KNOWLEDGE MANAGEMENT IN MEDICINE

1. KNOWLEDGE MANAGEMENT IN
MEDICINE
Dr.T.V.Rao MD

2. Knowledge Management
Knowledge management
(KM) is the process of
capturing, developing,
sharing, and effectively
using organisational
knowledge It refers to a
multi-disciplined approach
to achieving organisational
objectives by making the
best use of knowledge

3. 3
What is Knowledge
Management?
Discipline within an organization that ensures that
the intellectual capabilities of that organization are
shared, maintained and institutionalized
The process of systematically and actively managing
and leveraging the stores of knowledge in an
organization
The way a company stores, organizes and accesses
internal and external information.
Refers to an entire integrated system for
accumulation, integration, manipulation, and access of
data across multiple organizations

4. Not to be Confused
Not to be
confused
with
Information
management.

5. Knowledge Management
Integrates organisational
expectations
Knowledge management
efforts typically focus on
organisational objectives
such as improved
performance, competitive
advantage, innovation, the
sharing of lessons learned,
integration and continuous
improvement of the
organisation.

6. New Expectations for
Organizational Development
A knowledge community is
community construct,
stemming from the
convergence of knowledge
management as a field of study
and social exchange theory.
Formerly known as a discourse
community and having evolved
from forums and web forums,
knowledge communities are
now often referred to as a
community of practice or
virtual community of practice

7. Knowledge Management is a
New Discipline
"Knowledge management is
a discipline that promotes
an integrated approach to
identifying, capturing,
evaluating, retrieving, and
sharing all of an enterprise's
information assets. These
assets may include
databases, documents,
policies, procedures, and
previously un-captured
expertise and experience in
individual workers."

8. Role Health Care Professionals
Healthcare professionals are always in
situations where they have to think fast
and process an array of diagnostic test
results, medications and past treatment
responses in order to make decisions.
Knowledge Management (KM) holds the
key to proper patient care in these often
complicated situations.

9. Introduction (cont.)
Knowledge management systems in Healthcare
will streamline information for the best, most
efficient patient care.
Many Healthcare facilities have yet to fully utilize
all the benefits of KM systems.
It could make a the difference when, for instance,
your chance of survival for open heart surgery can
go from 2% to 16% with the proper knowledge and
procedures.

10. We Medical Professionals
Need Knowledge Mobilization
The term Knowledge
Mobilization (KMb) refers to
moving available knowledge
(often from formal research)
into active use. More than
just "bridging the gap",
KMb seeks to make
connections between
research/expertise and
policy/practice in order to
improve outcomes in
various organizations or
sectors. .

11. Knowledge
Mobilization
Knowledge Mobilization
involves knowledge
sharing between research
producers (e.g. university
researchers) and research
users (including
professionals or others
whose work can benefit
from research findings),
often with the help of third
parties or intermediaries.

12. Developing world Catching
with Evidence Based Medicine
Evidence-based medicine is defined as the
integration of research evidence, clinical
expertise, and patient preferences and values
in clinical decision-making (Sackett et al., 1996).
This model of medical practice has influenced
decisions and actions throughout the health
care industry for about a couple of decades,
particularly in the advanced countries.
However, little is known as to how patients with
their tacit knowledge have en suite into the
evidence-based practice equation especially in
the developing world.

13. Many Medical Organization
Catching the Concept
The most obvious point
is the making of the
organization's data and
information available to
the members of the
organization through
portals and with the use
of content management
systems.

14. Health Information Exchange
Collects, identifies and aggregates patient
information from all source systems
Enable sharing of documents and images among
healthcare enterprises, regardless of source,
location or format in support of improved patient
care.
Serve as a data repository and searchable registry
of clinical documents
Record audit events generated by all exchange
interactions
14

16. Knowledge Management Means
Getting Right Knowledge
Knowledge management is essentially about
getting the right knowledge to the right
person at the right time. This in itself may not
seem so complex, but it implies a strong tie to
corporate or Professional strategy,
understanding of where and in what forms
knowledge exists, creating processes that
span organizational functions, and ensuring
that initiatives are accepted and supported by
organizational members.

18. Technology Plays
Greater Role
The systems,
tools, and
technologies that
fit the
organization's
requirements -
properly designed
and implemented.

19. 19
Role of IT in
Implementation
“The biggest
contributor to this
brilliant growth of
the knowledge
management
system is
information
technology.”

22. Every Body wishes the Medical
Treatments are Cost effective
The increasing pressure to
ensure efficiency and cost-effectiveness,
balance the
quality of care, and contain
costs will drive them towards
more effective management of
medical knowledge derived
from biomedical research.
Knowledge management
technology may provide
effective methods and tools in
speeding up the diffusion of
innovative medical procedures.

23. Organizational Knowledge
too Important
The goal of knowledge
management is not only
increasing the performance
of individuals within the
organization but of the
organization as a 'whole'. It
implies an organizational
view of the problem where
individuals cooperate, as
much as possible carrying
on evidence-based care
processes, each behaving
according to the role the
organization assigned
her/him

24. Strategy for Implementing KM
24
Macro-
Environment
Organizational
Climate
Technical
Climate
Technical,
Informational,
Personal
Macro-environment
External Factors
Globalization
Technology
E-companies
24

25. The Knowledge Conversion
Process in the Healthcare Domain
The knowledge conversion process, contextualized
for a health care organization , is based on some
assumptions. First of all three main knowledge types
are involved: Medical knowledge: it manages all
medical aspects related to health care activities;
Organizational knowledge: it manages organizational
aspects related to health care activities;
Formalization knowledge: it manages knowledge
representation formalisms, among which computer-based
tools (it can be considered a part of the
technical domain above defined)

26. Important Models for
Integration
There are three main kinds of formal models:
Medical, that means based on medical knowledge, e.g.
formalized CPGs and protocols;
Organizational, based on organizational knowledge, e.g.
nurses’/physicians’ shifts scheduling and
administrative procedures;
Common, based on common knowledge, e.g.
organizational charts (charts defining roles and
hierarchies within hospital personnel).

27. Why we Need change to
Management of Knowledge
Medicine is fast becoming a science of
information. Information about patient history,
symptoms, functions and lifestyle; information
about diseases, diagnostics, drugs, and
treatment methods play an ever-increasing role.
But there can be too much of a good thing. The
dilemma faced by doctors, patients and medical
administrators is to find and utilize the relevant
information at the right time. Computers, of
course, help manage information, but the current
generation of computer inter

28. Computers Can Manage
Matters
Computers, of
course, help manage
information, but the
current generation of
computer inter-faces
can't keep growing at
the same rate
medical information
is growing.

29. Why We all Need New Knowledge
Management Systems
The recent growth in
the scientific
understanding of
diseases and their
management has been
unprecedented, but
has not been matched
by an equivalent
ability to apply that
knowledge in practice.

30. 30
Maintaining KM Systems
Provide
Adequate
Access
Intranets
Classes
30

31. Our Educational System
Needs Integration
Could we combine two styles of knowledge
into an integral whole
31

32. Today Knowledge
Management A Great Task
It is now humanly
impossible for
unaided healthcare
professionals to
deliver patient care
with the efficacy,
consistency and
safety that the full
range of current
knowledge could
support.

33. Much of the Knowledge Available
Through Open sources
Many Open source
organisations have
been created to
promote awareness
and use of decision
support, clinical
workflow and other
advanced knowledge
management
technologies for patient
care and clinical
research.

34. Why India Needs Knowledge
Management systems
Knowledge gives global health
professionals the power to
improve health systems and
save lives. In low- and middle-income
countries, global
health professionals
encounter many barriers to
accessing information and
exchanging knowledge—
ranging from time constraints
and connectivity issues to
lacking reliable or trusted
sources of information.

35. Future of Health
Knowledge Management
Knowledge Management in
Healthcare has obvious
benefits that could really
make the difference in
people's lives.
There are still many
healthcare facilities that still
need to fully utilize these
systems.
Dr.T.V.Rao MD 35

36. Health Knowledge
Managements Progressing
We are drawing a
predictive conclusion
that over the next
decade there will be
significant
improvements in
physician care based
on medical knowledge
management.
Dr.T.V.Rao MD 36

37. Never forget Every Body has to manage life
and Knowledge or
WE ARE LOST
Dr.T.V.Rao MD 37

38. Knowledge Management systems have
entered every profession Medical
profession too Catching up Faster I wish
we will catch up the systems for better
Management of our Health Care system
Dr.T.V.Rao MD
Email
doctortvrao@gmail.com