1. IBM Micromedex® with Watson
Clinical Decision Support and Patient Education
For Technology Partners

2. By 2020 29 hours ½ of the workday
Challenges with delivering effective care
By 2020
medical data is expected to double every 73 days3
45% of medicine is not evidence based1
29 hours
Approximate amount of time Doctors would have to read each workday to keep up with new professional insights2
½ of the workday
Primary care physicians spend nearly
6 hours interacting with the EHR
during and after clinic hours4
Sources: 1) ) J Med Libr Assoc Oct; 92(4): 429–437. How much effort is needed to keep up with the literature relevant for primary care? Available at: 3) 4. Tethered to the EHR: Primary Care Physician Work- load Assessment Using EHR Event Log Data and Time- Motion Observations
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3. DRAFT IBM Micromedex® Delivers.
Valuable information to standardize care across your organization through access to evidence-based guidelines and protocols
Information from international sources so you can independently assess the information to make informed treatment decisions from a single platform
Evidence-based knowledge to enable appropriate treatment decisions anytime, anywhere
Patient education in multiple languages to help patients participate in their healthcare
Micromedex® is a leader in evidence-based clinical content that improves clinical decision making and fosters patient engagement. Helps clinicians avoid adverse drug events and treatment errors, guides medication use policy, and enables actionable patient health education
Watson Health © IBM Corporation 2019. 

4. IBM Micromedex® A solid history of Longevity and Innovation.
Used by over 4,500 hospitals in 80+ countries
Used by governments and hospitals for years
Used in schools of pharmacy and academic centers internationally
Supports toxicology management in poison control centers around the world
CMS-named compendia since 2008
Content created and maintained using a NICE accredited editorial process
Contains in-depth information that clinicians may need for complicated cases
Quick access to evidence with the AI of Watson
Notes:
Use for customer-facing presentations.
Image and layout from the IBM Watson Health VBC deck
Facts are current as of 5/Oct, 2017 and approved
Watson Health © IBM Corporation 2019. 

5. The Micromedex difference, putting the power of AI to work for you
IBM Micromedex® with Watson™ 1 2
Trained by clinicians
Designed for you
Developed with the evidence of Micromedex. Regularly validated by IBM clinicians to answer more questions from an expanding source of evidence.
Provides more flexibility to type questions in a more natural and conversational way, for clear and concise answers. 3 4
Reliable evidence
Easily accessible
Accelerate your access to the evidence-based information you count on IBM Micromedex for.
Multiple delivery methods for online work from Micromedex or from within the EHR, help leap system constraints and deliver reliable access.
2- train tune cycle
Watson Health © IBM Corporation 2019

6. IBM Micromedex®
Getting Started

7. IBM Micromedex® can help you deliver more value
Rapidly expand technology platforms to include evidence-based information for provider care and patient education at relevant intersections and points of care.
Online Clinical Evidence
Deliver curated content in your web based application.
Includes an AI powered Watson Assistant to find the most relevant information, fast.
Key Offerings
IBM Micromedex with Watson, Clinical Knowledge
IBM CareNotes and Medication Essential Fact Sheets, Patient Education
IBM NeoFax and Pediatrics, treatment and enteral nutrition evidence for neonatal and pediatric patients
Integrated Clinical Evidence
Embed Micromedex evidence directly into a host Health Information System (HIS), web portal, or partner application.
Key Offerings
Integrated Watson Assistant
Integrated CareNotes
Integrated NeoFax and Pediatrics
Summary Drug, Disease, Lab evidence from HL7V3 Infobutton
Summary Drug Evidence for embedded Use
RED BOOK™ pricing data for embedded Use
Automated Screening Tools
Cloud or on-prem software services to provide medication screening based on patient specific information.
Key Offerings
EMR/Pharmacy System Support Package
Includes:
Drug Interaction Screening
IV Compatibility
Warning Labels
Drug Identification
Summary Drug Evidence
Medication Instructions
IBM Watson / © 2019 IBM Corporation

8. IBM Micromedex® can help you deliver more value
Partners can depend on IBM Watson Health to focus on core business.
Experienced Implementation & Education Teams
Dedicated implementation teams, experienced with delivering Micromedex offerings in Health Information System (HIS).
Robust training center to support user proficiency with direct access to eLearning tools, office hours and live webinars.
Reliable Product Support
Online Support requests are handled during business hours with responses to most requests sent within 1 to 2 days.
Product Support:
U.S. and Canada: for Product Technical Support
Global: for Product Technical Support
IBM Watson / © 2019 IBM Corporation

9. of patients are not getting recommended care1
Sources: 1) ) J Med Libr Assoc Oct; 92(4): 429–437. How much effort is needed to keep up with the literature relevant for primary care? Available at:
Q: How do I keep up with the vast amount of information that can help my patients?
A: With IBM Micromedex.
50%
of patients are not getting recommended care1
167 hours of weekly reading for a health professional to keep up with new professional insight2
CareNotes Comprehensive Library Educates a Broader Population
Sources: 1) ) J Med Libr Assoc Oct; 92(4): 429–437. How much effort is needed to keep up with the literature relevant for primary care? Available at:

10. Patients immediately forget
Q: How do I educate my population?
A: With IBM Micromedex CareNotes and Medication Essential Fact Sheets.
Care providers access multiple sources for patient education material. Inefficient workflow and education is inconsistent. CareNotes comprehensive library educates a broader population.
14,000+ titles
Written at 4-8th grade reading level
Stages of care from pediatric to geriatric
High risk and co-morbidities
Wellness information
Medication Education (standard and brief length)
Patients immediately forget
40-80%
of medical information they are told and ½ of the information they do remember is incorrect1
CareNotes Comprehensive Library Educates a Broader Population
1- Patients' memory for medical information, Roy P C Kessels, J R Soc Med May; 96(5): 219–222.

11. Q: How do I ensure safe and effective drug therapy for neonatal/pediatric patients?
A: With IBM NeoFax and Pediatrics.
Neonatal and pediatric patients are at increased risk for medication errors. Many drugs used are for off-label indications. NeoFax and Pediatrics provides age- and indication-specific, off-label focused drug information for the most vulnerable patient populations.
Neonatal- and pediatric- specific monographs
Age-and indication-specific drug dosing calculators
Enteral formula and human milk fortifier nutritional information
Pediatric patients are 3X
more likely to experience a medication error or adverse drug event1
CareNotes Comprehensive Library Educates a Broader Population
Source: 1)

12. 29 hours Q: How do automate medication screening for every patient?
A: With IBM EMR/Pharmacy System Support.
EMR Pharmacy System Support, helps reduce medication prescribing and administration errors to improve patient safety.
EMR or Partner Solution
Drug Interaction Screening
IV Compatibility
Labeled Warnings
Drug Identification
Summary Drug Evidence
Medication Instructions
Coming Soon: Drug code mapping for local trade names and generics
29 hours
Approximate amount of time Doctors would have to read each workday to keep up with new professional insights.1
CareNotes Comprehensive Library Educates a Broader Population
Source: 1) J Med Libr Assoc Oct; 92(4): 429–437. How much effort is needed to keep up with the literature relevant for primary care? Available at:

13. Online Clinical Evidence –
Ideal End Users:
Clinicians (e.g., physicians, pharmacists, physician assistants, nurse practitioners)
Payers and Government entities
Patients, consumers, and their support teams
Delivery Methods:
Online
User name, IP authentication, Trusted Source
IBM Micromedex informs treatment decisions, specifies approved medication uses, and provides access to essential guideline summaries.
IBM Micromedex CareNotes provides patient education in multiple languages to help patients participate in their healthcare.
IBM Watson / © 2019 IBM Corporation

14. Integrated Clinical Evidence –
Available individually to tech partners:
Option #1 – Infobutton delivery of Summary Drug, Disease and Lab Evidence into user workflow (HL7V3). Link to detailed evidence with subscription.
Option #2 – Integrated Watson Assistant for Summary Drug Information.
Option #3 – Integrated CareNotes for Patient Education.
Option #4 – Integrated Medication Essential Fact Sheets for Patient Education.
Option #5 – Embed Summary Drug Information into technology solutions.
Option #6 – Embed RED BOOK™ pricing and drug manufacturer data.
Option #7 – Automated medication screening with EMR/Pharmacy System Support.
Option #1 – Infobutton linking
Micromedex Infobutton accessible content via ICD-9, ICD-10, LOINC, SNOMED, NDC, RxNorm or Free Text:
Drug Points
Emergency Medicine Briefs
General Medicine Disease Briefs
Clinical Checklists
Laboratory Advisor
NeoFax Monographs
Pediatric Monograph
Drug Information Example
Disease and Lab Example
IBM Watson / © 2019 IBM Corporation

15. Integrated Clinical Evidence –
Broad and Deep Content:
Always accessible in EHR workflow to ask questions about:
Drug Information (Dosing, administration, etc.)
Drug Interactions
IV Compatibility
Can be included into Order Entry, Medication Administration Record and Toolbars
Does not interfere with Infobutton integration
Ideal End Users:
Nursing, Pharmacists, Physicians, Physician Assistants, Nurse practitioners
Delivery Methods:
Cloud service for EHR
Option #2 – Integrated Watson Assistant
Note: For Illustration purposes only, experience varies by implementation and EHR vendor

16. Integrated Clinical Evidence –
Broad and Deep Content:
Over 11,500 titles
Plain language, 4th-8th grade reading level
High risk and co-morbidities
Wellness information
Medication education
Multiple languages
Multiple age groups (e.g., pediatric, geriatric)
Ideal End Users:
Patients, consumers, and their support teams
Clinicians (e.g., physicians, pharmacists, physician assistants, nurse practitioners)
Delivery Methods:
ASP (content can be printed)
Hosted files (XML/HTML)
HL7 V3 InfoButton
Option #3 – Integrated IBM Micromedex CareNotes
CareNotes can help clinicians provide standardized content to a broader population quickly.
Patients with poor health literacy are at a higher risk for seeking emergency care and have more frequent hospital admissions that are associated with longer lengths of stay*
Medication Instruction Example
Care and Condition Example *
*Weiss BD. Health literacy: an important issue for communicating health information to patients. Zhonghua Yi Xue Za Zhi (Taipei) 2001; 64: Berkman ND, Sheridan SL, Donahue KE, et al. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 2011; 155: 97 – Eichler K, Wieser S, Brugger U. The costs of limited health literacy: a systematic review. Int J Public Health 2009; 54:
IBM Watson / © 2019 IBM Corporation

17. Integrated Clinical Evidence –
Broad Content:
2,500 titles
Brief version of medication education from CareNotes
Multiple languages
Ideal End Users:
Patients, consumers, and their support teams
Clinicians (e.g., physicians, pharmacists, physician assistants, nurse practitioners)
Delivery Methods:
ASP (content can be printed)
Hosted files (XML/HTML)
HL7 V3 InfoButton
Option #4 – Integrated Medication Essential Fact Sheets
Increase patient satisfaction and boost medication-related HCAHPS/CAHPS scores
Concise, easy-to-read handouts to complement your patient education and help patients answer the following questions:
Why am I taking this medication?
What are the possible side effects of this medication?
Medication Instruction Example *
IBM Watson / © 2019 IBM Corporation

18. Integrated Clinical Evidence –
Broad Content:
Each DrugPoint includes the following:
Dosing
Drug Interactions
Adverse Effects
Indications
Precautions
Monitoring
Contraindications
Administration Guidelines
Pregnancy Category
Breast Feeding
Black Box Warning
Mechanism of Action
Pharmacokinetics
Ideal End Users:
Clinicians (e.g., physicians, pharmacists, physician assistants, nurse practitioners)
Delivery Methods:
Hosted files (ASCII/HTML)
Option #5 – Embedded Summary Drug Evidence
Essential drug information about FDA-approved drugs (prescription and OTC) to help clinicians administer, and monitor drugs safely and efficiently.
Each document is one to two pages long, and is written for healthcare professionals.
IBM Watson / © 2019 IBM Corporation

19. Integrated Clinical Evidence –
Option #6 – RED BOOK Pricing and Manufacturer data
Broad Content
Sold individually, download only
Weekly, Monthly, Quarterly Updates
Ideal End Users
Payers, Government
Medical billing
Delivery Methods
Hosted files (ASCII/HTML)
Comprehensive manufacturer and pricing information for medications and bulk chemicals. Check Product Selection guide for price data and fields available.
IBM Watson / © 2018 IBM Corporation

20. Integrated Clinical Evidence –
Broad Content:
Drug Interaction Screening results
Drug – Drug/Food/Ethanol/Tobacco/Lab/Disease
Allergy warnings, contraindications and precautions
Therapeutic Class Antagonism and duplications
Ingredient duplication warnings
General Precautions (age, gender based)
Pregnancy & Lactation Warnings
IV Compatibility
Labeled Warnings
Drug Identification
Summary Drug Evidence
Medication Instructions
Coming Soon: Drug code mapping for local trade names and generics
Ideal End Users:
Clinicians (e.g., physicians, pharmacists, physician assistants, nurse practitioners)
Delivery Methods:
Server: Cloud Hosted or On-Prem
Interface: .NET Client Library or XML
Integrated Clinical Evidence –
Option #7 – Integrated Pharmacy System Support
Medication Advisory Screening services that help reduce medication and administration errors to improve patient safety.
Using individual patient demographics and drug order information, the MAS content provides data that can perform variety of automated medication screening
IBM Watson / © 2019 IBM Corporation

21. Micromedex® Solutions
Case Studies

22. Problem Solution Results
Reaching, Patients ○ Improving Organizational Results
Problem
↑ Quality of Discharge Patient Education
Goal:
Improve patient outcomes & satisfaction
Solution
UNC Rex selected IBM® Micromedex® Medication Essential Fact Sheets to offer clear, concise education regarding proper use of medications
Results
HCAHPS scores increased from 65th percentile to 86th percentile
Readmissions decreased
Efficiencies & Standardization: Disbanded In-house creation of medication handouts
Resource: Patient Education Testimonial
UNC REX Healthcare
Watson Health © IBM Corporation 2018

23. Need Solution Benefit Reaching, Providers ○ Improving Patient Care
Efficient way to look up drug interactions and dosing
Solution
Little Company of Mary used the IBM® Micromedex® suite of solutions to expedite and inform pharmacy decisions
Benefit
Micromedex provided near real-time access to accurate drug information, allowing them to make faster decisions, ensure positive interactions and, ultimately, achieve better patient outcomes
Resource: Micromedex Testimonial
Little Company of Mary
Watson Health © IBM Corporation 2018

24. Need Solution Benefit Reaching, Providers ○ Improving Patient Care
This progressive institution, which is continually recognized by receiving over 125 national awards, recognitions and certifications in the past decade, wanted to streamline staff workflow and improve clinical care. 
Solution
Peninsula Regional Medical Center implemented the use of the IBM Micromedex® with Watson to expedite and inform pharmacy decisions
Benefit
Fast Answers from the Watson Assistant using Natural Language Processing
Trusted Results from Micromedex
Competitive advantage, no other vendor has the AI features and ability to imbed within the EHR
Resource: ‘Ask Watson’ Testimonial
Peninsula Regional Medical Center
Watson Health © IBM Corporation 2018

25. Legal Disclaimer © IBM Corporation 2019. All Rights Reserved.
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Performance is based on measurements and projections using standard IBM benchmarks in a controlled environment. The actual throughput or performance that any user will experience will vary depending upon many factors, including considerations such as the amount of multiprogramming in the user's job stream, the I/O configuration, the storage configuration, and the workload processed. Therefore, no assurance can be given that an individual user will achieve results similar to those stated here.
All customer examples described are presented as illustrations of how those customers have used IBM products and the results they may have achieved. Actual environmental costs and performance characteristics may vary by customer.
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