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

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 Sanitation Antibiotics Anaesthesia Vaccines – 1885 rabies vaccine Discovery of DNA structure Oral contraceptive pill Oral rehydration therapy – early 1970’s Germ theory Medical imaging (x-rays) Computers – 21 st century Evidence-based medicine – 1991 (But where is PubMed and aspirin) BMJ, 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, protocols

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.

Launch Application Power Chart Micromedex

User clicks on InfoButton in EHR InfoButton Service archConcept=lisinopril InfoButton Technology Content: -DrugPoints -DrugNotes -LabAdvisor -Disease Briefs -CareNotes Clinical Drug Info: Lisinopril Patient Information: Lisinopril Context information is “pulled” from the EHR and sent as search request parameters to InfoButton application. InfoButton sends back a web page of relevant search 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 Access – How it works InfoButton Access quickly searches, retrieves and returns relevant results

Message Parameters Accepted

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

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)

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 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