as of the date of enactment of this Act to achieve full user adoption of the system and meet or exceed the operational levels of such medical center prior to implementing such system with respect to operational areas of the Department related to the purposes described in paragraphs (1), (2), (3), and (7) of section 511(b). Such report shall include an estimated budget, or revisions to an existing budget, if any, for each such facility to implement such strategy, including with respect to costs related to— (1) training