UpToDate Learning Forum

UpToDate Product Enhancements:

Easier, Faster Access to Clinical Questions

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Housekeeping

Presenter: Presenter: Moderator:

Joanna Beiter

Product Specialist,

UpToDate

Greg Beader

Senior Product Manager,

UpToDate

Brian Kelly

Senior Product Manager,

UpToDate

• Enhanced Search Results and New User Interface

• UpToDate Anywhere

• New Specialty: Palliative Care

• Q&A

• Wrap up and next steps

Agenda

Presenter

Brian Kelly,

Senior Product Manager,

UpToDate

Enhanced Search Results and New

User Interface

Based on clinician feedback, UpToDate:

Developed an algorithm providing enhanced search results

that assist clinicians in finding answers faster than ever

Placed links on each page to key features such as “What’s

New” and Practice Changing UpDates

Redesigned the user interface for an even more intuitive user

experience

Introduced to all customers in May 2014

Enhanced Search Results and New User Interface

Clinician-friendly Autocomplete

Search Results

Search results now

contain quick links

to most commonly

referenced sections

and graphics

Results based on

sophisticated

machine learning

algorithm

Collapse or Expand Results

Toggle:

Expand/Collapse

Results

Topic title clicks: 48%

Subsection clicks:

45%

Topic outline

clicks: 7%

High Percentage of Subsection Clicks

Hide or Show Topic Outline

Hide or Show Topic Outline

Find in Topic Redesign

Header Redesign

Updated header now organized with items grouped in sections to

facilitate navigation:

Footer Redesign

Updated footer expanded and redesigned to help you quickly reach

us and find important pages of the website:

Enhanced Search Results and New User Interface

Presenter

Greg Beader,

Senior Product Manager,

UpToDate

UpToDate® Anywhere

UpToDate Anywhere

• UpToDate mobile app for

iOS®, Android™ &

Windows 8 devices

MOBILE OFFICE HOSPITAL HOME

UpToDate Access Anywhere, Anytime

Direct access to UpToDate from any internet browser

• CME credits

where available

• EHR

integration

Clinician Registration for UpToDate Anywhere

Link to

Log-in/

Registration Page

Easy Registration Process

Register for new

account

Log in with

existing account

Use of the Award-Winning UpToDate Mobile App

Download and use one of “The Best Apps in Publishing”

according to EContent Magazine

Ottawa Hospital Case Study

The Ottawa Hospital is a bilingual, multi-campus

health-sciences centre that offers

comprehensive, high-quality health-care services

to the 1.3 million residents of Ottawa and Eastern

Ontario. With more than 1,100 beds and an

annual budget exceeding $1 billion, TOH is one of

the largest teaching and research hospitals in

Canada. It has subscribed to UpToDate since 2010.

TOH doubled UpToDate topic searches in first year of

UpToDate Anywhere deployment

Mobile adoption with UpToDate Anywhere is 78% with

44% of all usage from mobile devices

“Our use of UpToDate Anywhere is a direct outgrowth of our

advanced mobility strategy and mission to equip clinicians

with the tools they need to answer questions quickly at the

point of care.”

Glen Geiger, MD

Chief Medical Information Officer

The Ottawa Hospital

Basic Single Sign-on HL7 Infobutton

Instructions to easily

insert UpToDate search

into any clinical system

Removes need for

additional sign-on to

UpToDate, allows

personalized features

Automate search with context-

sensitive links relevant to

patient, user, or encounter

Placement

Portal or EHR Portal or EHR EHR

UpToDate Integration Options

The user enters search term(s) as

needed, here “hypertension adult”

UpToDate – Direct Search Example

hypertension adult

UpToDate – Direct Search Results

UpToDate search results are

then displayed

UpToDate - HL7 Infobutton in EHR

One-Click Access to UpToDate from the EHR

HL7 infobutton makes it possible to access UpToDate

information related to the current patient via a

single click – all from directly within the EHR

workflow.

Just click on the icon next to a clinical data element

to view the related topics in UpToDate.

HL7 Infobutton Integration

Uses HL7 Infobutton Standard Launches popup window with

relevant content HL7 standards compliant Sends non-PHI patient context Sends provider information

EHR Vendors

Increased Clinician Satisfaction with the EHR

Source: June 2011 Clinicians Survey N=1228

Is important to

patient care

Enhances

satisfaction with

their EHR

Encourages

utilization of

their EHR

91%

Users said that having UpToDate embedded in their EHR

89% 40%

Benefits of UpToDate Anywhere

Increased utilization of your EHR

Increased use of UpToDate evidence based medicine

Accrued CME credit with every search

Improved quality

Saved physician time

Increased clinician

satisfaction

Benefits

Palliative Care

Our 22nd medical specialty

Covers range of topics focused on improving symptoms and

providing best possible quality of life for patients facing

serious illness

As a growing number of healthcare organizations using

UpToDate develop dedicated palliative care resources, the

need to offer consistent professional content and patient

education in this area greater than ever

Introduced to all UpToDate subscribers in July 2014

Palliative Care

Palliative care is an approach that improves the quality of life

of patients and their families facing the problems associated

with a life-threatening illness through the prevention and

relief of suffering by means of early identification and

impeccable assessment and treatment of pain and other

problems, physical, psychosocial, and spiritual.

http://www.who.int/en/

World Health Organization Definition

Issues specific to:

Disease and site of care

Cancer Pain

Dying in the ICU

End of Life

Withholding and withdrawing

life-support

Stopping nutrition and

hydration

Religion and Spirituality

Hospice

Before

Care that extends beyond

and before hospice

Efforts are aimed at

supportive care for:

Physical symptoms

Psychological distress

Spiritual needs

Care is not only for the

patient, but for the

caregiver and the family

Palliative Care Today

Happens across healthcare settings

Outpatient

Inpatient

General medicine

Inpatient hospices

Nursing home

Home

Collaborative, multidisciplinary effort

For physicians: Board certification offered

Palliative Care Today

Palliative Care Editors-in-Chief

J. Andrew Billings, MD Associate Professor of Medicine,

Harvard Medical School,

Cambridge Health Alliance

Susan Block, MD

Professor of Psychiatry,

Harvard Medical School

Sections covered

Section Editors

General principles Robert M. Arnold (U Pittsburgh)

Pain: Assessment and

Management Janet Abrahm (Harvard Medical School)

Non pain symptoms:

Assessment and

Management

Eduardo Bruera (UT MD Anderson Cancer

Center)

J. Andrew Billings (Harvard Medical

School)

Psychosocial issues Susan Block (Harvard Medical School)

Selected End-Stage

conditions

R. Sean Morrison (Mt. Sinai School of

Medicine)

Special sites of care and

the Allied Health

Professions

Maria J. Silveira (U. Michigan)

Christine Ritchie (UC San Francisco)

Nearly 150 clinical and patient education topics

Topics integrate the most current information on palliative

care

Topics include evidence-based recommendations for

assessment and management of pain and non-pain symptoms

in palliative care across many disciplines

Palliative Care

Questions

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Next Steps

Thank you!