End User Adaptation Experiences, Implementation Strategies, and Lessons Learned With the VIONE Medication Optimization and Safe Deprescribing Project in the Federal Health System
Kimberly Dickerson,
Shira Winter,
Saraswathy Battar,
Christopher Sedgwick,
Ashleigh Wallace-Lacey,
Leah Satlak,
Kayley Perkins,
Mary Thoennes,
Megan Fenney,
Keilana Fisher,
Dawn Currie,
Janin Monterrey,
William Hung,
Little Rock VA Medical Center,
Central Arkansas Veterans Healthcare System,
Little Rock,
Deparment of Medicine,
Icahn School of Medicine at Mount Sinai,
New York,
Geriatrics and Extended Care,
West Palm Beach VA Medical Center,
West Palm Beach,
Department of Veterans Affairs,
VA Heartland Network ,
Veterans Integrated Services Network ,
Kansas City,
Clinical Pharmacy Practice Office,
Heartland Network,
Department of Veterans Affairs,
VA Heartland Network ,
Kansas City,
Public Health Service,
Department of Pharmacy,
Woodrow Wilson Keeble Memorial Health Care Center,
Indian Health Service,
Department of Pharmacy,
VA Sierra Nevada Healthcare System,
Department of Pharmacy,
VA Caribbean Healthcare System,
San Juan,
Puerto Rico,
Geriatric Research,
Education and Clinical Center,
James J. Peters VA Medical Center,
New York,
Department of Geriatrics andPalliative Medicine,
Icahn School of Medicine at Mount Sinai,
New York
Journal of Pharmacy Practice
Published online on October 16, 2025
Journal of Pharmacy Practice, Ahead of Print.
Purpose:There is extensive evidence linking Potentially Inappropriate Medication (PIM) use and adverse health outcomes. The VIONE core team and VA multidisciplinary partners created, implemented and disseminated the VIONE methodology across VA sites ...