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Creating the future: IAIMS planning premises at the University of Washington.

In September 1990, the University of Washington (UW) received a Phase I IAIMS Planning Grant from the National Library of Medicine and embarked upon a planning process involving the entire health sciences center. As a result of our relatively late entry into IAIMS planning, we have been able to learn from the experiences of other health sciences centers and to leverage our existing institutional efforts. Consequently, our progress has been rapid, and in a little over a year, we drafted a long-range plan and embarked on several related research and development projects. The hallmarks of our planning process include careful study of both the UW institutional environment and the experiences of other IAIMS institutions throughout the United States; broad, interdisciplinary participation of faculty, librarians, and administrators; an intensive educational process; a focus on people rather than technology; and, above all, leveraging of existing institutional and research projects that support our vision for the future.

Computer Communication Networks↗

A path to integration in an academic health science center.

This article describes a networking and integration strategy in use at the University of Michigan Medical Center. This strategy builds upon the existing technology base and is designed to provide a roadmap that will direct short-term development along a productive, long-term path. It offers a way to permit the short-term development of incremental solutions to current problems while at the same time maximizing the likelihood that these incremental efforts can be recycled into a more comprehensive approach.

Integrated Advanced Information Management Systems↗

Online bibliographic information: integration into an emerging IAIMS environment.

The Medical Library at Yale University has developed an online free-text database containing Current Contents citations. The database was designed to be integrated into an emerging campus-wide information environment. To this end Current Contents at Yale was designed with a user interface familiar to the Yale community, an alerting service based on electronic mail, and search expansion using the National Library of Medicine's Meta-1 metathesaurus.

Consumer Behavior↗

From information jungle trails to superhighways for health caregivers in the Pacific.

Micronesia has very sparse local library services but this is improving. For those libraries with any health science collection, only paper indexes might be available which provide limited search capabilities. Some now provide regional access to knowledge-based information in the health sciences literature with the Guam Medical Library (NHGU Library) staffed by a certified medical librarian. Over the past two decades, the authors, librarians at the NHGU Library and the RFK Library, initiated expanded and timely access to biomedical information for health professionals throughout the Pacific region. Now, health caregivers in the Pacific may affilliate for Loansome Doc service by simply contacting the NHGU Library. In 1996, with the support of the University of Guam, the RFK Library became an NLM resource library and actively began working with the Pacific Southwest Regional Medical Library Service (PSRMLS) of the NLM to provide expanded service to isolated health caregivers in Micronesia. Moreover, NHGU Library belongs to a loose network of (US) federal and Department of Defense libraries that share information and copies of articles among themselves for no cost. In this way medical services can now readily access a wider network of health information.

Guam↗

Using knowledge management practices to develop a state-of-the-art digital library.

Diffusing knowledge management practices within an organization encourages and facilitates reuse of the institution's knowledge commodity. Following knowledge management practices, the Eskind Biomedical Library (EBL) has created a Digital Library that uses a holistic approach for integration of information and skills to best represent both explicit and tacit knowledge inherent in libraries. EBL's Digital Library exemplifies a clear attempt to organize institutional knowledge in the field of librarianship, in an effort to positively impact clinical, research, and educational processes in the medical center.

Academic Medical Centers↗

Building an information management infrastructure in the 90s: the Vanderbilt experiment.

The course that an organization takes to create a competitive information management infrastructure is determined by a series of decisions, each of which balances tradeoffs. Key success factors include sequencing projects to reflect data requirements; obtaining benefits as cost is incurred; establishing an architecture that permits integration of applications; managing project scope; and establishing a data friendly culture.

Academic Medical Centers↗

A planning process for a fast track to IAIMS.

The strategic planning process that is part of Vanderbilt University's fast track to IAIMS is evolving based on feedback from the process itself. Led by a committee of VUMC's top management, broad-based sub-committees for administration, education, patient care, and research worked initially on the following strategic issues: identifying key external pressures that constrain and provide opportunities, visioning how VUMC might operate in the future, and establishing a mission and high-level goals for information management. Next steps include identifying the critical mass of function that will prompt daily use of the IAIMS by everyone at VUMC and adding groups to focus on information and technology architectures and developing academic informatics. This manuscript gives detailed, practical information about the evolution of the planning process, committees' responsibilities, working relationships, and lessons learned.

Academic Medical Centers↗

[Instrumental and programmed support for integration of diagnostic information within the local network].

The paper deals with the problems in the integration of diagnostic information obtained by various devices, suggests that this process should be implemented by local networks, considers the basic tasks arising with this approach, and gives how to solve some of them. It is shown that this approach can be applied when two basic subdivisions of a health institution: therapeutical and diagnostical--interact.

Diagnosis, Computer-Assisted↗

Strategic planning for information management: what are the deliverables?

This paper describes the deliverables framework developed by Vanderbilt University Medical Center (VUMC) in its IAIMS planning process. The key deliverables include: visions for the future; mission, goals, and objectives for the information management function; critical functions for IAIMS; categorized projects; priority recommendations; and a straw man project sequence reflecting dependencies. The paper also discusses how the plan will be used and how it interacts with direction-setting for the Medical Center.

Academic Medical Centers↗

Cross-site study of the implementation of information technology innovations in health sciences centers.

An interpretive oral history technique was used to identify factors most important in the implementation stage of information technology innovation diffusion. Electronic mail, end user literature searching, and aspects of the computer-based patient record were the innovations selected for study at academic health sciences centers. Transcripts of thirty-four interviews with key individuals were analyzed to determine six categories of factors. Word counts were then used to determine underlying emphases. Analysis of variance tested whether there were significant differences in uses of words by categories of individuals, by those at different institutions, and when different innovations were described. Results indicate that the innovations themselves correlate significantly with different word categories, where category of individual and institution do not. Words related to the computer based patient record characterize further critical factors in implementing that particular innovation.

Academic Medical Centers↗