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Delivery of Just-in-Time Information

Delivery of Just-in-Time Information. James J. Cimino Columbia University. Definitions. Just in time for: decision making Decision making by: public health professionals clinicians patients Information: databases on-line resources guidelines. Information Needs in Decision Making.

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Delivery of Just-in-Time Information

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  1. Delivery of Just-in-Time Information James J. Cimino Columbia University

  2. Definitions • Just in time for: • decision making • Decision making by: • public health professionals • clinicians • patients • Information: • databases • on-line resources • guidelines

  3. Information Needs in Decision Making ?

  4. Lessons from Medical Education

  5. Case-Based Medical Education

  6. Case-Based Decision Support • Information resources are computer-based • “Case” is computer-based • Information need is context dependent Content + Context + Anticipated Need Just-in-Time Information

  7. Architecture and Infrastructure • Data collection for guideline development • Distribution mechanisms for information • Monitor use and compliance

  8. Standards and Terminology • Structured guidelines and other resources • Terminology and data elements for input • Standard interface for retrieval

  9. Best Practices, Research, Evaluation • Best practices: need to be defined • Research: • identify information needs in given context • identify information resources • the rest is easy • Evaluation: • compliance • impact

  10. Privacy, Confidentiality, Security • Data for guideline creation • Who is looking at what? • What data are used to seed searches? • What are they doing with the results?

  11. Training and Workforce • Public health: contribution to solutions • Users: learn to use guidelines and practice evidence-based medicine

  12. Funding and Policy • Content creation • Development • Access/support • Incentives

  13. Conclusions • JITI is doable and should be done • Understanding the needs is the hardest part • Different constituencies and contexts • Reuse resources

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