The Veterans Administration has received a great deal of positive press for its use of health information technology, especially its electronic medical records system. Apparently, however, many of the current IT projects within the VA are over budget and behind schedule. (VA Article) These projects include what would appear to be the core functionality of the health information system. Since there have been proposals to have the VA system serve as one option for providers to obtain better health information technology, it is of some concern that it is having problems with ongoing projects. It also should give anyone pause who believes that complex health information systems can be quickly or easily put into place to provide for quality improvement and cost savings.