The objective of this proposal is to develop a fast track approach to the provision of an Integrated Academic Information Management System (IAIMS) for an academic 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 and time that the decision must be made. The IAIMS will increase the efficiency and effectiveness of the administrative, patient care, instructional, and research activities of the medical center. The fast track approach has four elements: 1) reorganization of operational information management units into a single entity to enhance efficiency; 2) utilization of technology transfer and network access to remote resources in preference to local development; 3) development of an IAIMS plan in parallel with implementation of prerequisite resources; 4) restriction of the scope of the initial IAIMS to permit a manageable implementation project. The proposed two-year IAIMS planning project is unique because it includes elements that have normally been achieved during either the model development or the implementation phases. At the end of the subsequent four-year implementation project, a workable process will have been developed and tested for establishment of a truly functional IAIMS within a time period associated with other major construction projects such as the building of a replacement hospital.

National Institute of Health (NIH)
National Library of Medicine (NLM)
Resources Project Grant (NLM) (G08)
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Study Section
Biomedical Library and Informatics Review Committee (BLR)
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Vanderbilt University Medical Center
Schools of Medicine
United States
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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
Starmer, J M; Talbert, D A; Miller, R A (2000) Experience using a programmable rules engine to implement a complex medical protocol during order entry. Proc AMIA Symp :829-32
Geissbuhler, A; Miller, R A (1999) Distributing knowledge maintenance for clinical decision-support systems: the ""knowledge library"" model. Proc AMIA Symp :770-4
Brown, S H; Miller, R A; Camp, H N et al. (1999) Empirical derivation of an electronic clinically useful problem statement system. Ann Intern Med 131:117-26
Westberg, E E; Miller, R A (1999) The basis for using the Internet to support the information needs of primary care. J Am Med Inform Assoc 6:6-25
Giuse, N B; Kafantaris, S R; Huber, J T et al. (1999) Developing a culture of lifelong learning in a library environment. Bull Med Libr Assoc 87:26-36
Sittig, D F (1999) Use of fuzzy set theory to extend Dhawan's journal selection model: ranking the biomedical informatics serials. Bull Med Libr Assoc 87:43-9
Geissbuhler, A; Miller, R A (1998) Clinical application of the UMLS in a computerized order entry and decision-support system. Proc AMIA Symp :320-4
Olsen, A J; Giuse, D; Borden, R B et al. (1998) Implementation of organizational practices to protect information in health organizations. Proc AMIA Symp :371-5
Giuse, N B; Kafantaris, S R; Miller, M D et al. (1998) Clinical medical librarianship: the Vanderbilt experience. Bull Med Libr Assoc 86:412-6

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