Randell C L, Bero C N, Weidman L
Composite Health Care System II, U.S. Department of Defense, USA.
J Healthc Inf Manag. 1998 Winter;12(4):39-51.
The G-CPR organization composed of the DoD, VA, IHS, and the LSUMC presents an opportunity to facilitate the exchange of clinical data across existing healthcare information systems with new business practices. The organization's ability to reengineer existing healthcare delivery processes through the G-CPR framework will improve the sharing of information and will ultimately provide for better-quality healthcare, improved access to care, greater cost efficiencies, and enhanced medical readiness of the DoD healthcare beneficiaries. The projected benefits that are by-products of the organization sharing effort tend to be focused in two broad categories: improving access to clinical data and creating a mechanism to gather information across large clinical populations. Both of the two categories include various benefits that accrue to members of the organization relative to their ability to use the G-CPR framework as a business reengineering tool. As information management processes are refined through reengineering initiatives, benefits will be observed at multiple program levels--from the DoD enterprise level down to the operational level at individual treatment facilities. Using comprehensive data to quantify precise benefits and ROI strategies is difficult because the development of the G-CPR framework is still in its early stage. Formal performance-based outcome studies are envisioned to demonstrate these results once the G-CPR framework attains greater functional definition. Through the future development of benefits performance metrics, these benefits can be shown to have substantial impact on achieving the strategic goals of the MHS and the organization while helping to improve the cost and quality of healthcare, access to care, and the medical readiness posture within the DoD.
由国防部、退伍军人事务部、印第安卫生服务局和路易斯安那州立大学医学中心组成的全球心肺复苏组织提供了一个机会，可通过新的商业实践促进跨现有医疗信息系统的临床数据交换。该组织通过全球心肺复苏框架对现有医疗服务流程进行重新设计的能力，将改善信息共享，并最终提供更高质量的医疗服务、改善医疗服务可及性、提高成本效益以及增强国防部医疗受益人的医疗准备状态。该组织共享努力的副产品所带来的预期效益往往集中在两大类：改善临床数据的获取以及创建一个跨大量临床人群收集信息的机制。这两类效益都包括该组织成员因能够将全球心肺复苏框架用作业务重新设计工具而获得的各种好处。随着信息管理流程通过重新设计举措得到完善，将在多个项目层面看到效益——从国防部企业层面到各个治疗机构的运营层面。由于全球心肺复苏框架仍处于早期开发阶段，利用全面数据来量化精确的效益和投资回报率策略很困难。一旦全球心肺复苏框架获得更明确的功能定义，预计将开展基于绩效的正式结果研究来证明这些结果。通过未来效益绩效指标的制定，这些效益可被证明对实现军事医疗系统和该组织的战略目标具有重大影响，同时有助于提高国防部内医疗服务的成本和质量、医疗服务可及性以及医疗准备状态。
