Download - Milton Keynes experience Taunton 20 May 2008
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health:mk
Milton Keynes experienceTaunton 20 May 2008
Ann SkinnerAnne Gray
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health:mk
Anne GrayMilton Keynes PCT
Knowledge and library support for the delivery of PCT commissioned
evidence-based care pathways
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health:mk
Quality: MK (April 2007)
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Quality: MK
Evidence based service redesign
Process is supported by Task & Finish Group(s) whose role is to:
facilitate discussion on the technical aspects of the new care pathway and the review process as a whole
provide support to the contract and commissioning teams in developing a new care pathway for the service in MK
WHO?HOW?
Quality:MK
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health:mk
Quality: MK
Evidence based service redesign:WHO is round the table?
Public health Patients / voluntary sector Clinicians (primary care, secondary care,
ambulance, social care) Commissioners PCT contracts service Librarian
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health:mk
Quality: MK
Evidence based service redesign:HOW?
Review the evidence base Identify what practice already exists and
does not exist Identify what prevents this happening Describe what needs to happen locally in
order to deliver the optimal pathway Create a service specification which can be
used to commission new service
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health:mk
Quality: MK
Evidence based service redesign :What is the evidence base?
Health intelligence Existing pathways Existing guidelines Primary evidence (“peer reviewed” jnls) Tools/organisations/websites Other service models/services/contacts …..
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health:mk
Quality: MK
Evidence based service redesign: Diabetes
Changing the way that Diabetes services should be provided across Milton Keynes
Commission new services Produce new patient pathways (Map of
Medicine) Involve wide range of organisations/
services/ people
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health:mk
Quality: MK
Evidence based service redesign: Diabetes
“This is just a quick note to remind you that I am part of your Diabetes Pathway review team, willing and able to provide information support where I can…..”
“I Iook forward to hearing from you – please don’t forget to let me know about meetings so I can put these in my diary.”
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health:mk
Quality: MK
Examples from work with Diabetes Review pathway: Questions asked
What is the evidence behind the Diabetes QOF indicators?
Recent evidence for psychological support in DM type 2
Benefits of using structured education in DM type 2 through a team approach
Copy of the ABCD algorithm for hypertension from the BHS
Benefits of physical activity for peripheral neuropathy Increased risk of fall with diabetic foot problems
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health:mk
Quality: MK
Examples from work with Diabetes Review pathway: Questions NOT asked
Examples of models of service for Diabetes Existing commissioning support resources Recent evidence
But I gave them the evidence anyway!
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health:mk
Quality: MK
Examples from work with Diabetes Review pathway: Resources
Map of Medicine / NICE / SIGN DynaMed Diabetes Specialist Library (NLH) Clinical databases/Cochrane (Core Resources in Toolkit) National data from PHO Google / Yahoo
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health:mk
Quality: MK
Google / Yahoo
Google (Advanced search)model specification diabetes OR diabetic "service“
Yahoo (Advanced search)diabetes "model of service"
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health:mk
Quality: MK
Examples from work with Diabetes Review pathway: Evidence synthesis
Synthesis of the evidence which can be scanned quickly
NOT a list of references– Short informative narrative– Categorise items – Highlight relevant sections of each item– Links to FT wherever useful
Stay within my competence
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health:mk
Quality: MK
Under development
Ways to gather/present relevant new information
RSS feeds or other Web 2.0 tools?
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health:mk
Quality: MK
Things to remember:
These people are very busy Short deadlines Bullet points, highlight important points Has someone already done it? You can sometimes provide information they
do not know to ask forWe are professionals too!
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health:mk
Questions?
For further information contact– Anne Gray, Outreach Librarian, MKPCT
[email protected]– Ann Skinner, Information Specialist, Quality:MK
[email protected]– Sue Lacey-Bryant, Project Manager, Quality:MK
Quality: MK websitehttp://www.miltonkeynes.nhs.uk/default.asp?ContentID=1359
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