The objective of this proposal is to implement an integrated academic information management system (IAIMS) supporting administration, patient care, education, and research activities at Duke University Medical Center. The IAIMS will consist of the processes and systems necessary to: 1) manage data and information technology as a shared resource; and 2) bring together data, information, and the tools necessary to apply data and information in the decision making process, at the place time that the decision must be made.
I AIMS will increase the efficiency and effectiveness of the Medical Center.
I AIMS will be achieved through integration of distributed information management resources. The implementation strategy has six elements: 1) provision of core processes and technologies, 2) extension of a critical mass of IAIMS functions to all users, 3) development of demonstrations of full IAIMS function in each user domain, 4) development of new techniques of user support, 5) evaluation of system effectiveness, and 6) dissemination of information about IAIMS approaches and impact. The approach to providing IAIMS is unique because it permits retention of an institution's existing systems and utilization of purchased software modules without compromise to the overall effectiveness of the systems infrastructure. The implementation process is designed to provide generic information about approaches to implementation for transfer to other institutions.

National Institute of Health (NIH)
National Library of Medicine (NLM)
Resources Project Grant (NLM) (G08)
Project #
Application #
Study Section
Biomedical Library and Informatics Review Committee (BLR)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Duke University
Schools of Medicine
United States
Zip Code
Stead, W W; Miller, R A; Musen, M A et al. (2000) Integration and beyond: linking information from disparate sources and into workflow. J Am Med Inform Assoc 7:135-45
Hales, J W; Low, R C; Fitzpatrick, K T (1993) Using the Internet Gopher Protocol to link a computerized patient record and distributed electronic resources. Proc Annu Symp Comput Appl Med Care :621-5
Stead, W W; Bird, W P; Califf, R M et al. (1993) The IAIMS at Duke University Medical Center: transition from model testing to implementation. MD Comput 10:225-30
Grewal, R; Reed, R L (1993) Accurate charge capture and cost allocation: cost justification for bedside computing. Proc Annu Symp Comput Appl Med Care :112-6
Hammond, W E; Stead, W W (1991) Adopting TMR for physician/nurse use. Proc Annu Symp Comput Appl Med Care :833-7
Grewal, R; Arcus, J; Bowen, J et al. (1991) Bedside computerization of the ICU, design issues: benefits of computerization versus ease of paper & pen. Proc Annu Symp Comput Appl Med Care :793-7
Stead, W W (1991) Systems for the year 2000: the case for an integrated database. MD Comput 8:103-4, 106-10
Stead, W W; Roderer, N; Zimmerman, J L (1991) Successful principles for collaboration: formation of the IAIMS consortium. Acad Med 66:196-201
Stead, W W; Borden, R B; Boyarsky, M W et al. (1991) A system's architecture which dissociates management of shared data and end-user function. Proc Annu Symp Comput Appl Med Care :475-80
Stead, W W (1988) Information management through integration of distributed resources. Bull Med Libr Assoc 76:242-7