Advancing Federal Sector Health Care

1. Front Matter

   Pages i-1

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2. The Emerging Federal Sector Healthcare Model

   1. Front Matter

      Pages 2-4

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   2. The Longer View: Moving Toward Population Health in the Federal Sector

      • David Beaulieu

      Pages 5-16

   3. The Future of U.S. Military Health Care

      • Robert A. Leitch, Peter Ramsaroop

      Pages 17-27

   4. Federal Support for Healthcare Information Systems

      • Morris F. Collen

      Pages 28-39

   5. Enhancing Private Biomedical Technology: The Role of Federal Programs

      • Steven J. Phillips

      Pages 40-51

   6. The Parthenon Strategy in Military Medicine

      • Charles H. Roadman II

      Pages 52-62

   7. Alignment in a Large Enterprise: Department of Defense Military Health System

      • Klaus Schafer, C. Forrest Faison III, Leo Cousineau, Harry Young, Peter Ramsaroop

      Pages 63-78

   8. Reengineering the Veterans Healthcare System

      • Kenneth W. Kizer

      Pages 79-96

   9. Shaping Future Healthcare Professionals

      • James A. Zimble, Marion J. Ball

      Pages 97-116

   10. Optimizing the Military Healthcare System

       • William M. Heroman, Michael D. Parkinson, Kathryn A. Burke, Thomas Broyles, Frank Berlingis, Donald C. Arthur et al.

       Pages 117-139

3. Applying New Models for Improvements and Cost Containment

   1. Front Matter

      Pages 140-141

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   2. Building the Knowledge-Enabled Organization: Beyond IT Infrastructures to IM Infostructures

      • Detlev Smaltz, Roger Price, Paul Williamson, Peter Ramsaroop

      Pages 143-155

   3. Assessing and Achieving Value in Information Technology

      • Martin Belscher, William L. Sheats

      Pages 156-169

   4. Improving Provider Performance: An Integrated Approach and Case Study on Privileging and Credentialing

      • James Williamson, Edwin Rosas, Lori B. Blades

      Pages 170-182

   5. Cost Containment: A New Approach and a VA Case Study

      • Cyndi Kindred, Don Pratt, Kimberly Miller

      Pages 183-198

   6. Process-Oriented Strategic Information Management Planning

      • Sue Chiang, Bruce Oksol, Patricia Lewis, J. Zarate, Barbara Hoehn, Beth Ireton et al.

      Pages 199-216

   7. Data Quality Case Study

      • Wendy Carter, Cynthia Fodor

      Pages 217-235

   8. Resource Allocation Dilemmas in Large Federal Healthcare Systems

      • W. Paul Kearns III, Julie Hall, W. Todd Grams, Gina Barhoumy

      Pages 236-259

4. Enabling Technologies

   1. Front Matter

      Pages 260-261

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As a result of severe wounds received in World War II, I have spent many months in military hospitals, including 20 months in an Army hospital immediately after the war. I continue to use the Military Health System, as do many of my colleagues in Congress, because I firmly believe the quality of health care delivered in military and veterans hospitals is second to none. The largest system of its type in the world, the U.S. military healthcare system is undergoing changes as dramatic as those experienced by the entire country. During Desert Storm, we saw new technologies, such as telemedicine, at work in the field. Since then, military medicine has contin­ ued to imprave and develop innovations that often focus on healthcare issues of concern to society as a whole. We already have seen technology transfer at work. Things we use in our everyday lives, from sunscreen to the Internet, have come to us directly from innovations developed by federal researchers. The private sector, working with the public agencies, has creatively adapted federal research. For example, the hemopump is used successfully by heart surgeons world­ wide to save heart patients. This device, developed by Richard Wampler, was based on satellite technology information that was declassified in the early 1980s. The chapters in this book focus on current federal sector efforts to shape health care and technology transfer. Many of the initiatives described involve some degree of partnering between the public and private sectors.

• E-Health
• Health Care
• Health Informatics
• Radiologieinformationssystem
• assessment

• HealthCPR.com, Alexandria, USA

  Peter Ramsaroop

• First Consulting Group, Baltimore, USA

  Peter Ramsaroop, Marion J. Ball, Judith V. Douglas

• School of Nursing, Johns Hopkins University, Baltimore, USA

  Marion J. Ball, Judith V. Douglas

• First Consulting Group, Avon, USA

  David Beaulieu

Policies and ethics