Computerizing Large Integrated Health Networks

1. Front Matter

   Pages i-xxv

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2. Networking for Healthcare Delivery

   1. Front Matter

      Pages 1-1

      PDF

   2. Vision for Change: An Integrated Service Network

      • Kenneth W. Kizer, Thomas L. Garthwaite

      Pages 3-13

   3. The Role of Systems at the Facility and Network Level

      • Robert H. Roswell

      Pages 14-18

   4. Teleinformatics: The Future of Healthcare Quality Management

      • John W. Williamson

      Pages 19-35

3. System Design

   1. Front Matter

      Pages 37-37

      PDF

   2. Creating a Robust Multi-Facility Healthcare Information System

      • Robert M. Kolodner

      Pages 39-56

   3. Infrastructure and Tools for Flexibility

      • Catherine N. Pfeil

      Pages 57-80

   4. Structuring Databases for Data Sharing

      • Cameron Schlehuber

      Pages 81-86

   5. Collaborating for Integration

      • Steven A. Wagner

      Pages 87-97

   6. Supporting Systems After Installation

      • Roy H. Swatzell Jr, Virginia S. Price

      Pages 98-115

   7. Privacy and Security Protections for Healthcare Information

      • Gail Belles

      Pages 116-133

4. Clinical Information Technology

   1. Front Matter

      Pages 135-135

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   2. Integrating A Clinical System

      • Rusty W. Andrus

      Pages 137-147

   3. Capturing Data in Ambulatory-Care Settings

      • Susan H. Fenton

      Pages 148-154

   4. Moving to Clinical Workstations

      • Sharon Carmen, Chávez Mobley

      Pages 155-163

   5. Controlled Representation in Patient Records and Healthcare Delivery Systems

      • Kenric W. Hammond

      Pages 164-182

   6. Clinical Decision Support in a Distributed Environment

      • Curtis L. Anderson

      Pages 183-202

   7. The CARE Decision Support System

      • Douglas K. Martin

      Pages 203-227

5. Clinical and Support Applications

   1. Front Matter

      Pages 229-229

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This book has been a long time in the making. The computerization activi­ ties described in these pages began in 1977 at the Department of Veterans Affairs (VA), but we devoted most of our focus and efforts to building and then implementing the extensive hospital information system known as the Decentralized Hospital Computer System (DHCP) throughout VA. Deliv­ ering the product has been our primary goal. We spent relatively little time documenting or describing our experiences or lessons learned. Except for some presentations at national meetings and a relatively few publications, almost none of which were in the standard trade journals read by Chief Information Officers (CIOs) and equivalent top managers in the private and nonprofit sectors, VA's accomplishments remained a well-kept secret. In 1988, Helly Orthner encouraged VA staff to consider writing a book, but the press of day-to-day activities always seemed to take precedence, and the book languished on the back burner.

• Picture Archiving and Communication System
• Unified Medical Language System
• anesthesiology
• system
• telemedicine

• Department of Veterans Affairs, Veterans Health Administration, USA

  Robert M. Kolodner

Policies and ethics