Guidance for Editors Working with care maps © 2008 Map of Medicine Ltd. Commercial and in confidence.

2 Guidance for Editors Editing to make adoption more likely – Add local (and credible) evidence – Add links to local resources, especially popular ones – Add links to patient information – Add new nodes for role-specific information e.g. for allied health professionals – Add symptoms – Use the care map style consistently to aid user navigation – If required, add/remove SNOMED codes in the Quick info

3 © 2008 Map of Medicine Ltd. Commercial and in confidence. Guidance for Editors Localising care maps 1.Collect any pre-existing local care map work and local guidelines 2.Look at other views within the Map to see how other healthcare communities have localised the national care maps 3.Use an inherited (national or regional) Map care map as the canvas for your new care map –Check the “Last reviewed” and “Due for review” dates for its pages to see if the care map is due to be updated in the near future, and plan accordingly –Compare the care map with your local guidelines, to identify places on the care map where local information will fit, places where local guidelines/services suggest a different course of action, etc

4 © 2008 Map of Medicine Ltd. Commercial and in confidence. Guidance for Editors Workshops 4.Workgroups can be a very effective format. They give the opportunity to: –Consider viewpoints from across care settings and disciplines –Discuss whether deviation from the national, evidence-based model is appropriate –Reach consensus on agreed changes –Distribute follow-up actions Ahead of a first workshop, it can be helpful to make an initial set of localisation changes to a page or pages, based on already-agreed local care maps to ‘start things off’ and demonstrate the kind of localisation changes possible It is critical to understand the goals of the care map and the objectives of the localisation work, so that the group can be guided towards making changes that contribute to these aims

5 © 2008 Map of Medicine Ltd. Commercial and in confidence. Guidance for Editors Type of localisation 5.Assess what type of localisation is needed –No national care map? Clinical localisation –Patient follows a clinically different care map? Clinical localisation –National care map model would be applicable, if updated with local information? Administrative localisation –Often, local care maps and guidance can be incorporated into a national or regional map care map using administrative localisation. Always look to administrative localisation in the first instance. –Refer to Foundation Module 1 - Introduction to Localisation for further information on the implications of clinical vs. administrative localisation.

6 © 2008 Map of Medicine Ltd. Commercial and in confidence. Guidance for Editors Clinical localisation 6.The clinical community should direct how the local information is transposed onto the national care maps. As the editor, your role is to facilitate the process. A combination of methods can be used in this phase: –Workgroups –Smaller meetings –Projection of Map Editor onto a wall and real-time editing –Distribution of care maps for comments 7.Always try to start with an existing care map, rather than creating a new care map - even if the content is significantly different: –Incoming links to your localised pages from other pages will not be broken –Users in other views of the Map of Medicine will be able to find your localised care map –You begin with an evidence base behind all of the nodes and can remove any nodes/evidence you opt not to use

7 © 2008 Map of Medicine Ltd. Commercial and in confidence. Guidance for Editors Clinical localisation 8.Build your page or care map once, then show it in multiple places if required –This will be less work to maintain then creating multiple standalone copies of the page or care map in different places –Avoid creating new departments or specialities 9.Further changes to pages and care maps can be always made after publication and included in any future publication (the care map will need to be approved again) 10.Always create a copy of the care map you will be localising and carry out all edits in the copy: –Create a new care map in the required Specialty using the following naming convention care map name – Draft e.g. Diabetes – Draft –Copy the pages that require clinically localising into the Draft care map –Hide the newly created care map (this allows for editing of the pages without effecting the publication status of existing care maps)

8 © 2008 Map of Medicine Ltd. Commercial and in confidence. Guidance for Editors Local administrative information 11.During the editing phase, keep a log of the local administrative information you will add to the care map after publication (such as referral forms, contact details, information leaflets) and begin collecting these. Set a review date for the information in the log. You may also choose to put local info onto the existing version of the care map, keeping a record using the admin report and then adding any extra local info after publication of your updated, localised version

9 © 2008 Map of Medicine Ltd. Commercial and in confidence. Guidance for Editors Care map reviews 12.Agree a date at which the clinical group will reassemble to update the care map, for instance an annual review –After approval, the second approver will need to set a “Valid until” date for your care map (e.g. the date of the annual review + several months)