Over the last decade, personal health records (PHRs) have been increasingly recognized and actively promoted by the U.S. federal government and experts as a tool for improving healthcare and containing skyrocketing costs in the U.S. More recently, the 2010 health reform legislation includes PHRs as an important means to improve the quality and…

Schools in Washington State had a smattering of computers that were used for instruction and were mostly disconnected from any network when the author joined the state's K-12 public education agency in 1989. It was clear that state educators needed to see beyond the dazzle of slide decks produced by seven-year-olds and reconceptualize the use of…

Survey of 141 rural special education teachers from Washington State indicated that teachers were unfamiliar with telecomputer networks and their potential use in the classroom, rarely used computer technology at home or at school, and perceived lack of knowledge as the biggest obstacle to using telecomputer networks and resources in the…