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EBM in Innlandet health trust <ul><li>Overall strategy </li></ul><ul><li>Action plan 2010 </li></ul><ul><li>Challenges </l...
Innlandet Health Trust <ul><li>390 000 inhabitants </li></ul><ul><li>2 counties </li></ul><ul><li>9 hospitals </li></ul><u...
Innlandet Health Trust <ul><li>8427 employees </li></ul><ul><li>Ann.  b udget CAD 1 bn </li></ul><ul><li>1301 beds </li></ul>
Strategy in the trust: Core components <ul><li>Find and create perceived needs </li></ul><ul><li>Build on existing structu...
Overall strategy <ul><li>Involvement of leaders </li></ul><ul><li>Clinical councils </li></ul><ul><li>Permeation in strate...
Leadership and clinical councils <ul><li>Weekly leader meetings </li></ul><ul><li>Trust strategies </li></ul><ul><li>Trust...
National and regional support <ul><li>Employees in SI extensively involved </li></ul><ul><li>Pilot projects in SI </li></u...
Fostering networks <ul><li>Social media </li></ul><ul><li>Radical transparency </li></ul><ul><li>Department + friends </li...
Mass media
Action plan 2010
Teaching EBM
Teaching the clinical staff EBM <ul><li>Lectures and courses </li></ul><ul><li>Plan, do, study, act </li></ul><ul><li>Work...
Our practice -what we tell ourselves to do
Clinical care pathways <ul><li>Order from regional health trust </li></ul><ul><li>Using AGREE tool in development </li></u...
Best practice  –  best process  –  best results
New interface Role-based filtering Phase-based filtering One-click to in-depth information
Evidence-based procedures & guidelines <ul><li>The challenge: </li></ul><ul><li>6000 procedures in SI </li></ul><ul><li>40...
Evidence-based procedures & guidelines <ul><li>The ”CEPI” project </li></ul><ul><li>Common... </li></ul><ul><li>evidence-b...
Evidence-based procedures & guidelines <ul><li>Evidence-based procedures: </li></ul><ul><li>support to councils </li></ul>...
Nursing care plans <ul><li>120 finished </li></ul><ul><li>AGREE tool </li></ul><ul><li>better quality </li></ul><ul><li>be...
Handbook of implementation <ul><li>EPOC and NIRN </li></ul><ul><li>checklists </li></ul><ul><li>tools </li></ul><ul><li>De...
EBM library services
EBM librarianship <ul><li>Librarians educated in EBM </li></ul><ul><li>Literature searches based on 6S model </li></ul><ul...
EBM webpage for clinicians <ul><li>Learning tools </li></ul><ul><li>Tools for making and implementing practice </li></ul><...
Access to knowledge sources <ul><li>Map of Medicine? </li></ul><ul><li>UpToDate </li></ul><ul><li>NEL? </li></ul><ul><li>P...
The knowledge egg <ul><li>6S model as the base </li></ul><ul><li>In collaboration with McMaster/HIRU </li></ul><ul><li>Mea...
Use of UpToDate before and after the Egg
EBM research
EviCare <ul><li>“ Evidence-based practice in clinical decision support systems” </li></ul><ul><li>A research program in th...
EviCare Knowledge and prototypes
Journal in collaboration with the Norwegian Health Library <ul><li>Mental health only </li></ul><ul><li>1200 subscribers <...
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Ebm in Innlandet health trust

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How can a health trust foster evidence-baced practice? The presentation gives an overview on how a norwegian health trust, in a region with 400 000 inhabitants, systematically works to get new knowledge into practice.

Published in: Health & Medicine
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Transcript of "Ebm in Innlandet health trust"

  1. 1. EBM in Innlandet health trust <ul><li>Overall strategy </li></ul><ul><li>Action plan 2010 </li></ul><ul><li>Challenges </li></ul>
  2. 2. Innlandet Health Trust <ul><li>390 000 inhabitants </li></ul><ul><li>2 counties </li></ul><ul><li>9 hospitals </li></ul><ul><li>41 units all in all </li></ul><ul><li>only specialist services </li></ul>
  3. 3. Innlandet Health Trust <ul><li>8427 employees </li></ul><ul><li>Ann. b udget CAD 1 bn </li></ul><ul><li>1301 beds </li></ul>
  4. 4. Strategy in the trust: Core components <ul><li>Find and create perceived needs </li></ul><ul><li>Build on existing structures and processes </li></ul><ul><li>Evidence-based knowledge support systems </li></ul><ul><li>Create good examples </li></ul>
  5. 5. Overall strategy <ul><li>Involvement of leaders </li></ul><ul><li>Clinical councils </li></ul><ul><li>Permeation in strategies </li></ul><ul><li>National and regional support </li></ul><ul><li>Cultivating networks </li></ul><ul><li>Mass media </li></ul><ul><li>Action plans </li></ul>
  6. 6. Leadership and clinical councils <ul><li>Weekly leader meetings </li></ul><ul><li>Trust strategies </li></ul><ul><li>Trust board </li></ul><ul><li>Challenges to councils </li></ul>
  7. 7. National and regional support <ul><li>Employees in SI extensively involved </li></ul><ul><li>Pilot projects in SI </li></ul><ul><ul><li>i.e. procedures </li></ul></ul><ul><li>Influencing the regional authorities </li></ul><ul><ul><li>i.e. care pathways </li></ul></ul>
  8. 8. Fostering networks <ul><li>Social media </li></ul><ul><li>Radical transparency </li></ul><ul><li>Department + friends </li></ul>
  9. 9. Mass media
  10. 10. Action plan 2010
  11. 11. Teaching EBM
  12. 12. Teaching the clinical staff EBM <ul><li>Lectures and courses </li></ul><ul><li>Plan, do, study, act </li></ul><ul><li>Work files </li></ul><ul><li>Building EBM education into the hospital structures </li></ul><ul><li>Champions to/from national conference </li></ul>
  13. 13. Our practice -what we tell ourselves to do
  14. 14. Clinical care pathways <ul><li>Order from regional health trust </li></ul><ul><li>Using AGREE tool in development </li></ul><ul><li>Evidence-based implementation </li></ul><ul><li>Initiatives to improve user interface </li></ul>
  15. 15. Best practice – best process – best results
  16. 16. New interface Role-based filtering Phase-based filtering One-click to in-depth information
  17. 17. Evidence-based procedures & guidelines <ul><li>The challenge: </li></ul><ul><li>6000 procedures in SI </li></ul><ul><li>4000 outdated </li></ul><ul><li>Most are local </li></ul><ul><li>User interface sub-optimal </li></ul><ul><li>No transparency of method </li></ul>
  18. 18. Evidence-based procedures & guidelines <ul><li>The ”CEPI” project </li></ul><ul><li>Common... </li></ul><ul><li>evidence-based... </li></ul><ul><li>procedures... </li></ul><ul><li>on the internet... </li></ul>
  19. 19. Evidence-based procedures & guidelines <ul><li>Evidence-based procedures: </li></ul><ul><li>support to councils </li></ul><ul><li>AGREE tool </li></ul><ul><li>transparent methodology </li></ul><ul><li>national initiative </li></ul>
  20. 20. Nursing care plans <ul><li>120 finished </li></ul><ul><li>AGREE tool </li></ul><ul><li>better quality </li></ul><ul><li>better documentation </li></ul><ul><li>Learning tool </li></ul>
  21. 21. Handbook of implementation <ul><li>EPOC and NIRN </li></ul><ul><li>checklists </li></ul><ul><li>tools </li></ul><ul><li>Demand outside of trust </li></ul>
  22. 22. EBM library services
  23. 23. EBM librarianship <ul><li>Librarians educated in EBM </li></ul><ul><li>Literature searches based on 6S model </li></ul><ul><ul><li>care plans </li></ul></ul><ul><ul><li>procedure </li></ul></ul><ul><ul><li>care pathways </li></ul></ul>
  24. 24. EBM webpage for clinicians <ul><li>Learning tools </li></ul><ul><li>Tools for making and implementing practice </li></ul><ul><li>Litterature searches </li></ul><ul><li>The Egg </li></ul><ul><li>Tests in information literacy </li></ul><ul><li>Implementation handbook </li></ul>
  25. 25. Access to knowledge sources <ul><li>Map of Medicine? </li></ul><ul><li>UpToDate </li></ul><ul><li>NEL? </li></ul><ul><li>PPS? </li></ul>
  26. 26. The knowledge egg <ul><li>6S model as the base </li></ul><ul><li>In collaboration with McMaster/HIRU </li></ul><ul><li>Meant for the Norwegian El. library </li></ul><ul><li>2.0 version ready for launch </li></ul>
  27. 27. Use of UpToDate before and after the Egg
  28. 28. EBM research
  29. 29. EviCare <ul><li>“ Evidence-based practice in clinical decision support systems” </li></ul><ul><li>A research program in the VerdIKT program of the Norwegian Research Counsil </li></ul>
  30. 30. EviCare Knowledge and prototypes
  31. 31. Journal in collaboration with the Norwegian Health Library <ul><li>Mental health only </li></ul><ul><li>1200 subscribers </li></ul><ul><li>Short news articles based on feed from McMaster PLUS </li></ul><ul><li>++ </li></ul>
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