Reimagining EPSI: An AI-Powered Digital Agent for Veteran Care
Executive Summary
EZ Labs is reimagining the Department of Veterans Affairs (VA) Enterprise Precision Scanning and Indexing (EPSI) platform by embedding artificial intelligence to transform it from a document handler into an intelligent digital assistant. Each month, EPSI processes over 200,000 community care records that must be matched to veterans’ VistA health records. Current manual workflows create delays, errors, and risks to care quality. By applying AI-powered indexing, natural language processing, and automated validation, EZ Labs envisions faster, more accurate record integration while ensuring compliance with HIPAA, FIPS-140-2, and SORN standards. This modernization strengthens efficiency, reduces staff burden, and improves care delivery for millions of veterans.
The Challenge
The VA faces a critical challenge in integrating vast volumes of community care records into veterans’ official health records. More than 200,000 PDF documents must be indexed and matched monthly, but today’s processes are heavily manual, resource-intensive, and error-prone. These inefficiencies slow care delivery, compromise data integrity, and strain staff. EPSI already provides a vital foundation for ingesting and routing records, but the growing scale and complexity demand transformation. AI can evolve EPSI from a back-office utility into a proactive partner that ensures accuracy, reduces manual effort, and builds trust in every record.
EZ Labs Vision
At EZ Labs, our vision is to extend EPSI’s capabilities through AI-enabled precision, setting a new standard for how health information flows across the VA enterprise. EPSI should not only process documents but intelligently understand, validate, and enrich them.
Our approach introduces AI-powered indexing that adapts in real time to document variability, natural language processing (NLP) that recognizes key medical entities, and automated validation workflows that flag anomalies before they disrupt care. Rather than functioning as a back-office system, EPSI becomes an intelligent digital assistant that anticipates user needs, learns from patterns, and improves with each transaction.
Thought leadership in healthcare IT requires moving beyond transactional automation toward cognitive augmentation. EZ Labs aims to lead this evolution by combining AI, compliance-driven design, and scalable architectures. We envision EPSI as part of a larger VA digital ecosystem that is interoperable, secure, and capable of supporting emerging models of care coordination. This transformation aligns with the VA’s mission to deliver safe, efficient, and veteran-centered healthcare while maintaining rigorous protection of personal health information.
The Impact
Embedding AI into EPSI delivers measurable benefits that extend beyond operational modernization. AI-based indexing and entity recognition improve accuracy and speed by minimizing misfiled records and accelerating data availability in VistA. Machine learning models provide predictive insights that surface trends from incoming records, enabling earlier interventions. Compliance is reinforced through design aligned with HIPAA, FIPS-140-2, and SORN standards, ensuring trust and privacy. At the same time, automation reduces repetitive manual tasks, empowering staff to focus on higher-value work such as veteran engagement. Together, these advances position EPSI as a cornerstone of intelligent healthcare IT, safeguarding veterans’ data while directly improving the quality and timeliness of their care.