Memel D S, Scott J P, McMillan D R, Easton S M, Donelson S M, Campbell G, Sheehan M, Ewing T N
PeaceHealth, Eugene, Oregon, USA.
J Healthc Inf Manag. 2001 Fall;15(3):261-85.
PeaceHealth is a multistate, not-for-profit integrated delivery network that owns and operates five acute care hospitals, one critical access hospital, and twenty-five outpatient clinics. PeaceHealth employs approximately two hundred physicians and seventy allied health professionals; it has relationships with one thousand affiliated physicians. In 1990, PeaceHealth developed a set of strategic priorities for delivering seamless care across the continuum, and creating partnerships between caregivers and patient-consumers. A major component of these strategies was development and implementation of the technology, knowledge, organizational, and community infrastructures that would support delivering and using high-quality, timely information when and where it is needed for effective clinical, operational, and financial decision making. Executing this strategy has resulted in implementation of standard enterprisewide information systems, including a computer-based patient record system in inpatient and outpatient settings, tactical and strategic decision support systems, a well-developed intranet and access to the Internet, and a knowledgeable workforce that have enabled PeaceHealth to support and improve its services and business by bringing interactive information directly to patients, caregivers, managers, directors, and executives. This case study discusses the drivers behind the development of this strategy, specific components of the information management and information technology infrastructure, examples of the impact they have had on patients, caregivers, and the organization, and lessons learned.
和平健康是一个跨州的非营利性综合医疗服务网络，拥有并运营着五家急症护理医院、一家急救医院和二十五家门诊诊所。和平健康雇佣了约两百名医生和七十名专职医疗专业人员；它与一千名附属医生保持着合作关系。1990年，和平健康制定了一系列战略重点，以提供贯穿整个医疗过程的无缝护理，并在医护人员和患者消费者之间建立合作伙伴关系。这些战略的一个主要组成部分是开发和实施技术、知识、组织和社区基础设施，以便在有效进行临床、运营和财务决策所需的时间和地点支持提供和使用高质量、及时的信息。执行这一战略导致了全企业标准信息系统的实施，包括住院和门诊环境中的基于计算机的患者记录系统、战术和战略决策支持系统、完善的内部网和互联网接入，以及一支知识渊博的员工队伍，这些使和平健康能够通过将交互式信息直接带给患者、医护人员、经理、主任和高管来支持和改善其服务及业务。本案例研究讨论了这一战略发展背后的驱动因素、信息管理和信息技术基础设施的具体组成部分、它们对患者、医护人员和组织产生影响的实例，以及所汲取的经验教训。
