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Information Resources
       and Technology
                   Henry Lowe M.D.
                 Senior Associate Dean
          Information Resources and Technology


 We facilitate excellence in education, biomedical
and clinical research, and patient care through the
application of innovative and effective information
             resources and technology
Definitions
   “Information Technology is the use of
     hardware, software, services, and
  supporting infrastructure to manage and
                      ❉
          deliver information.”
“Informatics is the scientific field that deals
  with biomedical information, data and
  knowledge - their storage, retrieval and
   optimal use for problem-solving and
                     ❉
      “Knowledge Management is the
            decision-making.”
   collection of processes that govern the
  creation, dissemination, and utilization
               of knowledge”
IR T G o a ls
• Become a leader in the effective use of innovative
    information technology (IT) in biomedicine
•   Integrate IT, informatics and knowledge management
    resources to support the biomedical mission
•   Plan and implement IRT collaboratively
•   Have IRT driven by a coherent strategic plan
•   Support the Stanford Biomedical Community’s
    clinical, research and educational missions
In f o r m a t io n R e s o u r c e s
       a n d Te c h n o l o g y ( I R T )

• Senior Associate Dean position created March 2002
• Our mandate is to develop, collaboratively, an effective IT
  strategy for the Stanford Biomedical Community
  • Provide state-of-the-art IT infrastructure and services
  • Support access to and management of knowledge resources
  • Couple applied informatics with our needs
• Integration of MedIT, SUMMIT and Lane Library
• IRT strategic planning completed September 2002
IRT Strategic Planning Group
 Carole Buffum - Executive Director, Finance and
    Administration
 Parvati Dev - Associate Dean for Learning Technologies, IRT
 Jin Hahn - Associate Professor Of Neurology and Pediatrics
 Rob Krochak - DFA, Department of Pathology
 Michael Levitt - Professor Of Structural Biology and
    Computer Science
 Henry Lowe - Senior Associate Dean IRT
 Shannon Moffett - Medical Student
 Don Regula - Associate Professor of Pathology
 Valerie Su - Acting Director, Lane Library
 Gerry Weitz - Director of Operations, IRT
 David O’Brien - Director, Office of Institutional Planning
IRT Organization


                                                  Senior Associate Dean
                                           Information Resources and Technology
                                                       Henry Lowe




 Director of       Associate Dean            Director               Director                 Director              Director
IT operations   Learning Technologies     Lane Library          IT Development       Privacy & Data Security   Finance & Admin
Gerry Weitz          Parvati Dev        Valerie Su (Acting)    Henry Lowe (Acting)         Todd Ferris          To Be recruited
Collaborative IRT Planning
            is Critical
• The future of biomedicine is interdisciplinary
• There is a Stanford Biomedical Community
   • The Hospitals, School of Medicine, Clark Center,
     Bioengineering
• If translational research is to be successful,
  information must flow effectively within this
  community
• Biomedical IRT planning and implementation
  must be a collaborative community process
University




Hospitals                School
Our Development Model


                            Research

          Clinical                               Education

                     Stanford
              Biomedicine Community
             Applications and Services
               Support, Training, Advocacy & Planning
       Information Acquisition, Hosting, Management & Access
                   Knowledge Access and Delivery


INFORMATION                  KNOWLEDGE
                                                           INFORMATICS
TECHNOLOGY                   MANAGEMENT


                        Infrastructure
Expertise Network   Data Center   Security   Knowledge Resources   Planning
Major Strategic Themes

•   Ubiquitous access to information
•   Data privacy and security
•   The Library as a Knowledge Management Center
•   The Internet as a communications medium
•   IRT as an innovative force in education
•   Translational Informatics
•   Enabling the translational research mission
Ubiquitous Access to
            Information
• The future of computing rests on a wireless
  “always on” network connection.
• Wireless networking is progressing rapidly
• Mobile computing devices are becoming smaller,
  cheaper, more powerful and better integrated
• Biomedical workers are often nomadic
• Major transforming potential in the clinical,
  research and educational environments
What IRT is Doing
• Implementing an enterprise-wide wireless network
• Convened a joint School-University-Hospital
  secure wireless planning committee.
• Appointed an Associate Director of Wireless
  Applications Development
• Mandated secure wireless network standards
• Positioning all key information resources to be
  wireless-accessible
Information Privacy and Security
• New Federal and State regulations mandate significant
  changes in how we handle information
• Our ability and willingness to protect privacy and
  secure information will become critical
• Our clinical and translational research missions are at
  particular risk
• An issue in negotiating access to clinical data
What IRT is Doing
• Created a process within the School to manage
  HIPAA implementation
• Convened a joint School-University-Hospital
  committee to define data security standards for
  the Biomedical Community
• A secure data center for the School will open in
  April 2003
• Appointed a Director for Data Privacy and
  Security
Knowledge Management
• Biomedicine is knowledge-based
• Ubiquitous electronic access to knowledge
• The Library as our Center for Knowledge
  Management - a “library without walls”
• A new Library Director who is also Associate
  Dean for Knowledge Management
• Knowledge-based clinical decision support as
  part of EMR deployment
• Addition of new knowledge resources (e.g.
  Genomic Resources)
Internet Strategy
•   The Web is our major point of contact with the World
•   Internet strategy should support our strategic plan
•   IRT Web design task force report
•   The School needs a new Web site with:
    • Better navigational model
    • More consistent “branding” across the School
    • Tighter coordination with Hospital Web sites
    • Separation of public and private Web services
Innovative Use of Learning
           Technologies
• An IT-enabled educational environment
  • Easy, ubiquitous technology support
  • Investment in simulation technologies

• Balance innovation and current successful practice
  • Continuous evaluation and improvement
  • Training educators to use IT successfully

• Inquiry-based education
  • Life-long learning and knowledge access skills
What IRT is Doing

• Immersive Learning Center
• Content production
• Ubiquitous access to knowledge sources
• Faculty support and development
• Pilot projects
• Evaluation of impact
Translational Informatics
             Informatics




                           Knowledge
        IT                 Management
                 Plan
  Informatics as an academic discipline can
support translational research and be itself an
   important area of translational research
Informatics
• Information technology expertise alone cannot
  guarantee effective use of IT in biomedicine
• Informatics complements IT expertise in creating
  solutions to complex “real-world” problems in
  Biomedicine
• The IRT strategic plan will create new opportunities
  for Applied Informatics research and education
• We need to grow our Applied Informatics
  community
A Clinical Informatics Center
• “Clinical Informatics”,in contrast to BioInformatics,
  is underdeveloped at Stanford
• The greatest need for Informatics is in the clinical
  and translational research areas
• A new academic Clinical Informatics Center will
  foster Informatics at the School level and work with
   • Departments and institutes to help develop domain-specific
     Informatics programs
  • The Hospitals to assist in the effective implementation of
     knowledge-based clinical systems
Clinical Systems Development
• The EMR is a critical component of the Biomedical
  IT infrastructure

• Clinical systems development must be collaborative
  • Understanding workflow and context is critical
  • The academic user community should be a major driver
  • Tight integration with clinical research systems is essential
  • Tight coupling of knowledge resources to the point of care

• Where clinical IT has been successful it has involved
  a real working partnership of Hospital IT, Clinical
Informatics and
                 Translational Research
             Data management
             Knowledge access & management
             Collaborative Systems
             High performance computing
             Access to clinical data

                                                      Data analysis and visualization
                                                      Integrated data repository
                                                      Tissue banking systems
                                                      Image managment
Basic Research                                        Knowledge representation




                                   Informatics

                                 EMR development
                                 Clinical data acquisition
                                 Clinical trials management
                                 Integration with clinical systems
                                 Knowledge-based decision making

                                                                Clinical Research
Major IRT Goals for 2003
•   Hospital-School IT steering committee
•   Clinical Informatics Center
•   Secure wireless network
•   Planning for Clinical and Research Data Repository
•   The Library as our Knowledge Management Center
•   Data security policies for School
•   Immersive Learning Center
•   Task force to examine user support
•   New Website for School

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IT

  • 1. Information Resources and Technology Henry Lowe M.D. Senior Associate Dean Information Resources and Technology We facilitate excellence in education, biomedical and clinical research, and patient care through the application of innovative and effective information resources and technology
  • 2. Definitions “Information Technology is the use of hardware, software, services, and supporting infrastructure to manage and ❉ deliver information.” “Informatics is the scientific field that deals with biomedical information, data and knowledge - their storage, retrieval and optimal use for problem-solving and ❉ “Knowledge Management is the decision-making.” collection of processes that govern the creation, dissemination, and utilization of knowledge”
  • 3. IR T G o a ls • Become a leader in the effective use of innovative information technology (IT) in biomedicine • Integrate IT, informatics and knowledge management resources to support the biomedical mission • Plan and implement IRT collaboratively • Have IRT driven by a coherent strategic plan • Support the Stanford Biomedical Community’s clinical, research and educational missions
  • 4. In f o r m a t io n R e s o u r c e s a n d Te c h n o l o g y ( I R T ) • Senior Associate Dean position created March 2002 • Our mandate is to develop, collaboratively, an effective IT strategy for the Stanford Biomedical Community • Provide state-of-the-art IT infrastructure and services • Support access to and management of knowledge resources • Couple applied informatics with our needs • Integration of MedIT, SUMMIT and Lane Library • IRT strategic planning completed September 2002
  • 5. IRT Strategic Planning Group Carole Buffum - Executive Director, Finance and Administration Parvati Dev - Associate Dean for Learning Technologies, IRT Jin Hahn - Associate Professor Of Neurology and Pediatrics Rob Krochak - DFA, Department of Pathology Michael Levitt - Professor Of Structural Biology and Computer Science Henry Lowe - Senior Associate Dean IRT Shannon Moffett - Medical Student Don Regula - Associate Professor of Pathology Valerie Su - Acting Director, Lane Library Gerry Weitz - Director of Operations, IRT David O’Brien - Director, Office of Institutional Planning
  • 6. IRT Organization Senior Associate Dean Information Resources and Technology Henry Lowe Director of Associate Dean Director Director Director Director IT operations Learning Technologies Lane Library IT Development Privacy & Data Security Finance & Admin Gerry Weitz Parvati Dev Valerie Su (Acting) Henry Lowe (Acting) Todd Ferris To Be recruited
  • 7. Collaborative IRT Planning is Critical • The future of biomedicine is interdisciplinary • There is a Stanford Biomedical Community • The Hospitals, School of Medicine, Clark Center, Bioengineering • If translational research is to be successful, information must flow effectively within this community • Biomedical IRT planning and implementation must be a collaborative community process
  • 9. Our Development Model Research Clinical Education Stanford Biomedicine Community Applications and Services Support, Training, Advocacy & Planning Information Acquisition, Hosting, Management & Access Knowledge Access and Delivery INFORMATION KNOWLEDGE INFORMATICS TECHNOLOGY MANAGEMENT Infrastructure Expertise Network Data Center Security Knowledge Resources Planning
  • 10. Major Strategic Themes • Ubiquitous access to information • Data privacy and security • The Library as a Knowledge Management Center • The Internet as a communications medium • IRT as an innovative force in education • Translational Informatics • Enabling the translational research mission
  • 11. Ubiquitous Access to Information • The future of computing rests on a wireless “always on” network connection. • Wireless networking is progressing rapidly • Mobile computing devices are becoming smaller, cheaper, more powerful and better integrated • Biomedical workers are often nomadic • Major transforming potential in the clinical, research and educational environments
  • 12. What IRT is Doing • Implementing an enterprise-wide wireless network • Convened a joint School-University-Hospital secure wireless planning committee. • Appointed an Associate Director of Wireless Applications Development • Mandated secure wireless network standards • Positioning all key information resources to be wireless-accessible
  • 13. Information Privacy and Security • New Federal and State regulations mandate significant changes in how we handle information • Our ability and willingness to protect privacy and secure information will become critical • Our clinical and translational research missions are at particular risk • An issue in negotiating access to clinical data
  • 14. What IRT is Doing • Created a process within the School to manage HIPAA implementation • Convened a joint School-University-Hospital committee to define data security standards for the Biomedical Community • A secure data center for the School will open in April 2003 • Appointed a Director for Data Privacy and Security
  • 15. Knowledge Management • Biomedicine is knowledge-based • Ubiquitous electronic access to knowledge • The Library as our Center for Knowledge Management - a “library without walls” • A new Library Director who is also Associate Dean for Knowledge Management • Knowledge-based clinical decision support as part of EMR deployment • Addition of new knowledge resources (e.g. Genomic Resources)
  • 16. Internet Strategy • The Web is our major point of contact with the World • Internet strategy should support our strategic plan • IRT Web design task force report • The School needs a new Web site with: • Better navigational model • More consistent “branding” across the School • Tighter coordination with Hospital Web sites • Separation of public and private Web services
  • 17. Innovative Use of Learning Technologies • An IT-enabled educational environment • Easy, ubiquitous technology support • Investment in simulation technologies • Balance innovation and current successful practice • Continuous evaluation and improvement • Training educators to use IT successfully • Inquiry-based education • Life-long learning and knowledge access skills
  • 18. What IRT is Doing • Immersive Learning Center • Content production • Ubiquitous access to knowledge sources • Faculty support and development • Pilot projects • Evaluation of impact
  • 19. Translational Informatics Informatics Knowledge IT Management Plan Informatics as an academic discipline can support translational research and be itself an important area of translational research
  • 20. Informatics • Information technology expertise alone cannot guarantee effective use of IT in biomedicine • Informatics complements IT expertise in creating solutions to complex “real-world” problems in Biomedicine • The IRT strategic plan will create new opportunities for Applied Informatics research and education • We need to grow our Applied Informatics community
  • 21. A Clinical Informatics Center • “Clinical Informatics”,in contrast to BioInformatics, is underdeveloped at Stanford • The greatest need for Informatics is in the clinical and translational research areas • A new academic Clinical Informatics Center will foster Informatics at the School level and work with • Departments and institutes to help develop domain-specific Informatics programs • The Hospitals to assist in the effective implementation of knowledge-based clinical systems
  • 22. Clinical Systems Development • The EMR is a critical component of the Biomedical IT infrastructure • Clinical systems development must be collaborative • Understanding workflow and context is critical • The academic user community should be a major driver • Tight integration with clinical research systems is essential • Tight coupling of knowledge resources to the point of care • Where clinical IT has been successful it has involved a real working partnership of Hospital IT, Clinical
  • 23. Informatics and Translational Research Data management Knowledge access & management Collaborative Systems High performance computing Access to clinical data Data analysis and visualization Integrated data repository Tissue banking systems Image managment Basic Research Knowledge representation Informatics EMR development Clinical data acquisition Clinical trials management Integration with clinical systems Knowledge-based decision making Clinical Research
  • 24. Major IRT Goals for 2003 • Hospital-School IT steering committee • Clinical Informatics Center • Secure wireless network • Planning for Clinical and Research Data Repository • The Library as our Knowledge Management Center • Data security policies for School • Immersive Learning Center • Task force to examine user support • New Website for School