IAIMS ALL-HANDS MEETING 1.5.07

1. IAIMS ALL-HANDS MEETING1.5.07 AGENDA • IAIMS Web Preview • CHOP Visit Summary • The IAIMS Mythology • Budget Status • Overview of IAIMS Testing and Evaluation Grants • Summary of IAIMS Survey Returns • Domain Team Status • Updated Timeline • Next Steps

2. IAIMS WEB PREVIEW • Site Map • Placement • External (IAIMS Recipients and Recruiting) Careers – Join a premier academic, community hospital • Internal Home – Resources: General Links from Digital Library, I/S, Health Studies • On-Going Maintenance X:\IAIMS\IAIMSwebsite\01042007\IAIMS.htm

3. CHOP IAIMS Site Visit Building A Partnership with: The Clinical and Bio Informatics Institutes

4. Program Objective: Advisory Oversight of Research IT Major components: • Practice-based Research: Collaboration with PCC • Bio-informatics: Research and Data production • Academic: Faculty partnerships • Educational: Formalized training

5. Lessons Learned • Strengthen strategic planning efforts through academic focus groups. Identify common goals & opportunities. • Seek collaborative funding of ‘physician champions’ through NLM Fellowship programs. • Create a CDS Governance body to prioritize new requests and to ensure safe, proactive I/S interface designs.

6. What They Have Done to Ensure On-Going Success: • Establish organizational entities to carry the program forward after funding ends. • Identify and secure investment partners. • Become involved in national initiatives that support project goals. • Provide new tools to facilitate on-going knowledge transfer: Rounding Blogs, PenTags bookmarks via subscribable RSS feeds http://www.tags.library.upenn.edu • The publication of clinical outcomes to the community was ‘priceless’. The positive feedback reinforced Board support and rallied matching funds.

7. Leveraging Bright Ideas • Visit PhillyEBM.com One major goas of the site is to teach pediatric residents how to best use the medical literature available at their fingertips. • On-line ‘Journal Clubs’ police content and assume stewardship for revisions. Residents are required to participate during their teaching and transport months. http://www.lib.umich.edu/ • Use Google as a trigger point for content search: Google MedLine. • Collaborate with the NIH to structure IAIMS Testing & Evaluation Grants.

8. What do we expect to accomplish with IAIMS? How do we emphasize the value of the data integration? What is life like without IAIMS? What needs to be fixed with this grant? What do you want the audience to do once they are aware? Do other organizations refer to their work under the IAIMS umbrella? Mythology is an awareness campaign IAIMS is NOT a product or service Need a tagline other than IAIMS A good name explains itself Ex: OACIS Optimizing Advanced Complex Illness Support – an oasis: a refuge, safe-haven Tie into IAIMS patient centered goals Consider using current phrases from LVH departments Ex: Patient/family centered care Watch acronyms - Avoid jargon Emphasize seamless coordinated I/S systems THE LVH IAIMS MYTHOLOGY

9. Connecting for better care Digital connections Access Seamless Technology Connections Dynamic Control Flexible Real time Data Sharing Technology that cares Linkage Coordinated Quality Innovation Integration Inevitable Assimilate ‘together again’ ‘together we are’ ‘connecting the dots’ “when this is connected …this is connected” BRAINSTORMING WORD PLAY

10. W - we E – educate C - collaborate A – assimilate and R – research E – enterprise wide W - we E – emphasize C - comprehensive and convenient care A – and access to R- resources/research E – and education 402-CARE and now . . . WE-CARE

11. BUDGET STATUS • Domain Team spending possibilities American Tele-Medicine Association National Conference Info Buttons Integration Expert Rules programming • Core Planning Team spending plans Grant writing consultations/workshops AMIA national conferences (May and November) Possible Academy of Health presentation On-going support by I/S and Health Studies PM support and Post survey design and analysis • No Cost Extension Request to be submitted by EOM • Need details on domain team spending plans

12. TESTING & EVALUATION GRANTS • Three Types of IAIMS Grants: Planning, Testing & Evaluation, Operational • Multiple applications by the same institution will compete with one another. • T & E Grant: Goal is to provide support for small-scale implementations and feasibility tests of approaches for delivering context appropriate info on a larger scale.

13. CONTEXT APPROPRIATE INFO Three essential features: • The use of standards to ensure common syntax and semantics. (HL7, XML, UMLS) • Appropriate stewardship over information. Assure availability of useful, usable, reliable info throughout the enterprise. • Information management structure that supports decisions, deployment, evaluation and enhancement.

14. T & E GRANT PURPOSE • Assist organizations with deployment of an info resource, system or service on a limited scale, in a live setting, to evaluate its efficiency, effectiveness, scalability and usability. • The test must involve intended users • The focus of the testing must be delivery of context appropriate information.

15. AVAILABLE T & E FUNDING • NLM funds a total of $300K per year • 1-2 awards made annually • $100K per year for 1 or 2 years • Average grant is $200K for 2 years • Awards are made 3 times/year: Dec/Jan, March/April, August/September • May 25th application deadline for fall award

16. THE RESEARCH PLAN: Project description IAIMS goal linkage User benefit analysis Evaluation approach Data analysis Timetable/milestones Case study communications and dissemination plan OUTCOMES: A case study that summarizes the project and findings. Sharing of findings through publications, presentations, software banks, etc. T & E GRANT EXPECTATIONS

17. LVH IAIMS SURVEY RETURNS • Survey Methodology • Sample Pool Polled (1500+) • Respondent Pool Returns (243) • Graphical Highlights • Open Ended Responses • Observations by Domain Team Leaders X:\IAIMS\survey

40. DOMAIN TEAM STATUS Recent and planned meetings Future spending activity Pilots, research, analysis Next steps

41. UPDATED TIMELINE • Where are we now? • Where are we going? • What does your team need? • Next steps

42. NEXT STEPS • Domain team leader interviews in January. • Monthly all-hands meetings from Feb-April • Confirmation of extended spending time line and anticipated expenses by domain • Select IAIMS mythology ‘tagline’ • Preparation of final project report for first 12 months underway • Final Domain Team Progress Tracking status due at February 2nd meeting • Explore possibility of T & E proposal workshop • Department head overview rescheduled for 3/15