03296cam a2200469 i 4500001001900000003000500019005001700024008004100041010001700082020003500099020003800134027002000172035002000192037002200212040001900234050002100253100003100274245016600305264003700471300002600508336002600534337002600560337002800586338003600614338002700650500008800677500005500765504005200820505032800872520105001200530005802250650006102308650004002369650006102409700003402470700005402504710008502558710002202643710008002665856006202745999001902807rnd000000000043625RAND20200811100857.0081027s2008    cau           000 0 eng d  a  2008046086  a0833043145 (pbk. : alk. paper)  a9780833043146 (pbk. : alk. paper)  aRAND/MG-680-OSD  a(Sirsi) a524059  c$23.00fpaperback  aCstmoRcCstmoR00aUH223b.B54 20081 aBigelow, James H.eauthor.10aMeasuring the strategic value of the Armed Forces Health Longitudinal Technology Application (AHLTA) /cJames H. Bigelow, Katherine M. Harris, Richard Hillestad. 1aSanta Monica, CA :bRAND,c2008.  axx, 99 pages ;c23 cm  atextbtxt2rdacontent  acomputerbc2rdamedia  aunmediatedbn2rdamedia  aonline resourcebcr2rdacarrier  avolumebnc2rdacarrier  a"A joint endeavor of RAND Health and the RAND National Defense Research Institute."  a"RAND Center for Military Health Policy Research."  aIncludes bibliographical references (p. 95-99).0 aIntroduction -- MHS Senior Leaders' Views on the Value of AHLTA -- Analyzing the Effect of AHLTA on the Strategic Performance of the Military Health System -- Potential Benefits of EMR Systems -- Measures for the MHS Strategic Objectives -- Strategic Management -- Concluding Comments -- Appendix: Catalog of NQMC Measures.  aThe Military Health System (MHS) provides health care to active duty service members and their families, retirees and their families, and Guard and Reserve members serving on active duty and their families. In January 2004, the MHS began implementation of the Armed Forces Health Longitudinal Technology Application (AHLTA), DoD's global electronic health record system. AHLTA will ultimately be used by all providers in the military's direct care system at the point of care. The authors describe a four-part framework they recommend that DoD adopt in measuring AHLTA's contribution to MHS performance: (1) outcome measures capturing valued domains of system performance plausibly influenced by the presence of AHLTA; (2) "treatments"-ways of using AHLTA that are expected to influence one or more outcome measures, (3) a logic model describing the mechanisms or processes by which uses of AHLTA (i.e., treatments) influence outcome measures, and (4) an evaluation design for estimating AHLTA's effect on outcome measures in quantitative terms.  aAlso available on the internet via WWW in PDF format. 0aInformation storage and retrieval systemsxMedical care. 0aMedical informaticszUnited States. 0aMedicine, MilitaryzUnited StatesxInformation services.1 aHarris, Katherine M.eauthor.1 aHillestad, R. J.q(Richard John),d1942-eauthor.2 aNational Defense Research Institute (U.S.).bForces and Resources Policy Center.2 aRand Corporation.1 aUnited States.bDepartment of Defense.bOffice of the Secretary of Defense.41yOnline Accessuhttp://www.rand.org/pubs/monographs/MG680/  c598862d598862