KNOWLEDGE MANAGEMENT IN MEDICINE

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KNOWLEDGE MANAGEMENT IN MEDICINE

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  • 1. KNOWLEDGE MANAGEMENT INMEDICINEDr.T.V.Rao MD

2. Knowledge ManagementKnowledge management(KM) is the process ofcapturing, developing,sharing, and effectivelyusing organisationalknowledge It refers to amulti-disciplined approachto achieving organisationalobjectives by making thebest use of knowledge 3. 3What is KnowledgeManagement?Discipline within an organization that ensures thatthe intellectual capabilities of that organization areshared, maintained and institutionalizedThe process of systematically and actively managingand leveraging the stores of knowledge in anorganizationThe way a company stores, organizes and accessesinternal and external information.Refers to an entire integrated system foraccumulation, integration, manipulation, and access ofdata across multiple organizations 4. Not to be ConfusedNot to beconfusedwithInformationmanagement. 5. Knowledge ManagementIntegrates organisationalexpectationsKnowledge managementefforts typically focus onorganisational objectivessuch as improvedperformance, competitiveadvantage, innovation, thesharing of lessons learned,integration and continuousimprovement of theorganisation. 6. New Expectations forOrganizational DevelopmentA knowledge community iscommunity construct,stemming from theconvergence of knowledgemanagement as a field of studyand social exchange theory.Formerly known as a discoursecommunity and having evolvedfrom forums and web forums,knowledge communities arenow often referred to as acommunity of practice orvirtual community of practice 7. Knowledge Management is aNew Discipline"Knowledge management isa discipline that promotesan integrated approach toidentifying, capturing,evaluating, retrieving, andsharing all of an enterprise'sinformation assets. Theseassets may includedatabases, documents,policies, procedures, andpreviously un-capturedexpertise and experience inindividual workers." 8. Role Health Care ProfessionalsHealthcare professionals are always insituations where they have to think fastand process an array of diagnostic testresults, medications and past treatmentresponses in order to make decisions.Knowledge Management (KM) holds thekey to proper patient care in these oftencomplicated situations. 9. Introduction (cont.)Knowledge management systems in Healthcarewill streamline information for the best, mostefficient patient care.Many Healthcare facilities have yet to fully utilizeall the benefits of KM systems.It could make a the difference when, for instance,your chance of survival for open heart surgery cango from 2% to 16% with the proper knowledge andprocedures. 10. We Medical ProfessionalsNeed Knowledge MobilizationThe term KnowledgeMobilization (KMb) refers tomoving available knowledge(often from formal research)into active use. More thanjust "bridging the gap",KMb seeks to makeconnections betweenresearch/expertise andpolicy/practice in order toimprove outcomes invarious organizations orsectors. . 11. KnowledgeMobilizationKnowledge Mobilizationinvolves knowledgesharing between researchproducers (e.g. universityresearchers) and researchusers (includingprofessionals or otherswhose work can benefitfrom research findings),often with the help of thirdparties or intermediaries. 12. Developing world Catchingwith Evidence Based MedicineEvidence-based medicine is defined as theintegration of research evidence, clinicalexpertise, and patient preferences and valuesin clinical decision-making (Sackett et al., 1996).This model of medical practice has influenceddecisions and actions throughout the healthcare industry for about a couple of decades,particularly in the advanced countries.However, little is known as to how patients withtheir tacit knowledge have en suite into theevidence-based practice equation especially inthe developing world. 13. Many Medical OrganizationCatching the ConceptThe most obvious pointis the making of theorganization's data andinformation available tothe members of theorganization throughportals and with the useof content managementsystems. 14. Health Information ExchangeCollects, identifies and aggregates patientinformation from all source systemsEnable sharing of documents and images amonghealthcare enterprises, regardless of source,location or format in support of improved patientcare.Serve as a data repository and searchable registryof clinical documentsRecord audit events generated by all exchangeinteractions14 15. Knowledge Management MeansGetting Right KnowledgeKnowledge management is essentially aboutgetting the right knowledge to the rightperson at the right time. This in itself may notseem so complex, but it implies a strong tie tocorporate or Professional strategy,understanding of where and in what formsknowledge exists, creating processes thatspan organizational functions, and ensuringthat initiatives are accepted and supported byorganizational members. 16. Technology PlaysGreater RoleThe systems,tools, andtechnologies thatfit theorganization'srequirements -properly designedand implemented. 17. 19Role of IT inImplementationThe biggestcontributor to thisbrilliant growth ofthe knowledgemanagementsystem isinformationtechnology. 18. Every Body wishes the MedicalTreatments are Cost effectiveThe increasing pressure toensure efficiency and cost-effectiveness,balance thequality of care, and containcosts will drive them towardsmore effective management ofmedical knowledge derivedfrom biomedical research.Knowledge managementtechnology may provideeffective methods and tools inspeeding up the diffusion ofinnovative medical procedures. 19. Organizational Knowledgetoo ImportantThe goal of knowledgemanagement is not onlyincreasing the performanceof individuals within theorganization but of theorganization as a 'whole'. Itimplies an organizationalview of the problem whereindividuals cooperate, asmuch as possible carryingon evidence-based careprocesses, each behavingaccording to the role theorganization assignedher/him 20. Strategy for Implementing KM24Macro-EnvironmentOrganizationalClimateTechnicalClimateTechnical,Informational,PersonalMacro-environmentExternal FactorsGlobalizationTechnologyE-companies24 21. The Knowledge ConversionProcess in the Healthcare DomainThe knowledge conversion process, contextualizedfor a health care organization , is based on someassumptions. First of all three main knowledge typesare involved: Medical knowledge: it manages allmedical aspects related to health care activities;Organizational knowledge: it manages organizationalaspects related to health care activities;Formalization knowledge: it manages knowledgerepresentation formalisms, among which computer-basedtools (it can be considered a part of thetechnical domain above defined) 22. Important Models forIntegrationThere 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 andadministrative procedures;Common, based on common knowledge, e.g.organizational charts (charts defining roles andhierarchies within hospital personnel). 23. Why we Need change toManagement of KnowledgeMedicine is fast becoming a science ofinformation. Information about patient history,symptoms, functions and lifestyle; informationabout diseases, diagnostics, drugs, andtreatment methods play an ever-increasing role.But there can be too much of a good thing. Thedilemma faced by doctors, patients and medicaladministrators is to find and utilize the relevantinformation at the right time. Computers, ofcourse, help manage information, but the currentgeneration of computer inter 24. Computers Can ManageMattersComputers, ofcourse, help manageinformation, but thecurrent generation ofcomputer inter-facescan't keep growing atthe same ratemedical informationis growing. 25. Why We all Need New KnowledgeManagement SystemsThe recent growth inthe scientificunderstanding ofdiseases and theirmanagement has beenunprecedented, buthas not been matchedby an equivalentability to apply thatknowledge in practice. 26. 30Maintaining KM SystemsProvideAdequateAccessIntranetsClasses30 27. Our Educational SystemNeeds IntegrationCould we combine two styles of knowledgeinto an integral whole31 28. Today KnowledgeManagement A Great TaskIt is now humanlyimpossible forunaided healthcareprofessionals todeliver patient carewith the efficacy,consistency andsafety that the fullrange of currentknowledge couldsupport. 29. Much of the Knowledge AvailableThrough Open sourcesMany Open sourceorganisations havebeen created topromote awarenessand use of decisionsupport, clinicalworkflow and otheradvanced knowledgemanagementtechnologies for patientcare and clinicalresearch. 30. Why India Needs KnowledgeManagement systemsKnowledge gives global healthprofessionals the power toimprove health systems andsave lives. In low- and middle-incomecountries, globalhealth professionalsencounter many barriers toaccessing information andexchanging knowledgeranging from time constraintsand connectivity issues tolacking reliable or trustedsources of information. 31. Future of HealthKnowledge ManagementKnowledge Management inHealthcare has obviousbenefits that could reallymake the difference inpeople's lives.There are still manyhealthcare facilities that stillneed to fully utilize thesesystems.Dr.T.V.Rao MD 35 32. Health KnowledgeManagements ProgressingWe are drawing apredictive conclusionthat over the nextdecade there will besignificantimprovements inphysician care basedon medical knowledgemanagement.Dr.T.V.Rao MD 36 33. Never forget Every Body has to manage lifeand Knowledge orWE ARE LOSTDr.T.V.Rao MD 37 34. Knowledge Management systems haveentered every profession Medicalprofession too Catching up Faster I wishwe will catch up the systems for betterManagement of our Health Care systemDr.T.V.Rao MDEmaildoctortvrao@gmail.com