PMID- 1666966
OWN - NLM
STAT- MEDLINE
DCOM- 19920521
LR  - 20181130
IS  - 0195-4210 (Print)
IS  - 0195-4210 (Linking)
DP  - 1991
TI  - An initial assessment of the cost and utilization of the Integrated Academic 
      Information System (IAIMS) at Columbia Presbyterian Medical Center.
PG  - 109-13
AB  - The concept of "one stop information shopping" is becoming a reality at Columbia 
      Presbyterian Medical Center (CPMC). The goal of our effort is to provide access 
      to university and hospital administrative systems as well as clinical and library 
      applications from a single workstation, which also provides utility functions 
      such as word processing and mail. Since June 1987, CPMC has invested the 
      equivalent of $23 million dollars to install a digital communications network 
      that encompasses 18 buildings at seven geographically separate sites and to 
      develop clinical and library applications that are integrated with the existing 
      hospital and university administrative and research computing facilities. During 
      June 1991, 2425 different individuals used the clinical information system, 425 
      different individuals used the library applications, and 900 different 
      individuals used the hospital administrative applications via network access. If 
      we were to freeze the system in its current state, amortize the development and 
      network installation costs, and add projected maintenance costs for the clinical 
      and library applications, our integrated information system would cost $2.8 
      million on an annual basis. This cost is 0.3% of the medical center's annual 
      budget. These expenditures could be justified by very small improvements in time 
      savings for personnel and/or decreased length of hospital stay and/or more 
      efficient use of resources. In addition to the direct benefits which we detail, a 
      major benefit is the ease with which additional computer-based applications can 
      be added incrementally at an extremely modest cost.
FAU - Clayton, P D
AU  - Clayton PD
AD  - Columbia Presbyterian Medical Center NY, NY 10032.
FAU - Anderson, R K
AU  - Anderson RK
FAU - Hill, C
AU  - Hill C
FAU - McCormack, M
AU  - McCormack M
LA  - eng
GR  - LM04419/LM/NLM NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Proc Annu Symp Comput Appl Med Care
JT  - Proceedings. Symposium on Computer Applications in Medical Care
JID - 8113685
SB  - IM
MH  - Academic Medical Centers/economics
MH  - Costs and Cost Analysis
MH  - Integrated Advanced Information Management Systems/*economics/*statistics & 
      numerical data
MH  - New York City
MH  - Utilization Review
PMC - PMC2247505
EDAT- 1991/01/01 00:00
MHDA- 1991/01/01 00:01
PMCR- 1991/01/01
CRDT- 1991/01/01 00:00
PHST- 1991/01/01 00:00 [pubmed]
PHST- 1991/01/01 00:01 [medline]
PHST- 1991/01/01 00:00 [entrez]
PHST- 1991/01/01 00:00 [pmc-release]
PST - ppublish
SO  - Proc Annu Symp Comput Appl Med Care. 1991:109-13.