1. Internet Librarian 2007 Technologies & Information: Integration in Hospitals Sandra Kendall BA MLS Mount Sinai Hospital Toronto, Canada

2. 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

3. Mount Sinai Hospital

5. Corporate calculation of revenue per employee with estimated 2005 figures $1.3 million in revenue /Google employee Source:Mckinsey report

6. craigslist Corporate calculation of revenue per employee with estimated 2005 figures $1.0 million revenues / craigslist employee

7. Mount Sinai Hospital $100,000 revenues /employee

8. Through extreme competition there is a marked collapse of prices for technology and dramatic global participation

9. Medical Milestones 1840’s to current

10. Medical Milestones Sanitation - 1848 Antibiotics - 1940 Anaesthesia - 1846 Vaccines – 1885 rabies vaccine Discovery of DNA structure - 1953 Oral contraceptive pill - 1951 Oral rehydration therapy – early 1970’s Germ theory - 1847 Medical imaging (x-rays) - 1895 Computers – 21 st century Evidence-based medicine – 1991 (But where is PubMed and aspirin) BMJ, 2007. Volume 334, Issue suppl 1

12. 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

26. Patient Record Integration

27. GE Centricity EMR Pop-up window, automatic login, CME credit

28. Separate form, or integrated into existing forms

29. Search Box with Pull-down List Enter search term … or select from problems, meds, orders, protocols

30. Patient Info Button Bias search to patient information topics

31. Pediatric Results Adds pediatric search term, if age < 18

32. GE Centricity Account management is IT admin task

34. Moving Towards Integration

37. THOMSON HEALTHCARE INFOBUTTON ACCESS Overview

38. 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.

39. Launch Application Power Chart Micromedex

41. User clicks on InfoButton in EHR InfoButton Service http://healthcare.thomsonhc.com/search.cgi?MainSe 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

42. Message Parameters Accepted

43. InfoButton Access from Medication Administration Workflow

44. 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

45. 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.

47. Case Study – Partners Healthcare

48. Opportunity to see things differently

49. What’s coming?

50. Surgery without scalpels

51. Verichip

52. “In a post-information society, it’s the attention you get….that counts.”

53. Smartphone Screenshots

54. Motorola Q Smartphone (Windows)

57. Pocket PC Screenshots

58. Main Index

59. Table of Contents

60. Topic View

61. BlackBerry Screenshots

62. 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.

63. BlackBerry 8800 – Main Index View Clicking on the application button creates the following menu which includes an option to view the selected topic.

64. 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.

65. 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

66. iPhone Screenshots

67. iPhone – My Skyscape

68. iPhone – Book Navigation

69. iPhone – Main Index

70. iPhone – Table of Contents

71. iTakeCharge! Palm Screenshots

72. Main Index

73. Table of Contents

74. Topic View

75. 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