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Use of Electronic Health Records in Disaster Response

The Experience of Department of Veterans Affairs After Hurricane Katrina

Bibliographic Data

ID11034224
AuthorsSteven H Brown (0000-0001-6103-1845, Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...), Linda F Fischetti (Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...), Gail Graham (0000-0003-2463-6591, Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...), Jack Bates (Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...), Anne E Lancaster (Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...), David McDaniel (Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...), David B McDaniel (VA Tennessee Valley Healthcare System), Joseph Gillon (Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...), Melody Darbe (Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...), Robert M Kolodner (Steven H. Brown is with the Department of Veterans Affairs Veterans Health Administration; Department of Biomedical Informatics, Vanderbilt University; Veterans Affairs Tennessee Valley Healthcare System Health Services Research Center for Patient Healthcare Behavior; and the Veterans Affairs Tennessee Valley Healthcare System Special Fellowship Program in Medical Informatics, Nashville, Tenn. Linda F. Fischetti, Gail Graham, Jack Bates, Anne E. Lancaster, David McDaniel, Joseph Gillon, Melody Darbe, and...)
Year2007
Volume97
IssueSupplement_1
PagesS136-S141
Publication date2007-04-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2006.104943
PMID17413082
PMCIDPMC1854987
OpenAlexW2171190232
LanguageEN
Citations received2
References cited18

Objectives. We describe electronic health data use by the Department of Veterans Affairs (VA) in the month after Katrina, including supporting technologies, the extent and nature of information accessed, and lessons learned. Methods. We conducted a retrospective study using cross-sectional panels of data collected sequentially over time. Results. By September 30, 2005, clinical data were accessed electronically for at least 38% (14941 of 39910) of patients cared for prior to Hurricane Katrina by New Orleans–area VA medical facilities. Approximately 1000 patients per day had data accessed during the month following Hurricane Katrina, a rate approximately two thirds of pre-Katrina values. Health care data were transmitted to more than 200 sites in 48 states and to at least 2300 users. Conclusions. The VA electronic health records supported continuity of care for evacuated veterans after Katrina. Our findings suggest that pharmacy and laboratory computerization alone will not be sufficient for future disaster support systems

Disaster medicine · Emergency department · Family medicine · Geography · Health care · Health records · Hurricane katrina · Medical emergency · Medical record · Natural disaster · Occupational safety and health · Poison control · Political science · Suicide prevention · Veterans Affairs · Disaster Management and Resilience · Disaster Response and Management · Medicine · Nursing · Pharmacy · Trauma and Emergency Care Studies · Gerontology

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Citations per year0.11
Citation span2007 - 2013 (7)
Highly citedNo
Open DOISci-HubOpen Access
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