In this volume, Steven Evans reports on a quarter century of work-work that resulted in a commercial product known as the PACE System. An advanced clinical management system, PACE links all care delivery set tings and reaches across multiple episodes. It offers capabilities critical to managed care, including care planning and clinical pathways, the critical pathway analyzer and clinical repository central to outcomes-based care, and more. The pages that follow describe the PACE project, focusing on its knowl edge base and semantic network. They offer insights into system implemen tation and address the synthesis of principles within the PACE System. From this project in nursing informatics, Steven Evans relates both suc cesses and failures, sharing the strategies and techniques to adopt and pitfalls to avoid in a project that followed five years of preliminary theo retical work. With clarity and candor, he gives us the benefit of two decades of project development, first in academia and then in the commercial sector. Over the course of the project, many tens of millions of dollars and close to 500 person-years of effort were invested. Building on the strong conceptual base developed at Creigton University's School of Nursing, the project has seen exponential growth in its clinical capabilities since entering the commercial sector in 1989.

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Authors and Affiliations

Oncor Med Genetic Risk Assessment, Omaha, USA

Steven Evans

Bibliographic Information

Book Title: The PACE System
Book Subtitle: An Expert Consulting System for Nursing
Authors: Steven Evans
Series Title: Computers and Medicine
DOI: https://doi.org/10.1007/978-1-4612-1900-2
Publisher: Springer New York, NY
eBook Packages: Springer Book Archive
Copyright Information: Springer-Verlag New York, Inc. 1997
Hardcover ISBN: 978-0-387-94731-0Published: 18 October 1996
Softcover ISBN: 978-1-4612-7331-8Published: 23 October 2012
eBook ISBN: 978-1-4612-1900-2Published: 06 December 2012
Series ISSN: 1431-1909
Edition Number: 1
Number of Pages: XV, 167
Topics: Health Informatics, Nursing

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Table of contents (7 chapters)

Front Matter

Introduction to the PACE Project

PACE—Then and Now

Initial Knowledge Base Development

Acquiring, Maintaining, and Managing a Knowledge Base

System Implementation

Issues in Semantic Network Development and Utilization

Synthesis of Principles and Lessons Learned

Back Matter

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