VA Ileana Implements ACORN Screening Program for Rural Veterans' Healthcare Needs

The Subcommittee on Technology Modernization Oversight held a field hearing on July 26, 2025, focusing on the integration of community care and Veterans Affairs (VA) services. The meeting addressed critical issues surrounding healthcare access for veterans, particularly in rural areas, and the ongoing challenges with electronic health records (EHR).

The session began with discussions on the importance of community care partnerships. A representative emphasized that while the VA offers numerous services, there are limitations that community care can help address. This collaboration is vital for ensuring veterans receive comprehensive care, especially in rural settings where access to healthcare can be limited.

Dr. Caboli, a healthcare professional with over 30 years of experience, highlighted the implementation of a screening program called ACORN, which assesses veterans' social determinants of health. The program revealed that 19% of veterans reported digital needs, and 65% experienced social isolation and loneliness. This data underscores the necessity for ongoing support and connection among veterans, particularly in rural areas.

The conversation shifted to the challenges of attracting healthcare professionals to rural VA facilities. It was noted that while there is a national network of providers, the distribution of these professionals is uneven, leading to shortages in certain areas. Telehealth was identified as a crucial solution to bridge this gap, allowing specialists from various locations to provide care remotely.

A significant portion of the hearing was dedicated to the integration of EHR systems. Concerns were raised about the interoperability of different systems, which can hinder effective communication between VA and community care providers. The subcommittee discussed the need for a software service platform that would allow community care providers to access and update veterans' health records seamlessly. This integration is essential for ensuring that referrals and critical needs are addressed promptly without falling through the cracks.

The hearing also touched on the importance of ensuring veterans are aware of their benefits and the options available to them. It was suggested that veterans should be informed about both VA and community care options when scheduling appointments, allowing them to make informed decisions based on their circumstances.

In conclusion, the hearing highlighted the ongoing efforts to improve healthcare access for veterans, particularly in rural areas, through community partnerships and technological advancements in health record management. The subcommittee emphasized the need for continued focus on these issues to enhance the overall care and support provided to veterans.