; and (C) provide a clear process description reflecting— (i) the repeatable method for how decisions relating to deployment of electronic health record technology are made within the Department from the field level up to the Secretary; and (ii) the input received from each relevant element of the Department before such a decision is made, to include input from the National Center for Patient Safety. (4) Certification In submitting metrics under paragraph (1), the Deputy Secretary shall certify that the metrics have been approved by the Under Secretary, the Executive Director of the Office, and the Chief Information Officer of the Department. 203. Sense of Congress on training and change management activities for deployment of new electronic health record It is the sense of Congress that— (1) training and change management with respect to any new electronic health record shall be led by the Department and employees of the Department who are uniquely positioned to understand the legacy VistA system of the Department, the existing and future standardized workflow of the Department, and the history, culture, and mission of the Department