Today's Veteran care journey is stretched thin.
Access expectations, disconnected tools, and workforce strain are widening the gap between the care Veterans need and the system's current capacity — driving Community Care spend, clinician burden, and journey fragmentation.
Challenges
Access hasn’t kept pace with on-demand expectations
Primary care telehealth remains ~81% phone-based, specialty wait times exceed VA access standards, and Veteran completion of digital navigation tools stays low.
A disconnected patient experience
14.6M+ encounters flow through 7+ disconnected tools with no unified Veteran view, behavioral health relies on a narrow modality mix, and many ATLAS telehealth sites remain under-utilized.
Clinicians and staff are stretched thin
Front-line staff still juggle dual VistA / Oracle Cerner environments while EHR modernization evolves, and care coordination friction compounds as Community Care volume rises.
94%
Of VHA facilities report severe physician shortages
40k
Net workforce reduction in FY2025
$34B+
Community Care spend in FY2026, up 330% since 2014
4%
Veteran reach of the Clinical Resource Hub today
Solutions
Guided access across the full VHA continuum
Structured filters across VAMCs, CBOCs, ACCs, pharmacies, labs, and imaging are paired with guided decision trees and bidirectional EHR integrations to confirm clinical appropriateness.
On-demand care when and where Veterans need it
Fabric delivers full-stack virtual care with labs, e-prescribing, and EHR documentation built in, supporting emergent, urgent, and lower-acuity needs through async-first encounters that lift clinician throughput 5-10x.
A 50-state clinical network for when VHA capacity is stretched
A 50-state network of emergency-medicine-trained clinicians delivers 24/7/365 surge capacity for after-hours, overflow, and specialty needs, deployable as VHA staff, Fabric network, or a blended model.
76
net promoter score for virtual care
2k+
validated diagnoses across protocols
10x
faster for providers than an in-clinic visit
Direct to Appropriate Care
Direct every Veteran to the right modality & venue.
One front door to every VHA care setting
Deep integrations across EHRs, scheduling, and ancillary systems unify VAMCs, CBOCs, ACCs, pharmacies, labs, and imaging into a single search experience, giving Veterans a complete and easy-to-navigate view of the full care network.
Smart matching to the right provider and setting
Conversational search interprets what they need, and structured filters narrow by location, specialty, language, and accessibility, surfacing a focused match instead of a long list.
Right provider, right setting, every time
Guided decision trees confirm each booking is clinically appropriate and offer a VA virtual care option when in-person isn't the right fit, so Veterans land in the right care setting on the first try.
91%
of scheduling requests result in a booking
>95%
of patients complete booking flow
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On-Demand Virtual Care
Deliver care at the right moment in time.
Acuity-aware queuing with safety paths built in
Configurable queues route emergent, urgent, and lower-level needs to the right place. The three-tier triage holds the line on safety while keeping throughput high.
Throughput that multiplies clinician capacity
Conversational search interprets what they need, and structured filters narrow by location, specialty, language, and accessibility, surfacing a focused match instead of a long list.
Intuitive workflows for effective care delivery
Automate provider workflow by routing lab and imaging orders, managing e-prescribing via Surescripts, and auto-generating SOAP notes with real-time write-back to VistA or Oracle Cerner.
2K+
Validated diagnoses across protocols
70k+
Physician hours invested in protocols since 2009
One Platform for Every EHR
Fabric integrates with VistA and Oracle Cerner.
Veterans and clinicians don't have to wait for modernization to finish before the access experience improves.
VistA is today’s backbone
Reads patient data and writes encounter summaries, orders, labs, and prescriptions back into CPRS — no duplicate charting
Oracle Cerner tomorrow
The migration target at 6% of sites and growing. Fabric launches inside PowerChart via SMART on FHIR, so the workflow is the same on day one of go-live.
Orders, labs, pharmacy
Orders route to VAMCs, CBOCs, ACCs, and Community Care. Labs and imaging flow through standard interfaces. E-prescribing runs through Surescripts and NCPDP Script.
Open standards and bi-directional integration
Deploy Clinical Capacity
Three ways to deploy, one network behind every model.
Model A: VHA Staff
VHA clinicians use Fabric's platform. Fabric provides the technology and clinical protocols. VHA manages staffing, credentialing, and coverage.
Best for: Sites with existing VA workforce.
Model B: Fabric Network
24/7 coverage from emergency-medicine-trained physicians, NPs, and PAs across all 50 states. Surgecapacity built in.
Best for: Rapid deployment and surge overflow.
Model C: Blended Care
VHA staff for primary coverage. Fabric network for after-hours, surge, and specialty overflow. A CRH-amplification model that augments existing investment.
Best for: Phased rollout across VISNs.
50
US-based clinical network across all states
24/7/365
Access for most common conditions
5 min
Median patient wait time
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