Advancing Federal Sector Health Care: A Model for Technology Transfer PDF
Preview Advancing Federal Sector Health Care: A Model for Technology Transfer
Health Informatics Kathryn J. Hannah Marion J. Ball Series Editors Springer Science+Business Media, LLC Health Informatics Series (formerly Computers in Health Care) Series Editors Kathryn J. Hannah Marion J. Ball Dental Informatics Integrating Technology into the Dental Environment L.M. Abbey and J. Zimmerman Aspects of the Computer-based Patient Record M.J. Ball and M.F. Collen Performance Improvement Through Information Management Health Care 's Bridge to Success MJ. Ball and J.V. Douglas Strategies and Technologies for Healthcare Information Theory into Practice MJ. Ball, J.V. Douglas, and D.E. Garets Nursing Informatics lWlere Caring and Technology Meet, Third Edition M.J. Ball, K.J. Hannah, S.K. Newbold, and J.V. Douglas Healthcare Information Management Systems A Practical Guide, Second Edition MJ. Ball, D.W. Simborg, J.W. Albright, and J.V. Douglas Clinical Decision Support Systems Theory and Practice E.S. Berner Strategy and Architecture of Health Care Information Systems M.K. Bourke Information Networks for Community Health P.F. Brennan, S.J. Schneider, and E. Tornquist Introduction to Clinical Informatics P. Degoulet and M. Fieschi Patient Care Information Systems Successful Design and Implementation E.L. Drazen, J.B. Metzger, J.L. Ritter, and M.K. Schneider Introduction to Nursing Informatics, Second Edition KJ. Hannah, MJ. Ball, and M.J.A. Edwards Information Technology for the Practicing Physician J.M. Kiel Computerizing Large Integrated Health Networks The VA Success R.M. Kolodner (continued after Index) Peter Ramsaroop Marion J. Ball David Beaulieu ludith V. Douglas Editors Advancing Federal Sector Health Care A Model for Technology Transfer With 100 Illustrations Springer Peter Ramsaroop, MBA Marion 1. Ball, EdD David Beaulieu Chairman and Founder Adjunct Professor Vice President HealthCPR.com lohns Hopkins University Managing Director of the 6313 Fox Hunt Road School of Nursing Government Practice Alexandria, VA 22307, USA Baltimore, MD 21205, USA First Consulting Group forrnerly forrnerly Avon, CT 06001, USA Consultant Vice President First Consulting Group First Consulting Group Baltimore, MD 21210, USA Baltimore, MD 21210, USA ludith V. Douglas, MA, MHS Series Editors: Adjunct Lecturer Kathryn 1. Hannah, PhD, RN Marion 1. Ball, EdD lohns Hopkins University Professor, Department of Adjunct Professor School of Nursing Community Health Science lohns Hopkins University Baltimore, MD 21205, USA Faculty of Medicine School of Nursing forrnerly The University of Calgary forrnerly Associate Calgary, Alberta, Canada Vice President First Consulting Group First Consulting Group Baltimore, MD 21210, USA Baltimore, MD 21210, USA Library of Congress Cataloging-in-Publication Data Advancing federal sector health care: a model for technology transfer 1 editors, Peter Ramsaroop ... [et a!.l. p. cm.-(Health informatics series) Includes bibliographical references and index. (alk. paper) 1. Medicine, Military-Technological innovations-United States. 2. Medical innovations-United States. 3. Medical informatics-United States. 4. Medical care-United States--Cost contro!. 5. Medical care-United States-Quality contro!. I. Ramsaroop, Peter. 11. Health informatics [DNLM: 1. Delivery of Health Care-United States. 2. Medical Informatics Applications-United States. 3. Biomedical Technology-United States. 4. Govemment Programs--United States. 5. Hospitals, Federal-organization & administration-United States. 6. Military Medicine-United States. W 26.5 A2447 2001] RC971 .A28 2001 362.1"0973-dc21 00-059476 Printed on acid-free paper. The following chapters were produced in whole or in part by officers or employees of the United States Govemment as part of their official duties, and as such, the text is in the public domain: Chapters 4, 6, 8, 9, 10, 12, 13, 14, 15, 16, 17, 18, 19,20,22, and 23. © 2001 Springer Science+Business Media New York ISBN 978-1-4419-2877-1 ISBN 978-1-4757-3439-3 (eBook) DOI 10.1007/978-1-4757-3439-3 Originally published by Springer-Verlag New York,lnc.in 2001 Softcover reprint ofthe hardcover Ist edition 2001 All rights reserved. This work may not be translated or copied in whole or in part without the written per mission of the publisher ( Springer Seience+Business Media, LLC ), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use of general descriptive names, trade names, trademarks, etc., in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied with respect to the material contained herein. Production coordinated by Chernow Editorial Services, Inc., and managed by TIm Taylor; manufacturing supervised by Joseph Quatela. Typeset by Best-set Typesetter Ltd., Hong Kong. 987654321 SPIN 10774685 A Dedication to Donald Allan Bror Lindberg, MD It is unlikely that any one person in the federal government has contributed more to medical informatics than Donald AB. Lindberg, the current Direc tor of the National Library of Medicine. Lindberg's stature in the field and his contributions to medical informatics and to the National Library of Medicine have already been compared to those of lohn Shaw Billings. From 1865 to 1895, Billings, an Army medical officer, was the Director of the Army Surgeon General's Library, the forerunner of the National Library of Medicine created by congressional legislation signed by President Dwight Eisenhower in 1956. Donald AB. Lindberg received his AB. Magna cum Laude in 1954 from Amherst College and his M.n. degree from Columbia University in 1958. After completing his training in pathology at the University of Missouri School of Medicine, he stayed on to become Professor of Pathology, Pro fessor and Chairman of the Department of Information Science, Director of the Health Services Research Center and Health Care Technology Center, and Direetor of the Information Scienee Group. In 1984, Donald Lindberg became the Director of the National Library of Medieine, a role he still plays with vision and strength. From 1992 to 1995, he took on an added task, serving as the first Direetor of the National Coor dination Office for High Performance Computing and Communications, in the Office of Science and Technology Poliey. Since 1996, he has been the United States Coordinator for the G-7 Global Healthcare Applications Project for the Global Information Infrastructure Initiative. Through the years, Lindberg has served on many professional eom mittees and boards of medical professional organizations. The recipient of dozens of honors and awards, including several honorary doctoral degrees, he was the first delegate from the American Medical Informatics Association to the International Medical Informatics Association. In addition to giving hundreds of invited lectures and talks throughout the world, he has published four books on medical informatics along with more than 200 scientific papers, technical reports, and book chapters. v vi A Dedication to Donald Allan Bror Lindberg, MD The National Library of Medicine has made important contributions to medical informatics under Donald Lindberg's leadership. In the 1970s, the library initiated MEDLINE and began to offer extramural funding for medical informatics training programs. In 1980s, Lindberg launched two transformational efforts. The Integrated Academic Information Manage ment System (IAIMS) program encouraged the use of computers and com munication networks within healthcare institutions. The United Medical Language System (UMLS) project focused on access to machine-readable information located in a variety of sourees, including the scientific litera ture, factual databanks, knowledge-based expert systems, and computer based patient records. In the 1990s, the library supported projects in telemedicine, the human genome program, and the Visible Human project. With such outstanding leaders as Donald A.B. Lindberg, the federal government has made substantial contributions to the domain of medical informatics that are improving health care for all. Foreword I 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. Other initiatives aim to deliver top-quality care to populations that are microcosms of our society at large. These efforts strive to improve perfor mance while containing costs. The solutions offered include redesigning processes and using technologies to do so. The contributors to this book share their experiences fram the federal sector health systems. The authors demonstrate successful technology pro grams that, in their opinion, have improved health care. They suggest ways to meet the demands of consumers who grow increasingly sophisticated and knowledgeable, and they offer valuable insights into the challenges of population-based health. vii viii Foreword I Both the private and public sectors can benefit from the collaborative wisdom of this book's editors and contributors. For policy makers and deci sion makers, this book provides a fresh look at technology transfer and innovation in health care-an area that is of profound concern to each and every one of uso Alaha. Daniel K. Inauye Senior Senator (Democrat) from Hawaii Ranking Minority Member Defense Subcommittee of the Senate Appropriations Committee Foreword 11 As a long-time advocate of increased partnership between the Veterans Health Administration and the Military Health System, I strongly urge all healthcare professionals and every individual involved in the highest levels of policy making to read this most informative and timely book. VA Medical Centers have long partnered with leading academic institu tions throughout the country. Together, they have been responsible for cutting edge research and innovative clinical applications. Since 1984, the VA and DoD have had statutory authority to work together (VAlDoD Sharing Act). Although many projects, mostly local, have resulted, much more could be done to maximize the buying power and healthcare deliv ery capabilities of both organizations. In my role as Chairman of the Congressional Commission on Service members and Veterans Transition Assistance, I reported to Congress our recommendations to establish a joint VA/DoD healthcare policy office and create joint procurement activities. This experience, along with my other work in the federal sector, convinced me that partnering is critical. Federal agencies and the private sector must expand and extend their collaborative efforts. Only then can technology and information transfer be maximized for the benefit of all Americans. Anthony J Principi President, QTC Medical Services Inc. Formerly Deputy Secretary of Veterans Affairs Acting Secretary of Veterans Affairs Und er President George Bush IX
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