I-TRUST: Implementation of Teleophthalmology in Rural Health Systems Study

Inclusion Criteria

Inclusion Criteria: * Health system serves rural patients as defined as those patients living in counties considered rural by the federal Office of Management and Budget (OMB) * Health system has an active clinical teleophthalmology program providing diabetic eye screening in primary care prior to study randomization * Health system agrees to share de-identified patient data at the requested time intervals Exclusion Criteria: * Health system does not serve a rural patient population * Health system has a diabetic eye screening rate of greater than 50% (e.g., above the national average) as it may limit the ability to measure improvement from I-SITE