title: Developing and implementing a patient-centered IT strategy.
abstract: The Army Medical Department (AMEDD), a comprehensive worldwide integrated healthcare system with an annual budget of more than $6 billion, more than 50,000 employees, and 2.4 million beneficiaries, developed and implemented a comprehensive patient-centered enterprise-wide information management and information technology strategy to facilitate information management systems and infrastructure decisions by leaders. This article describes a patient-centered model used to organize and link healthcare activities and activity leaders to portray patient care, administrative, business, financial, supply, and strategic support information systems. Activity and IT leaders applied a refined strategic alignment model to identify specific clinical, business, and IT goals and to detail the necessary infrastructure investments using a systems view. The use of patient and process outcome measures tied to the AMEDD's Balanced Score Card' helped leaders to manage IT strategy execution. Now, two years into the effort, a sample activity strategy--outpatient care--is used to illustrate the application of these tools to the development and implementation of a patient-centered IT strategy.
authors.forename: Eileen B
authors.initials: EB
authors.lastname: Malone
authors.forename: Richard G
authors.initials: RG
authors.lastname: Kirchbdoerfer
authors.forename: Ann
authors.initials: A
authors.lastname: Wolford-Connors
mesh_terms: D003299:Cooperative Behavior; D020000:Decision Support Systems, Clinical; D003660:Decision Support Systems, Management; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006772:Hospitals, Military / Q000458:organization & administration; D006801:Humans; D007857:Leadership; D016347:Medical Records Systems, Computerized; D008887:Military Medicine / Q000458:organization & administration*; D017146:Models, Organizational; D019982:Organizational Case Studies; D018802:Patient-Centered Care / Q000458:organization & administration*; D010934:Planning Techniques; D016730:Program Development; D014481:United States