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Department of Veterans Affairs EHR Rollout Tracker

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Blue outdoor sign U.S. Department of Veterans Affairs building.

The Department of Veterans Affairs’ electronic health record (EHR) modernization effort is one of the largest IT investments in the federal government. The initiative aims to replace the agency’s VistA medical records system with a new, standardized platform.

This hub covers the latest news, analysis and expert insights on the program. Here is where you’ll find more information about the program’s:

  • Deployment timeline
  • Contract history
  • Changes over the years
  • Featured interviews
  • Oversight and results
  • Latest coverage

 

Blue outdoor sign U.S. Department of Veterans Affairs building.
Deployment Timeline
SiteCityStateGo-Live Date
Mann-Grandstaff VA Medical CenterSpokaneWashingtonOct. 24, 2020
Jonathan M. Wainwright Memorial VA Medical CenterWalla WallaWashingtonMarch 26, 2022
VA Central Ohio Health Care SystemColumbusOhioApril 30, 2022
Roseburg VA Health Care SystemRoseburgOregonJune 11, 2022
VA Southern Oregon Rehabilitation Center and ClinicsWhite CityOregonJune 11, 2022
Captain James A. Lovell Federal Health Care CenterNorth ChicagoIllinoisMarch 9, 2024
VA Ann Arbor Healthcare SystemAnn ArborMichiganApril 11, 2026
VA Battle Creek Medical CenterBattle CreekMichiganApril 11, 2026
VA Detroit Healthcare SystemDetroitMichiganApril 11, 2026
VA Saginaw Healthcare SystemSaginawMichiganApril 11, 2026
Chillicothe VA Medical CenterChillicotheOhioJune 6, 2026
Cincinnati VA Medical CenterCincinnatiOhioJune 6, 2026
Cincinnati VA Medical Center-Fort ThomasFort ThomasKentuckyJune 6, 2026
Dayton VA Medical CenterDaytonOhioJune 6, 2026
Clement J. Zablocki Veterans’ Administration Medical CenterMilwaukeeWisconsinJanuary 2027
Oscar G. Johnson Department of Veterans Affairs Medical FacilityIron MountainMichiganJanuary 2027
Tomah VA Medical CenterTomahWisconsinJanuary 2027
William S. Middleton Memorial Veterans’ HospitalMadisonWisconsinJanuary 2027
Danville VA Medical CenterDanvilleIllinoisMarch 2027
Edward Hines Junior HospitalHinesIllinoisMarch 2027
Jesse Brown Department of Veterans Affairs Medical CenterChicagoIllinoisMarch 2027
Fargo VA Medical CenterFargoNorth DakotaMay 2027
Fort Meade VA Medical CenterFort MeadeSouth DakotaMay 2027
Hot Springs VA Medical CenterHot SpringsSouth DakotaMay 2027
Minneapolis VA Medical CenterMinneapolisMinnesotaMay 2027
Royal C. Johnson Veterans’ Memorial HospitalSioux FallsSouth DakotaMay 2027
St. Cloud VA Medical CenterSt. CloudMinnesotaMay 2027
Des Moines VA Medical CenterDes MoinesIowaJuly 2027
Grand Island VA Medical CenterGrand IslandNebraskaJuly 2027
Iowa City VA Medical CenterIowa CityIowaJuly 2027
Omaha VA Medical CenterOmahaNebraskaJuly 2027
American Lake VA Medical CenterTacomaWashingtonSeptember 2027
Boise VA Medical Center BoiseIdahoSeptember 2027
Portland VA Medical CenterPortlandOregonSeptember 2027
Seattle VA Medical CenterSeattleWashingtonSeptember 2027
Vancouver VA Medical CenterVancouverWashingtonSeptember 2027
John J. Cochran Veterans HospitalSt. LouisMissouriNovember 2027
John J. Pershing Veterans’ Administration Medical CenterPoplar BluffMissouriNovember 2027
Marion VA Medical CenterMarionIllinoisNovember 2027
St. Louis VA Medical Center-Jefferson Barracks St. LouisMissouriNovember 2027

Contract History

The program has evolved significantly since the department awarded Cerner the original contract in 2018. Oracle inherited the program through its acquisition of Cerner in 2022, and VA later renegotiated the agreement amid a multiyear pause in new deployments, shifting toward annual contract options and stronger performance requirements before restarting the nationwide rollout in 2026.

  • 2018: VA signed a 10-year Cerner contract with a $10 billion ceiling to replace VistA with the same commercial EHR platform used by the War Department.
  • 2022: Oracle completed its acquisition of Cerner, taking over the VA program.
  • 2023: The VA paused EHR rollout and renegotiated the prime agreement following a series of rollout delays, outages and patient safety issues. The new agreement set annual rolling contracts and resumed deploying the EHR in waves.
  • 2024 – 2025: Contract extensions are tied to hitting strict software reliability milestones and resolving issues at pilot sites.

What Changed Since the 2023 Pause?

VA’s 2023 EHR reset marked a shift from expanding the system to improving the performance of existing deployments before restarting the nationwide rollout.

Changes following the EHR reset and contract renegotiation include:

  • Stricter performance metrics for system reliability, incident response and other operational measures.
  • Financial penalties for Oracle when the system fails to meet contractual requirements, including requirements related to downtime and incident resolution.
  • Annual contract extensions tied to performance, giving VA recurring opportunities to evaluate Oracle against software reliability and other performance requirements before exercising additional option periods.

In 2026 the agency released VA ChatEHR, an artificial intelligence-powered chatbot to help VA staff get answers to their questions about the EHR. Since April, it has answered more than 53,000 questions from over 8,000 users, according to an agency blog post.

Featured Interviews

Oversight and Results

GAO found in March 2025 that the share of surveyed users who disagreed or strongly disagreed that the EHR enabled high-quality care fell from 78% in 2022 to 47% in September 2024.

The share of surveyed users who agreed or strongly agreed that the EHR made them as efficient as possible increased from 5% in 2022 to 13% in September 2024.

As of July 2024, GAO reported VA had closed nine of the 14 highest-priority patient-safety enhancement requests identified in its March 2023 assessment.

GAO reported in 2025 that VA had completed six of seven pharmacy enhancements identified by pharmacists and providers.

Latest Coverage