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This book has been a long time inside the making. The computerization activi ties described in these pages began in 1977 on the Division of Veterans Affairs (VA), nevertheless we devoted most of our focus and efforts to developing after which implementing the in depth hospital information system known as the Decentralized Hospital Laptop System (DHCP) all by way of VA. Deliv ering the product has been our foremost goal. We spent comparatively little time documenting or describing our experiences or courses found. Aside from some exhibits at nationwide conferences and a relatively few publications, nearly none of which have been within the standard commerce journals study by Chief Information Officers (CIOs) and equal prime managers inside the private and nonprofit sectors, VA's accomplishments remained a correctly-saved secret. In 1988, Helly Orthner impressed VA staff to consider writing a book, nevertheless the press of day-to-day actions all of the time appeared to take precedence, and the book languished on the once more burner.
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