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Determinants of Successful Aging: Developing an Integrated Research Agenda for the 21st Century |

Using Information Technology To Improve the Health Care of Older Adults

Michael Weiner, MD, MPH; Christopher M. Callahan, MD; William M. Tierney, MD; J Marc Overhage, MD; Burke Mamlin, MD; Paul R. Dexter, MD; and Clement J. McDonald, MD
[+] Article, Author, and Disclosure Information

From Indiana University Center for Aging Research, Regenstrief Institute, Indiana University, and Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana.

Grant Support: In part by contract N01-LM-9-3542 from the National Library of Medicine.

Potential Conflicts of Interest: None disclosed.

Requests for Single Reprints: Michael Weiner, MD, MPH, Indiana University Center for Aging Research, Regenstrief Institute, 1050 Wishard Boulevard, 6th Floor, Indianapolis, IN 46202-2872; e-mail, mw@cogit.net.

Current Author Addresses: Drs. Weiner, Callahan, Overhage, Mamlin, Dexter, and McDonald: Regenstrief Institute, 1050 Wishard Boulevard, Indianapolis, IN 46202-2872.

Dr. Tierney: Indiana University, 1001 West 10th Street, OPW M200, Indianapolis, IN 46202.

Ann Intern Med. 2003;139(5_Part_2):430-436. doi:10.7326/0003-4819-139-5_Part_2-200309021-00010
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To provide effective health care, providers must manage an ever-growing volume of medical information. Typically, this information is distributed across many isolated sources, including paper and electronic medical records belonging to different organizations, textbooks, and journals (1). Instead of enlightening its users, poorly organized or variably accessible information can obscure and confuse (2). The time needed to record, retrieve, and integrate clinical information accounts for more than one third of the physician's workday (3), and data management costs hospitals approximately one third of their budgets (45). The Institute of Medicine (6) suggests that new investments in information systems are the best route to improved safety, quality, and efficiency of the health care system.

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Grahic Jump Location
Figure. When a physician records orders for a patient, the computer system prompts the physician to request vaccination on the basis of indications and the patient's history. The physician may accept the default orders, revise them, or omit them, as appropriate. IM = intramuscularly; SQ = subcutaneously.
Tailored reminder for influenza and pneumonia vaccinations.
Grahic Jump Location




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