PROJECT NARRATIVE Access to time-critical specialty wound care is a VA priority and a major barrier for rural veterans. Chronic lower limb wounds are a complex problem and a leading cause of disability and limb loss. They impact disease burden, quality of life, and health care costs for thousands of veterans. VA data indicates 52% of lower limb wounds occur in veterans receiving care at primary and secondary care facilities and CBOC's. Given the intensity and complexity of outpatient medical management required to heal chronic wounds and prevent subsequent wounds from occurring, we will assess good wound care provided to veterans, the degree to which the care is organized and coordinated particularly in rural areas. There is no previous research on access to care for these patients.