education, and information technology methods and priorities; and 3 supporting evidence-based quality improvement in new sites.We organized these efforts through a national dissemination plan. 