Eric Raffin made the decision no to fail over to the Denver site to avoid further risk Denver site could be infected. If the problem is software-related, fail over from Sacramento VA medical facility to Denver VA medical facility he could lost the remaining 11 sites in the Denver environment.
1st Alternative :
Reforming IT organization at the VA from local processing to regional data-processing centers. From the case we know that VA had its own IT service, its own budget authority, and its own staff, as well as independence with regard how the infrastructure evolved. All the decision regarding IT were made between local IT leadership official and the director of that particular medical center. This policy made standardization across sites nearly impossible. So to made standardization become far more possible and could be applied, one of the alternative is regional data-processing center.