1. © Medic-to-Medic Ltd. 1 National Clinical Knowledge Service Presents Medic-to-Medic ® and the Map of Medicine ® Ensuring that best practice information can be put into practice at the point of care In Partnership with the National Library for Health, NHS

2. © Medic-to-Medic Ltd. 2 Life of a clinician – NHS/NPfIT/CfH Increased volume of medical knowledge Rising patient expectations Increasing number of referrals and complexity of workload Shortage of doctors and other clinical staff Financial pressures within health systems Growing clinical governance requirements If only clinicians knew what clinicians know

3. © Medic-to-Medic Ltd. 3 Convergence between IT and content “The NHS Care Record is a means of ensuring that the central details of the care and treatment are held in a single, easily accessible, electronic record. “Patient-centred care requires information to follow the patient so that it is available wherever and whenever it is needed.” http://www.npfit.nhs.uk/programmes/nhscrs/ “ Knowledge is the enemy of disease. The application of what we know will have greater impact than any new drug or technology likely to be developed in the next decade” Dr Muir Gray

4. © Medic-to-Medic Ltd. 4 Presentation of Knowledge Guidance, wide range of formats Guidelines, recommendations relevant to patient and clinician behaviour (NICE, Royal Colleges) Protocols, local detailed versions of guidelines that allow for local resources and responsibilities Pathways describe patient journey set out protocols so as to minimise risk

5. © Medic-to-Medic Ltd. 5 We need products that: Work fast Are simple to use Keep us up-to-date and in touch with colleagues Improve performance (best practice) Prevent information overload Mobilise knowledge when its needed

6. © Medic-to-Medic Ltd. 6 Information overload “Kill as few patients as possible" - Oscar London 5,000 per day 1,260 per day 55 per day TrialsMEDLINEBioMedical Medical Articles per Year Slide courtesy of Dr. Paul Glaziou

7. © Medic-to-Medic Ltd. 7 “Leaks” between research & practice Valid Research 0.8 x 0.8 x 0.8 x 0.8 x 0.8 x 0.8 x 0.8 = 0.21 Aware Accept Target Doable Recall Agree Done Slide courtesy of Dr. Paul Glaziou

8. Background created by doctors for doctors at Royal Free/UCL collaborative since inception 50 local GPs 50 Royal Free Hospital consultants goodwill + hard work extend clinical competence originally to optimise transition between 1° & 2° care and to support undergraduate education radically re-engineer access to knowledge

9. © Medic-to-Medic Ltd. 9 Medic-to-Medic® Map of Medicine® Support tool providing framework for local, national & international knowledge – knowledge dissemination Structured into 300+ pathways based on clinical presentations For use in all locations by all health professionals Can integrate into electronic medical records & other applications - XML SNOMED-CT Can be edited to meet local health economy clinical practice – local ownership

10. © Medic-to-Medic Ltd. 10 Localisation of Generic Content

11. © Medic-to-Medic Ltd. 11 Localisation: example Generic Localised

12. © Medic-to-Medic Ltd. 12 Map of Medicine demo Map of Medicine

13. © Medic-to-Medic Ltd. 13 Activities supported by the Map of Medicine Diagnosis and treatment Patient choice Referral between health professionals Life-long learning for health professionals Audit Service planning

14. © Medic-to-Medic Ltd. 14 Projects Big 50 DOAS Kenya

15. © Medic-to-Medic Ltd. 15 Project: Kenya Peter Drury Kijabe Hospital PDA vs paper

16. © Medic-to-Medic Ltd. 16 Pathway page (R1) (Patent pending)

17. © Medic-to-Medic Ltd. 17 NeLH knowledge search (3)

18. © Medic-to-Medic Ltd. 18 BNF knowledge search

19. © Medic-to-Medic Ltd. 19 Objectives of MofM Knowledge Integration Better Consultations, Better Decisions, Better Systems of Care Generation Organisation Mobilisation Utilisation National Knowledge Service National Library of Health NHS Care Record Service NHSU + EB decision making Co-ordinated procurement project Map of Medicine [from “Knowledge is the enemy of disease” presentation by Muir Gray]

20. © Medic-to-Medic Ltd. 20 Questions/Discussion Dr Enone Honeyman Content Director enone@medictomedic.com Tel: 44 20 7830 2155