IAIMS PLANNING--NLM RESOURCE GRANT PROGRAM

哈佛医学界多年来一直很幸运 许多大规模医疗计算发展的地点。 然而 这些都发生在一个分散的环境中， 总体规划。 目前的事态发展迫使人们需要 综合学术信息服务的战略规划，其中 社区各级计算能力的增长。 这 很大程度上是个人电脑普及的结果 能力，并伴随着这些新用户对新的 服务 另一个主要的推动力是新途径计划， 在哈佛的发展努力，这是促使需要一个 对信息系统在医疗中的作用进行了前所未有的系统性研究 教育和实践。 因此，哈佛医学界，包括其 专业学校，图书馆和附属医院，建议 制定战略规划框架，以应对 提供综合学术信息管理系统（IAIMS）。 这项工作将由一个学术信息办公室协调 系统规划，并得到广泛机构的支持 委员会，由一个工作委员会的个人谁是 负责提供服务或代表用户范围的人 必要时由顾问提供。 该提案的一个核心特点是使用一个规划 被称为“渐进式方法”的方法，其中关键的成功 确定因素，选择可实现的目标，并根据经验 为了实现这些目标，对该计划进行了更新和完善。 传统 规划任务将在一个框架内进行， 系统是迭代近似的，初始的成功结果 将努力建立对今后步骤的信心。

The Harvard Medical community has been fortunate over the years in being the site of a number of large scale medical computing developments. Yet these have occurred in a decentralized environment without the benefit of overall planning. Current developments are now forcing the need for strategic planning for integrated academic information services, among them the growth of computing capabilities at all levels of the community. This has been largely a consequence of the spread of personal computing capability, and has been accompanied by demand from these new users for new services. Another major impetus is the New Pathway program, a curriculum development effort at Harvard which is prompting the need for an unprecedented systemic look at the role of information systems in medical education and practice. As a consequence, the Harvard Medical community, consisting of its professional schools, library, and affiliated hospitals, proposes to develop a strategic planning framework for meeting the challenge of providing an integrated academic information management system (IAIMS). This effort will be coordinated by an Office for Academic Information Systems Planning and supported by an institutionally broad Steering Committee, by a Working Committee of those individuals who are either responsible for providing services or who represent the spectrum of user needs, and by consultants where necessary. A central feature of this proposal will be its use of a planning methodology known as the "incremental approach," in which critical success factors are identified, achievable goals selected, and, based on experience in reaching these goals, the plan is updated and refined. The traditional tasks of planning will be carried out in a framework where the overall system is iteratively approximated, and successful outcome of initial efforts will be used to build confidence in future steps.