Page images
PDF
EPUB

Answer. Large numbers of health professionals in our nation do not have easy access to biomedical information--because of geographic isolation, non-affiliation with a hospital or medical school library, or lack of information about NLM's products and services. With the increased funding available for outreach, we have identified Institutions and individuals to help us reach out to these underserved health professionals; libraries in our own Regional Medical Library network have stepped forward, as well as other institutions, in response to NLM solicitations for help. It is clear that within the population of health professionals in underserved areas, there is a sub-group of health professionals serving minority populations who have a special set of problems in accessing information. NLM has geared a variety of new outreach initiatives to these rural and minority communities. Results of these outreach initiatives include:

Extensive efforts to train physicians and other health professionals on the use of GRATEFUL MED in 50 communities in 32 states. This is being accomplished through special projects at the Regional Medical Libraries, and awards to individual small-to-medium sized libraries in the network, with an emphasis on libraries in rural and inner city areas.

Faster and easier access to documents identified in online searches. For those health professionals who are not affiliated with a medical library, LOANSOME DOC, NLM's new link between the GRATEFUL MED user and a network library, allows electronic ordering of documents.

Demonstration projects in the Rio Grande Valley of South Texas and Meharry Medical College in Tennessee to identify impediments to use and test innovative strategies for improving access among health professionals serving predominantly minority populations in geographically isolated areas, including the use of a circuit librarian (Rio Grande Valley) and training residents in GRATEFUL MED use, who will go on to train their preceptors (Meharry). A total of 18 outreach projects have a minority focus.

A new initiative in NLM's Toxicology Information Program (TIP) is aimed at establishing a mechanism which would strengthen the capacity of historically black colleges and universities to train medical and other health professionals in the use of toxicological, environmental, and occupational information resources developed at NLM. This audience represents a group that would otherwise not get exposure to these valuable information sources and also is considered one of the high priority groups within NLM's outreach efforts.

Continuing efforts to publicize the programs and services of the Library. Publicity activities are targeted both to health professionals and to general audiences, and include exhibits at meetings as well as training kits, press releases, videos, and a campaign to inform dental professionals about the benefits of GRATEFUL MED.

These institutions that are collaborating with us now represent the most needy, and the projects are now being undertaken.

Question. Both the Long Range Planning Panel and the De Bakey report recommend increased training and retraining for health sciences librarians. However, the NLM budget justification appears to place primary emphasis training in medical informatics and biotechnology information in the disciplines of molecular biology and genetics. Please comment.

Answer. Both the 1987 NLM Long Range Plan and the recent De Bakey Outreach Report recommended training health science librarians in the use of computer technologies in medicine. This is still of great interest to NLM. As NLM was beginning to formulate the issues for a planning panel on the training of medical librarians, the Medical Library Association convened a Knowledge and skills Task Force. This Task Force is attempting to define the knowledge and skills required of the health science librarians of the future, and the educational policies which will assure the maintenance of those abilities throughout a professional

The findings of this Task Force will be an important input into the NLM planning process. NLM has been kept regularly apprised of the progress of the Task Force and intends to convene its own planning panel of health professionals, librarians, and other information professionals following the issuance of the Task Force Report. Meanwhile, NLM continues to address the problem that there are not adequate numbers of persons in biomedical fields, including medical librarianship, who have had training in the use of modern computer and communications systems. Such training is supported through medical informatics training grants. This is a key concept of the HPCC initiative.

career.

Question. The Integrated Academic Information Management System (IAIMS) Program appears to incorporate some of the goals of the NREN project; does the President's budget request reflect an increase over 1991 funding for IAIMS grants?

Answer. The IAIMS program is completely compatible with the NREN concepts. Indeed in many ways it directly exceeds these ideas. The IAIMS program is directed toward the institution-wide use of communications and information processing techniques to link and relate library systems with individual and constituent data bases and files inside and outside the institution for patient care, research, education and administration. The goal is to create an organizational mechanism within health institutions to manage biomedical knowledge more effectively, and to provide for a system of comprehensive information access. This is indeed in line with the goals of the High Performance Computing Program. Funding for IAIMS is sufficient to maintain the same level of funding as in FY 1991.

SUBCOMMITTEE RECESS

Senator HARKIN. Thank you. The subcommittee will stand in recess until 9:30 a.m., Tuesday, March 19, when we will meet in SD192 to hear from the Department of Education.

[Whereupon, at 5:36 p.m., Thursday, March 14, the subcommittee was recessed, to reconvene at 9:30 a.m., Tuesday, March 19.)

LIST OF WITNESSES, COMMUNICATIONS, AND PREPARED STATEMENTS

Adams, Hon. Brock, U.S. Senator from Washington, questions submitted by ...
Alexander, Duane F., Director, National Institute of Child Health and Human
Development, National Institutes of Health, Department of Health and
Human Services

Biographical sketch

Prepared statement

Archer, William R., M.D., Deputy Assistant Secretary for Population Affairs,
Office of the Assistant Secretary for Health, Department of Health and
Human Services

Barnhart, Hon. Jo Anne B., Assistant Secretary, Family Support Administra-
tion, Department of Health and Human Services
Biographical sketch

Prepared statement

[ocr errors]

Bart, Kenneth J., M.D., M.P.H., Deputy Director, National Vaccine Program,
Office of the Assistant Secretary for Health, Department of Health and
Human Services

[blocks in formation]

Bowen, Dr. G. Stephen, Acting Director, Bureau of Health Resources Development, Health Resources and Services Administration, Department of Health and Human Services

587

Briggs, Ethel, Executive Director, National Council on Disability

657

Biographical sketch

671

Broder, Dr. Samuel, Director, National Cancer Institute, National Institutes of Health, Department of Health and Human Services

739

Biographical sketch

746

Prepared statement

Burdick, Hon. Quentin N., U.S. Senator from North Dakota, questions submitted by......

[ocr errors]

742

920, 1130 Bumpers, Hon. Dale, U.S. Senator from Arkansas, questions submitted by 428, 523, 803, 886, 939, 1028, 1076, 1180, 1138 Byrd, Hon. Robert C., U.S. Senator from West Virginia, questions submitted by..

Clinton, Dr. J. Jarrett, Acting Administrator, Agency for Health Care Policy
and Research, Department of Health and Human Services
Prepared statement

Cochran, Hon. Thad, U.S. Senator from Mississippi:

[blocks in formation]

Diggs, Dr. John, Deputy Director, Extramural Research, National Institutes of Health, Department of Health and Human Services

685

Dyer, John R., Deputy Commissioner for Finance, Assessment, and Management, Social Security Administration, Department of Health and Human Services

291

Biographical sketch

320

Enoff, Louis D., Deputy Commissioner for Programs, Social Security Administration, Department of Health and Human Services

291

Biographical sketch

319

Evans, Willard B., Jr., Acting Director, Office of Planning and Resource Management, Agency for Health Care Policy and Research, Department of Health and Human Services

.....................439

2།"

Fauci, Dr. Anthony S., Director and Associate Director for HIV Research,
National Institute of Allergy and Infectious Diseases, National Institutes
of Health, Department of Health and Human Services..............................
Biographical sketch

Prepared statement

Page

685, 855

Gall, Mary Sheila, Assistant Secretary, Office of Human Development Services, Department of Health and Human Services

Biographical sketch

862

[ocr errors]
[ocr errors][merged small][merged small]

Letter from

139

Prepared statement

132

sketch

Gannon, John, Chairperson, Health Insurance Committee, National Council
on Disability
Biographical

657

670

Gaston, Dr. Marilyn, Director, Bureau of Health Care Delivery and Assistance, Health Resources and Services Administration, Department of Health and Human Services

Goldstein, Dr. Murray, Director, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Department of Health and Human Services

Biographical sketch

Prepared statement

Goodwin, Frederick K., M.D., Administrator, Alcohol, Drug Abuse, and Mental Health Administration, Department of Health and Human Services Biographical sketch

Prepared statement

Gorden, Dr. Phillip, Director, National Institute of Diabetes and Digestive
and Kidney Diseases, National Institutes of Health, Department of Health
and Human Services
Biographical sketch

Prepared statement

Gordis, Enoch, M.D., Director, National Institute on Alcohol Abuse and Alco-
holism, Alcohol, Drug Abuse, and Mental Health Administration, Depart-
ment of Health and Human Services

Gorton, Hon. Slade, U.S. Senator from Washington, questions submitted by
Gramm, Hon. Phil, U.S. Senator from Texas, questions submitted by

[merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small]

Harmon, Dr. Robert G., Director, Health Resources and Services Administra-
tion, Department of Health and Human Services
Biographical sketch

Prepared statement

Hatfield, Hon. Mark O., U.S. Senator from Oregon, questions submitted by
175, 287, 357, 731, 942, 990
Hinshaw, Dr. Ada Sue, Director, National Center for Nursing Research, Na-
tional Institutes of Health, Department of Health and Human Services
Biographical sketch

[merged small][ocr errors]

Hoel, Dr. David, Acting Director, National Institute of Environmental Health
Sciences, National Institutes of Health, Department of Health and Human
Services

[blocks in formation]

Hollings, Hon. Ernest F., U.S. Senator from South Carolina, questions submitted by.

1117

1124

1119

945

951

948

67, 796

Hutchins, Dr. Vince L., Acting Director, Maternal and Child Health Bureau,
Health Resources and Services Administration, Department of Health and
Human Services

587 69, 419, 885, 1113, 1136 Itteilag, Anthony L., Deputy Assistant Secretary for Health Management Operations, Office of the Assistant Secretary for Health, Department of Health and Human Services

Inouye, Hon. Daniel K., U.S. Senator from Hawaii, questions submitted by

Johnson, Elaine M., Ph.D., Director, Office for Substance Abuse and Prevention, Alcohol, Drug Abuse, and Mental Health Administration, Department of Health and Human Services

361

531

Page

King, Gwendolyn S., Commissioner, Social Security Administration, Department of Health and Human Services

291

Biographical sketch

318

Prepared statement

294

Kirschstein, Dr. Ruth, Director, National Institute of General Medical
Sciences, National Institutes of Health, Department of Health and Human
Services

1011

Biographical sketch

1018

Prepared statement

1013

Kupfer, Dr. Carl, Director, National Eye Institute, National Institutes of
Health, Department of Health and Human Services

1033

Biographical sketch

1039

Prepared statement

1035

Kusserow, Richard P., Inspector General, Office of Inspector General, Department of Health and Human Services

179

Biographical sketch

184

Prepared statement

182

Lee, Dr. Leamon, Director, Division of Financial Management, National Institutes of Health, Department of Health and Human Services

685

Lenfant, Dr. Claude, Director, National Heart, Lung, and Blood Institute,
National Institutes of Health, Department of Health and Human Services
Biographical sketch

815

822

Prepared statement

817

Leshner, Alan I., Ph.D., Acting Director, National Institute of Mental Health,
Alcohol, Drug Abuse, and Mental Health Administration, Department of
Health and Human Services

531

Lindberg, Dr. Donald, Director, National Library of Medicine, National Institutes of Health, Department of Health and Human Services

1163

Biographical sketch

1170

Prepared statement

1165

Little, W. Harell, Director, Division of Public Health Service Budget, Office of the Assistant Secretary for Health, Department of Health and Human Services

[ocr errors][merged small]

Löe, Dr. Harald, Director, National Institute of Dental Research, National
Institutes of Health, Department of Health and Human Services
Biographical sketch

[ocr errors][merged small][merged small][merged small][merged small]

Long, Stephen W., Director, Division of Financial Management, Alcohol, Drug
Abuse, and Mental Health Administration, Department of Health and
Human Services

531

Mahoney, John, Associate Director, Office of Administration, National Institutes of Health, Department of Health and Human Services

685.

Mason, Dr. James O., Assistant Secretary, Office of the Assistant Secretary for Health, Department of Health and Human Services

361

Biographical sketch

370

Prepared statement

364

McGinnis, J. Michael, M.D., Deputy Assistant Secretary for Health (disease prevention and health promotion), Office of the Assistant Secretary for Health, Department of Health and Human Services

Mullan, Dr. Fitzhugh S.M., Bureau of Health Professions, Health Resources
and Services Administration, Department of Health and Human Services

Parrino, Sandra S., Chairperson, National Council on Disability
Biographical sketch

[ocr errors][ocr errors][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small]

Pickelsimer, Claude, Director, Financial Management Office, Centers for Dis-
ease Control, Department of Health and Human Services
Primm, Beny J., M.D., Director, Office for Treatment Improvement, Alcohol,
Drug Abuse, and Mental Health Administration, Department of Health
and Human Services

465

531

Raub, Dr. William F., Acting Director, National Institutes of Health, Department of Health and Human Services

685

Prepared statement

691

Reid, Hon. Harry, U.S. Senator from Nevada, questions submitted by

358,

431, 524, 716, 888

« PreviousContinue »