BMJ Publishing Group

Nick Turner – Head of Sales

Agenda

Evidence Based Medicine Product overview Features and benefits New projects Offer for ULAKBIM

Let me ask you a question…

New medical studies are published every day. How do you sort through the mountain of research to find facts you can trust? And once you find a study, how do you understand its findings and judge how good it is ? ...

Evidence Based Medicine aims to assist…

“The Practice of Evidence Based Medicine is the conscientious, explicit and judicious use of current best practice in making decisions about the care of patients”.

Contains clinical expertise, skills and judgment combined with the best available current research

Clinically lead information rather than research lead Looks at the evidence and decides how certain

treatments best work, or DON’T work, or shows there is not enough information to support a decision

Product overview…

Product url’s www.bmjpg.com www.bmjjournals.com www.bmj.com www.clinicalevidence.com www.besttreatments.co.uk www.bmjlearning.com

Product overview The British Medical Journal – BMJ.com The Group’s Flagship Journal Weekly general medical journal, 120.000 copies printed each

week Publishes rigorous, accessible & entertaining material to help

Dr’s and Medical students in daily practice, learning and international debate on health

Scientific studies & reviews, educational articles, papers commenting on: clinical, scientific, social, political, and economic factors affecting health

Product overview – BMJ.com

BMJ Specialist Journals www.bmjjournals.com 22 journals in specialist areas, public health &

evidence based medicine Mainly clinical titles, focussing on helping doctors

improve their day to day practice International: editors and associate editors from all

over the world: USA, Australia, Canada, Hong Kong, Europe, South East Asia

Innovative – Educations sections, case-based learning, Patient columns

Influential – many are at the top of their specialty

BMJ Specialist Journals All journals have individual websites and full-text

hosted by HighWire Press Full-text from 1997+ Abstracts & TOC earlier Adding Full-text to volume 1, issue 1 Current year paid for subscriptions, previous years

free of charge All available in print & online Reference links included CiteTrack alerting service, author and citations Ability to search across all journals via HighWire

BMJ Specialist Journals Gut Heart Journal of Clinical Pathology Journal of Medical Ethics Journal of Medical Genetics Journal of Neurology, Neurosurgery and Psychiatry Postgraduate Medical Journal Quality and Safety in Health Care Sexually Transmitted Infections Thorax Archives of Disease in Childhood Annals of the Rheumatic Diseases BJO: British Journal of Ophthalmology British Journal of Sports Medicine Emergency Medicine Journal Evidence-Based Medicine Evidence-Based Mental Health Evidence-Based Nursing Occupational and Environmental Medicine Journal of Epidemiology and Community Health Injury Prevention Tobacco Control

Evidence Based

PublicHealth

Specialist

Knowledge Products…

Knowledge Products

Clinical Evidence Best Treatments BMJ Learning

Evidence Based to support decision making Patient and Doctor information from the same source Point of care information to reduce information overload Content fits into workflow & needs of clinicians and

patients

Advantages of using BMJ Knowledge products

Encouraging best practice by preventing overuse and misuse of treatments

Increasing the quality of care for patients Allows shared decisions by offering the same source of

information for doctors and patients Quality information from a rigorous search and appraisal process Trusted based on an internationally recognised evidence-based

editorial process Clinically lead information rather than research lead

Clinical Evidence…

Clinical Evidence A compendium of the best available research & evidence findings

on common and important clinical questions (systematic reviews) Originally in print now also online & PDA Covers over 500 topics and over 2000 treatments These topics are the most important & common conditions seen in

primary and hospital care Describes the questions, summary and background of a condition

then benefits & harms of preventative and therapeutic interventions Emphasis on the outcome for patients Findings based on expert knowledge & evidence collected from

detailed research using Cochrane Library, Medline, Embase and evidence based journals

Contributors, advisors and editors are all specialist expert clinicians

How is Clinical Evidence put together ? Select Topics: common conditions

Review data on consultation rates, morbidity, mortality Advice and suggestions from clinicians and patient groups

Topic Planning: select the questions Relevance to actual practice Detailed and systematic appraisal of material Quality check of EBM material and guidelines

Search & appraise literature: systematic reviews and RCT’s Where no evidence: observational studies Done by in-house specialists & contributions from external clinical specialists

Summarise the evidence: peer review and edit Peer reviewed by at least 2 expert clinicians Edited and compared with original papers Consistancy and quality measures also monitored

Feedback, error corrections and user responses

Best Treatments…

Best Treatments Database for doctors & patients to use evidence to decide on a

certain treatment To inform and initiate a dialogue between doctors and patients at a

level a Patient can understand Written for patients in an easy to use and clear format Covers the top conditions, which treatments work, the drugs that

may be used and any possible side effects Advice on operations and tests Helps patients balance benefits and risks of treatments Leads to informed joint decisions between patients and doctors Unbiased and up to date and links to reference articles and studies

Patient Handout

BMJ Learning…

BMJ Learning CME or learning tool for professionals in primary and hospital care Hospital Doctors, GP’s, Nurses, other clinical staff, practice

managers, and receptionists Assess needs, plan then take online learning modules, courses

and interactive case studies and tests (300 modules) Quick up to date facts on evidence based conditions Record your progress and create certificates online Read, reflect and correspond with other users online Integrate learning into your appraisal system to continue

professional & personal development Constantly updated with new or withdrawn drugs New case studies added weekly also from user suggestions

BMJ Learning Plan

BMJ Learning appraisal

BMJ Learning Certificates

New Projects

New Projects

New Projects

Comorbidities

For purchasers For doctors For patients Increasing incidence of chronic disease in an aging population

Many patients living with more than one condition

Unscheduled hospital admissions

High healthcare spending

Guidelines and studies that usually deal with individual conditions separately

Difficulty identifying optimal care plans

Obstacles to finding good research evidence about comorbidities

Drug interactions that may lead to adverse events

Care fragmented between specialists

Polypharmacy leading to poor adherence and side effects

Self-care designed for individual conditions

Quality of life, values and preferences possibly not taken into account

When a patient has one or more conditions…

Evidence-based recommendations for patients with comorbidities

• diabetes• heart failure• asthma• COPD• coronary artery disease• hypertension• lipid disorders

Flexible care plans

Doctor

Coach/case manager

Patient

Offer for ULAKBIM

Current offer and trial for Hospitals

Test access is currently activated for all 47 research hospitals and is available to 31 December 2006

To access BMJ sites, click: www.bmj.com, www.bmjjournals.com www.clinicalevidence.com, www.bmjlearning.com,

www.besttreatments.org

BMJ PG will work with ULAKBIM to provide a discounted offer for access to the BMJ PG package in 2007

Discounted consortia prices & multi-year agreements with price cap available

Thanks…

For more information or an interactive online demo contact:

Pauline Dilworth – (main contact person)PDilworth@bmjgroup.comTelephone: +44 (0) 20 7383 6714

Nick Turner –NTurner@bmjgroup.comTelephone: +44 (0) 20 7383 6757