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University of New Mexico Health Sciences Center This past year the University of New Mexico Health Sciences Center (HSC) focused on refining its Integrated Advanced Information Management System (IAIMS) program. In previous years, the focus was on integrating the technology planning process on campus. With the initial planning process now rooted in the HSC community, individuals and committees charged with IT planning are now refining the planning process and individualizing it to the needs of this academic health sciences center. The HSC and the Health Sciences Library and Informatics Center (HSLIC) continue to fund a full-time planner to support IAIMS initiatives. Central to this cohesion is the HSC’s Knowledge Management and Information Technology or KMIT program. KMIT is the HSC’s expression and branding of the IAIMS structure. KMIT is comprised of 5 committees that provide venues for discussion and communication regarding IT issues at the HSC. They include substantial representation from faculty, administration, IT managers, and department IT staff across the HSC. Representatives from UNM’s Main Campus as well as external partners like the Veteran’s Administration also participate on the committees. While the charge and focus of each KMIT committee is different, they jointly draft planning and policy documents related to IT. They also form the approval structure for these documents. In turn, the HSC Administration relies on this structure in its own approval process of IT related issues. This ensures decisions are made based on feedback from the broader community and increases bottom-up decision making in this area. Some of the achievements during the past year have been: Information Technology Planning The KMIT committees updated most of the HSC’s core IT planning documents through its KMIT program over the past year. Some of these documents had not been substantively revised since the IAIMS Planning Grant submission in 2000. These documents include:
These documents make up the core of the HSC’s IT Strategic Plan. In addition to addressing the institution’s goals and objectives in the area of knowledge management and information technology, they document governance, business strategies and guidelines central to communications regarding core services in this decentralized IT environment. The KMIT committees also developed documents related to the HIPAA Security Rule which goes into effect April 21, 2005. While the HSC relied on packaged rule sets for some of its core policies and procedures related to HIPAA security, some policies were customized to the specific governance structure of HSC IT departments. The customized policies KMIT groups developed this year included account management, clinical systems integration and disaster/contingency plans. Web Site With the Integrated Advanced Information Management Systems (IAIMS) Planning Grant having drawn to a close in 2003, the HSC’s IAIMS web site was re-launched to focus on its KMIT branding. The new web site (http://hsc.unm.edu/library/kmit) more clearly defines the KMIT program and provides extensive, up-to-date information regarding its activities. Committee rosters, presentations and meeting minutes can all be found on the site. Special events and planning documents are also posted. The KMIT site currently features links to the new Medical Informatics Fellowship program that commenced operation in 2003 with its first postdoctoral fellow, Randall Stewart, MD. Health Sciences Library and Informatics Center Strategic Plan In conjunction with updating the KMIT planning documents, HSLIC also began updating its strategic plan. Since HSLIC is responsible for both the HSC’s health information and core IT services for the academic departments, its strategic plan is a critical component in the overall IT planning process. Under the facilitation and guidance of the KMIT Planning Office, HSLIC senior managers were able to focus efforts towards strategic initiatives that more clearly define the organization’s role in the community. After a retreat in late January 2005, HSLIC’s new goals for 2005 – 2007 include expanding digital library services as well as becoming more involved in education technology at the HSC. The latter initiative includes online training for library services and compliance, the development of desktop collaboration technology, and education technology for new buildings at the HSC. Informatics Philip Kroth, MD, MS, HSLIC’s new Assistant Director of Health Sciences Informatics Program Development, commenced a Medical Informatics Seminar Series in the fall of 2004. This series is the first major step toward developing a curriculum in medical informatics as part of the HSC’s new Medical Informatics Training Program. This series is open to interested UNM faculty, students, residents and physicians. The bi-weekly seminar includes presentations UNM faculty and staff on a variety of topics relevant to informatics. This year’s topics included: o Security and Privacy technical support, policy and HIPAA regulations o Internet and computer networking o Electronic medical records, electronic decision support and physician order entry o Clinical database research o Reference database searching The Medical Informatics Fellowship program’s first fellow also submitted a proposal to the National Library of Medicine’s individual informatics fellowship program. Dr. Stewart’s proposed research project will study the effects of using computers for clinical documentation within the psychiatric patient population. As part of this project, Dr. Stewart has been working with the UNM Department of Psychiatry to install a new electronic medical record system designed for the behavioral health field. Speakers The KMIT planning office continued its Vice President’s Leadership Forum in 2004 with presentations by J. Marc Overhage, MD, PhD from the Regenstrief Institute at Indiana University. Dr. Overhage discussed Regenstrief’s computerized provider order entry system and a new initiative to link the clinical systems of several Indiana hospitals. In March 2005, the HSC Executive Vice President for Health Sciences and HSLIC co-hosted the Third Annual Scholarly Communications Symposium with Main Campus libraries. Speaker Daniel Greenstein, Associate Vice Provost for Scholarly Information and University Librarian for Systemwide Library Planning at the University of California and Executive Director of the California Digital Library, discussed U of C’s institutional repository. This presentation was followed by the unveiling of UNM’s new virtual repository, DSpaceUNM, in which HSLIC is a partner. IT Governance In early 2004, UNM President, Louis Caldera, named Bill Adkins UNM’s first Chief Information Officer. Adkins was formerly the director of UNM’s Computer and Information Resources and Technology (CIRT) department, the primary provider of network infrastructure services and user support on campus. In his new position, Adkins will oversee CIRT, UNM Telecommunications and the implementation of the SCT Banner business systems. This change in governance structure will allow the HSC to work on IT planning in a more formal and structured way with Main Campus. Summary |
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