; (B) lost productivity; (C) increased referrals to community care; (D) copayment and debt management actions; (E) staff turnover; (F) reduced collections; and (G) other factors as determined by the Secretary. V Coordination with Department of Defense 501. Quarterly reports on system uptime, modernization, and coordination activities for information technology systems and policies of Department of Defense affecting operations of Department of Veterans Affairs (a) In general Not later than 90 days after the date of the enactment of this Act, and not less frequently than quarterly thereafter, the Secretary of Defense shall submit to the appropriate committees of Congress a report on the system uptime, modernization, and coordination activities for information technology systems of the Department of Defense that are relied upon by the Department of Veterans Affairs to deliver health care, compensation, memorial benefits, and other services required to be provided under the laws administered by the Secretary of Veterans Affairs. (b) Elements Each report required by subsection (a)— (1) shall identify steps taken by the Secretary of Defense to improve governance, coordination, and policy decisions conducted with the Secretary of Veterans Affairs related to information technology of the Department of Defense and related systems upon which the Department of Veterans Affairs has an operational dependency; (2) shall include a schedule for the modernization or replacement of key information technology and related systems of the Department of Defense upon which the Department of Veterans Affairs has an operational dependency, including the Defense Enrollment Eligibility Reporting System, or successor system; (3) shall include a schedule for the movement by the Department of Defense of the MHS GENESIS software and related systems to the cloud