Transcript DynaMed Plus

MISSION
Committed to improving
patient care by providing the most
CURRENT CLINICAL
EVIDENCE TO CLINICIANS
so they can make the best decisions
for their patients.
DynaMed Plus
CAN HELP
More than 4,500
clinical and drug
topics
Integrates with
EHRs and
Order Sets
Access anytime,
anywhere
More than 4,700
graphics and
images
Robust specialty
content
Content
updated daily
The Next Generation, Evidencebased Clinical Information
Resource
Links to full text
Provides CME
Mobile App
Alerts when
topics are
updated
Drug content from
Micromedex®
Clinical Knowledge
Suite
Practice-changing
updates
Recommendations are
always based on evidence
and never on the experience or
opinion of the author
OVERVIEWS AND
RECOMMENDATIONS
• Overviews and Recommendations provide
clinicians with concise, accurate overviews
for highly relevant topics and evidencebased recommendations for action.
• Topics have been re-written from scratch to
provide immediate context and direction
Overviews and
Recommendations at the top of
the topic
DynaMed Plus offers many
examples of strong and weak
recommendations
Clicking on a link provides the
user with levels of evidence
and guidelines behind each
recommendation
DynaMed Plus provides links to
the levels of evidence and the
guidelines behind each
recommendation
The GRADE (Grading of Recommendations Assessment,
Development and Evaluation) system was created in 2000
by a dedicated group of guideline developers.
What is GRADE?
RECOMMENDATIONS
are graded as Strong or Weak
EVIDENCE
is graded for the body of evidence as High, Moderate, Low or Very low
quality (A, B, C, or D).
QUALITY
grading for evidence is based on the risk of bias introduced by study
methodology, the precision the consistency of studies, the directness to the
conclusion being made, and the likelihood of publication bias.
GRADE is now the standard
GUIDELINE GROUPS
More than 80 of the world’s leading organizations which
produce guidelines formally use GRADE:
SYSTEMATIC REVIEWS
Independent systematic
review organizations such
as Cochrane have
incorporated GRADE
•
WHO
•
CDC
•
The Endocrine Society
•
AGA
•
ACCP
•
AASLD
•
ACP
•
ICSI
•
American Thoracic Society
•
NICE
•
NKF/KDOQI
•
SIGN
•
KDIGO
•
NHS
•
Norwegian Knowledge Center /
Norwegian Directorate of Health
•
Kaiser Permanente
•
Dutch College of GPs
•
Canadian Cardiovascular Society
•
Multiple Red Cross groups
•
IDSA
Expert authors
and reviewers
Editorial
LEADERSHIP
BILL AIRD, MD
Deputy Editor of Hematology, Endocrinology,
and Nephrology, Professor of Medicine
Harvard Medical School
Boston, MA
BRIAN S. ALPER, MD,
MSPH, FAAFP
Founder of DynaMed, Vice President of
Innovations and EBM Development,
Clinical Research Assistant Professor
Department of Family and Community
Medicine, University of Missouri School
of Medicine Columbia, MO
SHEILA BOND, MD
Senior Deputy Editor and Clinical Director of
Medical Informatics
Harvard Medical School
Boston, MA
ALAN EHRLICH, MD
Executive Deputy Editor
Assistant Clinical Professor in Family
Medicine
University of Massachusetts Medical
School
Worcester, MA
KEVIN LOUGHLIN, MD, MBA, FACS
Chief Medical Officer, Deputy Editor of
Oncology and Hematology, Senior Surgeon
Brigham & Women's Hospital
Professor of Surgery
Harvard Medical School, Boston, MA
RUTH HERTZMAN-MILLER
Deputy Editor of Systematic Literature
Surveillance
Case Western Reserve University
School of Medicine
Cleveland, Ohio
PETER OETTGEN, MD, FACC FAHA
Editor in Chief, Deputy Editor of Cardiology
Director of Preventative Cardiology, Beth Israel
Deaconess Medical Center, Associate
Professor
Harvard Medical School
Boston, MA
FULLY INTEGRATED
EXPERTS
• An extensive
network of physicians
• Experts in their particular fields
• Select the best and most appropriate evidence
• Confirm the clinical applicability of content
• Peer-review topics
DynaMed Plus
EVIDENCE-BASED
METHODOLOGY
Matthew Coggins, MD
Michelle Lin, MD
Instructor of Cardiology
Harvard Medical School
Beth Israel Deaconess Medical Center
Associate Professor of Clinical Emergency Medicine
Academy Endowed Chair for Emergency Medicine
Education
University of California San Francisco
Kevin Ard, MD
Instructor of Medicine
Harvard Medical School
Assistant in Medicine
Division of Infectious Diseases
Massachusetts General Hospital
Jennifer Nan-Wah Wu, MD
Instructor of Pediatric Oncology
Dana-Farber Cancer Institute
Boston Children's Hospital
Dawn Abbott, MD, FACC, FSCAI
Jennifer Johnson, MD
Instructor in Medicine
Division of Infectious Diseases
Harvard Medical School
Brigham and Women's Hospital
Muhammad Mir, MD, FACP
Assistant Professor of Hematology and Blood/
Marrow Transplant
Penn State University
Milton S. Hershey Medical Center
Obinna O. Adibe, MD
Assistant Professor of Pediatric Surgery
Duke University Medical Center
Associate Professor of Medicine, Brown University
Director of Interventional Cardiology Fellowship
Rhode Island and Miriam Hospitals
Christian Jackson, MD
Assistant Professor of Gastroenterology
Loma Linda University
Chief of Gastroenterology
Loma Linda VA Healthcare System
Kenneth Weiss, MD, FACP
Professor of Medicine
Cleveland Clinic Lerner College of Medicine
Physician Executive Board
We have established an
EXECUTIVE BOARD
charged with advising on editorial, EBM, and
editorial policy
Members represent JAMA, McMaster,
Penn, Emory, MGH, ACP and other
healthcare organizations.
Betsy Jones
Ilkka Kunnamo, MD, PhD
Vice President of Medical Product
Management and Chief Content Officer,
EBSCO Health
Founder and Editor-in-Chief of EBM Guidelines
and EBMeDS decision support program
Amir Qaseem, MD, PhD, MHA, FACP
Michael Berkwits, MD, MSCE
Deputy Editor for JAMA
Director of the Department of Clinical Policy at
the American College of Physicians
Robert M. Centor, MD, MACP
Dr. Surendra K. Sharma, MBBS, MD, PhD
Chair of the Board of Regents for the
American College of Physicians
Chief of the Division of Pulmonary, Critical
Care, and Sleep Medicine at the All India
Institute of Medical Sciences
Julie Hollberg, MD
CMIO for Emory Healthcare
Craig Umscheid, MD, MSCE
William A. Kormos, MD, MPH
Assistant Professor of Medicine and
Epidemiology at the University of Pennsylvania
School of Medicine
Chief of Medicine at the James Howard
Means Firm, Department of Medicine
Holger Schünemann, MD, MSc, PhD
Professor and Chair of the Department of
Clinical Epidemiology & Biostatistics
Specialty content
ROBUST SPECIALTY
CONTENT
•
Allergy
•
Neurology
•
Cardiology
•
Obstetrics and Gynecology
•
Critical Care
•
Oncology
•
Dermatology
•
Orthopedics & Sports Medicine
•
Ear, Nose and Throat
•
Pediatrics
•
Infectious Disease
•
Primary Care
•
Emergency Medicine
•
Psychiatry
•
Endocrinology
•
Pulmonary Medicine
•
Gastroenterology
•
Rheumatology
•
Hematology
•
Surgery
•
Infectious Diseases
•
Vascular Medicine
•
Nephrology
Graphics and images
DynaMed Plus includes more
Selecting
imagewith
provides
than 4,000animages
more
the
user
a
larger
view
than 2000 from ACP. Images
are searchable as well as
embedded in relevant topics
Precise search results
DynaMed Plus employs
intelligent auto-suggest, which
identifies the user’s query and
allows direct navigation to
highly-accessed areas within
topics
Convenient filters allow quick
access to images and
calculators that are relevant to
the user’s query
DynaMed Plus offers superb
navigation within the results
display
With exact-match queries,
DynaMed Plus displays a
medical information placard,
offering topic-specific links,
images, and information
By understanding the user’s intent,
DynaMed Plus’ intelligent search is able
to identify queries that yield robust
image results and display them in a
time-saving image carousel
This same technology
presents the user with
query-specific
calculators
Topic view offers nextgeneration navigation,
Location
within the topic
providing
immediate
is dynamically
context
to the userupdated
both in the navigation
bar, as well as within the
breadcrumb trail at the
top of the screen
DynaMed Plus offers all
of the same quickaccess features users
have come to expect,
including search within
and highlighting
Mobile app
Seamless access on the go
• Mobile provides:
– Enhanced search
– Silent updates
– Easy navigation
– Seamless authentication
• Features:
– Access content offline
– Bookmark favorites
– Write and save notes about
particular topics
– Email topics
DynaMed Plus employs a
FULLY RESPONSIVE DESIGN,
which means it renders ideally for
any device or orientation
iPhone
Small Tablet
iPad - Portrait
iPad - Landscape
EHR Integration
EHR Integration
Integration methods
Referential Link
Contextual Search
HL7 Infobutton
Web Service API
DynaMed Plus integrates
with all of the major EHRs including:
Epic
DynaMed Plus
Partnerships
MICROMEDEX® DRUG
CONTENT
Micromedex evidence-based content is presented in concise,
sourced, and referenced blocks of information to help you get
answers quickly when the situation demands.
• Medication Management Standard Drug Information
– Drug Information for Medication Safety
– IV Compatibility for Reduced Complications
• Lab Recommendations
American College of
Physicians Partnership
• ACP clinical leadership
develops and maintains
DynaMed Plus internal
medicine topics
• Multiple members of ACP
are part of the DynaMed
Plus Executive Board
American Medical Association Chooses
This exciting
partnership provides
AMA individual
members and JAMA
Network individual
registered users with
access to DynaMed
Plus as a member
benefit. In addition,
thousands of images
from The JAMA
Network® journals
will be incorporated
into DynaMed Plus.
Independent research points
to DynaMed
Journal of Medical
Internet Research
“
DynaMed ….had by far the
least number of articles that
needed to be updated,
indicating that quality was not
sacrificed for speed.”
How Current Are Leading Evidence-Based Medical Textbooks? An Analytic Survey of Four Online Textbooks;
Rebecca Jeffery*, B.Sc (Hons); Tamara Navarro*, MLIS, MEd; Cynthia Lokker*, PhD; R Brian Haynes*, MD,
PhD; Nancy L Wilczynski*, PhD; George Farjou*, B.Sc (Hons); Sept, 2012
Journal of Clinical
Epidemiology
“
DynaMed was the only
resource to rank in the
top three in all categories
evaluated.”
J Clin Epidemiol. 2012 Sep 10
British Medical Journal
“
DynaMed has an updating
process that markedly led
the others.”
(BMJ 2011 Sep 23)
DynaMed rises above
competition in KLAS
“
Clinical Decision Support 2013: Sizing up the competition, December
2013 KLAS Enterprises ©, LLC. All rights reserved.
[DynaMed’s]
timeliness and wealth
of information go a
long way to enhancing
our education and, in
turn, our patient care.”
Collected about DynaMed by KLAS in
December 2013 KLAS Enterprises ©, LLC.
All rights reserved.
www.KLASresearch.com
Journal of The
Medical Librarian
Association
“
Six tools claimed to update
summaries within 6 months
or less. For the 10 topics
selected, however, only
DynaMed met this claim.”
J Med Libr Assoc 2011 Jul;99(3):247
Journal of
Medical Ethics
“
All articles
from UpToDate
demonstrated
a conflict of interest.
This is in contrast to DynaMed articles,
in which no author or editor had a
documented conflict.”
Conflict of interest in online point-of-care clinical support websites. Kyle
T. Amber, Ethics Program, University of Miami Miller School of Medicine,
February 3, 2014
DynaMed Impacting Care
Around the World
“
the DynaMed
process…
Guideline
developers
in
Costa
Rica used DynaMed
to create
an
introduces
the latest
medical
evidence-based breast cancer guideline.
evidence into patient care
Thefaster
guideline
creation
than
everprocess,
before.”
which can take between 18 and 24 months,
Mario Tristan, M.Sc. Ph.D,
was created in five months
. and Director-General
Chairperson
International Health Central American Institute,
Director of Cochrane Central America
DynaMed as
EBM Educational Resource
DynaMed provides educators
with a resource that:
• supports medical education goals
• encourages trainees to access the original
research
• provides gentle guidance on diagnosis and
treatment options
Access anywhere, anytime
SUMMARY OF FEATURES
Graphics & Images
Access thousands of graphics
and images
Overviews &
Recommendations
Precise Search
Results
Read concise overviews
and detailed
recommendations
Get precise search results
every time
Specialty Content
DynaMed Plus includes robust
specialty content
Expert Reviewers
Mobile App
Drug Content
Deputy Editors are
supported by an extensive
network of clinical experts
The mobile app is
complimentary with every
subscription, at no extra
cost
Drug content to help with
diagnosis with Micromedex®
Clinical Knowledge Suite
THANK YOU
Presenter Name | PRESENTER TITLE
[email protected]
978 356 6500 ext. XXXX