Case Study: Implementation of an AIMS at an Academic Medical Center

  • David B. Wax
  • David L. Reich
Part of the Health Informatics book series (HI)

The first AIMS installation at The Mount Sinai Medical Center (MSMC) occurred in January 1991 in a cardiothoracic and liver transplantation suite of six ORs. Currently, the Department of Anesthesiology at MSMC provides anesthesia care in approximately 50 ORs, 16 labor and delivery rooms, and 10 non-OR procedural areas. This growth occurred in various phases to encompass a system that uses a core AIMS vendor solution that is supplemented by various add-on applications and interfaces that were developed by departmental and institutional IT specialists. The ways in which the AIMS and the related and integrated systems have developed at MSMC are described in this chapter, including billing, physician compensation, scheduling, patient-tracking, research, and quality-improvement functions. As an academic medical center that was an early adopter of this technology and that has devoted informatics resources to enhance the core AIMS product, the successes and challenges of the department are unique, but the goal of this chapter is to illustrate principles that may be of value to others in perioperative enterprises of varying levels of complexity.


Anesthesia Care Anesthesia Machine Anesthesia Record Anesthesia Provider Anesthesia Information Management System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Fry DE. The surgical infection prevention project: Processes, outcomes, and future impact. Surg Infect 2006; 7:s17–26CrossRefGoogle Scholar
  2. 2.
    Wax DB, Beilin Y, Levin M, et al. Effect of an interactive visual reminder in an anesthesia information management system on timeliness of prophylactic antibiotic administration. Anesth Analg 2007; 104(6):1462–6PubMedCrossRefGoogle Scholar
  3. 3.
    Reich DL, Kahn RA, Wax D, et al. Development of a module for point-of-care charge capture and submission using an anesthesia information management system. Anesthesiology 2006; 105:179–86PubMedCrossRefGoogle Scholar
  4. 4.
    Ford EW, Menachemi N, Phillips MT. Predicting the adoption of electronic health records by physicians: When will health care be paperless? J Am Med Inform Assoc 2006; 13:106–12PubMedCrossRefGoogle Scholar
  5. 5.
    Monk T, Sanderson I. The development of an anesthesia lexicon. Semin Anesth 2004; 23:93–8Google Scholar
  6. 6.
    Accreditation Council for Graduate Medical Education. Case Entry for Anesthesiology. Accessed May 4, 2007
  7. 7.
    Accreditation Council for Graduate Medical Education. General Competencies. http://www. Accessed May 4, 2007

Copyright information

© Springer-Verlag London Limited 2008

Authors and Affiliations

  • David B. Wax
    • 1
  • David L. Reich
    • 1
  1. 1.Mount Sinai School of MedicineNew YorkUSA

Personalised recommendations