Critical Appraisal Intensive—
McKesson Decision-support Teams
The EBM Information Quest: Is it true? Is it useful? Is it usable?™
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thumbs up for Delfini !! The recent EBM refresher and advanced EBM
training they provided to over 40 McKesson content development clinicians
received great reviews from our whole team. The refresher reinforced
the expertise we have developed in applying the principles of critical
appraisal to our clinical content development since we first started
working with Delfini four years ago. Sheri and Mike’s ability
to explain complex concepts in an easy to understand and conversational
manner produced multiple “aha” moments for our team. Warm
thoughts and wishes, Kate"
Contact us for conference information if you would like to host a conference like this one.
Clinical Content Development Training Intensive 2006 & Intensive EBM Seminar 2010 Update
Mission: Help advance evidence-based medicine in the world’s leading healthcare services company and largest provider of clinical decision support solutions, and help provide solutions for creating decision support where evidence is lacking.
Concept: Evaluate work processes and flow. Make recommendations for rigor and efficiency. Provide an intensive critical appraisal training experience to advance knowledge and skills of content developers to help create rigorous scientific reviews. Conduct the evidence-based medicine training and provide support using methods to help ensure sustainability.
Outcomes: Medical literature evaluation training was provided for six full days in three stages of 2 days each over the course of a month and a half, with opportunities for staff to apply their skills and raise questions in between sessions. A post-test was immediately administered folowing the training intensive, which resulted in high scores of over 90 percent correct, reflecting good understanding of basic EBM concepts such as bias, confounding and chance.
Following the training, leadership and staff saw the value of applying an evidence-based approach and to that end, began an EBM initiative to implement and nurture an evidence-based process within their organization. See the press release below.
March 2007: Decision support can enhance patient care: use of research-based guidelines will complement addiction professionals' decision-making. (Feature) From: Addiction Professional | Date: 3/1/2007 | Author: Dubiel, Lollie
To access, copy the following into an internet search engine: http://www.encyclopedia.com/doc/1G1-162172292.html
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McKesson Solidifies InterQual® Criteria’s Leadership with Major Quality Milestones
Delfini Training Raises Evidence-Based Medical Content Standards, More Than 800 Clinical Experts Add Real-World Expertise to Development Process
NEWTON, Mass. — July 27, 2006 — McKesson Corporation, the world’s leading healthcare services company and largest provider of clinical decision support solutions, has achieved two major quality milestones with its InterQual® Criteria, making the InterQual solutions suite the unchallenged leader in evidence-based, clinical knowledge resources. McKesson further enhanced its time-tested InterQual development methodology with comprehensive training by the Delfini Group on the critical appraisal of evidence-based clinical information. In addition, the national panel of practicing clinical consultants for InterQual now totals more than 800.
The Delfini Group consists of world-renowned experts in the concepts, methods and skills of evidence-based clinical improvement to achieve better outcomes and additional value in clinical care. According to Michael Stuart, M.D., Delfini president, putting evidence-based medicine into practice is challenging not only because of the volume of scientific articles published each year — about 40,000 per month — but also, Delfini Group’s experience reveals that about 90 percent of those articles are either invalid or do not have clinically useful outcomes.
“A critical first step in developing evidence-based medical criteria is a thorough and consistent appraisal of the scientific literature, yet few clinicians or other allied health professionals receive in-depth training on how to determine how close to the truth that science is or how clinically useful those results are going to be,” explained Sheri Ann Strite, Delfini principal and managing partner. “McKesson has made an incredible investment in this training. It was one of the most intense experiences that we’ve put any company through. We are so impressed by McKesson’s commitment to maintaining a truly comprehensive process and providing the best in evidence-based information to their customers — and to improving healthcare in general.”
Complementing the McKesson criteria development team of 20 expertly trained healthcare professionals is an unrivaled pool of over 800 practicing clinical consultants. These consultants — physician specialists, nurses, psychologists, chiropractors, acupuncturists, social workers and occupational therapists — come from all areas of the United States, as well as Canada and Britain, and lend their practical knowledge and experience to the criteria development process, filling in gaps that the evidence does not adequately cover.
“Our development process has been consistently enhanced over the 30-year history of InterQual, to the point that we feel the gold standard in clinical-decision support criteria has officially gone platinum,” said Ricardo Guggenheim, M.D., vice president of clinical content and design, McKesson Health Solutions. “Our unique synthesis of best scientific evidence and real-world best practices ensures that our customers have optimal tools to support sound clinical decision-making.”
More than 3,500 health plans, hospitals, academic medical centers, government agencies and care management organizations serving more than 100 million people currently use InterQual evidence-based tools to support clinical decisions for individual patients across the continuum of care. The product’s unmatched breadth and clinical strength — including its rich research base, care facilitation features, integration of quality indicators and care management notes — has made InterQual Criteria the world’s most respected evidence-based medical solution for care management decision-making.
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