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Ovid Technologies Clinical Update

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Reviews best available evidence to answer clinical questions ... From symptoms to differential diagnosis. Provides a diagnostic profile for each disease ... – PowerPoint PPT presentation

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Title: Ovid Technologies Clinical Update


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Ovid TechnologiesClinical Update
  • Maureen Jordan
  • Midwest Regional Manager

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Ovids Clinical Goal
  • Improve clinical outcomes
  • by
  • informing decisions
  • with
  • clinically relevant, evidence-based information

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Premier knowledge management solution
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Aggregation 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

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AggregationJournals_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

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Now 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!

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Premier ContentBooks_at_Ovid -- Fast Answers.
Great Sources
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AggregationBooks_at_Ovid -- Subject Coverage
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AggregationOvids 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. . .

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Clinical 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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Putting It All Together -- Aggregation
  • Linking a world of resources. . .

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AggregationThe Ovid Advantage
Bibliographic Information
J_at_O Articles
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AggregationThe Ovid Advantage
Bibliographic Information
J_at_O Articles
Evidence Based Medicine Reviews
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AggregationThe Ovid Advantage
Bibliographic Information
Journal Articles
Evidence-BasedMedicine
Other Synoptic Content (e.g. Textbooks, Drug
Reference texts, Clinical Evidence)
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Characteristics
  • 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

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Publishers 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

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IntegrationNew 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

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What 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

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MedWeaver 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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What 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

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Clineanswers
Wolters Kluwer International Health and Science
Ovid
Clineanswers
LWW
Adis
Facts Comparisons
Kluwer Academic
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Medical 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

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Medical 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

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ClineguideA 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.

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New 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

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New 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

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Clineguide 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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Disease Navigation Pathway
  • Provides access to patient specific
    recommendations for a problem or disease
    covering
  • diagnosis
  • management
  • therapy

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Clineguide Customization Suite
  • Formulary Integration
  • Alerts Integration
  • Content Integration

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Clineguide System
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Alerts
  • 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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Content 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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Assisted Literature Searching
  • Allows user to undertake an assisted Medline
    search
  • Search displayed is relevant to the context of
    the content being viewed

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Medline Search
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Drug 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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Quick Drug Navigation Pathway
  • Rapid access to core drug information that is
  • route specific
  • comprehensive
  • easily navigable

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Clineguide content
  • Current focus- acute care internal medicine-
    problem-based approach
  • Future- orthopedics- primary care- nursing
    content- sub-specialties

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Delivery 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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Clineguide 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)

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What 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

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The 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

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MedCases 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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Integration 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
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Introducing Ovid_at_Hand
  • To Have Emerging Research at Your Fingertips!

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Ovid_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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Collect Searches
Drug Information
Tables of Contents and abstracts from Favorite
Journals_at_Ovid Journals
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A subscription list of your favorite journal
titles
Indicate New Issue of Journal
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Table of Contents from the latest issue of JAMA
Easy to Navigate Table of Contents
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Citation and Abstract View of the Article
Citation Abstract
Select to request Full Text and move to
personal library
Navigate Articles
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Examining a Drug Monograph...
Section of Drug Monograph
Drug Information
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Easily navigate to any part of the drug monograph
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Search Page (Q -gt A)
Ovid Database List
Smart Search Enter any concepts
Add a Note
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Whenever you have a minute, sync Requested
documents and searches are automatically sent
to your web-based personal library
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To get to your web-based personal library you
must get into Ovid and choose Ovid_at_Hand
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Personalized access in an institutional
subscription. Registration allows us to collect
detail on individual user for usage stats
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Web-Based Personal Library
Folders to Organize citations
One Click to J_at_O full text
Performs an Ovid Smart Search
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Clicking on Full Text gives you a live full
text article from Journals_at_Ovid
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Clicking on Search gives you a smart search in
Ovid with a live Ovid Search Session
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Premier Knowledge Management Solution
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Integration 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
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Ovids Clinical Goal. . .
  • Improve clinical outcomes
  • by
  • informing decisions
  • with
  • clinically relevant, evidence-based information
  • AVAILABLE TODAY!
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