title: Health care network communications infrastructure: an engineering design for the Military Health Service System.
abstract: The Military Health Service System (MHSS) provides health care for the Department of Defense (DOD). This system operates on an annual budget of $15 Billion, supports 127 medical treatment facilities (MTFs) and 500 clinics, and provides support to 8.7 million beneficiaries worldwide. To support these facilities and their patients, the MHSS uses more than 125 different networked automated medical systems. These systems rely on a heterogeneous telecommunications infrastructure for data communications. With the support of the Defense Medical Information Management (DMIM) Program Office, our goal was to identify the network requirements for DMIM migration and target systems and design a communications infrastructure to support all systems with an integrated network. This work used tools from Business Process Reengineering (BPR) and applied it to communications infrastructure design for the first time. The methodology and results are applicable to any health care enterprise, military or civilian.
authors.affiliation: Office of the Command Surgeon/Air Mobility Command, Scott Air Force Base, Illinois 62225, USA.
authors.forename: P
authors.initials: P
authors.lastname: Hoffman
authors.forename: E
authors.initials: E
authors.lastname: Kline
authors.forename: L
authors.initials: L
authors.lastname: George
authors.forename: K
authors.initials: K
authors.lastname: Price
authors.forename: M
authors.initials: M
authors.lastname: Clark
authors.forename: R
authors.initials: R
authors.lastname: Walasin
mesh_terms: D003195:Computer Communication Networks; D006077:Government Agencies; D006279:Health Maintenance Organizations; D007256:Information Systems; D008887:Military Medicine; D014481:United States