state and national nursing organizations and has served on numerous local, state, and national committees and boards. She is the At-Large Nursing Commissioner on the Joint Commission on Accreditation of Healthcare Organization Board, a member of the Joint Commission Resources Board, and a member of the Editorial Advisory Board of Nurse Week, and is currently serving a 2-year appointment as Senior Fellow of the Center for the Health Professions at the University of California, San Francisco. She also serves as a member of the Hartford Institute for Geriatric Nursing and is a fellow of the American Academy of Nursing. Dr. Chow has coauthored four books, including the award-winning Handbook of Pediatric Primary Care. Her awards include the American Nurses Association (ANA) Ethnic Minority Women’s Honors in Public Health and the University of California at San Francisco School of Nursing Distinguished Alumni Award.

Paul D. Clayton, Ph.D., is Chief Medical Informatics Officer at Intermountain Health Care, Professor of Medical Informatics at the University of Utah, and Professor Emeritus at Columbia University. Dr. Clayton developed and implemented information systems in cardiology, radiology, and surgery at LDS Hospital and the University of Utah. He joined Columbia University and Presbyterian Hospital in 1987 as director of the Center for Medical Informatics and Professor of Medical Informatics. He became Chair of the newly created Department of Medical Informatics in 1994. When Dr. Clayton joined Columbia Presbyterian, he led efforts to build an integrated information system for the medical center, an effort supported by an Integrated Advanced Information Management System grant from the National Library of Medicine. He was also active in creating an advanced clinical information system with decision-making capability now widely used at Columbia Presbyterian. In 1998, he returned to Salt Lake City to work with Intermountain Health Care in establishing the information underpinnings for an integrated health delivery system. As Chief Medical Informatics Officer, he is interested in creating and implementing systems that use a clinical information system and external sources of knowledge to prompt providers and patients in ways that will improve the quality and cost of health care. Dr. Clayton is an elected fellow of the American College of Medical Informatics and the IOM. He chaired a National Research Council committee addressing issues of confidentiality of health records on the national information infrastructure, and served on the Board of Directors of the American Medical Informatics Association and as President of that organization during 1998 and 1999.

Mary Lou de Leon Siantz, R.N., Ph.D., F.A.A.N., is Professor and Associate Dean for Research at the Georgetown University School of Nursing and Health Studies and Director of the Milagros Center of Excellence in Migrant Health in Washington, D.C. She also serves as a faculty affiliate in the School of Nursing, Department of Family and Child Nursing, Univer-

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