INTERNET-BASED HEALTHCARE SERVICES FOR THE HOMELESS

说明(改编自摘要)： 为无家可归者提供医疗保健-休斯顿(HHH)是医疗保健的战略联盟 护理提供者和社区机构致力于改善健康 无家可归的男人、女人和儿童的地区。没有其他美国大城市 成功地汇集了这样一个基础广泛的私人财团， 公共机构和教育机构。HHH的核心内容？S战略规划 是实施可上网的电子病历， 向10个参与的无家可归者收容所和 诊所。电子病历项目是一个独特的机会，可以尝试 协调地区医疗和社会服务？S无家可归者 人口。为了实现这一总目标，我们必须：一)建立互联网 在最初参与的10个避难所地点中的每一个提供连通性，二)提供 对医护人员进行使用电子病历的培训，三)提供 关于使用电子邮件和Web可访问的医疗保健信息的培训 (包括PubMed等NLM服务)，供有需要的人使用，以及iv)开发 与患者访问和使用的保密有关的政策和程序 教职员工和学生对电子病历的评价。贝勒医学院，一把钥匙 联盟的参与者，是这项申请的牵头机构 而HHH正在等待其501(C)3号申请的批准。 鉴于这一努力的独特方面和巨大的潜在影响，它 应成为扩大和改善卫生保健的全国典范 向无家可归者提供服务并为服务不足的城市居民提供参与 人们都在享受互联网的好处。

DESCRIPTION (adapted from the Abstract): Healthcare for the Homeless-Houston (HHH) is a strategic alliance of health care providers and community-based agencies committed to improving the health of area homeless men, women, and children. No other major United States city has successfully brought together such a broad-based consortium of private, public, and education institutions. The centerpiece of HHH?s strategic plan is the implementation of an Internet accessible electronic medical record, available to health care providers at 10 participating homeless shelters and clinics. The EMR project represents a unique opportunity to attempt to coordinate health care and social services among the area?s homeless population. To accomplish this overall goal we must: i) establish internet connectivity in each of 10 initial participating shelter sites, ii) provide training for health care personnel in the use of the EMR, iii) provide training in the use of E-mail and Web accessible health care information (including NLM services such as PubMed) for those who need it, and iv) Develop policies and procedures relating to patient confidentiality for access and use of the EMR by faculty, staff and students. Baylor College of Medicine, a key participant in the alliance, is the lead institution for this application while HHH awaits approval of its 501(c)3 application. Given the unique aspects and enormous potential impact of this endeavor, it should serve as a national model for expanded and improved health care delivery to the homeless and for the participation of under served urban populations in the benefits of the Internet.