Introduction to the VA Oracle EHR System
The Veterans Affairs (VA) is undergoing a significant transformation in its health information technology with the deployment of the Oracle Electronic Health Record (EHR) system. This new system is designed to modernize and streamline how health records are maintained, accessed, and shared, ultimately playing a critical role in enhancing healthcare services for veterans across the nation.
VA Oracle EHR Deployment 2026: 14 Sites Live, 4 More Coming (Latest Updates)
for the $3,000 Special Allowance
On June 7, 2026, the VA deployed its new Oracle Electronic Health Record (EHR) system to four more medical centers in Ohio and Kentucky—Cincinnati, Chillicothe, Dayton, and Fort Thomas—bringing the total number of live sites to 14 medical centers nationwide . This marks the second wave of 2026 deployments, following April’s successful go-lives at four Michigan facilities . The VA is now on track to complete 8 of its 13 planned 2026 deployments, with three Indiana sites scheduled for August and Cleveland, Ohio plus Anchorage, Alaska in October .
The single most important thing to know for veterans: The new system aims to finally make your military-to-VA health record transfer seamless—the Defense Department completed its transition to the same Oracle platform in March 2024 . But the rollout has been rocky. A March 2025 GAO report found that only 13% of VA staff believe the new system makes VA as efficient as possible, and 58% believe it increased patient safety risks . The VA says it has fixed “hundreds of problems” and is now 96.68% incident-free over the past 18 months . Congress is watching closely—a field hearing in Michigan happens June 12, 2026 .
What Veterans Need to Know Right Now
Here is the raw reality: The VA Oracle EHR project is a $37 billion+ effort to replace the VA’s outdated 40-year-old VistA system with a modern platform that matches what the Department of Defense already uses . The goal is simple: when you leave active duty, your medical records should follow you seamlessly to the VA without lost files, repeated tests, or manual data entry.
The most critical thing to know: If your VA facility has not yet switched to the Oracle EHR, you are still on the legacy VistA system. That is fine—the VA is not rushing all sites at once. If your facility HAS switched, you may notice differences in how appointments are scheduled, how your providers access your records, and potentially some initial slowdowns as staff adjust.
The big picture: The VA expects to complete the full deployment to all 170 sites by 2031 . That is still five years away. For most veterans, the impact will be gradual and facility-specific.
Latest Deployment Status (June 2026)
Completed 2026 Go-Lives
| Date | Sites | Veterans Affected | Staff Affected |
|---|---|---|---|
| April 11, 2026 | 4 Michigan sites: Ann Arbor, Battle Creek, Detroit, Saginaw | ~100,000+ | ~7,000+ |
| June 7, 2026 | 4 Ohio/Kentucky sites: Cincinnati, Chillicothe, Dayton, Fort Thomas | 107,000 | 7,200 |
Michigan sites were the first to go live after the three-year pause . The VA says feedback from clinicians and leadership at these sites has been “exceptionally positive” .
Ohio/Kentucky sites went live on June 7. The Dayton VA Medical Center had been preparing for two years, receiving a $55.6 million award for IT infrastructure upgrades before the switch . VA Deputy Secretary Paul Lawrence told staff before the go-live: “Ohio is the second chapter, and second chapters matter. Second chapters tell you whether you’ve built something that will last” .
Upcoming 2026 Deployments
| Month | Sites | Location(s) |
|---|---|---|
| August 2026 | 3 sites | Fort Wayne, Marion, and Indianapolis, Indiana |
| October 2026 | 2 sites | Cleveland, Ohio and Anchorage, Alaska |
Full 2026 plan calls for 13 total sites to go live. Eight are complete as of June. Five remain .
Full VA Oracle EHR Site List (All Planned)
The VA has published the complete list of facilities scheduled for 2026 deployment :
Already Live (as of June 2026):
- VA Ann Arbor Healthcare System (MI)
- VA Battle Creek Medical Center (MI)
- VA Detroit Healthcare System (MI)
- VA Saginaw Healthcare System (MI)
- Cincinnati VA Medical Center (OH)
- Chillicothe VA Medical Center (OH)
- Dayton VA Medical Center (OH)
- Cincinnati VA Medical Center-Fort Thomas (KY)
Scheduled for 2026 (Remaining):
- Fort Wayne VA Medical Center (IN)
- Marion VA Medical Center (IN)
- Richard L. Roudebush VA Medical Center (Indianapolis, IN)
- Louis Stokes Cleveland VA Medical Center (OH)
- Alaska VA Healthcare System (Anchorage, AK)
How the VA Oracle EHR Affects Your Care
The Good: Seamless Records with DoD
The entire purpose of this $37 billion project is interoperability . Today, when you leave active duty, your military medical records have to be manually transferred or re-entered into the VA system. That leads to:
- Lost records
- Repeated tests and scans
- Delayed care
- Gaps in your medical history
With the new Oracle EHR, the Department of Defense already uses the exact same system (completed March 2024) . When you transition from active duty to veteran status, your medical records follow you automatically. The same applies if you receive care at a non-VA facility that uses Oracle systems.
The Challenges: Staff Learning Curve and Safety Concerns
The rollout has not been smooth. Here is what the data shows:
Safety concerns (GAO Report, March 2025):
- 58% of VA staff using the new EHR believe it increases patient safety risks
- Only 13% believe the system makes VA as efficient as possible
Performance issues:
- The VA Inspector General reported 800+ major performance incidents since launch
- More than half of those incidents happened after the 2023 pause
- A scheduling error in the EHR system was linked to a veteran’s death in Columbus, Ohio
The VA’s response:
- Implemented nearly 1,500 enhancements, bug fixes, and new functionalities under the second Trump administration
- System has been incident-free for 10 of the past 12 months
- 96.68% uptime over the past 18 months, exceeding contractual requirements
- Fixed “hundreds of problems” at the six original sites
What this means for you: Your care team is learning a new system. There may be delays, confusion, or technical glitches. But the VA is actively monitoring and fixing issues. If you experience a problem with scheduling, referrals, or prescription refills at a newly transitioned site, speak up immediately—either to your provider, a patient advocate, or through the VA’s feedback channels.
Who Is Affected by the VA Oracle EHR
Veterans Currently at Live Sites
If you receive care at any of the 14 live medical centers (Michigan, Ohio, Kentucky), your records are now on the Oracle EHR system. This means:
- Your providers can see your full medical history
- Appointments, prescriptions, and referrals are managed through the new system
- If you also receive care at DoD facilities, records are automatically shared
Veterans at Non-Live Sites
If your VA facility is not on this list, you are still on the legacy VistA system. Nothing changes for you right now. The VA will notify you well in advance when your facility is scheduled for transition.
All Veterans (Future Impact)
By 2031, every VA medical center in the country will be on the Oracle EHR . That means:
- No more lost records when transferring between VA facilities
- Seamless care coordination with DoD providers
- Easier sharing of records with private-sector doctors who use Oracle systems
Timeline: Full VA Oracle EHR Deployment Schedule
| Year | Milestone | Status |
|---|---|---|
| 2018 | VA signs $10B contract with Cerner (later Oracle) | Complete |
| 2020 | First go-live at Mann-Grandstaff VA (Spokane, WA) | Complete |
| 2021 | First pause declared due to problems | Complete |
| 2023 | Second pause declared (April); reset period begins | Complete |
| 2024 | DoD completes its Oracle EHR transition (March) | Complete |
| 2025 | VA exits reset period; announces 2026 deployment plan | Complete |
| 2026 | 13 sites go live (MI, OH, KY, IN, AK) | In progress |
| 2027 | 26 sites scheduled (MN, WI, OR, WA, MO, ID, NE, SD, ND, IL, IA, KS) | Planned |
| 2031 | All 170 VA sites operational | Target |
Note: The 2027 sites listed above come from Oracle Health testimony before Congress in December 2025 . This schedule is subject to change based on deployment success.
VA Oracle EHR Funding and Political Context
The Price Tag
The VA Oracle EHR project is one of the most expensive IT modernization efforts in federal history:
| Year/Estimate | Cost |
|---|---|
| Original contract (2018) | $10 billion |
| Revised contract | $16 billion |
| Current lifecycle estimate | $37 billion |
| Independent estimate (IDA, 2022) | $50 billion |
2027 Budget Request
The Trump administration is requesting $4.2 billion in discretionary funding for the EHR rollout in FY2027—an increase of about $800 million .
Congressional Oversight
The funding holdback: The FY2026 appropriations bill includes a provision that withholds 30% of EHR funding until July 2026, contingent on the VA providing Congress with:
- An updated lifecycle cost estimate
- A facility-by-facility implementation schedule
- Certifications that the project has met rollout goals
Upcoming hearings:
- June 12, 2026: House Veterans’ Affairs Subcommittee on Technology Modernization field hearing in Grand Ledge, Michigan, to examine the April go-live at Michigan sites
Lawmaker concerns:
- Rep. Tom Barrett (R-MI), subcommittee chairman: “The time for promises is over”
- Rep. Nikki Budzinski (D-IL), ranking member: “What I have heard from VA and Oracle this year has not convinced me that VA is ready”
Common Issues and What to Do About Them
Reported Problems at Live Sites
According to the Nurses Organization of Veterans Affairs, facilities that have switched to Oracle EHR are experiencing problems with:
| Issue | Description | What You Can Do |
|---|---|---|
| Inter-facility consults | Referrals between VA sites may be delayed | Follow up directly with your provider; ask for written confirmation |
| Referrals to community care | Referrals to non-VA providers may require manual processing | Call the Community Care Network hotline if delays exceed 28 days |
| Orders (labs, imaging, prescriptions) | Some orders may not transfer automatically | Confirm with your provider that orders were placed; check your prescription status before leaving the facility |
How to Report Problems
If you experience an issue with the new EHR at your VA facility:
- Tell your provider immediately – They may not know there is a problem
- Contact a Patient Advocate – Every VA facility has a Patient Advocate office
- Use Secure Messaging – Send a message through My HealtheVet to create a paper trail
- Call the VA White House Hotline – 1-855-948-2311 (for unresolved issues)
FAQ Section
Q: What is the VA Oracle EHR?
A: It is a new electronic health record system from Oracle (formerly Cerner) that replaces the VA’s 40-year-old VistA system. The goal is seamless record sharing with the Department of Defense, which already uses the same system .
Q: How many VA sites are live on Oracle EHR as of June 2026?
A: 14 medical centers are now live, following the June 7, 2026 deployment to four Ohio/Kentucky sites .
Q: Is my VA facility on the new system?
A: If you are in Michigan (Ann Arbor, Battle Creek, Detroit, Saginaw), Ohio (Cincinnati, Chillicothe, Dayton), or Kentucky (Fort Thomas), yes. If you are in Indiana or Alaska, your site is scheduled for 2026. Otherwise, your facility is still on the legacy system .
Q: When will all VA sites be on Oracle EHR?
A: The VA expects to complete the full deployment to all 170 sites by 2031 .
Q: Is the new EHR safe?
A: The VA has implemented nearly 1,500 fixes and reports 96.68% uptime . However, a March 2025 GAO report found that 58% of staff believe the system increases patient safety risks . The VA is actively monitoring and addressing issues.
Q: What happened with the EHR pause?
A: The VA paused new deployments in April 2023 after serious problems at early sites, including a scheduling error linked to a veteran’s death . The pause lasted nearly three years, ending with the April 2026 Michigan deployments .
Q: How does the Oracle EHR help me as a veteran?
A: It allows your medical records to follow you seamlessly from active duty to veteran status. No more lost records, repeated tests, or manual data entry when switching between DoD and VA care .
Q: Can the VA afford this project?
A: The project’s lifecycle cost is estimated at $37 billion . Congress has withheld 30% of FY2026 funding until the VA provides additional documentation, so funding is not guaranteed .
Final Takeaway (What This Means for Your Next VA Visit)
Here is what you need to know before your next appointment:
- If your facility is NOT yet on Oracle EHR – Nothing changes. Keep showing up to your appointments as scheduled.
- If your facility IS on Oracle EHR – Be patient. Your providers are learning a new system. There may be delays with scheduling, referrals, or prescriptions. Bring a list of your medications and medical history to your first few appointments as a backup.
- If you experience a problem – Speak up immediately. Tell your provider, contact a Patient Advocate, or use Secure Messaging to document the issue.
- The bottom line: The VA is committed to making this work. The goal—seamless records from boot camp to retirement—is worth the growing pains. But the rollout has been rocky, and Congress is watching closely. Your voice matters. If something goes wrong, report it.
The implementation of the Oracle EHR system marks a pivotal step in ensuring that veterans receive timely and efficient healthcare. One of the primary objectives of this system is to facilitate a seamless transfer of health records from military to VA facilities. By integrating military and VA health data, veterans will experience more coordinated care, which addresses the unique challenges they face after transitioning from active duty.
This innovative EHR system is not simply about record-keeping; it aims to improve clinical efficiency, enhance patient safety, and deliver better health outcomes. With advanced features and capabilities, the Oracle EHR will equip healthcare providers with comprehensive, real-time access to a veteran’s medical history, treatment plans, and other health information. Such enhancements will lead to more informed decision-making and personalized care, ultimately benefiting those who have served in the armed forces.
Furthermore, the adoption of the Oracle EHR is aligned with broader agency goals, including improving the interoperability of health records across various platforms. By fostering communication between different healthcare providers, the VA aims to create a more integrated healthcare ecosystem, reducing redundancies and improving patient experiences. With 14 sites already live and 4 more set to join the initiative, the VA is committed to leveraging technology to better serve veterans and their families.
Latest Deployment Updates: Ohio and Kentucky
On June 7, 2026, significant advancements were made in the deployment of the VA Oracle EHR system, with the activation of four additional medical centers located in the states of Ohio and Kentucky. This milestone marks an important development for the Veterans Health Administration’s ongoing efforts to enhance the quality of healthcare provided to veterans across the nation.
The newly added sites—Cincinnati, Chillicothe, Dayton, and Fort Thomas—have now joined the burgeoning list of live facilities equipped with the Oracle EHR system. This latest wave of activations brings the total number of sites utilizing the new electronic health record platform to fourteen. Each of these centers now benefits from improved functionalities, including more streamlined patient data management and enhanced scheduling capabilities.
The deployment of EHR systems at these medical centers is designed to facilitate a more integrated and efficient patient care experience. By consolidating patient information within a unified system, health practitioners at these sites can better coordinate care, ensuring that veterans receive timely and appropriate services. Moreover, the Oracle EHR system enhances communication among healthcare providers, ultimately supporting better clinical decision-making processes.
In addition to improving operational efficiencies, the impact on patient care is paramount. Veterans accessing healthcare services at these locations will experience reduced wait times and more accurate diagnoses due to the availability of comprehensive medical histories at their fingertips. Furthermore, the integration of advanced data analytic tools within the system enables clinicians to address specific patient needs promptly, thus elevating the overall standard of care.
As the VA continues to roll out the Oracle EHR system across the country, the latest deployments in Ohio and Kentucky illustrate a commitment to harnessing technology for the betterment of veteran health services.
The Rollout Schedule for 2026
The rollout schedule for the Veterans Affairs (VA) Oracle Electronic Health Record (EHR) system in 2026 is a significant component of the overall implementation plan, contributing to the goal of improving healthcare services for veterans. As of now, fourteen sites are already operational, and an additional four locations are set to go live within the year, enhancing access to timely and efficient medical care.
Among the sites slated for deployment in 2026, Indiana will see the introduction of the EHR system in August. Specifically, the cities selected for this phase are Indianapolis and Fort Wayne. These deployments are expected to streamline patient data management and improve healthcare outcomes for veterans in these regions. The challenges faced during previous implementations, particularly regarding user training and system integration, have prompted the VA to take a more cautious and systematic approach in these upcoming rollouts.
Furthermore, the deployment schedule extends to include additional sites planned for an October launch. Notably, Cleveland, Ohio, and Anchorage, Alaska, will join the network, bringing the benefits of the Oracle EHR system to their respective veteran populations. The deployment in Cleveland is anticipated to enhance the department’s ability to manage patient information securely and efficiently, particularly given the city’s sizeable veteran community. Similarly, Anchorage’s location is pivotal, as it connects veterans in remote areas with essential healthcare resources.
This staggered rollout strategy aims not only to ensure smooth transitions but also to facilitate valuable feedback loops between the VA and its users. Each deployment phase is carefully measured, and as a result, veterans can expect increasingly improved access to their healthcare data and easier interactions with medical professionals.
Challenges Faced During the Rollout
The implementation of the Electronic Health Record (EHR) system at the Department of Veterans Affairs (VA) has been met with significant challenges, particularly as reported in the Government Accountability Office (GAO) report of March 2025. This systematic transition to the Oracle EHR is intended to enhance the quality of healthcare services provided to veterans; however, it has not been without its difficulties.
One of the foremost concerns raised by VA staff pertains to the efficiency of the new system. Many users have expressed frustrations regarding the time it takes to navigate the new platform as compared to the previous system, which has impeded their ability to provide timely care. Staff members reported that the complex design of the Oracle EHR leads to longer patient wait times, as medical professionals become increasingly bogged down in administrative tasks rather than focusing on direct patient care. This inefficiency has raised alarms concerning the overall operational workflow within VA facilities.
Another critical issue is related to patient safety. The GAO report highlights incidents where the transition to the EHR has resulted in gaps in patient information, contributing to potential risks in treatment. Staff members have voiced concerns that the incompatibility of the Oracle EHR with other existing systems may lead to missed diagnostic information or errors in medication prescriptions. Such vulnerabilities open the door to serious ramifications for veterans, whose health outcomes are now relying heavily on a system still in the process of stabilization.
VA officials acknowledge these concerns, noting that addressing the learning curve associated with the new EHR is essential. Continuous training and support for staff is imperative to ensure that the system meets its intended objectives without compromising the quality of care delivered to veterans.
Improvements and Fixes by the VA
The Department of Veterans Affairs (VA) has taken significant steps to address the various concerns raised regarding the deployment of the Oracle Electronic Health Record (EHR) system. Over the past 18 months, the VA has systematically responded to user feedback and identified hundreds of issues impacting the system’s performance. This proactive approach has led to a series of important improvements and fixes, thereby enhancing the overall operational efficiency of the EHR platform.
One of the critical areas of focus has been the improvement of incident-free performance. The VA has successfully implemented a rigorous monitoring and evaluation framework to not only identify but also rectify recurring problems within the system. This methodical effort has resulted in a notable reduction in downtime, with reports indicating that key functionalities are now operating without disruptions. These enhancements have directly contributed to better user experiences and satisfaction among healthcare providers and veterans alike.
In addition to problem remediation, the VA has prioritized training and support for staff members utilizing the EHR system. Targeted training programs have been instituted to ensure that all users are well-versed in navigating the system efficiently. This aspect is crucial, as familiarity with the platform directly correlates with its successful implementation and use. By equipping users with the necessary skills and knowledge, the VA aims to minimize confusion or errors that may arise during everyday operations.
Furthermore, the VA has committed to ongoing updates and refinements to the Oracle EHR system, ensuring that the software adapts to the ever-evolving needs of healthcare delivery. With continuous feedback loops in place, the organization remains dedicated to not just fixing existing issues but also to anticipating future challenges. As the deployment progresses towards 2026, these improvements and fixes solidify the VA’s commitment to providing a reliable and effective health information system for its personnel and the veterans they serve.
Congressional Oversight and Hearings
The deployment of the VA Oracle Electronic Health Record (EHR) system represents a significant investment aimed at enhancing the efficiency and effectiveness of healthcare services provided to veterans. As with any major federal initiative, Congress plays a vital role in overseeing the progress and implementation of this system. Their involvement ensures that the deployment is in alignment with policy objectives and that funds are being utilized effectively.
Recently, Congress has intensified its focus on the EHR deployment, particularly in light of the complex challenges faced by the VA in previous rollouts. The upcoming field hearing scheduled in Michigan on June 12, 2026, serves as a critical opportunity for congressional committees to assess firsthand the effectiveness of the EHR system in live environments. This hearing is expected to draw insights from both healthcare professionals and veterans who are directly impacted by the new system.
State officials, veterans, and VA healthcare providers will have the chance to present their experiences and observations, providing lawmakers with valuable feedback. The outcomes of this hearing can significantly influence future deployments, as they will offer evidence-based recommendations that can guide enhancements to the Oracle EHR system. Moreover, addressing concerns raised during this hearing could result in legislative support for necessary resources or changes in policy that facilitate smoother future transitions for other sites scheduled to adopt the new system.
The significance of such congressional oversight cannot be overstated. It is an accountability mechanism that fosters transparency and ensures the needs of veterans remain at the forefront of the deployment strategy. Ultimately, effective congressional engagement may lead to more successful implementation phases, supporting the VA’s overarching mission of providing high-quality healthcare to the veteran population.
Importance of the New System for Veterans
The transition to the new Electronic Health Record (EHR) system by the Veterans Affairs (VA) represents a critical advancement in the management of veterans’ healthcare. With the introduction of the VA Oracle EHR, the main focus is to facilitate seamless transfers of military health records to VA facilities. This transition is not merely a technical upgrade; it is a fundamental shift aimed at enhancing the quality of care veterans receive. The previous systems often led to fragmented care, where health information was not readily accessible at the point of service, resulting in inefficiencies.
One of the paramount benefits of the new EHR system is its capacity to improve communication between military and VA healthcare providers. By effectively integrating comprehensive health records, the system ensures that VA clinicians have access to a veteran’s complete medical history, including treatments received during military service. Such accessibility is vital in informing clinical decisions, thereby bolstering the continuity of care that veterans deserve.
Moreover, the implementation of the new EHR system can significantly improve patient outcomes. Timely access to complete health information not only enables more accurate diagnoses but also facilitates personalized treatment plans tailored to individual veterans. This results in more efficient healthcare delivery, allowing providers to address health concerns holistically and proactively, ultimately enhancing the overall patient experience.
Furthermore, the Oracle EHR system is adept at incorporating data analytics, enabling healthcare administrators to track outcomes and trends effectively. This analytical capability supports the VA in identifying areas for improvement and implementing evidence-based practices that can further enhance the quality of care provided to veterans.
Feedback from VA Staff and Veterans
The deployment of the VA Oracle EHR system has generated a variety of feedback from both VA staff and the veterans they serve. A significant portion of the feedback highlights improvements in patient care management and communication efficiencies. Many healthcare providers have noted that the new system streamlines processes, allowing them to access patient records more swiftly and manage appointments more effectively. This is particularly beneficial as it reduces waiting times for veterans seeking care, thus enhancing their overall experience.
Veterans have also expressed gratitude for the new features introduced with the Oracle EHR. A common sentiment among them is that the user interface feels more intuitive, making it easier for veterans to navigate their health information. Several individuals mentioned the improved tracking of their medical histories and medications, which has led to a noticeable enhancement in the quality of care they receive. This feedback suggests that the Oracle EHR is generally well-received among the veteran community, as it appears to align more closely with their healthcare needs.
However, challenges have not been absent. Some VA staff members raised concerns regarding the transition period to the new system. Reports of technical glitches and user errors have been noted, which occasionally hinder workflow. Some veterans reported difficulties in reaching support during the initial rollout phases. Addressing these ongoing concerns is imperative to ensure that the Oracle EHR truly fulfills its promise of improving veteran healthcare delivery.
Overall, while the reception to the VA Oracle EHR system has predominantly been positive, a concerted effort to address the lingering issues and enable seamless operational capability is necessary to enhance the functionality of the system. Continuous communication between VA staff, veterans, and the implementing teams will be vital in optimizing user experience and ultimately, patient satisfaction.
Conclusion and Future Outlook for VA Facilities
As we look at the deployment of the VA Oracle EHR system, it is noteworthy that 14 sites are now operational with 4 additional sites scheduled to go live soon. This transition to a modern electronic health record (EHR) system is a significant advancement for the Department of Veterans Affairs (VA), aiming to enhance patient care and streamline health services for veterans. The successful execution at the currently operational sites serves as a testament to the collaborative efforts of the VA and strategic partners, highlighting the importance of effective project management and adaptability within healthcare technology implementations.
Continuous monitoring of the EHR system’s performance will be crucial as it expands its reach. The need for ongoing assessment and adjustment will ensure that any operational challenges are promptly addressed, thus maintaining service quality for veteran patients. Regular performance evaluations will provide vital data necessary to enhance user experience and ensure that the system meets the expectations of healthcare providers, administrators, and, most importantly, the veterans it serves.
Looking ahead, as the VA moves towards deploying the Oracle EHR system at four more sites, it will be essential to apply the lessons learned from the initial rollouts. Insights gained will inform best practices and strategies that can be employed to facilitate smoother transitions at new locations. Furthermore, attention must also be paid to the integration of feedback from clinicians and patients alike. This feedback loop will play a pivotal role in developing a responsive system that adapts to the evolving needs of veterans’ healthcare.
In conclusion, the future of the VA Oracle EHR system appears promising, rooted in the foundation of recent successes and guided by a commitment to continuous improvement and technological advancement. The journey towards fully optimizing this system across all VA facilities is ongoing, and its impact on veteran health and wellness will be profound.