Measuring the Strategic Value of the Armed Forces Health Longitudinal Technology Application (AHLTA)

James H. Bigelow, Katherine M. Harris, Richard Hillestad

ResearchPublished Oct 26, 2008

Cover: Measuring the Strategic Value of the Armed Forces Health Longitudinal Technology Application (AHLTA)

The Military Health System (MHS) provides health care to active duty service members and their families, retirees and their families, and Guard and Reserve members serving on active duty and their families. In January 2004, the MHS began implementation of the Armed Forces Health Longitudinal Technology Application (AHLTA), DoD's global electronic health record system. 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: (1) outcome measures capturing valued domains of system performance plausibly influenced by the presence of AHLTA; (2) “treatments” — ways of using AHLTA that are expected to influence one or more outcome measures, (3) a logic model describing the mechanisms or processes by which uses of AHLTA (i.e., treatments) influence outcome measures, and (4) an evaluation design for estimating AHLTA's effect on outcome measures in quantitative terms.

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Bigelow, James H., Katherine M. Harris, and Richard Hillestad, Measuring the Strategic Value of the Armed Forces Health Longitudinal Technology Application (AHLTA). Santa Monica, CA: RAND Corporation, 2008. https://www.rand.org/pubs/monographs/MG680.html.
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