2023 Year in Review

Making History through Digital Transformation

From tech products and services that our users loved, to supporting the historic expansion of VA care through the PACT Act, to closing the pay gap in IT between the private and public sectors, the Department of Veterans Affairs (VA) Office of Information and Technology (OIT) made history in 2023.

Driven by our unified vision of the best IT organization in government, we are transforming the way Veterans access VA care and services through state-of-the-art technology. Explore our 2023 Year in Review to see how we’ve improved the digital experience for our employees, for our partners and for the Veterans we serve.

A Message from the Chief Information Officer

 2023 was a record year for the Department of Veterans Affairs (VA) Office of Information and Technology (OIT) as we continued to create a seamless, unified experience for all Veterans. Thanks to enhancements to VA’s digital front door, VA.gov, VA is now supporting a record 13 million logins per month, and more Veterans now have access to VA care through state-of-the-art technology, like our flagship VA Health and Benefits app, which has been downloaded almost 2 million times.

But our digital transformation isn’t simply about making new investments in the cloud or deploying new tech. It’s about meeting the high standards our customers expect in a world where digital interactions are second nature. Whether filing benefits claims on VA.gov or requesting prescription refills through the VA Health and Benefits mobile app, or dialing into their healthcare appointment remotely, the Nation’s Veterans expect and deserve the same world-class experience from VA that they receive when they come into our medical centers.

While our VA partners are caring directly for Veterans, we’re working behind the scenes to ensure Veterans have confidence that their VA care and benefits are available, accurate, and secure. We’ve put rigorous monitoring, redundancy, and safeguards in place to ensure highly available and accessible IT services for VA — demonstrated through our “four-nines” concept — and minimize interrupted service or delayed care. Our work is critical and enables virtually every process and outcome for VA — the largest civilian organization in the U.S. government and the country’s largest integrated health care provider. So, we must stay focused on achieving the highest standard.

This year, OIT made major strides across the four priorities defining our Vision for Digital Transformation — Vision-driven Execution, Operational Excellence, Delight End User Experienceand People Excellence. Each of these priorities continues to guide our work into 2024 as we exemplify the best IT organization in government — which is nothing less than what Veterans, their families, and their caregivers deserve.

Read on to discover how OIT is powering world-class Veteran health care and benefits through technology.

Sincerely,
Kurt DelBene
Assistant Secretary for Information and Technology
and Chief Information Officer

On Saturday, November 11, 2023, the nation observed Veterans Day. President Joe Biden, Vice President Kamala Harris and VA Secretary Denis McDonough observed the day with a traditional wreath-laying at the Tomb of the Unknown Soldier at Arlington National Cemetery. Following the traditional ceremony in the amphitheater, wreaths were laid by Veteran groups at the Tomb of the Unknown Soldier. (VA/Eugene Russell-Army Veteran)
Radiologist using a Picture Archiving and Communication System to review medical images.
Blonde woman smiling - a mural featuring the flag of the United States is in the background.

Vision-driven Execution

OIT supports 18.5 million Veterans through VA’s health care and benefits systems and a VA workforce of nearly a half million employees and contractors. Beyond supporting our stakeholders, OIT also helps maintain nearly 2 million pieces of IT equipment. As the complexity of our organization and its needs increase, Veterans remain at the center of what we do and why we do it.

In 2023, our focus on Vision-driven Execution helped us enhance the digital experience for Veterans and VA partners by executing a clear vision, roadmap, resource plan, and metrics of success — vision, connected to plans, connected to execution — for that digital experience. Here’s how we moved the needle toward becoming the best IT organization in Federal Government.

We're #1

Peer Group: more than 100 thousand employees. The survey scale is 1 to 7.

Based on Government-wide 2023 Mission-Support Customer Satisfaction Survey conducted by OMB and GSA

“I believe that all traditional IT organizations must change in the world of Digital Transformation to operate more like software product groups.”VA CIO Kurt DelBene

Focusing on outcomes versus outputs to improve Veterans' lives

In January 2023, OIT kicked off our Objective and Key Results (OKRs). This initiative helps teams across the organization focus on common priorities that are most impactful to the work of VA. Throughout the first year, nearly 30 teams tracked the progress of more than 75 OKRs. Each OKR centered on the ultimate outcome for the Veteran or the “why.” OKRs, like maximizing system uptime, availability, and reliability, are rooted in enabling VA to provide the services and resources Veterans need when they need them.

This focus on outcomes over outputs helps explain why, for the third year in a row, the Office of Management and Budget (OMB) and the General Services Administration (GSA) ranked VA number one in its peer group (agencies with more than 100,000 employees) in all aspects of IT Function: support; communications and collaboration; equipment; development, modernization, and enhancement; and operations and maintenance. These findings were based on 53,000 VA employee responses received in a Mission-Support Customer Satisfaction Survey conducted by OMB and GSA. From uptime to ease of access, the results are key indicators that VA’s IT customers appreciate their end-user experiences. But that’s not all. As an IT leader in the Federal space, VA also jumped from eleventh to fifth place (and first in its peer group) in strategic partnering, effectively using and modernizing technology in collaboration with Veterans Health Administration, Veterans Benefits Administration, and National Cemetery Administration to enhance Veteran outcomes.

Changing the way IT works in Federal Government: IT as a product group

OIT is embracing an “IT as a Product Group” model, recognizing digital assets fill more than a supporting role at VA. Our technology powers VA’s most critical systems to deliver benefits and health care to millions of Veterans. With this approach, we deliberately define a set of products and services we build and operate, and establish and follow a clear vision and roadmap for execution.

This framework reflects how the best IT organizations operate and drives the Digital Transformation happening at VA — because Veterans expect and deserve the best.

Kurt DelBene

As VA CIO Kurt DelBene led this transition within OIT, he shared his personal perspective of what it means to work as a product group within the Federal Government.

Explore the CIO Blog

Some of the OKRs we set for this year include

Streamlining our intake process

100% of Software Product Management (SPM) demands use the standardized intake process to provide business customers with a simplified front door.

Securing VA’s critical systems

Comprehensive access control reviews for all VA critical systems every 90 days to reduce the risk of unauthorized user access.

Adopting the software factory model

A standard set of VA software platforms to improve modern software development processes, practices, and tools for development and delivery across product teams.

Accomplishing VA’s mission on day one

Our workforce has the necessary devices and active directory accounts to access their work on the requested start date.

Investing in our workforce

Deployment of a career development portal for key technical roles that captures the critical career track components that will advance our employees' careers.

Accessibility is Everybody's Business - a blind VA employee meets with a Veteran in a wheelchair to discuss accessibility.
A male VA employee wearing a dark sport coat and tie is walking through a VA Medical Center.
Femail soldier in uniform is sitting on the stoop of her front door.
man using laptop
VA staff member using mobile computer equipment.
Danny Francisco, a 96-year-old WWII veteran who flew 50 successful missions over Europe as a tail-gunner in a B-17 warplane.

Showcasing our vision for the Veteran’s Digital Experience at the first-ever DigitalVA Expo in Palo Alto, California

To highlight how we operate at an unprecedented scale to transform Veterans’ digital experiences, VA hosted the first DigitalVA Expo. This event brought technologists and VA leaders to Silicon Valley to showcase the latest VA digital innovations, explore where we’re headed, and promote a purpose-driven career in IT at VA.

More than 25,000 attendees tuned in to the broadcast, making the expo VA’s most-watched live event in 5 years. Participants experienced a live demo of VA’s new flagship mobile app, explored new methods for telehealth, learned about new features and tools coming to VA.gov, engaged with Silicon Valley-area tech partners, and witnessed the motivation and heart for service that VA teams bring to their work every day.

“We’re poised right now to deliver a completely new, fully integrated experience, at which the support Vets need is just a few clicks away”

VA Secretary Denis McDonough, DigitalVA Expo

Experience DigitalVA Expo to hear firsthand from VA leaders and partners as they discuss how they’re helping improve Veterans’ access to their health care and benefits.

Operational Excellence

As the largest integrated health care and benefits system in the nation, VA is pursuing world-class system reliability and security, and advocates for the necessary IT resources that enable this experience. In OIT, we’re returning to the basics and refocusing on our mission: building IT products and services for VA and the Veterans we serve, while being effective stewards of the resources we have and vocal advocates for resources we need. Here’s how we pursued Operational Excellence in 2023.

Protecting VA systems and Veteran information

Part of our role as a leader in the Federal IT space is to remain vigilant in safeguarding Veterans’ data. Demonstrated through our Zero Trust strategy, which starts with the premise that we must assume our network will be breached, our first line of defense is to ensure that the bad actor cannot profit from breaching our network since no vital information or resources will be available to them if they do. One of the ways we’re doing this is by doubling down on the importance of adding increased layers of security to VA accounts through multi-factor authentication (MFA). Now, a record number of Veterans have enrolled in VA’s MFA option, with over 3.6 million accounts or users authenticated on VA.gov, Login.gov, and the VA Health and Benefits mobile app. This extra layer requires users to verify their identity through two channels, such as a passcode or a text message code, further protecting Veterans’ sensitive information.

  • 95% MFA adoption by VA employees and contractors
  • 37 million malware attempts blocked
  • 871 million malicious emails blocked

Embracing the Red

A culture of not sharing bad news can permeate an organization quickly. If left to fester, it can impact the organization’s ability to adapt as new issues present themselves. It prevents us from seeing the key issues, and it prevents us from leveraging the organization’s collective expertise to solve the problem. At VA, we’ve adopted a mantra of “Embrace the Red.” This means that rather than hide issues from the rest of the team, we encourage people to bring them forward so we can solve them together.

In The CIO Blog, Mr. DelBene shares how this mantra is shaping OIT’s workplace culture to encourage staff to bring issues forward and create more opportunities for collective problem-solving. By creating an environment where individuals are empowered to address challenges and learn from their mistakes, the broader team can focus on shared goals that help accelerate innovation and achieve engineering excellence.

In 2023, we became aware of technical issues on VA.gov that had prevented some Veterans from submitting updates to claims and appeals. Guided by our “Embrace the Red” mantra, OIT teams notified our VA, VSO, and congressional partners once we learned of the issue. We worked around the clock to identify the impacted Veterans, backdate their applications to the exact day they first encountered the website errors, and implement immediate workarounds to process any claims errors manually. We stood up a “Code Yellow” process for these defects, focusing relentlessly on solving the issues across the organization, including building additional continuous monitoring to catch such issues in the future. We established clear and comprehensive exit criteria for declaring an end to the Code Yellow to ensure all issues are resolved.

  • 2,548,299 Help Desk Tickets resolved
  • 73.63% incidents resolved within 24 hours

Ensuring Veterans can depend on VA systems

To improve the rigor of VA systems and create a more dependable network, OIT established a goal that all our systems run at 99.99% service uptime.  This concept is designed to prevent as many service interruptions as possible through backup plans, redundancy measures, and built-in system resiliencies — so when issues inevitably arise, OIT teams can respond as quickly as possible to reduce downtime.

The four nines are critical in achieving OIT’s Vision for Digital Transformation. With over 900 IT systems across VA used by millions of users, OIT identified the “critical 100”— VA’s most significant systems with the largest reach and impact. We’ve implemented rigorous early warning and monitoring so that our teams can take immediate action and help mitigate any impact to our end users, enabling VA to do what it does best: provide seamless world-class care and services to Veterans and their families and caregivers.

Delightful End User Experience

Veterans should enjoy a digital experience that they truly love, allowing them to access the VA care and services they’ve earned seamlessly. Employees should have the tech tools they need to enable their best work. Here’s how we’ve created Delightful End-User Experiences for Veterans and VA employees by developing state-of-the-art technologies.

Meeting Veterans where they are

Veterans are at the center of everything we do. We went directly to the source to better understand their daily experiences and see the impact of VA’s digital services. This past year, we met with Veterans across the country. Their stories are a powerful reminder of the real-life impact of VA services on our nation’s heroes. Take 10 minutes and listen to their stories in OIT’s short documentary film, Beyond the Uniform: Vets Driving VA Digital Experiences. This inside look shares the personal challenges Veterans face daily and how VA’s digital tools help them overcome potential barriers to accessing their health care and benefits.

Demonstrated in Beyond the Uniform, the VA Health and Benefits mobile app significantly improves Veterans’ access to their earned health care and benefits. With the ability to review appointments and claim statuses, nearly 2 million Veterans and their caregivers have downloaded the mobile app to access VA services anytime, anywhere. In 2023, the mobile app featured several significant improvements, and we’re planning more for 2024 as the total number of monthly active users continues to increase exponentially.

VA Mobile App Monthly Active Users

Veterans now have even more control

With the new prescription refill feature on the app, Veterans and their caregivers can request refills of VA-dispensed prescriptions, view prescription history (up to 180 days), view pending refill orders, and view tracking information for prescription deliveries. To learn more about the mobile app features, check out these videos.

All Veterans deserve accessible, secure, and easy-to-use digital tools. For example, this year, we implemented a feature in the VA Health and Benefits mobile app that enables blind and vision-impaired Veterans to have the ability to access their decision letters in the app. Along with VA’s flagship mobile application, we also support millions of monthly visits to VA.gov. So, we’ve been actively consolidating, integrating, and sharing data across VA to improve interoperability and accessibility, ensuring Veterans and customers receive the same information regardless of how or where they interact with VA. Whether it’s the ability to update a Veteran’s personal information once and have it seamlessly update the rest of their services across VA, or to explore and apply for benefits through a simple, modern, online form, or to message their doctor, refill their prescription, or schedule an appointment, all in one place: this integration of VA services and care into one modern, seamless, and delightful VA.gov experience is the course that we’ve set.

Nearly 2 million VA Health and Benefits mobile app downloads since July 2021

Received more than 168,000 prescription refill requests via mobile app since February 2023

Nearly 18.5 million average monthly visitors on VA.gov

Accessibility is Everybody's Business - a blind VA employee meets with a Veteran in a wheelchair to discuss accessibility.

Investing in accessibility

We also focused on enhancing VA’s products and services through our accessibility-first approach. This “beyond compliance” methodology centers our attention on the best experience for all Veterans by designing for maximum access from square one instead of retrofitting an accessibility fix in the future. Accessibility is particularly important for Veterans’ digital experiences, as their military experiences can often impact their ability to consume information the same way as others. From font size and color contrast to adopting hierarchical styles and website layouts that seamlessly work with screen readers to labeling website links and adding alternative text to images, we have measures in place to make information easier to access on all of our digital platforms. Over the last year, we introduced a new brand system and added to our Accessibility Starts With You series as part of our ongoing efforts to improve our accessibility. While we continue to work with Veterans and VA partners to find more accessible solutions, the Department’s Section 508 Directorate is working with various non-governmental organizations to learn how to best improve accessibility at VA and then taking these lessons on the road to share these insights across the country at our medical centers. The Nation’s Veterans bear the scars of war that impact their ability to access information, and it’s our sacred commitment to enable that access and go beyond Section 508 compliance. We’re making VA the most accessible organization in Federal Government. 

Expanding care to more heroes

OIT is proud to support the historic expansion of VA care and benefits through the PACT Act. This groundbreaking law allows VA to provide nearly a half million more Veterans and survivors with VA services they have earned and deserve.

The most significant expansion of Veteran benefits in decades, OIT and the Veterans Benefits Administration (VBA) worked together to modernize VA benefits beyond PACT Act enrollments. VBA processes more than one million Veteran claims each year, and the influx of PACT Act claims increased this caseload exponentially. To support this unprecedented increase in Veteran claims, we focused our efforts on everything from modernization planning to technical execution. OIT also partnered with the Veterans Health Administration (VHA) to support the Operation Readiness Effort (10-10EZ), helping a record number of Veterans and their survivors successfully enroll in VA health care leading up to the September 30, 2023, deadline.

OIT supported PACT Act-related claims for 567,724 Veterans and their survivors.

VA has processed more than 610,000 claims, granting 77.4% of them and awarding more than $2.46 billion in earned benefits to Veterans and survivors.

People Excellence

Our people are the core of OIT’s operations and are instrumental in VA’s mission to serve the Nation’s Veterans. To attract and retain some of the best IT talent, OIT prioritizes a competitive workforce development program with renewed career pathways, celebrates the diversity of our employees’ backgrounds and experiences, and fosters an inclusive, accessible workplace. A public service career at OIT is a purpose-driven career. It’s a fulfilling opportunity to have a lasting impact on the lives of Veterans. But beyond personal rewards, we’re doing more to illustrate that people are our greatest asset as VA delivers high-quality products that our users love and depend on.

More competitive compensation for IT expertise — a Special Salary Rate

April 8, 2023

OIT submitted a request to Human Resources and Administration (HRA) and Operations, Security and Preparedness (OSP) and the Office of the Chief Human Capital Officer to implement an SSR.

July 5, 2023

OIT HRA and OSP approved and signed SSR

July 16,2023

SSR went into effect for employees in 2210 IT management, 0854 computer engineering, and 1550 computer science classified positions at grades GS-5 through GS-15.

August 4, 2023

First official paydate reflecting the SSR for more than 7,000 OIT employees.

OIT launched a historic new pay model in 2023, providing VA technology and cybersecurity employees with an average pay increase of 17 percent through a Special Salary Rate (SSR). SSR is a pay-setting authority designed to provide industry-competitive pay to OIT’s skilled and technical workforce who dedicate each workday to helping ensure Veterans and their families can easily access the world-class benefits they have earned. By establishing the SSR, OIT continues to break barriers in federal employee compensation and address challenges to attract and retain top talent.

“Currently VA is able to offer some of the highest rates of basic pay of any Title 5 agency for technologists in the Federal Government. My hope is that we’re setting the precedent.”Christopher Paris, Acting Director of Cyber Workforce Management at VA.

Investing in our employees’ futures

We’re strengthening and enriching our workforce by creating more fulfilling opportunities for existing employees—whether they choose to remain here at VA, or whether they decide to apply their skills to new challenges elsewhere. In August, OIT launched a pilot version of a new resource for OIT employees looking to advance their careers: OIT Career Development Portal. This interactive tool allows users to explore work roles within technical, leadership, and business tracks and outlines the skills and knowledge to excel and progress in these roles.

Award Winning

Receiving recognition for creating the best IT products and services to the Nation’s Veterans is a meaningful acknowledgment for the work of our people, and we’re proud to have been named an award-winning team in 2023.

Top 100

The Office of Information and Technology was named a Top 100 Place to Work in IT by Foundry's Computerworld

7

Seven team members were named 2023 FedHealthIT100 awardees

4

Four team members were selected for the 2023 FCW and GovExec Federal 100 list

And we’re not stopping there. 2024 brings a host of new challenges and opportunities that we’re excited to tackle. Whether we’re helping Veterans more easily enroll in VA care, implementing new features in our flagship mobile app like appointment scheduling, leveraging automation to speed claims processing, modernizing the IT systems that power the work of VA, or investing in our people, we’re driving world-class Veteran health care and benefits through technology. Follow our stories on DigitalVA, as we continue on our journey to become the best IT organization in Federal Government and fulfill our promise to the Nation’s Veterans.

Did you find this interesting or informative?

Close

Your feedback matters