Decompensation events, such as portal hypertensive bleeding, are associated with increased morbidity and mortality among persons living with cirrhosis. Current practice guidelines recommend surveillance for esophageal varices in the setting of clinically significant portal hypertension. The Advanced Liver Disease Dashboard (ALDD) is a national online database developed and maintained by the Department of Veterans Affairs (VA) to facilitate tracking of hepatocellular cancer and esophageal variceal surveillance exams.