The city continued to be inhabited but was not as prosperous as before. Sometime between 395 and 418, probably in 407 the Roman administration moved the staff of the Praetorian Prefecture from Trier to Arles. A residence of the Western Roman emperor, Roman Trier was the birthplace of Saint Ambrose. The Porta Nigra ("Black Gate") dates from this era. In the 4th century, Trier was one of the largest cities in the Roman Empire with a population around 75,000 and perhaps as much as 100,000. The city later became the capital of the province of Belgic Gaul after the Diocletian Reforms, it became the capital of the prefecture of the Gauls, overseeing much of the Western Roman Empire. The name distinguished it from the empire's many other cities honoring the first Roman emperor, Augustus. The historical record describes the Roman Empire subduing the Treveri in the 1st century BC and establishing Augusta Treverorum about 16 BC. Along with Luxembourg, Metz and Saarbrücken, fellow constituent members of the QuattroPole union of cities, it is central to the greater region encompassing Saar-Lor-Lux ( Saarland, Lorraine and Luxembourg), Rhineland-Palatinate, and Wallonia. It is one of the five " central places" of the state of Rhineland-Palatinate. The University of Trier, the administration of the Trier-Saarburg district and the seat of the ADD ( Aufsichts- und Dienstleistungsdirektion), which until 1999 was the borough authority of Trier, and the Academy of European Law (ERA) are all based in Trier. The nearest major cities are Luxembourg (50 km or 31 mi to the southwest), Saarbrücken (80 kilometres or 50 miles southeast), and Koblenz (100 km or 62 mi northeast). With an approximate population of 105,000, Trier is the fourth-largest city in its state, after Mainz, Ludwigshafen, and Koblenz. Because of its significance during the Roman and Holy Roman empires, several monuments and cathedrals within Trier are listed as a UNESCO World Heritage Site. The archbishop-elector of Trier also had great significance as one of the seven electors of the Holy Roman Empire. In the Middle Ages, the archbishop-elector of Trier was an important prince of the Church who controlled land from the French border to the Rhine. Trier was one of the four capitals of the Roman Empire during the Tetrarchy period in the late 3rd and early 4th centuries.
It is also the oldest seat of a bishop north of the Alps. It lies in a valley between low vine-covered hills of red sandstone in the west of the state of Rhineland-Palatinate, near the border with Luxembourg and within the important Moselle wine region.įounded by the Celts in the late 4th century BC as Treuorum and conquered 300 years later by the Romans, who renamed it Augusta Treverorum ("The City of Augustus among the Treveri"), Trier is considered Germany's oldest city. It will contribute to taking us into a healthcare system that delivers value, is a pleasure to work within, and relieves the taxpayers’ burden.Trier ( / t r ɪər/ TREER, German: ( listen) Luxembourgish: Tréier ( listen)), formerly known in English as Trèves ( / t r ɛ v/ TREV ) and Triers (see also names in other languages), is a city on the banks of the Moselle in Germany. Many suggest that a technology sea change is needed with a second generation of EHRs developed on 21 st century architectures that more closely match the flexibility and power of mobile and web-based applications available in the general marketplace.īuilding on the success of its previous three editions, this book will guide healthcare professionals as they confront the technical, organizational, and management issues related to the selection, implementation, and management of healthcare information systems. It outlines the issues of EHR adoption under MU and, as anticipated gains in efficiency, quality and costs have not always been seen, it also provides a framework within which solutions to the frustration, dissatisfaction, and growing concerns can be found. This 4 th Edition of Healthcare Information Management Systems: Cases, Strategies, and Solutions has been thoroughly updated, as concepts such as Meaningful Use (MU), interoperability, personalized medicine and health IT have had a considerable impact on patient safety and health outcomes. This book provides a bold and honest description of the current state of electronic health record (EHR) technologies in acute and primary care settings, and looks at the future through the lens of emerging new technologies, changes in care delivery models and reimbursement policies.