VA’s supply chain modernization efforts face enormous challenges to its transformation journey to be a lean and efficient leader with an enterprise solution that achieves speed to market, scalability, security, technology prowess, and the stakeholder buy-in requisite for such a sizable and complex organization. Among the most pressing of challenges is a true medical supply chain platform that seamlessly integrates the functions of procurement, asset and facility management, warehousing, and commerce while seamlessly interfacing to the other ERP initiatives involving financial and healthcare systems. VA strives to achieve consistent operational and business execution across its disparate systems today. As expressed in the GAO’s report, the root of the challenges today revolves around “long-standing problems with its antiquated inventory management system [that] exacerbated VA’s challenge [with COVID-19].”