© Medic-to-Medic Ltd. 1 National Clinical Knowledge Service Presents Medic-to-Medic ® and the Map...
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Transcript of © Medic-to-Medic Ltd. 1 National Clinical Knowledge Service Presents Medic-to-Medic ® and the Map...
© Medic-to-Medic Ltd. 1
National Clinical Knowledge Service Presents
Medic-to-Medic® and the Map of Medicine®
Ensuring that best practice information can be put into practice
at the point of care
In Partnership with the National Library for Health, NHS
© Medic-to-Medic Ltd. 2
Life of a clinician – NHS/NPfIT/CfH
• Increased volume of medical knowledge
• Rising patient expectations
• Increasing number of referrals and complexity of workload
• Shortage of doctors and other clinical staff
• Financial pressures within health systems
• Growing clinical governance requirements
If only clinicians knew what clinicians know
© Medic-to-Medic Ltd. 3
Convergence between IT and content
“The NHS Care Record is a means of ensuring that the central details of the care and treatment are held in a single, easily accessible, electronic record.
“Patient-centred care requires information to follow the patient so that it is available wherever and whenever it is needed.”
http://www.npfit.nhs.uk/programmes/nhscrs/
“ Knowledge is the enemy of disease. The application of what we know will have greater impact than any new drug or technology likely to be developed in the next decade”
Dr Muir Gray
© Medic-to-Medic Ltd. 4
Presentation of Knowledge
• Guidance, wide range of formats
• Guidelines, recommendations relevant to patient and clinician behaviour (NICE, Royal Colleges)
• Protocols, local detailed versions of guidelines that allow for local resources and responsibilities
Pathways
describe patient journey
set out protocols so as to minimise risk
© Medic-to-Medic Ltd. 5
We need products that:
• Work fast
• Are simple to use
• Keep us up-to-date and in touch with colleagues
• Improve performance (best practice)
• Prevent information overload
Mobilise knowledge when its needed
© Medic-to-Medic Ltd. 6
Information overload
“Kill as few patients as possible" - Oscar London
5,000per day
1,260 per day
55 per day
Trials MEDLINE BioMedical
Med
ical
Art
icle
s p
er
Yea
r
Slide courtesy of Dr. Paul Glaziou
© Medic-to-Medic Ltd. 7
“Leaks” between research & practice
ValidResearch
0.8 x 0.8 x 0.8 x 0.8 x 0.8 x 0.8 x 0.8 = 0.21
Aware Accept Target Doable Recall Agree Done
Slide courtesy of Dr. Paul Glaziou
Background
• created by doctors for doctors at Royal Free/UCL • collaborative since inception
• 50 local GPs• 50 Royal Free Hospital consultants• goodwill + hard work
• extend clinical competence• originally to optimise transition between 1° & 2° care and to support
undergraduate education• radically re-engineer access to knowledge
© Medic-to-Medic Ltd. 9
Medic-to-Medic® Map of Medicine®
• Support tool providing framework for local, national & international knowledge – knowledge dissemination
• Structured into 300+ pathways based on clinical presentations
• For use in all locations by all health professionals
• Can integrate into electronic medical records & other applications - XML
• SNOMED-CT
• Can be edited to meet local health economy clinical practice – local ownership
© Medic-to-Medic Ltd. 13
Activities supported by the Map of Medicine
•Diagnosis and treatment
•Patient choice
•Referral between health professionals
•Life-long learning for health professionals
•Audit
•Service planning
© Medic-to-Medic Ltd. 19
Objectives of MofM Knowledge Integration
Better Consultations, Better Decisions, Better Systems of Care
Generation
Organisation
Mobilisation
Utilisation
National Knowledge Service
National Library of Health
NHS Care Record Service
NHSU + EB decision making
Co-ordinated procurement project
Map of Medicine
[from “Knowledge is the enemy of disease” presentation by Muir Gray]
© Medic-to-Medic Ltd. 20
Questions/Discussion
Dr Enone Honeyman
Content Director
Tel: 44 20 7830 2155