1. Presentation to the IMIA Board Dubai, April 2013 Prepared by Christoph U. Lehmann, MD IMIA Yearbook

2. Acknowledgements Peter Murray, IMIA CEOMartina Hutter, Yearbook OfficeDr. Casimir Kulikowski, Past VP for Services

4. Background Proposed Open Access Model for the IMIA Yearbook Recommended an analysis of the publishing models Recommended a financial analysis IMIA GA/Board in Oslo, Norway 2011 Completed analysis Report to the Board April 2012 New VP for Services, Oct 2012

5. IMIA Yearbook of Medical Informatics Published since 1992One of the most visible and valuable IMIA “products”Objectives To present an overview of the most original, excellent state-of-the-art research in the area of health and biomedical informatics of the past year To provide surveys about the recent developments, and comprehensive reviews on relevant topics in this field To provide information about IMIA Target audience Health and biomedical informatics scientists in research, education & practice worldwide Health care professionals interested in current health & biomedical informatics research Health and biomedical informatics students and postgraduates Scientists and professionals with shared interests in biomedical informatics

6. Goal I Publishing method Open Access Online only Open Access Online and Printing Paid Access Online only Paid Access Online and Printing Recommendation of the Board to the GA Current Model

7. Goal II Financing Model Author Paid Member Organization Paid Print Sale IMIA Sponsored Combination of the above Recommendation of the Board to the GA

8. Yearbook Current Model Published Print Distributed at MIE and MedInfo Cost embedded in Conference Fees Free copies to Authors and Editors Paid copies ordered from Schattauer Verlag (negligible) Online Currently 18 member organizations subscribed 150% of Membership fees Open online access to the members of these 18 organizations 38 member organizations are NOT subscribed to the Yearbook

9. Financial model Now Editorial Office€ 11,000 Printing Costs€ 5,300 Shipping Cost€ 5,040 Cover Design€ 400 Editorial Office Travel Expenses€ 1,200 Author Galley Proof Review€ 850 Editorial team meeting€ 4,500 Online publication€ 3,280 Total Expenses € 31,570 Online Access Member Societies€ 10,472 Subscriptions Corporate Members€ 501 Subscriptions Academic Members€ 3,504 MIE Sales annually€ 4,004 MedInfo Sales (6740 over 3 years)€ 1,730 IMIA Annual Contribution€ 10,780 Schattauer In Kind Support€ 2,000 Total Income € 32,990 Net Profit/Loss € 1,420 € 1,832 IMIA SPONSORED

10. Assumption IAuthor Paid Not a viable option Invited authors Often from resource poor countries Editors would NOT be able to find authors to contribute

11. Potential Future Models Online Open Access AND PrintingOnline Open Access Only (No Printing) Online Paid Access (No Printing) based on GA decisions: NOT an option Online Paid Access AND Printing (current model)

12. Research Conducted Contacted Member Societies that currently subscribe to the Online Yearbook Q: Would your society be willing to continue paying a yearbook fee if the Yearbook would go to Open Access? A: No – most likely not One or two exceptions

13. Assumption II Currently Online Access for paying member societies The exclusive access for paying societies would go away with Open Access Perception of unfairness (why should we pay?) Based on research Currently paying member societies will not pay to support an Open Access Model Assumption

14. Potential Future Models Open Access, No PrintingOpen Access AND Printing Editorial Office€ 11,000Editorial Office€ 11,000 Printing Costs€ 0Printing Costs€ 5,300 Shipping Cost€ 0Shipping Cost€ 5,040 Cover Design€ 400Cover Design€ 400 Editorial Office Travel Expenses€ 1,200Editorial Office Travel Expenses€ 1,200 Author Galley Proof Review€ 850Author Galley Proof Review€ 850 Editorial team meeting€ 4,500Editorial team meeting€ 4,500 Online pulication (Schattauer)€ 3,280Online pulication€ 3,280 Total Expenses€ 21,230Total Expenses€ 31,570 Online Access Member Societies€ 0Online Access Member Societies€ 0 Subscriptions Corporate Members€ 0Subscriptions Corporate Members€ 0 Subscriptions Academic Members€ 0Subscriptions Academic Members€ 0 MIE Sales annually€ 0MIE Sales annually€ 4,004 MedInfo Sales (6740 over 3 years)€ 0MedInfo Sales (6740 over 3 years)€ 1,730 IMIA Annual Contribution€ 10,780 IMIA Annual Contribution€ 10,780 Schattauer In Kind Support€ 2,000Schattauer In Kind Support€ 2,000 Total Income€ 12,780Total Income€ 18,514 Net Profit/Loss-€ 8,450Net Profit/Loss-€ 13,056 -$10,901-$16,842

15. Potential Future Models Online Open Access AND Printing – Loss of $18,000 Online Open Access Only (No Printing) – Loss of 11,000 Online Paid Access (No Printing) - based on GA decisions: NOT an option Online Paid Access AND Printing (current model) Which one does the Board favor?

16. Financial Implications If the Board & General Assembly prefer ANY of the Open Access Models Financial Impact of $11K or $18K What are IMIA’s Options?

17. Break-Even Financing Proposals Current paying member societies – 20% reduction in Yearbook fees 12% total (membership & yearbook) cost reduction Societies Non paying for Yearbook 21.8% increase in total fees Deficit $ 18,000 Proposal - Online Open Access AND Printing Current paying member societies – 43% reduction in Yearbook fees 25.7% total (membership & yearbook) cost reduction Societies Non paying for Yearbook 9.9% increase in total fees Deficit $ 11,000 Proposal - Online Open Access Only (No Printing

18. Loss Financing Proposals Deficit $ 18,000 Proposal - Online Open Access AND Printing Deficit $ 11,000 Proposal - Online Open Access Only (No Printing Current paying member societies – 100% reduction in Yearbook fees 60% total (membership & yearbook) cost reduction Societies currently not paying for Yearbook No change in total fees IMIA loss of $ 11K or $ 18K annually in addition to the $11 K currently provided