Transforming Health Care Through Information: Case Studies

Clinical informatics is poised for a period of rapid growth and expansion. A confluence of forces and trends, including pressure to contain healthcare costs and simultaneously expand access and coverage, a desire to reduce medical error and healthcare dis

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(formerly Computers in Health Care)

Kathryn J. Hannah  Marion J. Ball Series Editors

For other titles published in this series, go to www.springer.com/series/1114

Laura Einbinder  •  Nancy M. Lorenzi Joan S. Ash  •  Cynthia S. Gadd Jonathan Einbinder Editors

Transforming Health Care Through Information: Case Studies Third Edition

Editors Laura Einbinder Partners Health Care Center for Clinical Informatics   Research and Development Research Applications Group Boston, MA, USA Joan S. Ash Oregon Health Science University Department of Medical Informatics   & Clinical Epidemiology 3181 SW Sam Jackson Park Road Mailcode: BICC Portland, OR 97239–3098

Nancy M. Lorenzi Vanderbilt University Medical Center Department of Biomedical Informatics Eskind Biomedical Library 4th floor 2209 Garland Avenue Nashville, TN 37232-8340 USA

Cynthia S. Gadd

Vanderbilt University Medical Center Department of Biomedical Informatics Eskind Biomedical Library 4th floor 2209 Garland Avenue Nashville, TN 37232–8340 USA

Jonathan Einbinder Partners Health Care Center for Clinical Informatics   Research and Development Research Applications Group Boston, MA USA

ISBN 978-1-4419-0268-9 e-ISBN 978-1-4419-0269-6 DOI 10.1007/978-1-4419-0269-6 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2009931684 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in ­connec-tion with any form of information storage and retrieval, electronic adaptation, computer ­software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

My dedication is to Robert T. Riley, the managing editor of the first edition of Transforming Health Care through Information: Case Studies. In that role he edited all the cases and ensured that they were more readable and had a sense of balance and humor. Bob was nationally and internationally acclaimed for his presentations, his management developmental seminars, and his consulting skills. He authored several books and numerous articles on management and on managing technological change. Bob was known for his humor, his constant quest for new knowledge, his ability to understand and solve problems, his ability to make friends, and his ability to teach others. By publishing yet another edition in this series, we continue to remember and honor his memory.

Foreword

By any measure, our field of clinical informatics is poised for rapid growth and expa