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National Library of Medicine


The National Library of Medicine (NLM) provides grant assistance to
medical centers and health science institutions and organizations for
planning and operational projects leading to the implementation of
Integrated Advanced Infor- mation Management Systems (IAIMS). IAIMS
are institution-wide computer networks that link and relate library
systems with individual and institutional databases and information
files, within and external to the institution, for patient care,
research, education, and administration. The goal is to create an
organizational mechanism within health institutions to manage more
effectively the knowledge of medicine, and to provide for a system of
comprehensive information access.

Since 1983 when NLM initiated IAIMS support, seventeen institutions
and organizations have received awards for one or more phases of
activity, and much has been learned and achieved. Applicants should
be familiar with these experiences and take advantage of them in
their planning and operations to the extent practicable. The climate
has changed significantly in recent years as a number of institutions
have made extensive investments in information systems. Furthermore
and importantly, the advent of the High Performance Computing and
Communications (HPCC) Initiative of the Federal Government has
dramatically enriched the possibilities of information transfer,
while increasing the complexity of information management. The HPCC
program recognizes "that unprecedented computational power and its
creative use are needed to investigate and understand a wide range of
scientific and engineering 'grand challenge' problems"(see
references). Some of the problems identified are of obvious interest
to biomedicine: National Research and Education Network (NREN),
biotechnology, transmission of digital images, intelligent gateways
to retrieve information from multiple life science databases, and
innovations in educational techniques, among others. The NLM is the
lead biomedical organization in the HPCC initiative, and
incorporation of HPCC goals and objectives into IAIMS activities is


Applicants may be hospitals and medical centers, academic health science
centers, and other public or private, non-profit U.S. health science
organizations. NLM provides grant support for (1) an institution-wide
IAIMS planning phase, and (2) an operational phase in which IAIMS plans
are implemented. Support for operations will not be considered without
completion of an IAIMS plan, although the plan need not have been
created with NLM funding.

Planning Phase

Support is provided to assist in information management planning at the
institution. Various models can be used in strategic information systems
planning, but all applications should include some form of self-study
to assess the technological status and capabilities of the institution,
and to define the information management needs and requirements. Other
important elements to be considered are:

1. A description of information management resourcesÄcurrent and five-
year projection.

2. Development of an institutional information policy which addresses
both short- and long-term goals.

3 . Identification of leadership for planning.

4. Broad involvement of clinical and basic science faculty,
administration, and students.

5 . Specification of desired strategic outcomes.

6 . An outline of the planning process, including goals and timetables.

7. A comprehensive view which considers information needs of patient
care, research, education, and administration.

The required result of planning activities is the development and
publication of an institutional IAIMS Plan, which should include
information management policies, an analysis of functions and
responsibilities of major information database managers, and a
description of how IAIMS will be developed, organized, and managed.

A total separation between planning and operations is not mandated;
institutions vary widely in the information systems already in place at
the time of application. An institution may use or introduce, if it
wishes, some operational elements during the planning period (e.g., e-
mail system).

The word "institution" as used in this program fact sheet implies that
IAIMS will involve all major organizational components of the
institution to the extent feasible. NLM realizes that large differences
among medical centers are inevitable, and that at some sites certain
sub-organ- izations may not be suitable for incorporation into the
initial IAIMS plan. However, a plan which is restricted to a relatively
small fraction of the institution will not be acceptable.

Support for Planning

The IAIMS Planning grant may be for up to $150,000 per year for one to
two years. The grant supports direct costs only; funds are not provided
for indirect or overhead costs.

Critical Review Elements

Critical review elements include responsiveness to the program
description and guidelines, institutional environment for IAIMS
including activities conducted to date, incorporation of experiences
from other IAIMS sites, involvement by key leadership, and articulation
of short- and long-term goals.

Operational Phase

A health science institution which completes the IAIMS planning phase
successfully (or can demonstrate a comparably sophisticated information
management plan based on its own efforts) may apply to NLM for an IAIMS
operational phase grant to assist in implementing the plan. The
operational phase grant may include an initial period of model
development and testing at the discretion of the institution, but a
distinct period of model building before implementation is not required.
Significant participation by the health sciences library is essential.

The IAIMS operational phase can be quite complex and involve many people
and tasks. Applications must make clear all aspects of budgets and
activities, as well as the interrelationships. Plans will vary for
different institutions, but certain key elements are common to all:

1. Essential

ù A plan for developing the institution's information management
resources, and the requisite networks.

ù A functional information management policy.

ù Designation of leadership with appropriate background and status.

ù A plan for supporting IAIMS after termination of the grant.
ù Time tables for reaching key features of the operational plan such
as development of the network, organization of the management
structure, appointment of leadership, and post-grant funding
stability plans. [The ability of funded institutions to reach such
milestones in a timely manner will be evaluated by NLM when deciding
annually on continuance of support.]

ù The ability to provide efficiently bibliographic and related
literature pertinent to health care delivery and research. There
must be substantial involvement by the library.

ù Substantial incorporation of one or more elements of HPCC/NREN into
the institution's information system. [Connection to Internet, for
example, is one such element; other examples include collaboration
through high speed networks, distance learning, addressing of
computationally intensive problems in molecular biology in a
distributed environment, visualization techniques, and network-based
visual imaging.]

2 . Highly Recommended

ù A clear relationship to clinical aspects of the health sciences,
such as linkage with a computerized patient record, a hospital
information system, clinical alert information-distribution systems,
clinically relevant expert systems, and/or systems for monitoring
quality of care and cost-control.

ù Incorporation of current NLM objectives such as connection to
national networks, direct access to Medline_ and/or extensive use of
Grateful Med_, outreach components which improve information access
for health care workers in under-served rural or inner city
locations and in other health care sites affiliated with the

3 . Optional

An apprenticeship in IAIMS may be incorporated into the operational
plan at the discretion of the applicant through a position entitled
IAIMS Assistant. An educational program should be described,
outlining the credentials of the candidate, the goals and duration
of the apprenticeship, the structure of the learning experience, and
other relevant material. Personnel, travel, and supply costs may be
requested up to a total of $50,000 for each year of the operational
phase. Costs for the apprentice should be budgeted in accord with
standard institutional policy.

Support for Operations

Operational phase grants may be for up to $500,000 per year for up to
five years, or for up to $550,000 per year for five years if support for
the apprenticeship program is included. Only direct costs are supported;
no indirect costs are paid. Support will terminate at the end of the
five-year operational phase, and is not renewable.

Critical Review Elements

Critical review elements include responsiveness to the program and
description guidelines, institutional commitment to the IAIMS concept,
evidence of significant cost-sharing, plans for support of IAIMS after
the grant period, identification of milestones and evaluation methods,
and sophistication and feasibility of the operational plan.


Applicants must use the PHS 398 application kit (rev. 9/91), which
includes forms, instructions and additional information. The kit is
available at most academic medical centers or from:

Office of Grants Inquiries
Division of Research Grants
National Institutes of Health
Westwood Bldg., Room 449
5333 Westbard Avenue
Bethesda, MD 20892
Telephone: 301-496-7441

It is also available from the Extramural Programs, NLM, at the address
listed below.

Applications must be received by the standard NIH deadlines as explained
in the PHS 398: i.e., February 1, June 1, and October 1.

Applications will be reviewed for scientific and technical merit by
NLM's initial review group, the Biomedical Library Review Committee
(BLRC). Following initial review, the NLM Board of Regents will provide
secondary review for program goals and policy considerations.


Because of the complex nature of IAIMS activities, interested parties
and potential applicants are strongly encouraged to contact program
staff early. Staff will discuss program status and experience, and
provide additional information about current activities. Before
contacting staff, a review of IAIMS publications should be completed
(see listing at end).

Please contact:

IAIMS Program
Extramural Programs
National Library of Medicine
Bethesda, MD 20894
Telephone: 301-496-3113
FAX: 301-402-0421
Internet address:
[email protected]


Special Note: This Fact Sheet describes the IAIMS Program which was
substantially revised in 1992 and presented in an NIH
Program Announcement (PA-92-100, August 14, 1992). The
references below are for information from both former and
current IAIMS Program experiences.

1. Grand Challenges, 1993: High Performance Computing and
Communications. Available from: Federal Coordinating Council for
Science, Engineering, and Technology; Committee on Physical,
Mathematical, and Engineering Sciences; c/o The National Science
Foundation, 1800 G Street, N.W., Washington, DC 20550; or contact the
IAIMS Program Office.

2. SCAMC Proceedings. The annual proceedings of the Symposium on
Computer Applications in Medical Care (SCAMC) contain many reports
of current IAIMS activities. The proceedings are available from the
American Medical Informatics Association, 4195 St. Elmo Avenue, Suite
302, Bethesda, MD 20814.

3. Symposium: A decade of IAIMS, edited by Nancy M. Lorenzi. Bull Med
Libr Assoc 1992, July; 80(3), 241-293.

4. Symposium on Integrated Academic Information Management Systems,
edited by Nina W. Matheson. Bull Med Libr Assoc 1988, July; 76(3),

5. Symposium on Integrated Academic Information Management Systems,
edited by Naomi C. Broering. Bull Med Libr Assoc 1986 July; 74(3),

6. IAIMS and health sciences education: support of health sciences
education by Integrated Academic Information Management Systems.
Proceedings of a symposium sponsored by the National Library of
Medicine, March 12, 1986. Bethesda, MD: The Library, 1987 (available
from the IAIMS Program Office).

7. Planning for Integrated Academic Information Management Systems;
proceedings of a symposium sponsored by the National Library of
Medicine, October 17, 1984. Bethesda, MD: The Library, 1985 (out of

8. Matheson, Nina, and John A. D. Cooper. Academic information in the
academic health sciences center. J Medical Education 1983, October;
57(10), Part 2.


J. Robert Beck, M.D.
Vice President for Information
Baylor College of Medicine
One Baylor Plaza
Houston, TX 77030

Naomi C. Broering
Medical Center Librarian
Georgetown University School of Medicine
3900 Reservoir Road, N.W.
Washington, DC 20007

Paul D. Clayton, Ph.D., Director
Center for Medical Informatics
Columbia-Presbyterian Medical Center
161 Ft. Washington Avenue, AP 1310
New York, NY 10032

Elizabeth K. Eaton, Ph.D.
Director, Health Sciences Library
Tufts University
136 Harrison Avenue
Boston, MA 02111

Sherrilynne Fuller, Ph.D.
Director, Health Sciences Library
Magnuson Health Sciences Center
University of Washington
Seattle, WA 98195

Randolph A. Miller, M.D.
Chief, Section of Medical
University of Pittsburgh
B50A Lothrop Hall
Pittsburgh, PA 15261

Walter B. Panko, Ph.D.
Director, ITN
University of Michigan Medical Center
1414 Catherine Drive
B1911 CFOB
Ann Arbor, MI 48109-0704

John A. Paton, Ph.D., Director
Office of Academic Computing
Yale University School of Medicine
P.O.Box 3333
New Haven, CT 06510

David B. Pryor, M.D.
IAIMS Program Director
Duke University Medical Center
Box 3531
Durham, NC 27710

Kent Spackman, M.D., Ph.D.
Director, BICC
The Oregon Health Sciences Univ.
3181 SW Sam Jackson Park Rd.
Portland, OR 97201-3098

William W. Stead, M.D.
Associate Vice Chancellor
for Health Affairs
Vanderbilt University Medical Center
1500 21st Avenue South, Suite 2000
Nashville, TN 37212

Pamela M. Van Hine
Assoc. Dir. and Librarian
American College of Obstetricians
and Gynecologists
401 Twelfth Street, S.W.
Washington, DC 20024-2188

  3 Responses to “Category : Various Text files
Archive   : NLM-INFO.ZIP
Filename : IAIMS.TXT

  1. Very nice! Thank you for this wonderful archive. I wonder why I found it only now. Long live the BBS file archives!

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