IAIMS PLANNING AT THE LOUISVILLE MEDICAL CENTER

路易斯维尔医疗中心（LMC）是一个独特的企业，包括路易斯维尔大学健康科学中心和路易斯维尔市中心的教学医院：诺顿和科塞尔医院诺顿医疗保健，犹太医院和弗雷泽康复中心的犹太医疗保健和医院系统，以及路易斯维尔大学医院。认识到综合信息服务对于实现其提供国家认可的保健服务、教育和研究水平的共同目标至关重要，这四个独立但相互协作的实体已开始建立一个基于人口的信息学平台。LMC计划将重点放在信息学基础设施和流程上，以实现综合区域信息管理系统。这些实体面临的主要问题是如何从基本上是社区卫生信息网络的网络沿着一个连续体向综合提供网络发展。IAIMS第一阶段的供资将促进制定长期信息管理规划，作为LMC内的一项核心活动，并将使“自上而下”和“自下而上”的规划在秋季取得一致。拟议的进化信息学模型不仅允许相互竞争和看似不兼容的技术，而且还鼓励它们，要求每个系统符合信息学基础设施标准。这一要求提供了对所有系统的开放访问，并允许有意义的“竞争”，特别是在应用程序一级。拟议的方法将是评估各组成部分“竞争者”之间的“适应性”，而不是规定一个全面的、统一的计划或设计。动态和可靠的信息实用程序的愿景的一个重要部分是持续变化和进化增长的机制。对于LMC，这将采取多学科小组的形式，包括项目“健身队”。“这些小组将就每个项目的有用性和“成功”的其他方面提出建议。LMC IAIMS项目将实现两个重要目标：在LMC内实施IAIMS思想，以及测试在复杂社区环境中发展信息系统的新方法。

The Louisville Medical Center (LMC) is a unique venture comprising the University of Louisville Health Sciences Center and Louisville's downtown teaching hospitals: Norton and Kosair Hospitals of Norton Healthcare, Jewish Hospital and Frazier Rehabilitation Center of the Jewish HealthCare and Hospital System, and University of Louisville Hospital. Recognizing that integrated information services are essential to reaching their common goal of providing nationally recognized levels of healthcare service, education and research, these four independent but collaborating entities have begun to build a platform for population-based informatics. LMC plans to focus on informatics infrastructure and processes to achieve an integrated area information management system. The major issue confronting the entities is how to move from what is essentially a Community Health Information Network along a continuum toward an Integrated Delivery Network. Phase I IAIMS funding will facilitate development of long-range information management planning as a core activity within LMC and will bring "top-down" and "bottom-up" planning into fall congruence. The proposed evolutionary informatics model will be one of not only allowing competing and seemingly incompatible technologies, but also encouraging them, with the requirement that each system conform to informatics infrastructure standards. This requirement provides open access to all systems and allows meaningful "competition," particularly at the application level. The proposed method will be one of assessing "fitness" among various component "competitors" rather than specifying an overall, unified scheme or design. An important part of the vision of a dynamic and dependable information utility is a mechanism for continued change and evolutionary growth. For LMC, this will take the form of multi-disciplinary groups, including project "fitness teams." These groups will make recommendations regarding usefulness and other aspects of "success" for each project. The LMC IAIMS project will accomplish two important goals: the implementation of IAIMS ideas within LMC, and the testing of a new approach for evolving information systems in a complex community environment.