title: Working on a vision, mission. Growth, changes and challenges have been constants during VHA's first quarter-century.
mesh_terms: D016520:Entrepreneurship; D017754:Group Purchasing; D006788:Hospitals, Voluntary / Q000458:organization & administration* / Q000639:trends; D007857:Leadership; D009096:Multi-Institutional Systems / Q000458:organization & administration* / Q000639:trends; D009937:Organizational Objectives; D010934:Planning Techniques; D013781:Texas; D014481:United States