access to care and improve the exchange of information. Dr. Borowitz is developing a computer-based medical record for all pediatric patients, a comprehensive on-line children's immunization database, and a regional medical information system based on the Internet to provide practitioners and consumers with information and electronic consultations. Dr. Borowitz is a Fellow of the American Academy of Pediatrics.

RICHARD BUCCIARELLI, MD, is Professor, Institute for Child Health Policy, and Associate Chair, Department of Pediatrics, at the University of Florida College of Medicine. Dr. Bucciarelli is a former Fellow in the Robert Wood Johnson Health Policy Program and has expertise in neonatology and pediatric cardiology. Dr. Bucciarelli is a Fellow of the American Academy of Pediatrics and of the American College of Cardiology.

PETER BUDETTI, MD, JD, is Professor of Law, Preventive Medicine, and Health Services Management and the Founder and Director of the Institute for Health Services Research and Policy Studies at Northwestern University in Chicago and Evanston, Illinois. Dr. Budetti founded the Center for Health Policy Research at George Washington University in 1990 and served as its Director until 1996. From 1984 to 1990, Dr. Budetti served as Counsel to the Subcommittee on Health and the Environment in the U.S. House of Representatives. Dr. Budetti is a former Associate Professor of Social Medicine in Pediatrics at the Institute for Health Policy Studies at the University of California, San Francisco.

THOMAS W. CHAPMAN, MPH, is Senior Associate Vice President for Network Development and Professor, Health Services, Management and Policy at the George Washington University Medical Center. Mr. Chapman is the former President of Greater Southeast Healthcare System and has a particular interest in urban health initiatives, community outreach, and community-based medicine. He has received several awards for community service, leadership, and innovation.

MARGARET C. HEAGARTY, MD (IOM), is Director of Pediatrics at Harlem Hospital Center and Professor of Pediatrics, College of Physicians and Surgeons of Columbia University, New York, New York. Dr. Heagarty is a Fellow of the American Academy of Pediatrics, Past President of the Ambulatory Pediatric Association, and a former member of the Board of Trustees of the New York Academy of Medicine. She is a former member of the Institute of Medicine Council and has participated on several IOM committees, including the Steering Group of the National Forum on the Future of Children and Their Families, the Committee to Study Outreach for Prenatal Care, and the Committee for the Study of U.S. Health Goals for the Year 2000.

ROBERT B. HELMS, PhD, is a Resident Scholar and director of health policy studies at the American Enterprise Institute in Washington, D.C. Dr. Helms participates in the Consensus Group, an informal task force that is developing market-oriented health reform concepts. An economist, he served as Assistant Secretary for Planning and Evaluation and Deputy Assistant Secretary for Health Policy in the U.S. Department of Health and Human Services from 1981 to 1989. Dr. Helms served on the IOM Committee on Implementation of a National Graduate Medical Education Trust Fund.

VELVET MILLER, PhD, is Deputy Commissioner of the New Jersey Department of Human Services. She is responsible for policy, program, and fiscal oversight of the state Medicaid and welfare programs, including the state's children's health program, Kid Care. Her previous positions include Assistant Commissioner, Bureau of Public Health and Hospitals, Associate Commissioner, Division of Health Systems Management in the Commonwealth of Massachusetts, and Assistant Commissioner for the

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