Abstract
Vanderbilt University Medical Center is implementing an Integrated Advanced Information Management System (IAIMS) using a fast-track approach. The elapsed time between start-up and completion of implementation will be 7.5 years. The Start-Up and Planning phases of the project are complete. The Implementation phase asks one question: How does an organization create an environment that redirects and coordinates a variety of individual activities so that they come together to provide an IAIMS? Four answers to this question are being tested. First, design resources to be "scalable"--i.e., capable of supporting enterprise-wide use. Second, provide information technology planning activities as ongoing core functions that direct local efforts. Third, design core infrastructure resources to be both reusable and expandable at the local level. Fourth, use milestones to measure progress toward selected endpoints to permit early refinement of plans and strategies.
Full Text
The Full Text of this article is available as a PDF (1.2 MB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ball M. J., Douglas J. V. Tying it all together: The Integrated Academic Information Management System being implemented at Maryland. Crit Rev Med Inform. 1988;1(4):311–322. [PubMed] [Google Scholar]
- Bankowitz R. A., McNeil M. A., Challinor S. M., Parker R. C., Kapoor W. N., Miller R. A. A computer-assisted medical diagnostic consultation service. Implementation and prospective evaluation of a prototype. Ann Intern Med. 1989 May 15;110(10):824–832. doi: 10.7326/0003-4819-110-10-824. [DOI] [PubMed] [Google Scholar]
- Barrows R. C., Jr, Clayton P. D. Privacy, confidentiality, and electronic medical records. J Am Med Inform Assoc. 1996 Mar-Apr;3(2):139–148. doi: 10.1136/jamia.1996.96236282. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Broering N. C. Beyond the library: IAIMS at Georgetown University. Bull Med Libr Assoc. 1986 Jul;74(3):249–256. [PMC free article] [PubMed] [Google Scholar]
- Clayton P. D. Integrated Advanced Medical Information Systems (IAIMS): payoffs and problems. Methods Inf Med. 1994 Oct;33(4):351–357. [PubMed] [Google Scholar]
- Clayton P. D., Sideli R. V., Sengupta S. Open architecture and integrated information at Columbia-Presbyterian Medical Center. MD Comput. 1992 Sep-Oct;9(5):297–303. [PubMed] [Google Scholar]
- Goodwin P. Fast track and flexible design cut costs. Hospitals. 1978 Feb 16;52(4):139-40, 142. [PubMed] [Google Scholar]
- Gorry G. A., Burger A. M., Chaney R. J., Long K. B., Tausk C. M. A Virtual Notebook for biomedical work groups. Bull Med Libr Assoc. 1988 Jul;76(3):256–267. [PMC free article] [PubMed] [Google Scholar]
- Hodges T. M. Technical scale and high-level detail: Vanderbilt's award-winning Eskind Biomedical Library. Bull Med Libr Assoc. 1995 Jul;83(3):333–345. [PMC free article] [PubMed] [Google Scholar]
- Lorenzi N. M., Marks E. B. University of Cincinnati Medical Center: integrating information. Bull Med Libr Assoc. 1988 Jul;76(3):231–236. [PMC free article] [PubMed] [Google Scholar]
- Matheson N. W., Cooper J. A. Academic information in the academic health sciences center. Roles for the library in information management. J Med Educ. 1982 Oct;57(10 Pt 2):1–93. doi: 10.1097/00001888-198210000-00001. [DOI] [PubMed] [Google Scholar]
- Olsen A. J., Baker W. L., Sittig D. F., Stead W. W. A planning process for a fast track to IAIMS. Proc Annu Symp Comput Appl Med Care. 1993:544–548. [PMC free article] [PubMed] [Google Scholar]
- Pryor T. A., Gardner R. M., Clayton P. D., Warner H. R. The HELP system. J Med Syst. 1983 Apr;7(2):87–102. doi: 10.1007/BF00995116. [DOI] [PubMed] [Google Scholar]
- Stead W. W., Baker W., Harris T. R., Hodges T. M., Sittig D. F. A fast track to IAIMS: the Vanderbilt University strategy. Proc Annu Symp Comput Appl Med Care. 1992:527–531. [PMC free article] [PubMed] [Google Scholar]
- Stead W. W., Bird W. P., Califf R. M., Elchlepp J. G., Hammond W. E., Kinney T. R. The IAIMS at Duke University Medical Center: transition from model testing to implementation. MD Comput. 1993 Jul-Aug;10(4):225–230. [PubMed] [Google Scholar]
- Stead W. W., Borden R. B., Boyarsky M. W., Crow D. S., Mears T. P., Stone A. A., Woods P. J. A system's architecture which dissociates management of shared data and end-user function. Proc Annu Symp Comput Appl Med Care. 1991:475–480. [PMC free article] [PubMed] [Google Scholar]
- Stead W. W., Hammond W. E. Computer-based medical records: the centerpiece of TMR. MD Comput. 1988 Sep-Oct;5(5):48–62. [PubMed] [Google Scholar]
- Stead W. W., Roderer N., Zimmerman J. L. Successful principles for collaboration: formation of the IAIMS consortium. Acad Med. 1991 Apr;66(4):196–201. doi: 10.1097/00001888-199104000-00006. [DOI] [PubMed] [Google Scholar]
- Warner H. R. Integrated Academic Information Management Systems (IAIMS). Part III. Implementation of integrated information services. Clinical linkages: IAIMS at the University of Utah. J Am Soc Inf Sci. 1988 Mar;39(2):135–137. doi: 10.1002/(SICI)1097-4571(198803)39:2<135::AID-ASI13>3.0.CO;2-F. [DOI] [PubMed] [Google Scholar]
- West R. T. Programmatic intent of IAIMS--past and future. The National Library of Medicine's IAIMS grant program: experiences and futures. J Am Soc Inf Sci. 1988 Mar;39(2):142–145. doi: 10.1002/(SICI)1097-4571(198803)39:2<142::AID-ASI15>3.0.CO;2-9. [DOI] [PubMed] [Google Scholar]
- de Roulet D., Le H. S., Scherrer J. R. The technical conditions for an open architecture. Int J Biomed Comput. 1994 Feb;35 (Suppl):107–114. [PubMed] [Google Scholar]
