In BMJ Quality & Safety, Shah et al report their evaluation of the degree to which efforts in the US Veterans Health Administration to reduce electronic health record (EHR)-related information overload have achieved their goal.1 Studying the Veterans Health Information System and Technology Architecture (VistA), an internally developed EHR platform used throughout the Department of Veterans Affairs (VA) system, Shah and colleagues report that the median number of mandatory notification types at each VA facility decreased from 15 (IQR 13–19) to 10 (IQR 10–11) preintervention to postintervention, respectively (p<0.001). ...it appears about the time Secretary of Veterans Affairs Robert Wilkie has announced that CPRS is to be replaced with a commercial EHR.2 View Alerts have been a fundamental feature of CPRS since it appeared in 1997 with national rollout in 2000. ...we have to review this new information using tools and interfaces which are often awkward from a usability perspective.