Cheyenne Veterans Affairs Healthcare System (CVAHCS) is a Level 3 facility with service-lines serving medical - mental health - surgical - and neurological outpatients - with a Level 3 Emergency Department - and multiple Community-Based Outpatient Clinics (CBOCs). There is a large outpatient psychiatric population - with admissions for medical co-morbidities. Home-Based Primary Care is provided in the veteran's home.