An Article I stumbled upon with google:

from : 
http://aging.senate.gov/index.cfm?FuseAction=Articles.Detail&Article_id=419&Month=9&Year=2004

Text:
VETERANS AFFAIRS TO USE COMPUTER TECHNOLOGY TO IMPROVE INFORMED CONSENT
 
 
 
To learn more about the VA, click "HERE." 
Sep 3, 2004 - - Continuing its innovation in health care information
technology, the Department of Veterans Affairs (VA) is adopting a new
computer program to help patients make more informed decisions about their
care. 

VA will introduce its Electronic Support for Patient Decisions initiative at
all 158 VA medical centers within a year. Customized software called
iMedConsent will provide patients with information about treatment options
and standardize procedures among clinicians. 

"We owe it to our veterans to do all we can to ensure that they understand
the care they receive and to make sure that the informed consent process is
as patient-friendly as possible," said Secretary of Veterans Affairs Anthony
J. Principi. "This new program is a great complement to the success of VA's
electronic patient records systems." 

The iMedConsent program takes physicians step by step through the informed
consent process, displays detailed educational materials about risks and
benefits of proposed treatments, generates and stores consent forms,
incorporates electronic signatures into records and imports information from
patient records. Although the program is designed primarily to assist
physicians, it also guides informed-consent discussions between doctors and
patients. 

The goal of the informed consent process is to ensure that patients are
knowledgeable participants in decisions about their health care. It
generally requires that patients understand their choices through
discussions of proposed treatments, reasonable alternatives to proposed
care, risks and benefits of each alternative. 

The electronic support system is VA's latest use of technology to enhance
patient care. For several decades, VA has led the health care industry in
use of electronic health records with its Veterans Health Information
Systems and Technology (VistA), which allows health care providers to
continuously update patient information, including lab tests and results,
medications and diet. 

The electronic health record provides clinicians throughout the VA system
instant access to a patient's complete record, including diagnostic images,
medications and lab results. The information is available in inpatient,
outpatient, long-term and home care environments. Patient records can also
be accessed remotely, allowing, for example, doctors at the San Francisco VA
Medical Center to promptly treat a veteran from Miami who seeks care while
traveling in California. 

VistA has a dramatic impact on patient safety and health. Bar-coded
medication administration for inpatients and robotic prescription
preparation are achieving the highest rates of prescription accuracy. A
clinical reminder system allows care providers to consistently deliver
necessary health interventions. 

"This has allowed VA to set the benchmark for 18 externally comparable
indicators of quality in disease prevention and treatment," said Dr.
Jonathan Perlin, VA's acting under secretary for health. 

The iMedConsent software was developed under the direction of VA's National 
Center for Ethics in Health Care by Atlanta-based software developer Dialog 
Medical. "We are always looking for ways to enhance the care we provide,"
said Dr. Ellen Fox, center director. "By supporting patient decisions on a
systems level, we are preventing problems before they arise. We like to call
this 'preventive ethics'."  


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