Located in historic downtown Charleston, SC, the Ralph H. Johnson VA Medical Center is a tertiary care teaching hospital providing the highest level quality care from cardiology to neurology to primary and mental health care for more than 67,000 Veterans along the South Carolina and Georgia coast. The Ralph H. Johnson VA is rated a 5-Star medical center, the highest possible rating according to VA’s Strategic Analytics for Improvement and Learning Value (SAIL) model, and is the fifth fastest growing VA in the U.S. for percentage patient growth. This rating, which ranks the Charleston VA in the top 10 percent of VA medical centers nationwide for quality of care and efficiency, was first achieved by the Charleston VA in October 2014. The Charleston VA is also ranked in the top 10th percentile according to the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is an independent review that measures performance of 90 percent of America’s health plans and facilities in both the public and private sector on dimensions of care and service. The Ralph H. Johnson VA Medical Center is a center of excellence for robotic surgery and orthopedics, and is a recognized leader in Tele-Mental Health providing care for Veterans throughout the Southeast. The 149 bed hospital includes six community based outpatient clinics, a 20 bed nursing home, women’s health, and the full range of inpatient and outpatient care including Medical and Surgical Intensive Care. The VAMC provides more than 700,000 outpatient visits and approximately 4,300 inpatient stays annually. The VAMC has an annual budget of $359 million, research funding of more than $20 million, and more than 100 principle investigators participating in approximately 300 research studies.