UpToDate Converting care to currency
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Transcript of UpToDate Converting care to currency
UpToDateConverting care to currency
Jane SurteesClinical Librarian
MLA’13 Boston, MA
Time saved;
Referrals to another department;
Tests avoided;
Length of stay.
The impact of UpToDate on:
UTD trial from February to end May 2011 Extremely positive response n=117 Whole library team involved in promotion Bid for funding Received two years subscription from
charitable funds Required to show sustainability
Background
SmartSurvey >August 2011 Responses as of March 2013 n=113 Staff groups represented were mainly Consultants, with nursing staff, and scientists, tech and pharmacy being the next largest groups
Evaluation Study
Aug-1
1
Sep-
11
Oct-1
1
Nov-1
1
Dec-1
1
Jan-
12
Feb-
12
Mar-1
2
Apr-1
2
May-1
2
Jun-
12
Jul-1
2
Aug-1
2
Sep-
12
Oct-1
2
Nov-1
2
Dec-1
2
Jan-
13
Feb-
13
Mar-1
30
200
400
600
800
1000
1200
1400
1600
Total Number of Topic Hits Per Calendar Month
Month
Num
ber
of
hit
s
• Imaging tests avoided• CT scans• Blood, Repeat CXR, CT scans• Repeat G6PD screen and assays• CT and MR
• Average estimated length of stay reduction of 3.1 days
• Some respondents pointed out that the question wasn’t relevant due to patient being an outpatient or that the patients’ admission was avoided.
• Average time saved 3.9 hours• Most cited around 2-3 hours being saved
Identified referrals avoided to:• Hepatology• Rheumatology• Haematology• Neurology/Regional neurology centre• Chemotherapy
‘Other’ decisions influenced:• Education• Prevention• Guidelines• CPD• Prognosis
Comments
Undeniable cost saving to be made – especially in time; LOS reduced
Strong argument for potential avoidance of costly litigation
Evidence from clinicians that referrals and tests ARE being avoided
Used by unexpected areas – Pharmacy High popularity for use in teaching and CPD and
therefore reinforce EBM Shows greatest asset in high pressure areas such
as A&E and filters to rest of hospital – MAU & SAU Popular for use on ward rounds
Conclusions
Thank you for listening!
Any questions......?
Contact information:[email protected] or [email protected]