0
LIPPINCOTT, WILLIAMS & WILKINS
WOLTERS KLUWER MISSION <ul><li>Wolters Kluwer is The Professional ’s First Choice for information, tools, and solutions to...
IN MY WORDS <ul><li>Embed content at point of use </li></ul><ul><li>Cradle to grave  (student    practicing professional)...
LIFECYCLE OF A HEALTHCARE WORKER PRODUCT LINE IN CLASS  STUDY  PROF.  ON- BOARDING APPREN- TICESHIP MID-CAREER BRIDGING  T...
IN MY WORDS <ul><li>Participate vitally & meaningfully in  customers ’ daily lives </li></ul><ul><li>Embed content at poin...
FOR EXAMPLE
CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists PHARMACY SCHOOL   SPECIALTY  STUDY...
CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists PHARMACY SCHOOL   SPECIALTY  STUDY...
CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists PHARMACY SCHOOL   SPECIALTY  STUDY...
<ul><li>Could be MD, PA, NP. </li></ul><ul><li>Sees 25 patients a day, < 15 min each.  </li></ul><ul><li>Mostly sees the s...
<ul><li>“ We want to help our patients, </li></ul><ul><li>But we need to make our businesses work, </li></ul><ul><li>And  ...
 
ATUL GAWANDE SAYS
 
Primary Care  Pain Points
<ul><li>Even faster  answers to clinical questions  (5 min    <1 min) </li></ul><ul><li>Online CME credits </li></ul><ul>...
EVEN FASTER  ANSWERS TO CLINICAL QUESTIONS Great Search If a user gets a search result  at all , we ’ll consider it a fail...
A PATIENT VISIT <ul><li>Document visit, particularly if solo practice, so may want to look up the billing codes for the in...
Books Library / Research Platform Google WHAT ARE THE OPTIONS? General  Reference Dermatology Sports Medicine Drugs Primar...
OUR SEARCH RESULTS ANTICIPATE  CLINICAL QUESTIONS
OUR SEARCH RESULTS ANTICIPATE  CLINICAL QUESTIONS
OUR SEARCH RESULTS ANTICIPATE  CLINICAL QUESTIONS
OUR SEARCH RESULTS ANTICIPATE  CLINICAL QUESTIONS
5 MINUTES BEFORE CONSULTATION DURING CONSULTATION 5 MINUTES AFTER CONSULTATION
CONTINUING ED CREDIT FOR CLINICAL SEARCHES
<ul><li>On hospital floor </li></ul>ACCESS AT POINT OF NEED <ul><li>Inside EMR </li></ul>
EARLY RESULTS <ul><li>&quot;Right now being a single family doctor in a small town, in a small practice, I get up, leave t...
<ul><li>It has to get easier! </li></ul>A FINAL REQUIREMENT
PRODUCT LINE IN CLASS  STUDY  PROF.  ON- BOARDING APPREN- TICESHIP MID-CAREER BRIDGING  TO  CLINICAL CERT.  EXAM RECERT.  ...
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TOC 2011: Content as Application, presented by Reid Sherline

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Content as Application: Integrating Medical Books into the Healthcare Workflow. Presented at TOC 2011 by Reid Sherline, Vice President of Publishing for Wolters Kluwer Health, Professional and Education

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Transcript of "TOC 2011: Content as Application, presented by Reid Sherline"

  1. 1. LIPPINCOTT, WILLIAMS & WILKINS
  2. 2. WOLTERS KLUWER MISSION <ul><li>Wolters Kluwer is The Professional ’s First Choice for information, tools, and solutions to help professionals deliver quality results more efficiently. Our customer promise is to be the preferred global provider of information-enabled solutions to help professionals manage processes and drive results effectively. </li></ul><ul><li>At Wolters Kluwer, we excel at combining our superior information with the latest innovative technologies for use in the professional context our customers operate in. Our intelligent solutions incorporate open architecture networks in which we play a hub role, coordinating activities and enabling communication across a customer ’s workflow. </li></ul><ul><li>We ensure that our customers have the solutions they need, when they need them, and in the media best suited to their requirements. </li></ul>
  3. 3. IN MY WORDS <ul><li>Embed content at point of use </li></ul><ul><li>Cradle to grave (student  practicing professional) </li></ul><ul><li>Participate vitally & meaningfully in customers ’ daily lives </li></ul>
  4. 4. LIFECYCLE OF A HEALTHCARE WORKER PRODUCT LINE IN CLASS STUDY PROF. ON- BOARDING APPREN- TICESHIP MID-CAREER BRIDGING TO CLINICAL CERT. EXAM RECERT. EXAM
  5. 5. IN MY WORDS <ul><li>Participate vitally & meaningfully in customers ’ daily lives </li></ul><ul><li>Embed content at point of use </li></ul><ul><li>Cradle to grave (student  practicing professional) </li></ul><ul><li>We solve problems </li></ul>
  6. 6. FOR EXAMPLE
  7. 7. CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists PHARMACY SCHOOL SPECIALTY STUDY CERTIFICATION EXAM ON JOB TRAINING PRACTICE RECERT. EXAM MED SCHOOL Internists & Primary Care Physicians USMLE 1 USMLE 2 ROTATION INTERN YEAR RESIDENCY MED BOARDS PRACTICE RECERT. EXAM MED SCHOOL USMLE 1 USMLE 2 ROTATION INTERN YEAR RESIDENCY BOARDS FELLOWSHIP PRACTICE RECERT. EXAM NURSING SCHOOL SIMULATIONS CLINICALS NCLEX PRACTICE ADVANCED DEGREES BASIC SCIENCE TECHNIQUE HANDS ON TRAINING CERTIFICATION PRACTICE CONTINUING EDUCATION
  8. 8. CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists PHARMACY SCHOOL SPECIALTY STUDY CERTIFICATION EXAM ON JOB TRAINING PRACTICE RECERT. EXAM MED SCHOOL Internists & Primary Care Physicians USMLE 1 USMLE 2 ROTATION INTERN YEAR RESIDENCY MED BOARDS PRACTICE RECERT. EXAM MED SCHOOL USMLE 1 USMLE 2 ROTATION INTERN YEAR RESIDENCY BOARDS FELLOWSHIP PRACTICE RECERT. EXAM NURSING SCHOOL SIMULATIONS CLINICALS NCLEX PRACTICE ADVANCED DEGREES BASIC SCIENCE TECHNIQUE HANDS ON TRAINING CERTIFICATION PRACTICE CONTINUING EDUCATION <ul><li>Office-Based </li></ul><ul><li>Clinic </li></ul><ul><li>Hospital </li></ul>Different clinical settings
  9. 9. CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists PHARMACY SCHOOL SPECIALTY STUDY CERTIFICATION EXAM ON JOB TRAINING PRACTICE RECERT. EXAM MED SCHOOL Internists & Primary Care Physicians USMLE 1 USMLE 2 ROTATION INTERN YEAR RESIDENCY MED BOARDS PRACTICE RECERT. EXAM MED SCHOOL USMLE 1 USMLE 2 ROTATION INTERN YEAR RESIDENCY BOARDS FELLOWSHIP PRACTICE RECERT. EXAM NURSING SCHOOL SIMULATIONS CLINICALS NCLEX PRACTICE ADVANCED DEGREES BASIC SCIENCE TECHNIQUE HANDS ON TRAINING CERTIFICATION PRACTICE CONTINUING EDUCATION Different clinical settings The 5-Minute Clinical Consult
  10. 10. <ul><li>Could be MD, PA, NP. </li></ul><ul><li>Sees 25 patients a day, < 15 min each. </li></ul><ul><li>Mostly sees the same stuff, but at least 1X a day encounters something hasn't seen before, or hasn't seen in awhile, or that is on tip of tongue but just can't remember – e.g., what's the lab test for celiac disease? </li></ul><ul><li>Cares a lot about quality of service for patients, and patients are asking a lot more questions and generally getting more demanding. Interested in anything that can improve quality of service without adding significantly to costs. </li></ul><ul><li>Overworked, lots of pressure, always worrying about the consequences of making a mistake – will pay a reasonable price for extra piece of mind. </li></ul><ul><li>Increasingly expected to use EMR – would like to get information specific to the patient from inside the EMR. </li></ul><ul><li>Could be 3rd or 4th year med student just starting to encounter patients, or resident with more experience and more responsibility. </li></ul><ul><li>Sees patients on rounds at a hospital or in a clinic setting.  Will probably spend some time in an office-based practice. </li></ul><ul><li>Sees a large variety of cases and is often on the hook for figuring out a care-plan on the spot without any prior information about a patient.  Will need to answer for any medical decisions to chief resident or attending.  Feels a lot of pressure to do adequate research and take appropriate measures while on call, and then be able to answer for them on rounds. </li></ul><ul><li>Has computers at every corner, probably carries a smartphone, very tech-savvy, uses EMRs almost exclusively over paper charts. </li></ul><ul><li>Has learning responsibilities in addition to patient care that include: attending lecture, discussing other students' cases with faculty, etc. </li></ul>IT GETS COMPLICATED MED SCHOOL Internists & Primary Care Physicians USMLE 1 USMLE 2 ROTATION INTERN YEAR RESIDENCY MED BOARDS PRACTICE RECERT. EXAM Primary Care Physician in Small Group Practice Resident or Medical Student The 5-Minute Clinical Consult
  11. 11. <ul><li>“ We want to help our patients, </li></ul><ul><li>But we need to make our businesses work, </li></ul><ul><li>And we have no time . ” </li></ul>IN A NUTSHELL
  12. 13. ATUL GAWANDE SAYS
  13. 15. Primary Care Pain Points
  14. 16. <ul><li>Even faster answers to clinical questions (5 min  <1 min) </li></ul><ul><li>Online CME credits </li></ul><ul><li>Access at point of need </li></ul>HOW WE COULD HELP
  15. 17. EVEN FASTER ANSWERS TO CLINICAL QUESTIONS Great Search If a user gets a search result at all , we ’ll consider it a failed search. Users should go straight to the answer to their question. Concise Content + + One-Stop Shop
  16. 18. A PATIENT VISIT <ul><li>Document visit, particularly if solo practice, so may want to look up the billing codes for the injection and the diagnosis. </li></ul><ul><li>Next patient indicated reason for visit is shoulder pain. </li></ul><ul><li>Physician hasn ’t seen recently; would like to quickly review differential diagnosis and signs & symptoms. </li></ul><ul><li>Physician wants quick refresher on medications and therapy; check for new recommendations; check drug interactions. </li></ul><ul><li>Wants to give steroid injection for pain, but hasn ’t in awhile and wants to make sure it’s indicated for patient, and quickly review step-by-step. </li></ul><ul><li>Wants to send patient home with instructions on basic strengthening exercises + recommendations to avoid aggravating injury. </li></ul>5 MINUTES BEFORE CONSULTATION DURING CONSULTATION 5 MINUTES AFTER CONSULTATION
  17. 19. Books Library / Research Platform Google WHAT ARE THE OPTIONS? General Reference Dermatology Sports Medicine Drugs Primary Care Procedures Patient Handouts HARD TO SEARCH TAKE TOO MUCH SPACE ONLY 1 PLACE AT AT TIME QUICKLY OUTDATED NOT GREAT FOR PATIENT ED TOO MANY RESULTS WHAT TO CLICK? NOT ENOUGH IMAGES & PROCEDURES WAY TOO MANY RESULTS PATIENTS CAN GET THEMSELVE TOO MANY PLACES TO GO WHAT TO TRUST? TAKES TIME AWAY FROM PATIENT JUST WANT THE 1 RIGHT ANSWER
  18. 20. OUR SEARCH RESULTS ANTICIPATE CLINICAL QUESTIONS
  19. 21. OUR SEARCH RESULTS ANTICIPATE CLINICAL QUESTIONS
  20. 22. OUR SEARCH RESULTS ANTICIPATE CLINICAL QUESTIONS
  21. 23. OUR SEARCH RESULTS ANTICIPATE CLINICAL QUESTIONS
  22. 24. 5 MINUTES BEFORE CONSULTATION DURING CONSULTATION 5 MINUTES AFTER CONSULTATION
  23. 25. CONTINUING ED CREDIT FOR CLINICAL SEARCHES
  24. 26. <ul><li>On hospital floor </li></ul>ACCESS AT POINT OF NEED <ul><li>Inside EMR </li></ul>
  25. 27. EARLY RESULTS <ul><li>&quot;Right now being a single family doctor in a small town, in a small practice, I get up, leave the exam room, go to my office and look through the textbooks and then come back with the information.  Here I could just go hold on a second.  Let me look at either my desktop or my little handheld and call up the information and tell them without actually leaving the room. It saves time. ” </li></ul><ul><li>&quot;I love the procedure videos! Whenever I need to do a procedure I haven't done in a while, I come back to my office and refresh my memory. Thanks! ” </li></ul><ul><li>&quot;Very useful for quick answers and patient handouts. ” ”Outstanding site! like the set up of the algorithms. Everything I need in one place.” </li></ul><ul><li>“ More succinct than its nearest competitor, and that is precisely what is needed when researching a patient at 3am!” </li></ul>
  26. 28. <ul><li>It has to get easier! </li></ul>A FINAL REQUIREMENT
  27. 29. PRODUCT LINE IN CLASS STUDY PROF. ON- BOARDING APPREN- TICESHIP MID-CAREER BRIDGING TO CLINICAL CERT. EXAM RECERT. EXAM A FINAL REQUIREMENT
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