Explains about unanswered clinical questions, use of uptodate associate with improved quality.For more information visit: http://www.transformhealth-it.org/
Paul Coplan, VP, Johnson & Johnson_mHealth IsraelLevi Shapiro
Pesentation, October 19th, 2021: What’s Next in RWE for Medical Devices: The Art of the Possible. Presented by Paul Coplan, ScD, MBA, FISPE, Vice President, Med Device Epidemiology and RWD Sciences, Johnson & Johnson; Adjunct Professor, Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Perelman School of Medicine; Fellow of the International Society of Pharmacoepidemiology
- Why RWE is Important for Medical Devices: Challenges with Clinical Trials of Medical Devices (Blinding, Surgeon skill/technique, Hospital process, Product modifications, Long term Follow up, Enrolment challenges)
- Types of Real-World Data Sources (Complaints like MAUDE, Eudramed and Company Databases, Hospital Databases, Electronic Health Records, Claims, Registries, Patient surveys, Surgeon surveys, PROs, Patient Preferences, wearables, sensors, social media, Surgical videos, device generated data, radiographic images)
- FDA CDRH Report on RWE Examples for Regulatory Decisions
- J&J Med Device Epidemiology & Real-World Data Sciences
- US National Evaluation System for Health Technology (NEST)
- RWE for Safety Assessments: Cobalt in Implants and at Work and Risk of Cancer
- Summary of Cobalt Exposure and All-Site Cancer Risk, by Study Type
- Comparative Effectiveness Studies Using RWE
- Summary
a. Use of RWE is important to benefit patients globally and enhance the safety and innovation of medical devices
b. Regulators are interested in using RWE for regulatory decisions but data quality and evidence needs to be regulatory grade
c. NEST has been a useful forum to advance the use of RWE for regulatory decisions in the US
d. RWE can be used for safety assessments, regulatory decisions, comparative effectiveness research, and R&D of products
Real-World Data – What’s Next? by Michael Seewald, AstraZeneca for mHealth Is...Levi Shapiro
Presentation by Michael Seewald, Michael Seewald, Ph.D.
Global Head Evidence, AstraZeneca Biopharmaceuticals for mHealth Israel, October 19th, 2021.
Real-World Data is able to uncover local unmet medical need – Call to action to build Learning Healthcare Systems. Significant Variations in Care and Large Potential for Improvement. Real-World Data helps to benchmark efficient use of resources and detect “waste”. Healthcare systems need to address the problem of waste. But fundamental change is hard, and progress slow. Outcomes Transparency Improves ComplianceExample: Swedish myocardial infarction registry. Outcomes Transparency Improves Compliance. Example: Swedish myocardial infarction registry. Improving Outcomes and Creating Value will continue to guide Learning Healthcare Systems- enabled by RWD. Four technological trends as accelerators on our path. Empowered patients- Molecular screening and 24/7 monitoring driving a step change in diagnosis. Algorithmic decision-making: Artificial intelligence supports physician intelligence. Evidence-generating healthcare systemsLive insights on clinical efficacy from digital monitoring. 360° care delivery. Home replaces hospital via digital therapeutics and on-demand remote support. AstraZeneca Areas of Partnering Interest: (https://www.astrazeneca.com/partnering/our-areas-of-partnering-interest.html).
Paul Coplan, VP, Johnson & Johnson_mHealth IsraelLevi Shapiro
Pesentation, October 19th, 2021: What’s Next in RWE for Medical Devices: The Art of the Possible. Presented by Paul Coplan, ScD, MBA, FISPE, Vice President, Med Device Epidemiology and RWD Sciences, Johnson & Johnson; Adjunct Professor, Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Perelman School of Medicine; Fellow of the International Society of Pharmacoepidemiology
- Why RWE is Important for Medical Devices: Challenges with Clinical Trials of Medical Devices (Blinding, Surgeon skill/technique, Hospital process, Product modifications, Long term Follow up, Enrolment challenges)
- Types of Real-World Data Sources (Complaints like MAUDE, Eudramed and Company Databases, Hospital Databases, Electronic Health Records, Claims, Registries, Patient surveys, Surgeon surveys, PROs, Patient Preferences, wearables, sensors, social media, Surgical videos, device generated data, radiographic images)
- FDA CDRH Report on RWE Examples for Regulatory Decisions
- J&J Med Device Epidemiology & Real-World Data Sciences
- US National Evaluation System for Health Technology (NEST)
- RWE for Safety Assessments: Cobalt in Implants and at Work and Risk of Cancer
- Summary of Cobalt Exposure and All-Site Cancer Risk, by Study Type
- Comparative Effectiveness Studies Using RWE
- Summary
a. Use of RWE is important to benefit patients globally and enhance the safety and innovation of medical devices
b. Regulators are interested in using RWE for regulatory decisions but data quality and evidence needs to be regulatory grade
c. NEST has been a useful forum to advance the use of RWE for regulatory decisions in the US
d. RWE can be used for safety assessments, regulatory decisions, comparative effectiveness research, and R&D of products
Real-World Data – What’s Next? by Michael Seewald, AstraZeneca for mHealth Is...Levi Shapiro
Presentation by Michael Seewald, Michael Seewald, Ph.D.
Global Head Evidence, AstraZeneca Biopharmaceuticals for mHealth Israel, October 19th, 2021.
Real-World Data is able to uncover local unmet medical need – Call to action to build Learning Healthcare Systems. Significant Variations in Care and Large Potential for Improvement. Real-World Data helps to benchmark efficient use of resources and detect “waste”. Healthcare systems need to address the problem of waste. But fundamental change is hard, and progress slow. Outcomes Transparency Improves ComplianceExample: Swedish myocardial infarction registry. Outcomes Transparency Improves Compliance. Example: Swedish myocardial infarction registry. Improving Outcomes and Creating Value will continue to guide Learning Healthcare Systems- enabled by RWD. Four technological trends as accelerators on our path. Empowered patients- Molecular screening and 24/7 monitoring driving a step change in diagnosis. Algorithmic decision-making: Artificial intelligence supports physician intelligence. Evidence-generating healthcare systemsLive insights on clinical efficacy from digital monitoring. 360° care delivery. Home replaces hospital via digital therapeutics and on-demand remote support. AstraZeneca Areas of Partnering Interest: (https://www.astrazeneca.com/partnering/our-areas-of-partnering-interest.html).
85% of clinical trials fail to recruit enough patients, 80% fail to finish on time. A key issue is 70% of patients live more that 2 hours from the study site. Wearable devices can support the collection of real world data in the patients home as well as create novel endpoints
Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrició...Fundación Ramón Areces
El 29 de marzo de 2016 celebramos un Simposio Internacional sobre el 'Impacto de las ciencias ómicas en la medicina, nutrición y biotecnología'. Organizado por la Fundación Ramón Areces en colaboración con la Real Academia Nacional de Medicina y BioEuroLatina, abordó cómo un mejor conocimiento del genoma humano está permitiendo notables avances hacia una medicina de precisión.
A 3+ Year Review of 12 StartUp Health Companies ProgressGary Monk
On 10/26/15 I met 12 StartUp Health companies at the Cleveland Clinic. This annotated presentation shows where these companies are today in terms of activity and funding status. Some encouraging reading (See slide 15 summary)
What's Next in RWE_Amy Rudolph_Novartis_mHealth IsraelLevi Shapiro
Overview of the
- Healthcare ecosystem complexity increasing rapidly
- Pharma industry is facing a crisis: trends shaping the industry
- RWE complements RCTs and captures implementation of innovation
- RWE is one component of the integrated evidence needed for stakeholders
- Integrated Evidence: Optimizing patient access
- Integrated Evidence: Label expansion
- Maximizing the value of data requires a scalable platform and expertise
HXR 2016: Improving Insurance Member Experiences -Janna Kimel, CambiaHxRefactored
This section of the agenda will feature leaders in innovation, customer experience, and design within the health insurance space. Each panelist will present the current state of experience at their organization, what successes they have seen, what situations they have learned from, and what their challenges and obstacles are, and where they would like to see things head in the future. Then Amy Cueva will guide the group in a discussion around strategy, measurement, culture change, and other important topics relevant to delivering phenomenal experiences.
Presentation from OIS@ASCRS 2016
Moderator:
Elizabeth Yeu, MD
Participants:
David Chang, MD
Eric Donnenfeld, MD
Sherman Reeves, MD, MPH
Denise Visco, MD
Video Presentation:
https://www.youtube.com/watch?v=GTiBOslQYlI&list=PL1dmdBNnPTZJBhQxPOp0vdNg3s3wtN2yw&index=37
85% of clinical trials fail to recruit enough patients, 80% fail to finish on time. A key issue is 70% of patients live more that 2 hours from the study site. Wearable devices can support the collection of real world data in the patients home as well as create novel endpoints
Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrició...Fundación Ramón Areces
El 29 de marzo de 2016 celebramos un Simposio Internacional sobre el 'Impacto de las ciencias ómicas en la medicina, nutrición y biotecnología'. Organizado por la Fundación Ramón Areces en colaboración con la Real Academia Nacional de Medicina y BioEuroLatina, abordó cómo un mejor conocimiento del genoma humano está permitiendo notables avances hacia una medicina de precisión.
A 3+ Year Review of 12 StartUp Health Companies ProgressGary Monk
On 10/26/15 I met 12 StartUp Health companies at the Cleveland Clinic. This annotated presentation shows where these companies are today in terms of activity and funding status. Some encouraging reading (See slide 15 summary)
What's Next in RWE_Amy Rudolph_Novartis_mHealth IsraelLevi Shapiro
Overview of the
- Healthcare ecosystem complexity increasing rapidly
- Pharma industry is facing a crisis: trends shaping the industry
- RWE complements RCTs and captures implementation of innovation
- RWE is one component of the integrated evidence needed for stakeholders
- Integrated Evidence: Optimizing patient access
- Integrated Evidence: Label expansion
- Maximizing the value of data requires a scalable platform and expertise
HXR 2016: Improving Insurance Member Experiences -Janna Kimel, CambiaHxRefactored
This section of the agenda will feature leaders in innovation, customer experience, and design within the health insurance space. Each panelist will present the current state of experience at their organization, what successes they have seen, what situations they have learned from, and what their challenges and obstacles are, and where they would like to see things head in the future. Then Amy Cueva will guide the group in a discussion around strategy, measurement, culture change, and other important topics relevant to delivering phenomenal experiences.
Presentation from OIS@ASCRS 2016
Moderator:
Elizabeth Yeu, MD
Participants:
David Chang, MD
Eric Donnenfeld, MD
Sherman Reeves, MD, MPH
Denise Visco, MD
Video Presentation:
https://www.youtube.com/watch?v=GTiBOslQYlI&list=PL1dmdBNnPTZJBhQxPOp0vdNg3s3wtN2yw&index=37
LPB Group & DCP 2014 Academy of Country Music AwardsLorena Bendinskas
LPB Group, in exclusive partnership with Dick Clark Productions, present the 2014 Academy of Country Music Awards backstage lounge. Live at MGM Grand, Las Vegas April 4-6, 2014.
David Yates, Regional Business Head, North America, Nestlé HealthCare Nutrition, Inc., presentation to the 2014 Nestlé Investor Seminar, Boston, USA, June 3-4.
HealthCursor Consulting Group India- Mobile Health is going to be a 3000 crore market in India by 2017. (Source PwC). M-health (use of mobile phones) and E-health are all set to make an entry into India's primary health centres (PHCs) and sub-centres as the health ministry plans to go hi-tech. Healthcare industry is expected to show a strong growth of 23% per annum to become a US$ 77 billion industry by 2012. One of the largest sector in terms of revenue and employment has grown at 9.3% per annum between 2000-2009 with a current size at par with fastest growing developing country like China, Brazil and Mexico.Driven by various catalysts such as increasing population, rising income levels, changing demographics and illness profile with a shift from chronic to life style diseases, healthcare industry is expected to move to levels of US$ 77 billion in next 3 years. (Source: ASSOCHAM).
Empowering rural India is of utmost importance and the government needs to do so by provisioning for broadband penetration and financial inclusion. Access to quality health care is another key to achieving rural empowerment. The budget for this segment was raised marginally last year and it would be good to have an allocation for rural health care programs with provisions for technology that would help modernize this sector to expand its reach through remote healthcare solutions and telemedicine.
Furthermore, the government announced a big budget campaign 'Swabhimaan' in the budget last year to promote banking and provide services to about 20,000 villages. In order to meet this goal, the budget this year too would need to make provisions accordingly. The steering committee on health said that in the 12th plan (2012-17), all district hospitals would be linked to leading tertiary care centres through telemedicine, Skype and similar audio visual media. M-health will be used to speed up transmission of data. Disease surveillance will be put on a GIS platform.
Disease surveillance based on reporting by providers and clinical laboratories (public and private) to detect and act on disease outbreaks and epidemics would be an integral component of the system.India will also put in place a Citizen Health Information System (CHIS) - a biometric based health information system which will constantly update health record of every citizen-family. The system will incorporate registration of births, deaths and cause of death. Maternal and infant death reviews, nutrition surveillance, particularly among under-six children andwomen, service delivery in the public health system, hospital information service besides improving access of public to their own health information and medical records would be the primary function of the CHIS.
Economies of Indian states can grow 1.08 per cent faster with every 10 per cent increase in Internet and broadband connections.
How are advances in social science being used to improve HCAHPS scores? Join Carol Packard, PhD, for key actions you can take to improve patient satisfaction scores, while improving clinical outcomes and reducing costs.
Mobile Health at Ochsner: The Apple HealthKit and Epic EMR IntegrationRahlyn Gossen
These slides are from the April 2, 2015 meeting of Health 2.0 New Orleans with special guest Jonathan Wilt, the Assistant Vice President of the Center for Innovation at Ochsner Health System. Jonathan spoke about Ochsner's Health System's integration of Apple HealthKit with the Epic EMR.
Audio is here: http://www.youtube.com/watch?v=UsSKui7m4VY
Cognitive Computing: Company presentation by Avner Halperin, Co-Founder & CEO of EarlySense at the NOAH Conference 2019 in Tel Aviv, Hangar 11, 10-11 April 2019.
Improving Clinical and Operational Outcomes by Leveraging Healthcare Data Ana...NUS-ISS
Presented by Mr. Sandeep Makhijani, Regional Director for Asia Pacific (APAC), Truven Health Analytics at ISS Seminar: How Analytics is Transforming Healthcare on 31 Oct 2014.
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
Large Scale Disaster Management in Healthcare Deploying ICT by Olav Veum Eielsen Anesthesiologist, Director Regional Centre for Medical Emergency Research and Development,
Norway
Virtual knowledge network NIMHANS Echo : Innovative tele- mentoring model for skilled capacity building in addiction & mental health by Prabhat Chand , NIMHANS, India
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
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TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
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TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Veterinary Diagnostics Market PPT 2024: Size, Growth, Demand and Forecast til...IMARC Group
The global veterinary diagnostics market size reached US$ 6.6 Billion in 2023. Looking forward, IMARC Group expects the market to reach US$ 12.6 Billion by 2032, exhibiting a growth rate (CAGR) of 7.3% during 2024-2032.
More Info:- https://www.imarcgroup.com/veterinary-diagnostics-market
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
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Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Bringing AI into a Mid-Sized Company: A structured Approach
Data in the service of the Patient is Imporving Patient Outcomes and Patient Safety with Better Data
1. 0
Data in the Service of the Patient:
Improving Patient Outcomes and Patient
Safety with Better Data
Greg Adams
Vice President
Wolters Kluwer | UpToDate
gregory.adams@wolterskluwer.com
2. 1
Doctors Have Clinical Questions
Covell, DG. Ann Intern Med 1985; 103:596; Green, ML. AM J Med 2002; 109:218;
Osheroff, JA. Ann Intern Med 1991:575; Ely, JW. J Am Med Inform Assoc 2005; 12:217;
Gorman, PN. Med Decis Making 1995; 15:113.
Unanswered clinical questions
impact patient management decisions
Approximately 2 out of 3 clinical
encounters generate a question
Physicians have approximately
11 clinical questions a day
40%of the time, the
clinician knows
the answer
Answering all clinical
questions could change
5 to 8patient management
decisions each day
3. 2
Staying on top of Medical Knowledge
In 1965, only 39 randomized trials were published in
medicine.
In 2011, there were 21 000, which poses a seemingly
insurmountable information challenge for clinical
professionals who want to stay current with important
information.
There is too much information
to be able to manage or digest.
4. 3
Clinical Decision Support: Getting It Right
In the
Right Context
& Format
The Right
Guidance
At the Right
Time
The Right
Decision
5. 4We invite you to review the study data yourself: http://www.uptodate.com/home/research
Over 60independent studies
Have shown that UpToDate
has a direct impact on quality
of care and clinical outcomes
such as a reduction of
complications,
mortality,
and costs.
The Most studied Clinical Decision Support System
6. 5
UpToDate Changes Clinical Decisions
Phua J, See KC, Khalizah HJ, et al. Utility of the electronic information resource UpToDate for clinical decision-making at bedside rounds.
Singapore Med J 2012; 53:116.
37%
Researchers at Singapore’s National University
Hospital report that bedside use of UpToDate
led to changes in patient care decisions…
7. 6
Use of UpToDate Associated with Improved Outcomes
1. Solucient maintains the nation's largest healthcare database, comprised of more than 26 million discharges per year from 2,900 hospitals.
2. Bonis PA. Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of
stay among Medicare beneficiaries in acute care hospitals in the US. Int J Med Inform 2008; 77:745.
Significantly shortens
length of stay
Significantly lowers
complication rates
Significantly lowers
adverse outcome rates
Solucient1 studied the impact of UpToDate on length of stay,
complications, and patient safety2
8. 7
Researchers at Harvard University Find
UpToDate Associated with Improved Outcomes
Isaac T, Zheng J, Jha A. Use of UpToDate and outcomes in US hospitals.
J Hosp Med 2012; 7:85.
Use of UpToDate Associated with...
Improved Quality
Every condition on Hospital Quality Alliance Metrics
Shorter Lengths of Stay
372 000 days over 1 year
Lower Mortality Rates
11 500 lives over 3 years
9. 8
Economic Impact of UpToDate
at Salford Royal NHS Foundation Trust
Source: November 2011, Forrester Research: The Total Economic Impact Of UpToDate’s Clinical Decision Support System For Healthcare Institutions:
A Case Study Of Salford Royal NHS Foundation Trust in the UK
Benefits Included:
Staff productivity
Diagnostic test efficiencies
Improvements in the
quality of care
Forrester Research found Salford Royal NHS Foundation Trust (SRFT)
recovered the costs of UpToDate in 90 days
90=
ROI
days
10. 9
UpToDate has national contracts with
the governments of Norway (2010),
Iran (2011), Spain (2013), Saudi
Arabia (2013), Oman (2014), and
Jordan (2015) to standardize care
based on UpToDate content.
In other countries, such as the USA,
The Netherlands, Switzerland, or
Luxembourg, UpToDate is used in
all hospitals.
UpToDate around the world
30 000 hopitals and clinics in 174
countries use UpToDate
11. 10
Integrating Clinical Decision Support in the Workflow
In the
Right Context
& Format
The Right
Guidance
At the Right
Time
The Right
Decision
12. 11
The Most Valuable HIT Initiative for Patient Care
Source: UpToDate individual subscriber survey 2012
Which IT initiative produces the greatest benefit
to the quality and safety of patient care?
26.53
31.35
32.68
33.41
36.28
37.39
54.31
20 30 40 50 60
Order sets
CPOE
Patient ed
Alerts/reminders
eRx
EHR system
UpToDate CDS
Proportion ranking each initiative a 9 or 10 on a 10 point scale (n = 17,127)
13. Is important
to patient care
Enhances
satisfaction
with their EHR
Encourages
utilization
of their EHR
Increased Clinician Satisfaction with the EHR
Source: July 2011 Clinicians Survey N = 1228
Users said that having UpToDate embedded in their EHR
2011 91%
2011 89%
2011 40%
14. Is important
to patient care
Enhances
satisfaction
with their EHR
Encourages
utilization
of their EHR
Increased Clinician Satisfaction with the EHR
Source: July 2015 Clinicians Survey N = 2526
Users said that having UpToDate embedded in their EHR
2015 93%
2015 91%
2015 47%
15. 14
Conclusion
Based on our experience in over 30 000 hospitals around the world, we are convinced that full
use of REAL Integrated Clinical Decision Support would help:
Improve quality of care
Improve medical knowledge
Reduce complications
Reduce errors
This will help save more lives
This will help save more money.
Another well-documented healthcare challenge involves clinicians’ unanswered questions.
There have been a number of studies that have looked at the questions that are generated at the point of care. These studies indicate a large number of questions, many of which go unanswered.
One study found that approximately 2 out of 3 patient encounters generate a question, but that 60% of these questions go unanswered. And this particular study was focused on the US, where physicians tend to see fewer patients on a daily basis, so outside of the US and Canada where physicians tend to see even more patients, the number of clinical questions that a physician is likely to have per day, and that go unanswered, is likely to be even higher.
The reasons why these questions go unanswered varies, and include lack of time, difficulty navigating the overwhelming body of literature, and a belief that an answer does not exist. Regardless of the reason, however, it is clear that answering these questions could have a substantial impact – potentially changing five to eight patient management decisions per day.
Speaker Notes - Solucient compared hospitals with and without access to UpToDate, and they found that hospitals with UpToDate had significantly shorter lengths of stay (.167 days per discharge), lower complication rates, and better patient safety outcomes than hospitals without UpToDate. They also adjusted for hospital size, type (teaching versus non-teaching), and location. Solucient then looked at whether the amount of usage of UpToDate had any impact on these measures and what they found was…
Significantly shortens length of stay
Significantly lowers complication rates
Significantly lowers adverse outcome rates
Begin the presentation by introducing the concept of CDS. Explain that an effective CDS solution could fundamentally change clinician decisions that have an impact on patient safety
and quality of care, ultimately delivering improved outcomes. (Note that we will look at some studies supporting this impact later in the presentation.)
Transition to explain that it is not just the right content that can lead to a change in clinician decisions and improved outcomes, however. To be effective, a CDS solution must help the clinician make the right decision, at the right time, and in the right context and format. Explain that we will touch on these requirements throughout this presentation.
There have been over 30 independent studies conducted on UpToDate.
Research done at individual hospitals reinforces the findings from the wider Harvard Outcomes and Solucient studies. In a study published in the Singapore Medical Journal, researchers at Singapore’s National University Hospital found that use of UpToDate led to changes in investigations, diagnosis or management 37% of the time. In other words, patient management decisions were changed more than one-third of the time when UpToDate was consulted. The body of research on UpToDate all supports the premise that UpToDate has measurable benefits and positively impacts patient outcomes.
Speaker Notes - Solucient compared hospitals with and without access to UpToDate, and they found that hospitals with UpToDate had significantly shorter lengths of stay (.167 days per discharge), lower complication rates, and better patient safety outcomes than hospitals without UpToDate. They also adjusted for hospital size, type (teaching versus non-teaching), and location. Solucient then looked at whether the amount of usage of UpToDate had any impact on these measures and what they found was…
Significantly shortens length of stay
Significantly lowers complication rates
Significantly lowers adverse outcome rates
Researchers at Harvard University conducted a similar study, but with stricter methodological controls. And what they found was a confirmation of the Solucient study – plus an association with additional benefits.
These researchers found that use of UpToDate over a three-year period was associated with statistically significant improved quality on every condition on the Hospital Quality Alliance Metrics, including lower lengths of stay, as well as lower mortality rates for three medical conditions.
The study concluded that use of UpToDate would have been tied to 372,000 fewer patient days in the hospital per year, and 11,500 lives saved every 3 years.
**Additional information on the study that you can share in your presentation as needed:
This was a retrospective study using data from 3,322 hospitals in the United States (a nationwide study of all hospitals) over a three-year period. It compared the outcomes between those that adopted UpToDate (1,017 hospitals) and those that did not (2,305 hospitals) using strict methodological controls.
The conditions on the Hospital Quality Alliance Metrics include:
Acute myocardial infarction
Congestive heart failure
Gastrointestinal hemorrhage
Pneumonia
Stroke
Hip fracture
In a more business-oriented report, Forrester Research concluded that Salford Royal NHS Foundation Trust in the UK realized a Return on Investment (ROI) for UpToDate in just 90 days.
Benefits that the report quantified included staff productivity, diagnostic test efficiencies, and improvements in the quality of care.
Speaker Notes - When our valued customers are asked what makes UpToDate different, they mention that they put trust in UpToDate for trusted, reliable, evidence based peer reviewed editorial content.
UpToDate is by far the dominant clinical knowledge resource worldwide, with:
The most trusted, evidence-based, peer-reviewed editorial content that is proven to improve patient care and quality.
The trust and confidence of over 700,000 clinicians and 25,000 hospitals worldwide:
The following teaching medical institutions:
95% in Benelux
95% in Germany
86% in Japan
90% in The United States
Countries including Norway and Spain have standardized on UpToDate
Expert-led evidence-based recommendations and consensus of over 5000 physician authors from 51 countries
Begin the presentation by introducing the concept of CDS. Explain that an effective CDS solution could fundamentally change clinician decisions that have an impact on patient safety
and quality of care, ultimately delivering improved outcomes. (Note that we will look at some studies supporting this impact later in the presentation.)
Transition to explain that it is not just the right content that can lead to a change in clinician decisions and improved outcomes, however. To be effective, a CDS solution must help the clinician make the right decision, at the right time, and in the right context and format. Explain that we will touch on these requirements throughout this presentation.
Clinicians report that UpToDate is the highest IT benefit to patient care.
Results from UpToDate Individual Subscriber Survey 2012. Survey question asked subscribers to rate IT initiatives regarding their impact on the quality and safety of patient care. Respondents were asked to rate each item on a scale of 1-10, with 1 indicating least important, and 10 most important. UpToDate ranked highest of all initiatives with a mean rating of 8.4, compared with 7.3 for the next highest ranking item, patient education materials.
We know your organizations plate is very full with various projects to increase efficiencies and improve care and quality. However, clinicians rank UTD the most valuable HIT initiative within their organization.
For the clinicians and hospital staff and librarians you work with, implementation of UTD will help your colleagues achieve many of their key goals around quality and efficiency. We know you have numerous IT projects you can deploy, but UTD requires minimal IT resources and investment and will provide significant benefits to your internal customers and is almost guaranteed to have high adoption rates based on our discussion earlier about how clinicians love UTD – just go out an ask your staff if they have heard of UTD.
Integrating UpToDate increases physician satisfaction. We conducted a survey of over 2,500 customers who have UpToDate embedded in their EHR. The result: 93% report having UpToDate in their EHR is important to patient care; 91% said it enhances their satisfaction with their EHR and 47% reported that having UpToDate in their EHR in and of itself encouraged them to use their EHR.
Integrating UpToDate increases physician satisfaction. We conducted a survey of over 2,500 customers who have UpToDate embedded in their EHR. The result: 93% report having UpToDate in their EHR is important to patient care; 91% said it enhances their satisfaction with their EHR and 47% reported that having UpToDate in their EHR in and of itself encouraged them to use their EHR.
Introduce the presentation with its goal to communicate some of the benefits UpToDate’s Clinical Decision Support (CDS) solution offers institutions, focused particularly on the business benefits. [Recall that this version of the presentation is targeted at IT management executives.]