healthcare network, and market area assessments (a) Quadrennial Veterans Health Administration review (1) Not later than one year after the date of the enactment of the Veterans Community Care and Access Act of 2017 and not less frequently than once every four years thereafter, the Secretary shall conduct a comprehensive examination (to be known as a quadrennial Veterans Health Administration review ) of programs and policies of the Department regarding the delivery of health care services and the need for health care services for veterans in future years. (2) The Secretary shall designate an individual in a Senior Executive Service position (as defined in section 3132(a) of title 5) or equivalent as the Director of the High-Performing Integrated Healthcare Network of the Department (in this section referred to as the Director ) who shall be responsible for carrying out this section and advising the Secretary and the Under Secretary for Health on matters pertaining to this section. (3) Each quadrennial Veterans Health Administration review conducted under paragraph (1) shall include a strategic plan to meet future requirements and demand for hospital care, medical services, and extended care services under the laws administered by the Secretary that includes a five-year budget forecast for meeting such requirements and demand based on the information contained in the market area assessments conducted under subsection (c) and such other information as the Secretary considers appropriate. (4) In preparing the quadrennial Veterans Health Administration review under paragraph (1), including the strategic plan under paragraph (3), the Secretary shall— (A) consider the access and quality standards established under sections 1703B and 1703C of this title, respectively