VA Considering Software-as-a-Service Model for VistA EHR System

The Department of Veterans Affairs (VA) issued two requests for information (RFI) this week related to potentially replacing or enhancing its aging electronic health record (EHR) system, called the Veterans Information Systems and Technology Architecture (VistA) system.

In one RFI published on, the VA is seeking information about commercial off the shelf replacements for VistA provided in a SaaS model, a Web-based model, as an alternative to VA continuing to operate its VistAs, which are not fully modernized, the department stated in the RFI. The department also is separately exploring commercial off the shelf non-VistA EHR alternatives.

The VA also states in the RFI that although VistA is currently an integrated administrative, financial, business, and clinical system supporting VA’s operations, the primary purpose of the RFI is to focus on the clinical component of VistA, which is analogous to its EHR functionality, to include lab and pharmacy.

The department will accept input from interested vendors through April 26.

In another RFI, the department is asking for the industry’s insight to inform its strategy to commercialize or acquire commercial capabilities similar to those developed and planned for VA’s health information technology (HIT) platforms such as the Enterprise Health Management Platform (eHMP).

The concept behind VA’s HIT, the department writes in the RFI, is as an intelligence platform and user experience that could

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