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Health IT Strategic Framework

Attachment 2

Department of Veterans Affairs

Report On

Approaches to Make Health Information Systems Available and Affordable to
Rural and Medically Underserved Communities
In cooperation with the Department of Defense

Table of Contents

Executive Summary
I. Introduction
II. Background - Statement Of Problem: Rural and Medically Underserved Requirements
III. The VA Electronic Health Record
IV. VA/DoD Collaborative Approaches to Facilitate the Transfer of Affordable Health Information Technologies
    A. Knowledge Transfer of Information Exchange Lessons
            Federal Health Information Exchange
            CHCS/VistA Data Sharing Interface
            Clinical Data Repository/Health Data Repository Interoperability
            Other Technologies
    B. Adoption of Common Standards and Terminologies
    C. TeleHealth Technologies Used for Long Distance Consultations and Distance Learning
V. Other VA Approaches - Knowledge and Technology Transfers to Benefit Target Populations
    A. VistA For Use in Office-Based Practices and Clinics
    B. My HealtheVet - The Personal Health Record
    C. Bar Code Medication Administration
    D. Telehealth/Telemedicine
    E. VistA Imaging Technology
    F. Support of Community and Regional Setting Broad Data Exchange Initiatives
    G. Contracting Incentives With Private Providers
VI. Summary of Recommendations
Appendix A - Definitions (Health Resources and Services Administration)
Appendix B - Target VA/DoD Standards Profile
Appendix C - VA Collaborative Standards and Terminology Efforts
Appendix D - VA/DoD Telehealth Technologies
Appendix E - Examples of VA Public Domain Technology Transfers
Appendix F - Examples of VA Data Exchange Initiatives
Table of Acronyms

Last revised: November 10, 2004

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