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Automated information technology in Air Force optometry.

BACKGROUND
Military optometry is experiencing changes at an unprecedented rate. Despite decreased staffing and budgets, the military must deal with more complicated deployment requirements as it takes on more humanitarian missions. New and emerging technologies, particularly automated information systems, will enhance its ability to meet these challenges.


METHODS
Workgroups consisting of Army, Navy, and Air Force optometrists are developing operational strategies to meet future demands, employing 1) analysis to identify opportunities for business process improvement, 2) software prototyping to elicit and test automated system concepts and 3) functional economic analysis to evaluate the costs and benefits of automated information technologies.


RESULTS
The workgroups have developed an operational concept that incorporates the development of a comprehensive Defense Vision Information System (DVIS). The DVIS is an automated information system that supports five general functional areas: 1) deployment readiness, 2) clinical examinations, 3) vision conservation (preventive medicine), 4) resource management, and 5) expert referencing. A full-scope DVIS will require integration with other military systems such as personnel, logistics, and existing hospital information systems.


CONCLUSIONS
Technology will enable the military to expand the scope and nature of optometry services through automation. The ultimate goal of automation is to support providers through efficient clinical operation and quick access to quality information for decision making. Eye care providers and patients will benefit as we use technology to optimize quality and cost effectiveness in the wartime and peacetime delivery of primary eye care.