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The rapid implementation of a statewide emergency health information system during the 1993 Iowa flood.

In the face of disastrous flooding, the Iowa Department of Public Health established the statewide Emergency Computer Communications Network to establish rapid electronic reporting of disaster-related health data, provide e-mail communications among all county health departments, monitor the long-range public health effects of the disaster, and institute a general purpose public health information system in Iowa. Based on software (CDC WONDER/PC) provided by the Centers for Disease Control and Prevention and using standard personal computers and modems, this system has resulted in a 10- to 20-fold increase in surveillance efficiency at the health department, not including time saved by county network participants. It provides a critical disaster assessment capability to the health department but also facilitates the general practice of public health.

Computer Communication Networks↗

Provider-sponsored coordinated care organizations: designing systems for patient-centered care.

PCCOs should take inventory of the information demands in the critical areas of quality, resource, and outcomes management, and standardize the data elements and definitions as the enterprise data model. The focus must be on internal and external reporting requirements as, ultimately, the data model must expedite clinical practice improvement initiatives. The Informational Processing Architecture utilizes the data warehouse for enterprise decision support to derive clinical/business rules and the operational data store/applications for clinical decision support to deploy those same rules at the point of care. As a result, clinical and financial systems should be tightly linked, associating outcomes, process, and cost. In designing these systems, the Systems Development Life Cycle methodology has the advantages of documented deliverables and a well proven methodology for outlining requirements put forth in an RFP, which is indispensable for vendor evaluation and selection. Employing these techniques ensures a user driven process that has the best chance of implementing the complex requirements of PCCOs.

Ambulatory Care Information Systems↗

Using computer bulletin boards in hospital pharmacy.

Pharmacy bulletin boards are a new phenomenon in the world of health care. Many of the most successful were started barely more than a year ago. In this age of rapid change, finding ways to stay on the leading edge of technology will help you to succeed in managing your pharmacy, and will help make life much more interesting. Try calling some of these bulletin boards to find out if this is a form of technology on which you can capitalize. The box entitled "Walk Through of a Log-On," has been included for the novice as a primer.

Computer Communication Networks↗