 Findings from our teams study, Assessing Practice Variation in LTC Referrals IIR 02-228, 2006, evaluated the LTC referral process from the perspective of the referring staff, administrators, and veterans and their families. We found that the referral process is frequently unstandardized, inefficient, and not supportive of referrals to home and community-based services. VAMCs across the country have varying ways of providing LTC referrals and some look promising. Measures of the outcomes for evaluating these systems are available with the exception of two important outcomes, satisfaction with the referral and its process and cost. The goal of this study is to develop the cost and process and satisfaction measures so that such an evaluation can be conducted. 