Transcript Mount Sinai Hospital - Information Today, Inc.

Internet Librarian 2007
Technologies & Information:
Integration in Hospitals
Sandra Kendall BA MLS
Mount Sinai Hospital
Toronto, Canada
Technologies & Information:
Integration in Hospitals
• Introduction to Mount Sinai Hospital
(within context)
• Medical Milestones
• Information Highlights
• What’s here and what’s around the corner
Mount Sinai Hospital
Mount Sinai Hospital
• Corporate calculation of revenue per
employee with estimated 2005 figures
• $1.3 million in revenue /Google
employee
Source:Mckinsey report
craigslist
• Corporate calculation of revenue per
employee with estimated 2005 figures
• $1.0 million revenues / craigslist
employee
Mount Sinai Hospital
• $100,000 revenues /employee
Through extreme
competition there is
a marked collapse of
prices for technology
and dramatic global
participation
Medical Milestones
•1840’s to current
Medical Milestones
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Sanitation - 1848
Antibiotics - 1940
Anaesthesia - 1846
Vaccines – 1885 rabies vaccine
Discovery of DNA structure - 1953
Oral contraceptive pill - 1951
Oral rehydration therapy – early 1970’s
Germ theory - 1847
Medical imaging (x-rays) - 1895
Computers – 21st century
Evidence-based medicine – 1991
(But where is PubMed and aspirin)
BMJ, 2007. Volume 334, Issue suppl 1
Let’s look at some library resources
• Primal Images/ Anatomy TV
• Up-To-Date
• Micromedex
Available full text, online, wireless,
synthesized to create best practices,
linked in the patient record and moving
to integration
Patient Record Integration
GE Centricity EMR
• Pop-up window, automatic login, CME credit
• Separate form, or integrated into existing forms
Search Box with Pull-down List
• Enter search term …
or select from problems, meds, orders, protocol
Patient Info Button
• Bias search to patient information topics
Pediatric Results
• Adds pediatric search term, if age < 18
GE Centricity
• Account management is IT admin task
Moving Towards Integration
THOMSON HEALTHCARE
INFOBUTTON ACCESS
Overview
INTRODUCTION
• A broad range of medical questions challenge nurses and physicians in the
course of treating patients.
• Drug and Disease information is frequently needed, readily available, yet
when available often insufficient or difficult to access:
Fact: The questions go unanswered and the possibilities of
practice variation, medical errors, preventable adverse events,
and even patient death all exist.
Micromedex
Launch Application
Power Chart
Micromedex
InfoButton Access – How it works
User clicks on
InfoButton in EHR
InfoButton Technology
Context information is “pulled” from the EHR and sent as
search request parameters to InfoButton application.
InfoButton Access quickly searches,
retrieves and returns relevant results
Additional result options:
• If a single document is found, the
document will display instead of search
results.
• If a document section is specified, such
as Adult Dose, just the document section
is returned.
• DrugPoint and Disease Brief documents
link directly to DrugDex and DiseaseDex
monographs on Healthcare Series Online.
InfoButton sends back a
web page of relevant
search results:
Clinical Drug Info:
Lisinopril
Patient Information:
Lisinopril
InfoButton Service
http://healthcare.thomsonhc.com/search.cgi?MainSe
archConcept=lisinopril
Content:
-DrugPoints
-DrugNotes
-LabAdvisor
-Disease Briefs
-CareNotes
Message Parameters Accepted
Parameter
Options
Main Search Concept
Clinical Problem (Text or ICD-9)
Medication (Text or NDC)
Lab Test (Text or LOINC)
Application Context
Problem List
Medication List
Lab Results
Care Setting
Inpatient
Outpatient
Emergency
Content Target
Provider-level information (Clinical) or Patient-level information.
Modifier
Means to request a specific section of document.
Language
Indicates whether document is preferred in English or Spanish
language.
(for Patient information only)
InfoButton Access from Medication Administration Workflow
InfoButton - Brief Results
Selecting
“Dosage, Adult”
Activates
Link and launches
MDX HCS in a
Browser Window.
Host application
launches
DrugPoints for the
selected drug and
displays
“Actionable”
Professional
Evidence
InfoButton – Detailed Results from Healthcare Series
User Delivered directly to Full Evidence Dosing Information section for
Ranitidine in
MDX HCS Intranet version of DRUGDEX in a Browser Window.
Case Study – Partners Healthcare
InfoButton Total Searchs 8/20/04 - 10/24/05
134320
140000
120000
100000
80000
Clinical Searches
60000
Total Searches
22150
40000
11279
1340
1662
20000
8856
3895
1526
3127
0
Unknown
Admin
MD
Med Asst
NP
User Role
Pharm
RD
Research
RN
Opportunity to see things differently
What’s coming?
Surgery without scalpels
Verichip
“In a post-information society, it’s the attention
you get….that counts.”
Smartphone
Screenshots
Motorola Q Smartphone (Windows)
Motorola Q Smartphone (Windows)
Motorola Q Smartphone (Windows)
Pocket PC
Screenshots
Main Index
Table of Contents
Topic View
BlackBerry
Screenshots
BlackBerry 8800 – My Skyscape View
Clicking on the
application button
creates the following
menu
“My Skyscape” Sorts all of
your programs by type for
easy access or you can
view all of your installed
software in one single list.
Clicking on the Tools button
gives you the following options
where you can administer your
Skyscape experience.
BlackBerry 8800 – Main Index View
Clicking on the application button
creates the following menu which
includes an option to view the
selected topic.
BlackBerry 8800 – Table of Contents
View
Clicking on the application button
creates the following menu which
includes an option to collapse or
expand the selected section.
BlackBerry 8800 – Topic View
Smart Tabs for the topic can be found
across the top. You can select each tab
by selecting the corresponding letter
on the keyboard for each tab or by
using the menu
iPhone Screenshots
iPhone – My Skyscape
iPhone – Book Navigation
iPhone – Main Index
iPhone – Table of Contents
iTakeCharge!
Palm Screenshots
Main Index
Table of Contents
Topic View
Acknowledgements
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Jason Weshler MBA
Skyscape
Thomson Healthcare: Micromedex
Up-To-Date
Jerry Z Zeidenberg, Publisher and Editor of
Canadian Healthcare Technology
THANK YOU and
HAPPY HALLOWE’EN