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First published June 7, 2004 as JAMIA PrePrint; doi:10.1197/jamia.M1548
Journal of the American Medical Informatics Association 2004;11(5):344-350
© 2004 American Medical Informatics Association


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Submitted on February 2, 2004
Accepted on May 19, 2004

Informatics Resources to Support Health Care Quality Improvement In the Veterans Health Administration

Denise M. Hynes PhD, MPH, RN1*, Ruth A. Perrin MA2, Steven Rappaport MD3, Joanne M. Stevens RN4, and John G. Demakis MD5

Affiliation of the authors: 1 VA Information Resource Center (VIReC); Midwest Center for Health Service and Policy Research at the Edward Hines Jr. VA Hospital, Hines, IL; Loyola University Chicago, Maywood, IL ; 2 VA Information Resource Center (VIReC); 3 VA Office of Information; 4 VA Information Resource Center (VIReC) ; 5 VA Health Services Research and Development Service, Washington, D.C.

* To whom correspondence should be addressed.

Information systems are increasingly important for measuring and improving health care quality. A number of integrated health care delivery systems use advanced information systems and integrated decision support to carry out quality assurance activities, but none as large as the Veterans Health Administration (VHA). The VHA's Quality Enhancement Research Initiative (QUERI) is a large-scale, multidisciplinary quality improvement initiative designed to ensure excellence in all areas where VHA provides health care services, including inpatient, outpatient, and long-term care settings. In this paper we describe the role of information systems in VHA QUERI process, highlight the major information systems critical to this quality improvement process, and discuss issues associated with the use of these systems.




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