The Department of Veterans Affairs’ (VA) implementation of the Virtual Lifetime Electronic Record (VLER): Findings and lessons learned from Health Information Exchange at 12 sites

Highlights • VLER Health, a pioneer in HIE, made great strides in advancing HIE and standards. • Mixed methods approach provided insightful, real-world HIE implementation lessons. • Clinicians reported high perceived value, trust, and experience with VLER Health. • Veterans reported high perceived value and few barriers/concerns about VLER HIE. • Clinicians will sustain VLER Health use as data availability and quality improve.