© 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

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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

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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

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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

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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

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Information overload

“Kill as few patients as possible" - Oscar London

5,000per day

1,260 per day

55 per day

Trials MEDLINE BioMedical

Med

ical

Art

icle

s p

er

Yea

r

Slide courtesy of Dr. Paul Glaziou

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“Leaks” between research & practice

ValidResearch

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

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

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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

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Localisation of Generic Content

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Localisation: example

Generic Localised

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Map of Medicine demo

Map of Medicine

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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

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Projects

•Big 50

•DOAS

•Kenya

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Project: Kenya

•Peter Drury

•Kijabe Hospital

•PDA vs paper

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Pathway page (R1) (Patent pending)

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NeLH knowledge search (3)

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BNF knowledge search

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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]

© Medic-to-Medic Ltd. 20

Questions/Discussion

Dr Enone Honeyman

Content Director

enone@medictomedic.com

Tel: 44 20 7830 2155