Computerizing Large Integrated Health Networks

Section 1-Networking for Healthcare Delivery.- 1-Vision for Change: An Integrated Service Network.- 2-The Role of Systems at the Facility and Network Level.- 3-Teleinformatics: The Future of Healthcare Quality Management.- Section 2-System Design.- 4-Creating a Robust Multi-Facility Healthcare Information System.- 5-Infrastructure and Tools for Flexibility.- 6-Structuring Databases for Data Sharing.- 7-Collaborating for Integration.- 8-Supporting Systems After Installation.- 9-Privacy and Security Protections for Healthcare Information.- Section 3-Clinical Information Technology.- 10-Integrating a Clinical System.- 11-Capturing Data in Ambulatory-Care Settings.- 12-Moving to Clinical Workstations.- 13-Controlled Representation in Patient Records and Healthcare Delivery Systems.- 14-Clinical Decision Support in a Distributed Environment.- 15-The CARE Decision Support System.- Section 4-Clinical and Support Applications.- 16-Meeting Clinical Needs in Ambulatory Care.- 17-Surgical Systems.- 18-Nursing Use of Systems.- 19-Developing Clinical Computer Systems: Applications in Cardiology.- 20-Anesthesiology Systems.- 21-The Library Network: Contributions to the VA's Integrated Information System.- 22-Using Data for Quality Assessment and Improvement.- 23-Developing and Implementing the Problem List.- Section 5-System Evolution.- 24-Conceptual Integrity and Information Systems: VA and DHCP.- 25-Hybrid Open Systems Technology.- 26-Using DHCP Technology in Another Public Environment.- 27-International Installations.- Section 6-Telemedicine and Telehealth.- 28-Telemedicine: Taking a Leadership Role.- 29-Telemedicine at the Veterans Health Administration.- 30-Telehealth for the Consumer.- 31-DigitalImaging Within and Among Medical Facilities.- Contributors.