Strategy For Evidence Based Health Services

Strategy for evidence-based health services a collaboration between Innlandet Hospital Trust and the Norwegian Knowledge Center for the Health Services Øystein Eiring, psychiatrist, Editor Norwegian Electronic Health Library/Mental Health, Medical Advisor.

Menu for 30 minutes ,[object Object],[object Object],[object Object],[object Object],[object Object]

Norwegian Knowledge Centre for the Health Services ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Centre: Mission ,[object Object],[object Object],[object Object]

The Centre: Central tasks 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Centre: Central tasks 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

June 4, 2009 Access to knowledge has varied widely National Hospital Rural hospital

Why does the Health Library exist? ,[object Object],[object Object],[object Object]

June 4, 2009 Helsebiblioteket Journals

June 4, 2009 Helsebiblioteket Databases

June 4, 2009 Helsebiblioteket Systematic reviews

June 4, 2009 Helsebiblioteket Clinical guidelines

June 4, 2009 Helsebiblioteket Reference books

June 4, 2009 Helsebiblioteket Specialist libraries

Challenges for the knowledge center ,[object Object],[object Object],[object Object],June 4, 2009

Innlandet Health Trust … 06/04/09 Helsebiblioteket

Innlandet Health Trust ,[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge: The evidence-practice gap ,[object Object],[object Object],[object Object]

Challenge: The evidence-practice gap ,[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge: Infrastructure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge: The individual health worker ,[object Object],[object Object],[object Object],[object Object]

Challenge: Users perspective ,[object Object],[object Object],[object Object],[object Object],[object Object]

Collaboration: trust – knowledge center

The four S´s model Systems Synopsis Systematic reviews and guidelines Studies

Aknowledge and identify information need Formulate questions Search for literature Critically appraise Evaluate knowledge in context of experience, patient values and preferences Put in practice Individual health worker model

Pipeline model EPR Quality-assessed guidelines Quality- asessed research Knowledge support Patient information Internet as transparent, common arena -Patient information mirror clinical protocols -minimize double work -support patients as change agents What Innlandet produces and carries through Patient Clinician Educational institutions, Knowledge Center, governmental agencies, Electronic Health Library

Strategy in the trust: Core components ,[object Object],[object Object],[object Object],[object Object],[object Object]

Task areas ,[object Object],[object Object],[object Object],[object Object]

Task 1: Policy of the trust soaked in EBM ,[object Object],[object Object],[object Object],[object Object]

Task 2: Educated and enthusiastic leaders ,[object Object],[object Object],[object Object]

Task 3: EBM policy for the library services ,[object Object],[object Object],[object Object],[object Object],[object Object]

Task 4: more computers and better internett access ,[object Object],[object Object],[object Object],[object Object],[object Object]

Task 5: Better knowledge support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

6: New inter- and intranet services ,[object Object],[object Object],[object Object],[object Object],[object Object]

7: Evidence based ”home made” knowledge support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

8. Evidence-based implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

9. Training of individual health workers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

10. Mass media ,[object Object],[object Object],[object Object],[object Object]

What is not yet fully included ,[object Object],[object Object],[object Object],[object Object]

Some shortcomings ,[object Object],[object Object],[object Object],[object Object]

Perspective ahead ,[object Object],[object Object]

Discussion! ,[object Object],June 4, 2009 Helsebiblioteket Norwegian Electronic Health Library

Strategy For Evidence Based Health Services

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Strategy For Evidence Based Health Services