Medical IT applications in the Singapore Armed Forces

In 1995, the Singapore Armed Forces introduced the Patient Care Enhancement System (PACES), a computerised clinical management system. Linking 46 medical and dental clinics, PACES affords an all-electronic means of managing patient medical records, administrative functions and, through its external interface, logistics management for stock updates and supply. An executive information system also enables the collation of key epidemiological data for monitoring and analysis of trends in disease, injuries, workload and medical logistics. PACES has dramatically altered clinic management workflow and efficiency. Its effectiveness has been apparent to patient, doctor, staff and administrators. Apprehensive initial user acceptance has been alleviated through training. Current limitations are due to the proprietary nature of the aging software platform and the absence of links to external health agencies. Future PACES developments will account for these while integrating technology for digital imagery, soldier personal medical records and portable capabilities