EXTRAMURAL SUPPORTGRANTS AND CONTRACTSNATIONAL LIBRARY OF MEDICINE

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

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

GRANTS BUDGET FY 2002 Total: $47.5 Million

25%

27%

29%

8%

7% 4%

BIOINF RESMED INF RESTRAININGIAIMS NETSMISC

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

Problem: IT “Smokestacks”

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

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

Problem: Access to Information

Grants forGrants 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)

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)

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)

Problem:Assistance 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)

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

Problem: Too Few Research Informaticians

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

Problem: Disaster Management is Information Intensive

Program Announcement to Informatics Community

“NLM encourages applications for informatics research relevant to disaster management”

For More Information

Milton Corn, M.D. Director, Extramural Programs cornm@mail.nlm.nih.gov http://www.nlm.nih.gov/ep/extramural.html