Katherine M Harris

Prince George's County, Maryland, faces the ongoing challenge of ensuring the health of its residents in the context of severe fiscal constraints. To help policymakers address this challenge, this report describes the demographic and health characteristics of Prince George's County residents; assesses health care system access and capacity within the county; and analyzes patterns of hospital and emergency department use.

The Department of Veterans Affairs relies on the Enrollee Health Care Projection Model (EHCPM) to project veteran enrollment, enrolled veterans' use of health care services, and the cost of providing those services. This evaluation of the EHCPM examines its accuracy and validity, identifies potential model enhancements, and assesses the risks and benefits posed by the VA's reliance on the model for budgeting and planning.

In January 2004, the Military Health System (MHS) began implementation of the Armed Forces Health Longitudinal Technology Application (AHLTA), DoD's global electronic health record. AHLTA will ultimately be used by all providers in the military's direct care system at the point of care. The authors describe a four-part framework they recommend that DoD adopt in measuring AHLTA's contribution to MHS performance.