David Shulkin: “We're able to accomplish so much more when we work strategically with our private and public sector partners.”

The VISN model was put in place close to 20 years ago, a very innovative model that has served VA well.

But like any business, the times change, the needs change and it's time for us to look at how we operate our networks differently to get the type of accountability that's needed to make sure we don't see the failures that we saw here in…

I received a phone call saying that the President wanted to make a change, and that's certainly his prerogative to do that, and that's what happened.

We just have to do more.