title: Informatics issues in the national dissemination of a computer-based clinical guideline: a case study in childhood immunization.
abstract: IMM/Serve is a computer-based guideline that provides patient-specific recommendations regarding childhood immunization. IMM/Serve is currently installed at an estimated 75 sites within the US Indian Health Service (IHS), with plans to extend its use to roughly 150 additional sites nationwide by the end of the year 2000. The dissemination of IMM/Serve within the IHS provides a case study with concrete examples that illustrate the diverse informatics issues that arise in the widespread dissemination of a computer-based clinical guideline.
authors.affiliation: Center for Medical Informatics, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: P L
authors.initials: PL
authors.lastname: Miller
authors.forename: S J
authors.initials: SJ
authors.lastname: Frawley
authors.forename: F G
authors.initials: FG
authors.lastname: Sayward
mesh_terms: D002648:Child; D003201:Computers; D006801:Humans; D007114:Immunization; D007255:Information Services; D017410:Practice Guidelines as Topic; D012984:Software; D014481:United States; D016549:United States Indian Health Service