Title: Ovid Technologies Clinical Update
1Ovid TechnologiesClinical Update
- Maureen Jordan
- Midwest Regional Manager
2Ovids Clinical Goal
- Improve clinical outcomes
- by
- informing decisions
- with
- clinically relevant, evidence-based information
3Premier knowledge management solution
4Aggregation Meeting Clinicians Needs
- Content which is
- High quality -- Premier Titles
- Up To Date clinical information
- Evidence-based
- Clinically relevant
- Synoptic
- Linked together -- support drill down
5AggregationJournals_at_Ovid - Bigger and Better!
- Over 498 titles now live and 1000 licensed from
70 publishers - Rich content, highly cited, prestigious
publishers - New content from key publishers
- Total of 22 of the Current Opinion Series
- International Content from Adis and Oxford
University and more - New Society titles (e.g. Endocrine Society)
- New titles in healthcare administration,
oncology, and many other subspecialties
6Now Available PsycARTICLES!
- American Psychological Association
- 42 key journals, more than 25,000 articles
- Fully searchable
- Direct PsycINFO links to PsycARTICLES
- Complete integration from Ovid databases
Medline, Cinahl, Current Contents, and more!
7Premier ContentBooks_at_Ovid -- Fast Answers.
Great Sources
8AggregationBooks_at_Ovid -- Subject Coverage
9AggregationOvids EBM Resources
- Leading provider of EBM resources
- Ovids unique solution integrates EBM with more
commonly used tools (Medline) - Robust EBM solution -- for Researchers,
Academicians and Clinicians - Area of development for Ovid. . .
10Clinical Evidence New Evidence-Based Content for
Todays Busy Clinicians
- A Product of the BMJ Publishing Group
- Driven by important clinical questions
- Covers the effects of treatments and
interventions - Reviews best available evidence to answer
clinical questions - Identifies beneficial, likely and harmful
interventions - Provides a synopsis of the evidence for each
intervention option - Identifies gaps in the literature
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14Putting It All Together -- Aggregation
- Linking a world of resources. . .
15AggregationThe Ovid Advantage
Bibliographic Information
J_at_O Articles
16AggregationThe Ovid Advantage
Bibliographic Information
J_at_O Articles
Evidence Based Medicine Reviews
17AggregationThe Ovid Advantage
Bibliographic Information
Journal Articles
Evidence-BasedMedicine
Other Synoptic Content (e.g. Textbooks, Drug
Reference texts, Clinical Evidence)
18Characteristics
- Busy, Busy, Busy!!!
- Clinicians do not have extra time to learn new
systems - Systems must be intuitive
- Systems must accommodate existing workflow
- Specific questions that need specific answers
- Want a few good items -- not everything
- Because other clinical systems exists that
clinicians use daily - information must integrate into these systems
- POINT-OF-CARE or POINT-OF-NEED
19Publishers Response
- As publishers we have excellent products for
education and research . . . but not problem
solving during the care process - As publishers we need to improve access to
question-answering content - New tools are required that can meet physician
needs during workflow - Ovid is entering new partnerships in order to
integrate our content with these new decision
support tools
20IntegrationNew Clinical Partnerships
- Decision-Support Tools
- MedWeaver (DXplainTM)
- Clineguide
- Ovid_at_Hand
- Educational Tools
- MedCases
- Clinical Information Systems (Electronic Medical
Record) - Siemens (formerly Shared Medical Systems-SMS),
Cerner, IDX, and others
21What Questions do Clinicians Need Answered?
- The three most common questions1
- What is the drug of choice for condition X?
- What is the cause of symptom X?
- What test is indicated in situation X?
- 1 Ely, J. W., et al. (2000) A taxonomy of generic
clinical questions classification study. BMJ
(12) 429-432
22MedWeaver New Decision Support Tool for
Clinicians
- A product of Unbound Medicine, Inc.
- From symptoms to differential diagnosis
- Provides a diagnostic profile for each disease
- Explains why disease is on the differential
diagnosis list - Integrates with Ovid Medline, Full Text and
vetted web sites
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37What Questions do Clinicians Need Answered?
- The three most common questions1
- What is the drug of choice for condition X?
-
-
- What is the cause of symptom X?
-
-
- What test is indicated in situation X?
-
- 1 Ely, J. W., et al. (2000) A taxonomy of generic
clinical questions classification study. BMJ
(12) 429-432
38Clineanswers
Wolters Kluwer International Health and Science
Ovid
Clineanswers
LWW
Adis
Facts Comparisons
Kluwer Academic
39Medical Information Need
- Yale University School of Medicine Study
- 64 Internal medicine residents and 401 patient
encounters - 280 questions arose (2 for every 3 patients)
- 66 were foreground questions (task related,
explicit or implied outcome of a specific
intervention) - 28 were background questions (general info about
disease process, available therapeutic options,
etc.) - 16 were regarding drug information
- 38 concerned therapy
- 27 concerned diagnosis
- 16 concerned etiology
- Green et al. Residents Information Needs in
Clinic Are they being met? AM J Medicine 2000
109 218-223
40Medical Information Need
- Follow-up with each resident indicated they
thought that - 70 of answers would have modified actual
management provided - 34 might involve harming the patient if not
answered - 24 were urgent
- But . .
- 71 of questions were not able to be pursued, 60
because of time constraints 29 forgot the
question - Of the questions that were pursued, only 25 were
answered after 7 days. - Green et al. AM J Medicine 2000 109 218-223
41ClineguideA New Evidence-Based Clinical
Knowledge System
- A point-of-care, clinical decision knowledge
system providing physicians with rapid access to - evidence based
- clinically relevant
- patient specific
- diagnostic, management and treatment
recommendations.
42New tools are required for clinicians
- They need to be1
- accessible and rapid
- evidence-based (and current)
- comprehensive
- reputable
- integrated disease and drug
- disease and patient (context) specific
- 1. Smith, R. What Clinical Information do doctors
need? BMJ 1996 313 1062-8
43New tools are required
- They also need to be
- customizable by a hospital
- connected with other content sources
- provide drill-down access to primary literature
when required - delivered via multiple platforms (web-PC,
web-tablet, PDA) - integrated with emerging physician workflow
tools the electronic patient record
44Clineguide content
- Internal construction/external validation
- 22 physicians
- 26 clinical pharmacists
- 5 drug information pharmacists
- Expert review by US domain experts
- Validated by resident level physicians (LDS
hospital) - Ongoing literature review process (2300
biomedical journals/month) - All content reviewed every 6 months
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46Disease Navigation Pathway
- Provides access to patient specific
recommendations for a problem or disease
covering - diagnosis
- management
- therapy
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54Clineguide Customization Suite
- Formulary Integration
- Alerts Integration
- Content Integration
55Clineguide System
56Alerts
- Provides organizations with ability to ensure
that key organization-specific messages are
incorporated into Clineguide - Incorporates business goals within Clineguide
content - Easy setup and maintenance via a web-based
interface
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58Content Linking
- Allows an organization to incorporate context
specific content into Clineguide- Care process
pathways- Guidelines- Third party content (e.g.
Kelleys Textbook of Internal Medicine) - Easy setup and maintenance via web-based
interface - Content displayed is relevant to the context of
the content being viewed
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61Assisted Literature Searching
- Allows user to undertake an assisted Medline
search - Search displayed is relevant to the context of
the content being viewed
62Medline Search
63Drug Choice Navigation Pathway
- Provides rapid access drug information that is
- disease and patient specific
- clinically relevant
- literature-based (cf FDA approved-based)
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68Quick Drug Navigation Pathway
- Rapid access to core drug information that is
- route specific
- comprehensive
- easily navigable
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71Clineguide content
- Current focus- acute care internal medicine-
problem-based approach - Future- orthopedics- primary care- nursing
content- sub-specialties
72Delivery Platforms
- Web to PC - full version of Clineguide
- Web to web-tablet- full version of Clineguide
- PDA- drug content- subset of disease content-
sync-ed with web version - Data delivery
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76Clineguide goal is to provide . . .
- The right information- primarily foreground
information (admission crit., disease monitoring,
treatment guidelines)- disease characteristics
(where appropriate)- diagnosis (diagnostics
tests, diagnostic guidelines, abnormal lab test
info)- management- the right drug information-
filtered access to the relevant literature - . . . and make it accessible- web- integrated
with EMRs, cPOE, Results Review- portable
(wireless web-tablets, wireless laptops, PDAs)
77What Questions do Clinicians Need Answered?
- The three most common questions1
- What is the drug of choice for condition X?
-
-
- What is the cause of symptom X?
-
-
- What test is indicated in situation X?
-
- 1 Ely, J. W., et al. (2000) A taxonomy of generic
clinical questions classification study. BMJ
(12) 429-432
78The 10 Most Common Questions
- The 10 most common questions that arise at the
point of care are - - What is the drug of choice for condition X?
(11)- What is the cause of symptom X?
(8) - What test is indicated in situation X?
(7)- What is the dose of drug X for
condition Y? (6)- How should I manage
condition X? (5)- What is the cause of
physical finding X? (5)- What is
the cause of test finding X? (5)- Can drug X
cause finding Y? (4)- Could this patient
have condition X? (4) -
- 1Ely, J. W., et al. (2000) A taxonomy of generic
clinical questions classification study. BMJ
(12) 429-432
79MedCases New Educational Tool for Medical
Students and Clinicians
- A Product of MedCases, Inc
- Uses problem-based, case-based learning methods
- Virtual patients presenting with specific
medical complaints - Cases developed by leading institutions
- Specialties include OB/Gyn, Pediatrics, Family
Medicine, Surgery - Supports clinicians in training and CME
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83Integration and AggregationThe Ovid Advantage
Bibliographic Information
J_at_O Articles
Evidence-BasedMedicine
Non-Ovid Journal Content
The Electronic Medical Record
Other Synoptic Content (e.g. Textbooks, Drug
Reference texts, Clinical Evidence)
Partner Products (e.g. MedWeaver, MedCases,
Clineguide
84Introducing Ovid_at_Hand
- To Have Emerging Research at Your Fingertips!
85Ovid_at_Hand
- Push filtered content to handheld (Palm)
- Deliver Filtered Content in Channels
- Tables of content abstracts of favorite
Journals_at_Ovid journals - Drug Information
- Collect searches and link to Ovid Smart Search
- Personal web library to manage content
- Linked to Journals_at_Ovid, Books_at_Ovid
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87Collect Searches
Drug Information
Tables of Contents and abstracts from Favorite
Journals_at_Ovid Journals
88A subscription list of your favorite journal
titles
Indicate New Issue of Journal
89Table of Contents from the latest issue of JAMA
Easy to Navigate Table of Contents
90Citation and Abstract View of the Article
Citation Abstract
Select to request Full Text and move to
personal library
Navigate Articles
91Examining a Drug Monograph...
Section of Drug Monograph
Drug Information
92Easily navigate to any part of the drug monograph
93Search Page (Q -gt A)
Ovid Database List
Smart Search Enter any concepts
Add a Note
94Whenever you have a minute, sync Requested
documents and searches are automatically sent
to your web-based personal library
95To get to your web-based personal library you
must get into Ovid and choose Ovid_at_Hand
96Personalized access in an institutional
subscription. Registration allows us to collect
detail on individual user for usage stats
97Web-Based Personal Library
Folders to Organize citations
One Click to J_at_O full text
Performs an Ovid Smart Search
98Clicking on Full Text gives you a live full
text article from Journals_at_Ovid
99Clicking on Search gives you a smart search in
Ovid with a live Ovid Search Session
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102Premier Knowledge Management Solution
103Integration and AggregationThe Ovid Advantage
Bibliographic Information
J_at_O Articles
Evidence-BasedMedicine
Non-Ovid Journal Content
The Electronic Medical Record
Other Synoptic Content (e.g. Textbooks, Drug
Reference texts, Clinical Evidence)
Partner Products (e.g. MedWeaver, MedCases,
Clineguide
104Ovids Clinical Goal. . .
- Improve clinical outcomes
- by
- informing decisions
- with
- clinically relevant, evidence-based information
- AVAILABLE TODAY!