KEY INITIATIVES -
ORGANIZATIONAL DEPENDENCIES

The Clinical Center operating plan is created to support the NIH intramural program by fostering alignment of clinical research improvement efforts across the NIH. Because the Clinical Center is a major support component of the intramural program, the success of all CC key initiatives is dependent upon cooperation and collaboration from Institutes and other NIH components.

The degree of collaboration required for key initiatives varies. Some initiatives can be launched and implemented relatively independently by the CC while others are entirely dependent upon partnerships outside the CC. The following table identifies the degree of organizational dependency of each key initiative. The descriptions below provide definitions of the relative degree of dependency.

Descriptions of Relative Degree of Dependency of
Key Initiatives

Low

Clinical Center can undertake and accomplish initiative relatively independently.

Medium

Clinical Center will initiate and lead project but will require input, participation, and ìbuy-inî from Institutes and other NIH components for successful implementation.

High

Clinical Center requires joint leadership with Institutes or other NIH components to launch and implement the initiative.

Table of Dependencies

	Level of Dependency on other NIH Entities
Key Initiatives	LOW	MEDIUM	HIGH	Organizational Dependencies
Protocol Mapping	-		-	Institutes
Patient Recruitment	-		-	Institutes
Automated Protocol Development	-		-	Institutes, IRB's
Biostatistics Service		-	-	Institutes
Organ Transplant	-	-		NIDDK
Clinical Service Formulary		-	-	Institutes
Board of Scientific Counselors		-	-	-
Recruitment of Clinical Investigators	-	-		Dep. Dir. for Intramural Research, Medical Executive Committee
Operational Reviews		-	-	Board of Governors
Activity-Based Costing		-	-	-
Procurement Management	-	-		NIH Administration
Performance Measurement	-		-	Institutes
Government Ethics Program		-	-	NIH Ethics Office
Diversity Management		-	-	-
Consult Services	-	-		Institutes
Intraoperative Imaging	-		-	Institutes, Division of Engineering Services
Patient Perception Surveys	-		-	-
NIH Guest House	-		-	Office of Research Services
Pain and Palliative Care	-		-	Institutes
Guest Services/Hospitality Program		-	-	-
Telemedicine	-		-	Institutes
Clinical Imaging (PACS/RIS)	-		-	Institutes
Executive Information System		-	-	-
New Hospital Information System	-		-	Institutes
Year 2000 Compliance		-	-	Center for Information Technology
Master's Program in Clinical Research	-		-	Institutes
Clinical Pharmacology Program	-		-	Institutes
CRC Activation Planning	-	-		Office of Research Services, Institutes
Clinic Reorganization	-	-		Dep. Dir. for Intramural Research, Institutes
Neurosurgery Relocation	-		-	NINDS, Suburban Hospital, Division of Space/Facilities Management