Why GAO did this study. VA uses the Veterans Health Information Systems and Technology Architecture (VistA), which includes the department’s legacy EHR system, to manage health care for its patients. VistA is technically complex, costly to maintain, and does not fully support the need to exchange health data with other organizations. In June 2017, VA initiated the EHRM program to replace VistA. Congressional report language associated with the VA appropriations for fiscal years 2020 through 2022 contained provisions for GAO to review VA’s EHR deployment. GAO’s objectives were to determine the extent to which VA has (1) followed leading organizational change management practices for the EHRM program, (2) assessed satisfaction with the new system, and (3) identified and addressed EHR system issues. GAO identified leading change management practices and evaluated VA’s activities against these practices. It also reviewed the results of surveys that VA conducted to determine users’ satisfaction with the new EHR, conducted interviews with selected users, and interviewed officials on user satisfaction goals. Further, GAO analyzed VA’s data on the contractor’s performance meeting time frames for addressing system trouble tickets. What GAO recommends. GAO is making 10 recommendations to VA to address change management, user satisfaction, system trouble ticket, and independent operational assessment deficiencies. VA concurred with the recommendations and described actions the department plans to take to address them.
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