IAIMS Planning Project

描述（由申请人提供）： CHOP正在启动一项主要的流程改进计划，该计划由一个愿景驱动，该愿景旨在将每一次“遭遇”转化为数据，为分析过程提供信息。为了支持这一点，CHOP将在整个企业范围内对其临床护理、研究教育和患者家庭服务的信息基础设施进行同步审查。本次审查将集中在如何CHOP的系统可以工作在一个综合的方式为最终用户，工具如何收集有意义的数据，临床，业务和研究分析，以及如何决策支持工具可以利用在一个真实的时间的方式，以提高过程和结果。为了实现这一愿景，需要在整个CHOP企业中提供一系列决策支持工具，这只能通过结合临床工作人员，研究人员，客户社区和信息管理人员的思想领导才能实现。决策支持工具的成功开发和数据丰富的信息系统的部署取决于解决信息学标准的机构承诺，包括常见的临床规则，安全性，语言/术语和数据字典的问题。流程改进计划促使CHOP的机构领导人考虑将集成高级信息管理系统（IAIMS）计划作为在企业范围内扩展该计划的一种手段。CHOP的规划补助金的目的是：1）建立IAIMS的组织结构，以促进正在进行的活动，并为企业范围的决策提供一个环境; 2）制定一个企业范围的愿景，将决策支持和实时访问医学知识，信息和文献纳入临床护理，研究，教育，信息资源，以及患者和家庭服务; 3）对CHOP在整个机构的技术基础设施进行企业范围的评估和差距分析，并确定利用现有技术促进最佳实践并提高质量和患者安全的最佳方式。4)制定一项计划，加强电子信息资源的传播和使用，并与其他信息资源倡议进行协调。CHOP进一步期望完成一个成功的RIMS实施（第二阶段）赠款作为一个全面的IAIMS规划过程的结果。

DESCRIPTION (provided by applicant): CHOP is initiating a major process improvement program, driven by a vision that seeks to turn each 'encounter" into data that feeds an analytic process. To support this, CHOP will conduct a concurrent enterprise-wide review of its information infrastructure across clinical care, research education and patient family services. This review will focus on how CHOP's systems can work in an integrated fashion for the end user, how the tools can collect meaningful data for clinical, operational and research analysis and how decision support tools can be utilized in a real time manner to enhance process and outcome. To realize this vision requires providing an array of decision-support tools across the CHOP enterprise, something that can only be achieved by combining the thought leadership of the clinical staff, researchers, customer community and information management staff. Successful development of decision-support tools and deployment of data rich information systems is dependent on an institutional commitment to addressing informatics standards including issues around common clinical rules, security, language/terminology, and data dictionaries. The process improvement program has motivated CHOP's institutional leaders to consider the Integrated Advanced Information Management Systems (IAIMS) program as a means to expand the initiative enterprise-wide. The aims of CHOP's Planning Grant are to: 1) Establish an organizational structure for IAIMS that facilitates ongoing activities and provides an environment for enterprise-wide decision-making; 2) Develop an enterprise-wide vision for the integration of decision support and teal-time access to medical knowledge, information and literature into clinical care, research, education, information resources, and patient and family services; 3) Conduct an enterprise-wide assessment and gap-analysis of CHOP's technological infrastructure across the institution and determine the best way to leverage existing technology to promote best practices and improve quality and patient safety. 4) Develop a plan to enhance the dissemination and use of electronic information resources and coordinate with other information resource initiatives. CHOP further expects to complete a successful RIMS Implementation (Phase II) Grant as a result of a comprehensive IAIMS planning process.