Leadership by Example Coordinating Government Roles in Improving Health Care Quality (2003) / Chapter Skim
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Appendix C: Technical Overview: Health Information Systems of VHA and DOD
Appendix C: Technical Overview: Health Information Systems of VHA and DOD
Pages 162-170
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From page 162... ...
VETERANS HEALTH ADMINISTRATION The VHA has one of the largest integrated health information systems (HIS) in the United States.
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From page 163... ...
· e-Health communications system to provide veterans with online access to their medical record and other health information. Architecture In the early 1980s, the VHA began building its electronic architecture using the Massachusetts General Hospital Utility Multi-Programming system (MUMPS)
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From page 164... ...
The CPRS enables clinicians to enter, review, and continuously update all information related with any patient. Important data, such as a patient's active problems, allergies, current medications, recent laboratory results, radiological images, vital signs, hospitalization, and outpatient clinic history, are displayed immediately when a patient's name is selected to provide an accurate, real-time overview of the patient's current health status before any clinical interventions are requested or performed (Veterans Health Administration, 2001a)
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From page 165... ...
, and radiology application with digital medical images and recordings of all kinds (e.g., xrays, cardiogram) that can be accessed at the point of care · Pharmacy application based on bar coding for medication administration, inventory accountability, outpatient pharmacy management, and tracking controlled substances · Documentation module for home-based primary care, mental health notes, and therapeutic care by allied health professionals, and management of nursing care · Immunology case registry to support a local HIV/AIDS database and an oncology registry in order to meet CDC reporting requirements · Dental records for entering treatment data, reports and scheduling Patient Safety Reporting The VHA patient safety system considers both adverse events and close calls (events that almost occurred)
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From page 166... ...
MILITARY HEALTH SYSTEM The main components of the military HIS consists of: · Architecture grounded in a core clinical database that supports information exchange with multiple other data repositories · Computer-based Patient Record (CPR) for clinical documentation · Theater Medical Information Program (TMIP)
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From page 167... ...
CHCS I applications are supported by the MHS Data Repository, a clinical data warehouse that aggregates data on health plan utilization, clinical encounters and cost of utilization over the past five years from all military medical facilities worldwide as well as contracted MHS network providers (Military Health System, 2002a)
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The testing phase of CHCS II was completed in fuly 2002 for which pilot studies utilizing the CPR were set up at four sites in selected medical departments Naval Medical Center Portsmouth, VA (Family Practice and Pediatric Clinics) ; Langley Air Force Base, VA (Family Practice Clinic)
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From page 169... ...
Theater Medical Information Program The TMIP supports the medical readiness of deployed combat forces around the world. TMIP plays a vital role in force health protection by providing critical data for the clinical care of battlefield casualties and management of military medical assets.
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From page 170... ...
Veterans Health Administration.
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