1. Norwegian Health Informatics 1 The Electronic Medical Handbook Terje Johannessen Editor, professor in General Practice Bridging the gap between research and clinical practice

2. Norwegian Health Informatics 2 Challenges in Medicine Improve and maintain quality of health care Bridge the gap between research and clinical practice Integrate EBM (evidence-based medicine) in clinical medicine Ensure similar management of patients Strengthen patient involvement Fascilitate shared health care Secure life long learning

3. Norwegian Health Informatics 3 We’re drowning in information How to keep up to date Information overflow Accessing information during the consultation reduces patient-time

4. Norwegian Health Informatics 4 Access to information should be tailored to clinical practice: The 20 seconds approach

5. Life long learning The challenge is not teaching, but learning Learning is fascilitated by motivation and an active learner – problem-based-learning (PBL) The clinical encounter is an arena for learning Just in time learning 5

6. Norwegian Health Informatics 6 The Norwegian Electronic Medical Handbook (NEL) Established through a contract with the Ministry of Health (1997-99) Included in a program for business development Financed by share holders and individual subscriptions (1999-2007) From 2007 a national contract with the health authorities From 2008 a national contract with Denmark

7. Norwegian Health Informatics 7 Demonstration of NEL

8. Norwegian Health Informatics 8 The Vision A Scandinavian collaboration Three editorial boards working together – Danish, Swedish and Norwegian Sharing technology and audiovisuals Exchanging articles and updates Norway DenmarkSweden