teaching with vision

KNOWLEDGE MANAGEMENT IN

MEDICINE Dr.T.V.Rao MD

Knowledge Management

Knowledge management

(KM) is the process of

capturing, developing,

sharing, and effectively

using organisational

knowledge It refers to a

multi-disciplined approach

to achieving organisational

objectives by making the

best use of knowledge

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What is Knowledge

Management?Discipline within an organization that ensures that

the intellectual capabilities of that organization are

shared, maintained and institutionalized

The process of systematically and actively managing

and leveraging the stores of knowledge in an

organization

The way a company stores, organizes and accesses

internal and external information.

Refers to an entire integrated system for

accumulation, integration, manipulation, and access of

data across multiple organizations

Not to be Confused

Not to be

confused

with

Information

management.


Integrates organisational

expectations


efforts typically focus on

organisational objectives

such as improved

performance, competitive

advantage, innovation, the

sharing of lessons learned,

integration and continuous

improvement of the

organisation.

New Expectations for

Organizational Development

A knowledge community is

community construct,

stemming from the

convergence of knowledge

management as a field of study

and social exchange theory.

Formerly known as a discourse

community and having evolved

from forums and web forums,

knowledge communities are

now often referred to as a

community of practice or

virtual community of practice

Knowledge Management is a

New Discipline

"Knowledge management is

a discipline that promotes

an integrated approach to

identifying, capturing,

evaluating, retrieving, and

sharing all of an enterprise's

information assets. These

assets may include

databases, documents,

policies, procedures, and

previously un-captured

expertise and experience in

individual workers."

Role Health Care Professionals

Healthcare professionals are always in situations where they have to think fast and process an array of diagnostic test results, medications and past treatment responses in order to make decisions.

Knowledge Management (KM) holds the key to proper patient care in these often complicated situations.

Introduction (cont.)Knowledge management systems in Healthcare will streamline information for the best, most efficient patient care.

Many Healthcare facilities have yet to fully utilize all the benefits of KM systems.

It could make a the difference when, for instance, your chance of survival for open heart surgery can go from 2% to 16% with the proper knowledge and procedures.

We Medical Professionals

Need Knowledge Mobilization

The term Knowledge Mobilization (KMb) refers to moving available knowledge (often from formal research) into active use. More than just "bridging the gap", KMb seeks to make connections between research/expertise and policy/practice in order to improve outcomes in various organizations or sectors. .

Knowledge

MobilizationKnowledge Mobilization involves knowledge sharing between research producers (e.g. university researchers) and research users (including professionals or others whose work can benefit from research findings), often with the help of third parties or intermediaries.

Developing world Catching

with Evidence Based Medicine

Evidence-based medicine is defined as the integration of research evidence, clinical expertise, and patient preferences and values in clinical decision-making (Sackett et al., 1996).

This model of medical practice has influenced decisions and actions throughout the health care industry for about a couple of decades, particularly in the advanced countries. However, little is known as to how patients with their tacit knowledge have en suite into the evidence-based practice equation especially in the developing world.

Many Medical Organization

Catching the Concept

The most obvious point

is the making of the

organization's data and

information available to

the members of the

organization through

portals and with the use

of content management

systems.

Health Information Exchange

Collects, identifies and aggregates patient

information from all source systems

Enable sharing of documents and images among

healthcare enterprises, regardless of source,

location or format in support of improved patient

care.

Serve as a data repository and searchable registry

of clinical documents

Record audit events generated by all exchange

interactions14

Knowledge Management Means

Getting Right Knowledge

Knowledge management is essentially about

getting the right knowledge to the right

person at the right time. This in itself may not

seem so complex, but it implies a strong tie to

corporate or Professional strategy,

understanding of where and in what forms

knowledge exists, creating processes that

span organizational functions, and ensuring

that initiatives are accepted and supported by

organizational members.

Technology Plays

Greater Role

The systems,

tools, and

technologies that

fit the

organization's

requirements -

properly designed

and implemented.

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Role of IT in

Implementation“The biggest

contributor to this

brilliant growth of

the knowledge

management

system is

information

technology.”

Every Body wishes the Medical

Treatments are Cost effective

The increasing pressure to

ensure efficiency and cost-

effectiveness, balance the

quality of care, and contain

costs will drive them towards

more effective management of

medical knowledge derived

from biomedical research.


technology may provide

effective methods and tools in

speeding up the diffusion of

innovative medical procedures.

Organizational Knowledge

too Important

The goal of knowledge management is not only increasing the performance of individuals within the organization but of the organization as a 'whole'. It implies an organizational view of the problem where individuals cooperate, as much as possible carrying on evidence-based care processes, each behaving according to the role the organization assigned her/him

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Strategy for Implementing KM

Macro-Environment

Organizational Climate

Technical Climate

Technical, Informational,

Personal

Macro-environment

External Factors

Globalization

Technology

E-companies

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The Knowledge Conversion

Process in the Healthcare Domain

The knowledge conversion process, contextualized for a health care organization , is based on some assumptions. First of all three main knowledge types are involved: Medical knowledge: it manages all medical aspects related to health care activities;

Organizational knowledge: it manages organizational aspects related to health care activities;

Formalization knowledge: it manages knowledge representation formalisms, among which computer-based tools (it can be considered a part of the technical domain above defined)

Important Models for

Integration There are three main kinds of formal models:

Medical, that means based on medical knowledge, e.g. formalized CPGs and protocols;

Organizational, based on organizational knowledge, e.g. nurses’/physicians’ shifts scheduling and

administrative procedures;

Common, based on common knowledge, e.g. organizational charts (charts defining roles and

hierarchies within hospital personnel).

Why we Need change to

Management of Knowledge

Medicine is fast becoming a science of information. Information about patient history, symptoms, functions and lifestyle; information about diseases, diagnostics, drugs, and treatment methods play an ever-increasing role. But there can be too much of a good thing. The dilemma faced by doctors, patients and medical administrators is to find and utilize the relevant information at the right time. Computers, of course, help manage information, but the current generation of computer inter

Computers Can Manage

Matters

Computers, of course, help manage information, but the current generation of computer inter-faces can't keep growing at the same rate medical information is growing.

Why We all Need New Knowledge

Management Systems

The recent growth in the scientific understanding of diseases and their management has been unprecedented, but has not been matched by an equivalent ability to apply that knowledge in practice.

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Maintaining KM Systems

Provide Adequate Access

Intranets

Classes

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Our Educational System

Needs Integration

Could we combine two styles of knowledge into an integral whole

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Today Knowledge

Management A Great TaskIt is now humanly impossible for unaided healthcare professionals to deliver patient care with the efficacy, consistency and safety that the full range of current knowledge could support.

Much of the Knowledge Available

Through Open sources

Many Open source

organisations have

been created to

promote awareness

and use of decision

support, clinical

workflow and other

advanced knowledge

management

technologies for patient

care and clinical

research.

Why India Needs Knowledge

Management systems

Knowledge gives global health

professionals the power to

improve health systems and

save lives. In low- and middle-

income countries, global

health professionals

encounter many barriers to

accessing information and

exchanging knowledge—

ranging from time constraints

and connectivity issues to

lacking reliable or trusted

sources of information.

Future of Health


Knowledge Management in

Healthcare has obvious

benefits that could really

make the difference in

people's lives.

There are still many

healthcare facilities that still

need to fully utilize these

systems.

Dr.T.V.Rao MD 35

Health Knowledge

Managements Progressing

We are drawing a predictive conclusion that over the next decade there will be significant improvements in physician care based on medical knowledge management.

Dr.T.V.Rao MD 36

Never forget Every Body has to manage life

and Knowledge or

WE ARE LOST

Dr.T.V.Rao MD 37

Knowledge Management systems have entered every profession Medical

profession too Catching up Faster I wish we will catch up the systems for better Management of our Health Care system

Dr.T.V.Rao MD

Email

[email protected]

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