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Eyeglasses make up 30% of prosthetic purchases at VA. The time between an initial prescription and final delivery can greatly affect a Veteran. 4-Sight was developed to increase efficiency in eyeglass ordering. The program reduces the manual processes completed by prosthetics staff and encourages automated eyeglass consultations. 4-Sight leverages technology to automate actions in VistA and ensures that vendors receive the patient prescription information exactly as it was entered by clinicians. This increases the likelihood that Veterans will receive the right eyeglasses the first time.

This innovation is scaling widely with the support of national stakeholders. See more scaling innovations.


59 successful, 6 in-progress

Awards and Recognition:

VHA Shark Tank Winner


Diffusion of Excellence


Diffusion tracker

Does not include Clinical Resource Hubs (CRH)


AR: Fayetteville VA Medical Center (Fayetteville, Arkansas) AZ: Bob Stump Department of Veterans Affairs Medical Center (Prescott) AZ: Carl T. Hayden Veterans' Administration Medical Center (Phoenix, Arizona) AZ: Tucson VA Medical Center (Tucson) CA: Jennifer Moreno Department of Veterans Affairs Medical Center (San Diego, California) CA: Jerry L. Pettis Memorial Veterans' Hospital (Loma Linda, California) CA: Tibor Rubin VA Medical Center (Long Beach) CA: West Los Angeles VA Medical Center (West Los Angeles) CT: West Haven VA Medical Center (West Haven) DC: Washington VA Medical Center (Washington, District of Columbia) IA: Des Moines VA Medical Center (Des Moines, Iowa) IL: Captain James A. Lovell Federal Health Care Center (North Chicago) IL: Danville VA Medical Center (Danville, Illinois) IL: Edward Hines Junior Hospital (Hines) IL: Jesse Brown Department of Veterans Affairs Medical Center (Chicago, Illinois) KY: Franklin R. Sousley Campus (Lexington-Leestown) KY: Robley Rex Department of Veterans Affairs Medical Center (Louisville) MA: Brockton VA Medical Center (Brockton) MA: Edith Nourse Rogers Memorial Veterans' Hospital (Bedford) MA: Edward P. Boland Department of Veterans Affairs Medical Center (Central Western Massachusetts) MA: Jamaica Plain VA Medical Center (Jamaica Plain) MA: West Roxbury VA Medical Center (West Roxbury) MD: Baltimore VA Medical Center (Baltimore) MD: Loch Raven VA Medical Center (Loch Raven) MD: Perry Point VA Medical Center (Perry Point) ME: Togus VA Medical Center (Togus) MI: Oscar G. Johnson Department of Veterans Affairs Medical Facility (Iron Mountain) MN: St. Cloud VA Medical Center (St. Cloud) ND: Fargo VA Medical Center (Fargo) NE: Grand Island VA Medical Center (Grand Island) NE: Omaha VA Medical Center (Omaha, Nebraska) NH: Manchester VA Medical Center (Manchester) NJ: East Orange VA Medical Center (East Orange) NJ: Lyons VA Medical Center (Lyons) NM: Raymond G. Murphy Department of Veterans Affairs Medical Center (Albuquerque) NY: Brooklyn VA Medical Center (Brooklyn) NY: Castle Point VA Medical Center (Castle Point) NY: Franklin Delano Roosevelt Hospital (Montrose, New York) NY: James J. Peters Department of Veterans Affairs Medical Center (Bronx) NY: Margaret Cochran Corbin VA Campus (Manhattan) NY: Northport VA Medical Center (Northport, New York) NY: St. Albans VA Medical Center (St. Albans) RI: Providence VA Medical Center (Providence) SD: Fort Meade VA Medical Center (Fort Meade, South Dakota) SD: Hot Springs VA Medical Center (Hot Springs, South Dakota) SD: Royal C. Johnson Veterans' Memorial Hospital (Sioux Falls)
  • Started adoption on 01/2018, ended on 02/2018.
TN: Alvin C. York Veterans' Administration Medical Center (Murfreesboro) TN: James H. Quillen Department of Veterans Affairs Medical Center (Mountain Home, Tennessee) TN: Memphis VA Medical Center (Memphis) TN: Nashville VA Medical Center (Nashville) TX: Audie L. Murphy Memorial Veterans' Hospital (San Antonio, Texas) VT: White River Junction VA Medical Center (White River Junction) WI: Clement J. Zablocki Veterans' Administration Medical Center (Milwaukee, Wisconsin) WI: Tomah VA Medical Center (Tomah) WI: William S. Middleton Memorial Veterans' Hospital (Madison) WV: Beckley VA Medical Center (Beckley) WV: Hershel "Woody" Williams VA Medical Center (Huntington, West Virginia) WV: Louis A. Johnson Veterans' Administration Medical Center (Clarksburg, West Virginia) WV: Martinsburg VA Medical Center (Martinsburg)

There are no unsuccessful adoptions for this innovation.