<qa>  What is the primary objective of the study?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 