EXTRAMURAL SUPPORT GRANTS AND CONTRACTS NATIONAL LIBRARY OF MEDICINE

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EXTRAMURAL SUPPORTGRANTS AND CONTRACTSNATIONAL
LIBRARY OF MEDICINE
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FUNDING FOR INFORMATICS AT NIH

• Informatics is the NLM research domain
• NLM does most of the clinical informatics
• Many Institutes, including NLM, now do
  bioinformatics

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RESEARCH CONTRACTS SPECIAL PURPOSE
RESEARCH 30-50 MILLION P.A.

• Visible Human Project
• Creating anatomical images of the male and female
  human body
• Telemedicine
• Evaluating the impact of telemedicine on cost,
  quality, and access to health care
• Next Generation Internet (NGI)
• Supporting innovative medical projects that
  demonstrate uses of the NGI
• Unified Medical Language System (UMLS)
• Improving retrieval and integration of
  information from multiple sources

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GRANTS BUDGET FY 2002 Total
47.5 Million
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Some Current Information Issues

• Too much noisy information
• Too little time and cognitive energy
• Inadequate expertise at finding and applying
  information
• Ever-changing array of information systems and
  resources
• Inefficient and inadequate use of information
  technology

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Problem IT Smokestacks

• IAIMS Grants
• Create standing IT Management System
• Interface all institutional IT systems
• Address all Institution functions
• Recognize need for constant vigilance

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IAIMS Factoids

• 42 institutions funded since 1984
• 11 completed all phases, 2 in-progress
• 50.6 million awarded since 1984
• Examples Columbia, Yale, U. Wash
• Program recently revised

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Problem Access to Information

• Grants for last-mile wireless and broadband,
  gateway searches, single log-in, Internet
  connections
• Recent NLM grants
• Clinical Search Retrieval from Four Electronic
  Databases (R01)
• Establishing a Trusted Third Party Service for
  Healthcare in Connecticut (G08)
• Internet Connection for 6 rural public health
  clinics (Alaska)

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Problem Information for decision-
making

• Informatics/information skills training, critical
  appraisal, JIT, Data-mining
• NLM grants
• Intelligent Critiquing of Clinical-Guideline
  Application (R01)
• Knowledge Discovery in Distributed Cardiac Image
  Bases (R01)
• New Decision Supports and Databases for Drug
  Dosage (R01)
• Connection grants and training in database use
  (G08)

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Problem Use IT to Increase
Available Information

• graphical search and retrieval tools, new
  databases, data-mining
• NLM grants
• Shape-Based Retrieval in Medical Image Databases
  (R01)
• Evidence Based Medicine Information and Resource
  Center (G08)
• CINID a Model Disability Information Network
  (G08)

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ProblemAssistance Needed to Retrieve
Needed Information

• The INFORMATIONIST
• An information specialist who evaluates
  synthesizes information pertinent to a problem
• A cross-trained information specialist with
  background in clinical sciences (or basic
  biological sciences) and information sciences
• A team member whose responsibility is
  customizing, representing, interpreting the
  information stream
• (training program in development)

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Problem Too Few Informaticians

• NLM-Supported Training Programs
• Columbia Harvard Indiana
• Hopkins Minn Missouri
• Oregon Pitts Rice
• Stanford S. Car U. Wash
• Wisc UC-Irv UCLA
• Utah Vander Yale
• new this year

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Problem Too Few Research
Informaticians
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Problem Suboptimal Use of Computing By
Biologists

• BISTI
• Grants to plan national programs of excellence
  in biomedical computing
• Trans-NIH program
• Up to 500,000 pa x 3
• Can lead to implementation grants
• Applications accepted thrice yearly
• NLM Centers Yale, Columbia, Vanderbilt, U.
  Washington

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Problem Disaster Management is
Information Intensive

• Program Announcement to Informatics Community
• NLM encourages applications for informatics
  research relevant to disaster management

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For More Information

• Milton Corn, M.D.
• Director, Extramural Programs
• cornm_at_mail.nlm.nih.gov
• http//www.nlm.nih.gov/ep/extramural.html