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VA		Clinical Workstations and Medical Imaging			Budget Code:
This program activity focuses on testing Clinical Workstations at pilot facilities. If these tests are successful, a non HPCC initiative could lead to installation of Clinical Workstations at all 171 VA facilities over a 4 year period beginning in 1995. There will be approximately three pilot sites implemented in FY 95, with additional sites being added in the subsequent years. Clinical workstations will extend and expand access to the computerized patient record by linking workstations to VA's Decentralized Hospital Computer Program (DHCP). These multi-media workstations will be capable of pulling down information from the hospitals LAN, the VA's WAN, and networks such as the Internet that link the VA with the outside. Portable workstations will ensure access to information at the point of care. The DHCP Integrated Medical Imaging Project currently is a model of a clinical workstation. This program has been operational at the Washington and Baltimore VAMCs for several years. Multiple types of true color and black-and-white medical images are captured and retrieved as an integrated part of the computerized patient record. Additional functionality is constantly being added to the system, and additional sites are installing the system.							Budget ($ M) FY 95 Act 7.66 FY 96 Pres 3.61 FY 96 Est 5.20 FY 97 Rqst 3.00 Program Component Areas   FY 96 FY 97 HECC     LSN 4.00 2.00 HCS 1.20 0.60 HuCS   0.40 ETHR     Agency Ties DARPA   NSF   DOE   NASA   NIH   NSA   NIST Partner NOAA   EPA   ED   AHCPR Partner VA
Milestone Changes	Funding for access to Clinical Guidelines was made available at the end of FY 95. This initiative was therefore moved to FY 96 for completion.
FY 1995 Actual Milestones			FY 1996 Estimated Milestones	FY 1997 Agency Requested Milestones
Installed workstations and network at three sites for initial testing of clinical record system. Martinsburg, Mountain Home, Boston, and Milwaukee became operational. Washington and Baltimore updated equipment and supplemented the number of workstations. Enhanced Text Data Capture workstations became operational.			AHCPR Clinical Guidelines will be accessible electronically from the medical center wards at the Washington VAMC. Impact on clinicians activities will be evaluated. Initial phase of national workstation installation. Design and pilot test additional functionality for the clinical workstation.	Develop and test GUI interface for existing Medical Imaging System. Continue to convert applications from existing dumb terminal user interface to an open systems client serve architecture.