Summary report of observations, conclusions and recommendations

Countdown to 2001: The Computer-based Patient Record After the Institute of Medicine Report

“…The vision for patient records articulated in the IOM report has been generally accepted and reinforced in subsequent work [9][10][11][12][13][14][15]. Recent studies have validated that there is significant room for improvement m patient data availability and that decision aids and other CPR functions can reduce resource utilization [16][17][18][19].…”

“…Association's working groups on health information systems and workstations are likely to expedite progress on the CPR definition [10,33]. This effort also will benefit from stronger relationships between clinicians and vendors than currently exist; the U.S. could learn from the success of the Netherlands where professional societies have played an active role in formulation of system requirements [24,32].…”

“…There has been both increased activity in standards development both in Europe and the U.S. and greater effort to coordinate standards development [4,10,40]. For example, the American National Standards Institute (ANSI) formed the Health Care Informatics Standards Planning Panel (HISPP) in 1991 to address issues related to vocabulary, messaging, and security standards.…”

From Hospital Information Systems to Health Information Systems - Problems, Challenges, Perspectives

“…In his 1994 IMIA yearbook review paper, Hammond described how hospital information systems have developed since the 1970s, and how their functionality has evolved [1]. In 1995, the observations, conclusions and recommendations of the Durham IMIA Working Group 10 HIS working conference were published [2,3]. These publications outlined the shift towards clinically oriented and patient-centered approaches, advocating health information systems without boundaries and seamless linkages connecting all individuals contributing to patient care.…”

“…These publications outlined the shift towards clinically oriented and patient-centered approaches, advocating health information systems without boundaries and seamless linkages connecting all individuals contributing to patient care. As a consequence, the scope and definition of "hospital information system" was seen as extending towards "health information system" [2,1].…”