The ambulatory medical record project at Group Health Cooperative: what did a decade of experience teach us?
Computer-based record systems are documented to improve patient care (Barnett, 1984; McDonald & Tierney, 1988) and their importance in the future is widely accepted. The report of the Institute of Medicine on patient computer-based record systems (Detmer, 1991) will help guide the development of future computer-based record systems and will likely stimulate renewed interest in them. We believe computing systems have great value to an HMO but understand that the benefits do not come without the risk of setbacks. We plan to build on what we have learned from our decade of experience.
Payne
T H
TH
Group Health Cooperative of Puget Sound, Seattle, WA.
Murphy
G
G
Wagner
E H
EH
D000555:Ambulatory Care Information Systems; D003362:Cost-Benefit Analysis; D003625:Data Collection; D003626:Data Display; D003659:Decision Making, Organizational; D004526:Efficiency; D006279:Health Maintenance Organizations / Q000458:organization & administration* / Q000706:statistics & numerical data; D016347:Medical Records Systems, Computerized; D010865:Pilot Projects; D015397:Program Evaluation; D014861:Washington