1. 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 decision-making.” ❉ ❉ “Knowledge Management is the collection of processes that govern the creation, dissemination, and utilization of knowledge” ❉ ❉

3. IRT Goals 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 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. 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 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 Information Resources and Technology (IRT)

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 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 Senior Associate Dean Information Resources and Technology Henry Lowe Director of IT operations Gerry Weitz Director of IT operations Gerry Weitz Associate Dean Learning Technologies Parvati Dev Associate Dean Learning Technologies Parvati Dev Director Lane Library Valerie Su (Acting) Director Lane Library Valerie Su (Acting) Director IT Development Henry Lowe (Acting) Director IT Development Henry Lowe (Acting) Director Privacy & Data Security Todd Ferris Director Privacy & Data Security Todd Ferris Director Finance & Admin To Be recruited Director Finance & Admin To Be recruited

7. 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 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 Collaborative IRT Planning is Critical

8. University Hospitals School

9. Infrastructure Expertise Network Data Center Security Knowledge Resources Planning Applications and Services Support, Training, Advocacy & Planning Information Acquisition, Hosting, Management & Access Knowledge Access and Delivery Support, Training, Advocacy & Planning Information Acquisition, Hosting, Management & Access Knowledge Access and Delivery Stanford Biomedicine Community Stanford Biomedicine Community Clinical Research Education Our Development Model INFORMATICS KNOWLEDGE MANAGEMENT KNOWLEDGE MANAGEMENT INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY

10. 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 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 Major Strategic Themes

11. 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 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 Ubiquitous Access to Information

12. 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 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 What IRT is Doing

13. 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 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 Information Privacy and Security

14. 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 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 What IRT is Doing

15. 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) 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) Knowledge Management

16. 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 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 Internet Strategy

17. 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 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 Innovative Use of Learning Technologies

18. Immersive Learning Center Content production Ubiquitous access to knowledge sources Faculty support and development Pilot projects Evaluation of impact Immersive Learning Center Content production Ubiquitous access to knowledge sources Faculty support and development Pilot projects Evaluation of impact What IRT is Doing

19. Translational Informatics IT Knowledge Management Knowledge Management Plan Informatics Informatics as an academic discipline can support translational research and be itself an important area of translational research

20. 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 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 Informatics

21. “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 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 A Clinical Informatics Center

22. 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 the user community 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 the user community Clinical Systems Development

23. Informatics and Translational Research Basic Research Clinical Research Informatics Data management Knowledge access & management Collaborative Systems High performance computing Access to clinical data Data management Knowledge access & management Collaborative Systems High performance computing Access to clinical data EMR development Clinical data acquisition Clinical trials management Integration with clinical systems Knowledge-based decision making EMR development Clinical data acquisition Clinical trials management Integration with clinical systems Knowledge-based decision making Data analysis and visualization Integrated data repository Tissue banking systems Image managment Knowledge representation Data analysis and visualization Integrated data repository Tissue banking systems Image managment Knowledge representation

24. 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 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 Major IRT Goals for 2003