Richard T. West, IAIMS (Integrated Advanced information Management Systems)
Program Officer at the National Library of Medicine for 13 years, reflects
on the origin, development, effectiveness, and future of IAIMS efforts. He
dwells on the changes that have taken place as the concept of IAIMS has ev
olved from a technology-based to an organization-based level of integration
. The role of IAIMS in patient care, education, and research is discussed,
along with the role of the librarian in the implementation of IAIMS program
s. He sees a need for training for librarians, informaticians, and others i
n preparation for these efforts and for the development of academic reward
systems that encourage them. He expresses a desire for those working in inf
ormation technology in hospitals to gain a clearer understanding of IAIMS,
because the concept fits hospitals as well as academic health science cente
rs. He exhorts informaticians to bring to reality the futuristic fantasies
of a new information world.