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Due to ever increasing space restrictions, the Royal Hobart Hospital implemented a Digital Medical Record (DMR) in July 2006. The aims of the system were to allow improved access to all patient histories for authorised staff, reduce storage space issues and improve the ability of staff to access all hospital clinical information databases via a single electronic link (e.g. pathology, radiology). As a tertiary hospital with many years of clinical information stored in the traditional way (paper in file) it was imperative that we ensured the changeover was systematic, simple and did not adversely affect the running of the hospital. This article describes the processes involved in implementation of the electronic health record, including change management procedures and scanning of older paper-based records for inclusion in the new system.

Since 2014, Department of Veterans Affairs (VA) has dramatically shifted the ways in which Veterans can receive care. While a substantial majority of Veteran care is provided at one of the 170 VA Medical Centers and 1074 outpatient sites of care nationwide, the Veterans Access, Choice and Accountability Act (Choice Act) (2014) and the VA MISSION Act (MISSION Act) (2018) provided Veterans increased opportunities to receive care from community providers by partnering with federal and private providers, clinics, and hospitals. Both MISSION and Choice represented the attempts of Congress to address reports of long wait times for certain VA services, especially in parts of the country where growth of the Veteran population outpaced VA capacity and in rural areas where Veterans had to drive long distances to see a subspecialist.

The lifecourse perspective on adult health and on health inequalities in particular, is one of the most important recent developments in epidemiology and public health. This book brings together, in a single volume, the work of one of the most distinguished academics in the field. It is the first to specifically take a lifecourse approach to health inequalities and will be essential reading for academics, students and policy makers with an interest in public health, epidemiology, health promotion and social policy