The latest GAO report on VistA modernisation efforts ca be found here.

There has been much discussion in the Open Source health world about the VA reorganization. While many feel the centralization of development will stifle the innovation that created VistA, the current report cites the need to fix organizational leadership and project management gaps as key issues throttling VistA upgrades and modernization. This report can be an interesting focal point for discussion on the proposed upgrades as well as the implications for OpenVistA.