# Presentation: 920529

## EXTRAMURAL SUPPORTGRANTS AND CONTRACTSNATIONAL 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

## 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 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**_