The VA is such a nice opportunity for testing an intervention and this is something that VAs will really want to do if it works! I think selling it as a "quality improvement" systems change will help - the VA does a lot of quality metrics and looks at ways to make improvements in terms of quality of care. I agree - get the SFVA administration involved early. Find out who runs the quality program and talk to them about what they hear at a national level in terms of where they should be moving, what people are pushing for, what people want to hear about, and what data they want to see. That way you can make sure you are addressing these needs in designing your program.