The academic health center information environment is saturated with information of varying quality and overwhelming quantity. The most significant challenge is transforming data and information into knowledge. The University of Cincinnati Medical Center's (UCMC) focus is to develop an information architecture comprising data structures, Web services, and user interfaces that enable individuals to manage the information overload so that they can create new knowledge. UCMC has accomplished much of what is reported in this article with the help of a four-year Integrated Advanced Information Management Systems (IAIMS) operation grant awarded by the National Library of Medicine in 2003. In the UCMC vision for knowledge management, individuals have reliable, secure access to information that is filtered, organized, and highly relevant for specific tasks and personal needs. Current applications and tool sets will evolve to become the next generation knowledge management applications or smart digital services. When smart digital services are implemented, silo applications will disappear. A major focus of UCMC's IAIMS grant is research administration. Testing and building out existing and new research administration applications and digital services is underway. The authors review UCMC's progress and results in developing a software architecture, tools, and services for research administration. Included are sections on the evolution to full integration, the impact of the work at UCMC to date, lessons learned during this research and development process, and future plans and needs.

The data used or referenced in this study is derived from the Significant Cyber Incidents report that is consolidated by the Center for Strategic & International Studies but cross-referenced and validated with Data Breach Investigation Reports.

The Ohio Valley Comnnunity Health Infomation Network (OVCHIN) is a community-bused, consumerdejined grunt program to determine the eflcucy of delivering health information to the Turd residents qf southem Ohio and to (the urban and suburban communities in the Greater Cincinnati tn-state region. The OVCHIN is a colluboratively-developed and publicly and privately funded demonstration project. Consumer health information delivery is via ISDN, stundard dial, dedicated network connections, and the Internet. TriStute Online (Greater Cincinnati's Free-Net) and other southern Ohio Free-Nets are key access points in the larger project communities. The other access points me 40 workstations distributed in public sites throughout the grant's primary geographical target area Determining community needy and interest, Building political alliances, finding and developing .funding sources, and overcoming technical obstacles MZ? discussed. Design strengths, limitations, und technicul opportunities are the priwury foci of this puper. OVCHIMs Internet address i:r: http://www.ovchin.uc.edu

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