AZHIN:
A Not-for-Profit Corporation for the Public Good
by Alice Haddix |

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The goal of the Arizona Health Information Network,
Inc. (AZHIN) is to improve the quality of health sciences education
and health care delivery in Arizona by increasing access for students,
faculty and health professionals to information and education products
available electronically. These products may be databases of health
sciences journal articles, academic courses, training courses, full
text and image libraries, research or demographic information databases,
calendars, directories and online library catalogs. The products may
be in the public domain, licensed for use or created by AZHIN. The
owner or licensee may be AZHIN or a member of the corporation.
AZHIN products are of interest to a broad range of
health sciences professionals and students: those in medicine, nursing
and pharmacy are the most obvious, but also available on the network
are materials for professions allied to health care: social work,
psychology, various therapies (cardiac, respiratory, occupational,
physical), administration (finance, purchasing, facilities), chaplaincy,
nutrition, laboratory technology (blood, x-ray, imaging, testing)
and more.
A central capability of AZHIN, apart from its products,
is access to electronic mail through the Internet. Communication in
this form is fast and cheap, as well as being independent of time
and place. AZHIN can link institutions, their employees, individuals,
students and faculty, and any subgroup or combination thereof.
Members of the corporation, who pay dues and receive
unlimited access to AZHIN for themselves, their employees and their
practitioners, agree to participate in the life of the organization.
Members support the corporation's goal by appointing representatives
who serve as its directors and officers, train individuals and organizations
to use the products AZHIN offers, publicize and demonstrate the advantages
of the network, continuously search for additional useful products
for the network to carry, share experience and expertise with other
members. AZHIN committee members are not limited to directors or employees
of AZHIN institutional members; anyone working in the health care
or health sciences education fields may work on a committee.
The physical network consists of licensed software
(databases and programs for sophisticated searching of those databases),
a computer and associated equipment to mount the software, additional
software and hardware connections between institutional inhouse computer/communication
systems and AZHIN, via the Internet--either by direct connection (hardwired)
or by a telephone connection (modem).
AZHIN's paid staff is small: one regular part time
clerical/administrative person, and a consultant, an accountant and
legal counsel as needed. The Arizona Health Sciences Library pays
the salary and benefits of the Library's Systems Director who is responsible
for the AZHIN systems, as well. The rest of the considerable work
of the corporation is performed by volunteers.
The Arizona Health Sciences Library (AHSL) has a statewide
mandate and is partly supported by state funds appropriated by the
Legislature to The University of Arizona Health Sciences Center and
The University of Arizona College of Medicine. AHSL was one of the
initial catalysts in developing AZHIN, as a means of meeting information
needs for the state as a whole and for the academic health sciences
community.
Another catalyst was the UA College of Medicine's Office
of Phoenix Programs. Many medical, nursing and pharmacy students are
placed in Phoenix area teaching hospitals for part of their education
and training; while in Phoenix, these students need access to the
same information and education resources as they had in Tucson. The
same need is present among the smaller number of students placed in
rural hospitals and clinics. And if students need access, so too do
their faculty in the classroom and in patient treatment settings.
AZHIN's intent is to become universal and ubiquitous
in Arizona. If a hospital, clinic, university, library, office of
a health care professional wishes to use the network, AZHIN expects
eventually to make that possible. If a hospital wishes to bring AZHIN
not only to the library, nursing stations and physician offices, but
to the bedside, the clinic office, the CEO and staff offices and to
patients and their families, that will eventually be possible, too.
Computer and communication technology today make possible
the availability of enormous information resources at comparatively
low cost, without the usual limits of time, space and place required
by a physical library. AZHIN was formed to put that possibility into
practice for health science students, educators and professionals
as well as health care providers, patients and their families throughout
Arizona. In so doing, access to information would approach equity
for urban and rural areas, for rich and poor institutions, for large
and small institutions, for solo practitioners and those affiliated
with large practice groups, for practitioners in popular and lucrative
specialties and those in less successful but still important areas,
for researchers in widely separate disciplines and locations, and
for health sciences students at any level in any part of the state.
As health science information increases exponentially
in amount, and very nearly as fast in cost, it is becoming less and
less practical to collect it physically at a single point and duplicate
that collection at each place it might be used. Electronic access
obviates the need to duplicate materials available in electronic form,
and more and more print and image materials are becoming available
in that form--some only in that form. As technology improves, AZHIN
will carry images of a quality high enough to permit reading x-rays,
slides and other images, interactive telemedical consultation and
teleconferences.
AZHIN saves money for all institutions that join without
a concomitant loss in information and education resources. Usually,
the member gains access to more resources at a cost much less than
individual purchase or license. AZHIN is a not-for-profit corporation;
any funds not used to pay for network products and system support
go to additional product purchase, development, etc. and member education.
AZHIN offers these general advantages to its users/members:
- ACCESS to extensive information and education resources
- TIMELINESS: users can have the latest information;
databases are frequently updated
- EASE OF ACCESS: users may use AZHIN in the office,
at the bedside, in the hospital, in the library, at home
- POWERFUL SEARCHING CAPABILITY: AZHIN uses one of
the most highly regarded searching software programs: Ovid from
CDPlus (now Ovid Technologies), which makes the best use of the
databases it searches
- COMMUNICATION: e-mail, file exchange and access
to other information resources around the world via the Internet
- SUPPORT: instruction in using resources and achieving
Internet connection, system support, shared expertise and resources
Today, AZHIN is available to any member of the student
body, staff and faculty of The University of Arizona in Tucson, Phoenix
and Sierra Vista; in Tucson, to any citizen who uses the UA Main Library
or the AHSL, as well as students, faculty, medical staff and employees
of TMC and VA Tucson; in Phoenix, to students, faculty and employees
of VA Phoenix, Good Samaritan, St. Joseph's, Maricopa Medical Center,
Mayo Clinic Scottsdale, the Scottsdale Memorial Hospitals; across
the state, to students and health sciences professionals at the Arizona
Health Education Centers in Tucson, Phoenix, Yuma, Bullhead City,
Flagstaff, Miami, Sierra Vista and Nogales.
Ultimately, if asked to do so, AZHIN could make the
network available in all public libraries, university and college
libraries, community college learning resource centers, hospitals,
clinics, health science research institutions, physicians' and other
health care provider offices and any institution studying a particular
health problem, such as the Arthritis Foundation.
To that end, AZHIN is developing policies and methods
to provide access to users who are not formal members. These policies
must safeguard access and system stability for the primary users:
students, faculty, providers and practitioners. Policies must also
result in the lowest cost for those who need and use the network most,
for those who need it but have limited means to obtain it, and for
those who have least access to the centers of information and education
in the state. AZHIN's present membership rules require smaller dues
payments from smaller institutions, as the result of negotiations
with vendors and AZHIN corporate policy.
Universal, ubiquitous access to AZHIN has the following
potential advantages:
- improved quality of health science education statewide
when faculty, students and practitioners have easy access to vast
information and education resources
- improved quality of health care statewide when faculty,
students and practitioners have easy access to vast information
and education resources
- higher level of understanding of health and health
care issues among the public when information is easily available
to those who seek it and need it
- lower expenditures for information, broader access
and more resources for members and users
None of these advantages is limited to a certain group
or class of individuals or institutions. AZHIN has a statewide focus
and will ultimately have a statewide effect. It will benefit all Arizonans.
2/20/95
A. Haddix
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Contact AZHIN
coordinator for more information
Arizona Health Information Network, Inc., 1501 N Campbell Ave, PO
Box 245080,
Tucson AZ 85724-5080
Phone: 520/626-8087; Fax: 520/626-2922
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