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Integrated State Health Information Systems




Deborah Chollet, Alpha Center.


Larry Wall, Chief Executive Officer, Colorado Hospital Association (CHA), Denver, CO.

Leonard Kirschner, M.D., Vice President, Health Care Initiatives, State Health Care Electronic Data Systems, Inc., Phoenix, AZ.

David Swan, Chief Information Officer, Group Health Cooperative of Puget Sound Seattle, WA.

Presenters in this session offered examples of diverse private-sector integrated health information systems. They discussed how and why decisions regarding system architecture, user access, and system capacity were made.

Larry Wall said that public accountability drives much of what they do. CHA's integrated data system also supports its roles in advocacy, quality, competition, cost containment, and public relations.

Len Kirschner described the origin of the medication management information system (MMIS) and ongoing issues for information systems for the Federal government, States, and local governments. He compared the past, present, and future of MMIS.

David Swan offered advice on how to implement and manage change in and to information systems. He advised starting small and compartmentalizing tasks to the degree possible.


Hurley RE, KirschnerL, Bone TW. The Managed Care Health Care Handbook, 3rd edition, 1996, Chapter 48, "Medicaid Managed Care," pp. 761-78.

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