Title	Computerizing Large Integrated Health Networks [electronic resource] : The VA Success / edited by Robert M. Kolodner
Imprint	New York, NY : Springer New York : Imprint: Springer, 1997
Connect to	http://dx.doi.org/10.1007/978-1-4612-0655-2
Descript	XXV, 515 p. online resource

This book has been a long time in the making. The computerization activiยญ 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. Delivยญ 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

Section 1โNetworking for Healthcare Delivery -- 1โVision for Change: An Integrated Service Network -- 2โThe Role of Systems at the Facility and Network Level -- 3โTeleinformatics: The Future of Healthcare Quality Management -- Section 2โSystem Design -- 4โCreating a Robust Multi-Facility Healthcare Information System -- 5โInfrastructure and Tools for Flexibility -- 6โStructuring Databases for Data Sharing -- 7โCollaborating for Integration -- 8โSupporting Systems After Installation -- 9โPrivacy and Security Protections for Healthcare Information -- Section 3โClinical Information Technology -- 10โIntegrating a Clinical System -- 11โCapturing Data in Ambulatory-Care Settings -- 12โMoving to Clinical Workstations -- 13โControlled Representation in Patient Records and Healthcare Delivery Systems -- 14โClinical Decision Support in a Distributed Environment -- 15โThe CARE Decision Support System -- Section 4โClinical and Support Applications -- 16โMeeting Clinical Needs in Ambulatory Care -- 17โSurgical Systems -- 18โNursing Use of Systems -- 19โDeveloping Clinical Computer Systems: Applications in Cardiology -- 20โAnesthesiology Systems -- 21โThe Library Network: Contributions to the VAโs Integrated Information System -- 22โUsing Data for Quality Assessment and Improvement -- 23โDeveloping and Implementing the Problem List -- Section 5โSystem Evolution -- 24โConceptual Integrity and Information Systems: VA and DHCP -- 25โHybrid Open Systems Technology -- 26โUsing DHCP Technology in Another Public Environment -- 27โInternational Installations -- Section 6โTelemedicine and Telehealth -- 28โTelemedicine: Taking a Leadership Role -- 29โTelemedicine at the Veterans Health Administration -- 30โTelehealth for the Consumer -- 31โDigital Imaging Within and Among Medical Facilities -- Contributors

1. Medicine
2. Health informatics
3. Medicine & Public Health
4. Health Informatics