What GAO Found
In an October 22, 2020, briefing, GAO informed Congressional staff that the Department of Veterans Affairs (VA) had made progress toward implementing its new electronic health record (EHR) system by making system configuration decisions, developing system capabilities and system interfaces, conducting end user training, and completing system testing events. However, GAO noted that the department had not yet resolved all critical severity test findings (that could result in system failure) and high severity test findings (that could result in system failure, but have acceptable workarounds), as called for in its testing plan. Specifically, 17 critical severity test findings and 361 high severity test findings remained open as of late September 2020. As a result, VA was at risk of deploying a system that did not perform as intended and could negatively impact the likelihood of its successful adoption by users if these test findings were not resolved prior to initial deployment. Accordingly, GAO recommended that VA delay deployment of the new EHR until the (1) critical severity test findings were closed, and (2) high severity findings were closed or otherwise addressed with workarounds.