IAIMS PLANNING AT THE LOUISVILLE MEDICAL CENTER

路易斯维尔医疗中心（LMC）是由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组成的一个独特的企业：诺顿和Kosair医院的诺顿医疗保健，犹太医院和犹太医疗保健和医院系统的Frazier康复中心，以及路易斯维尔大学医院。认识到综合信息服务对于实现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，以实现集成的区域信息管理系统。这些实体面临的主要问题是如何从本质上是一个社区卫生信息网络，沿着一个连续体向综合交付网络转变。IAIMS第一阶段的资金将促进长期信息管理规划的发展，将其作为澜湄合作的核心活动，并将“自上而下”和“自下而上”的规划结合起来。提出的进化信息学模型不仅允许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。这个要求提供了对所有系统的开放访问，并允许有意义的“竞争”，特别是在应用程序级别。提议的方法将是评估各种组件“竞争对手”之间的“适应性”，而不是指定一个整体的、统一的方案或设计。动态和可靠的信息实用程序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来说，这将采取多学科小组的形式，包括项目“健身团队”。这些小组将对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内部实施IAIMS思想，以及在复杂的社区环境中测试一种用于不断发展的信息系统的新方法。

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.