This book has been a long time in the making. The computerization
activi ties described in these pages began in 1977 at the
Department of Veterans Affairs (VA), but we devoted most of our
focus and efforts to building and then implementing the extensive
hospital information system known as the Decentralized Hospital
Computer System (DHCP) throughout VA. Deliv ering the product has
been our primary goal. We spent relatively little time documenting
or describing our experiences or lessons learned. Except for some
presentations at national meetings and a relatively few
publications, almost none of which were in the standard trade
journals read by Chief Information Officers (CIOs) and equivalent
top managers in the private and nonprofit sectors, VA's
accomplishments remained a well-kept secret. In 1988, Helly Orthner
encouraged VA staff to consider writing a book, but the press of
day-to-day activities always seemed to take precedence, and the
book languished on the back burner."
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