cbi 8th dsi conference 19 may2011 final mitchell copyrighted all rights reserved

Tools in the Medical Affairs Arena: Perils and Payoffs

CBIs 8th Annual Forum on Dissemination of Scientific Information17-18 May 2011 Philadelphia

Tools in the Medical Affairs Arena:
Perils and Payoffs

C. Latham Mitchell MDManaging Principal, Erudita Biotechnical LLC

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The views, opinions, and information provided by the presenter including that related to for-profit or nonprofit entities in this presentation is non-exhaustive, and -- while every effort has been made to make this presentation correct, fair, balanced, and non-proprietary, the presenter cannot accept any responsibility for any errors or omissions resulting from the use or misuse of this information.

Every effort has been made to make this overview presentation correct, fair, balanced, and non-proprietary.

This slide set and presentation is intended as information only, and is not a substitute for legal or other professional advice.

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Objective: Steer Clear of Perils, Realize Payoffs

Big Conceptual Buckets for What Med Comm Tools Do

4 People Principles for Medical Communications Tools
Principles #P-1 thru #P-4

Tool Shopping

Manager (Power & Funds)

Front-line User

Tool Maintenance

6 Tool Principles for Medical Communications Tools

Principles #T-1 thru #T-6

Tool: Inherent Properties

Tool: Buyers System & Hows Its Customized

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\9K4SAC62\MC900334650[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\OPPZ9ENG\MC900353893[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\9K4SAC62\MC900334650[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\OPPZ9ENG\MC900353893[1].wmfDivide Up Your Content World Into 2 Parts

CT=clinical trial; ePubs=electronic publications; medsci=medical-scientific; PM=performance management; reorg=reorganization; SOPs = standard operating policies & procedures; TL=thought leader

C:\Documents and Settings\RM98949\Local Settings\Temporary Internet Files\Content.IE5\9ZP08E4W\MC900237167[1].wmfFOUNDATION

tools

tool processes

changing them

MedSci content is key for Medical Affairs since its output is effective communication of the scientific data.

Personal Communication, May 2011PAUL E. BROCK, Associate Director, KMMedical Information and Services COEJ&J North America Pharmaceuticals Scientific Affairs

C:\Documents and Settings\RM98949\Local Settings\Temporary Internet Files\Content.IE5\9ZP08E4W\MC900237167[1].wmf

tools

tool processes

changing tools or processes

C:\Documents and Settings\RM98949\Local Settings\Temporary Internet Files\Content.IE5\YCKNF5MB\MP900341396[1].jpgC:\Documents and Settings\RM98949\Local Settings\Temporary Internet Files\Content.IE5\M8LA91MY\MP900387570[1].jpgBut theres more to the story

FOUNDATION = Knowledge

What Tools Do in the Med Affairs Arena for the Knowledge Worker (KW)

Abbreviations: CRM = customer relationship management; medsci=medical-scientific

client engagement = CRM

clinical knowledge management

medsci repositories: finished work & resources

medsci KW new content outputs: documents (versions) query responses; other (eg, slides, pubs, lit searches)

non-medsci resources for KW medsci work:
medsci project timelines; work-critical guidelines

enterprise management

non-medsci info: other timelines; reports; contracts; other documentation (vendors; compliance/audit)

collaboration workflow

Categories to Think About (Non-exhaustive examples*)

Document Management

w/Version Control

& Workflow & Archive

EMC Documentum

MS Sharepoint

OBA-IRMS (w/Documentum, Siebel)

OpenText
(w/ SAP, Siebel, MS)

Others

Customer Relationship Management (CRM)

Oracle-Siebel

salesforce.com

ACT Sage (smaller companies)

Many others

Search

MS FAST (Sharepoint; Siebel|Documentum|Lotus Notes| many other datasources)

Surfray Ontolica
(Sharepoint)

Coveo
(Sharepoint; Siebel|salesforce.com
Documentum|OpenText

Others

CRM=customer relationship management; IRMS=Information Request Management System (thin-client); MS = Microsoft; OBA=Online Business Applications

Noble J, Piddocke R, Bakman-Mikalski D. Pro SharePoint 2010 Search. New York: Apress Media LLC; 2011.

Ward P and McCabe M. Microsoft SharePoint 2010 End User Guide: Business Performance Enhancement.Birmingham, UK: Packi Publishing; 2011.

http://technet.microsoft.com/en-us/library/gg471167.aspx About IFilters, files type and indexing connector protocols (FAST Search Server 2010 for SharePoint)Published: December 2, 2010Microsoft FAST Search Server 2010 for SharePoint can crawl content either by using the indexing connectors integrated in Microsoft SharePoint Server 2010 (through the FAST Search Content Search Service Application), or by using the FAST Search Server 2010 for SharePoint specific indexing connectors (the FAST Search Lotus Notes connector, the FAST Search database connector and the FAST Search Web crawler). A number of indexing connector protocols are installed by default in SharePoint Server 2010, whereas other content sources require a different indexing connector and protocol which needs to be installed and configured separately. All file types are crawled unless explicitly excluded. A number of file types with little relevance to search are excluded by default. You can find the file types that are excluded by default in the article IFilter and file type reference (FAST Search Server 2010 for SharePoint).While most file types are crawled by default, FAST Search Server 2010 for SharePoint only provides filters for content and metadata extraction of a subset of them. The supported file types are listed in the article IFilter and file type reference (FAST Search Server 2010 for SharePoint). To extract content and metadata from additional crawled file types requires that you enable the Advanced Filter Pack or register a third-party IFilter.In this section:IFilter and file type reference (FAST Search Server 2010 for SharePoint)

Default indexing connector protocols (FAST Search Server 2010 for SharePoint)

yanag

you are not a gadget

JARON LANIER YOU ARE NOT A GADGET, A MANIFESTO Alfred A Knopf, 2010

Family%2520Feud%2520Board%2520Blank yanag

Carols 10 Principles for Medical Communications Tools
Toolshopper People Principles 1-4

#P-1
A tool is not a person
You Are Not a Gadget

patients, knowledge workers, & medsci content

FIRST and foremost

tools serve human beings,
not the other way around

a tool without a user is nothing

#P-1: yanag (you are not a gadget)

Tools are only useful because people have the magical ability to communicate meaning through them.

People are special:

nuance; the gray zone; the edge of mystery

neuroscience: cross-modal areas of the brain abstraction metaphor (core element of language & meaning)

Human searching involves cross-model abstraction (parietal)

Remembering complex, multidimensional information typically requires strategic memory retrieval, during which information is structured, for instance by spatial- or temporal associations.

JARON LANIER YOU ARE NOT A GADGET, A MANIFESTO Alfred A Knopf, 2010;154.

de Rover M et al. Neural correlates of strategic memory retrieval:differentiating between spatial-associative and temporal-associative strategies. Hum Brain Mapp. 2008; 29(9):1068.

J LANIER PP. 1-12,171.

Rawley JB, Constantinidis C. Neural correlates of learning and working memory in the primate posterior parietal cortex. Neurobiol Learn Mem. 2009;91(2):129-38. Review

Brang D, Teuscher U, Ramachandran VS, Coulson S. Temporal sequences, synesthetic mappings, and cultural biases: the geography of time. Conscious Cogn. 2010;19(1):311-20.

This explains why search tools are limited in what they're capable of doing in spite of the vendor sales pitch ("our search tool 'understands' your query", at least for the foreseeable future or until "Watson" becomes feasible in the workplace, and why search is an iterative process. The user is providing the intelligence, not the system.Personal Communication, May 2011 -- PAUL E. BROCKAssociate Director, Knowledge ManagementMedical Information and Services COEJ&J North America Pharmaceuticals Scientific Affairs


Family%2520Feud%2520Board%2520Blank

yanag

frontliners to the 9s

#P-2
Frontliners, frontliners, frontliners
Knowledge workers know

Beta test w/KWs of different learning styles & generations (w/KW outliers too!)

Listen to KW comparison & cost/benefit analysis

Dont be afraid to make the vendor work to address and fix KW issues

#P-2: Knowledge workers know

*Aunt C says: Even if manager has veto power, dont have too big a team: tool shopping team should be mostly KWs. (KW : manager ratio 3:1)!

*Aunt C says: If you ignore KW key reservations for moving forward, I will not be sorry for you if your project goes kaThunk.

Learn how to handle HIPPOs (Highly Paid Peoples Opinions)

IT often controls capital spend: business case that resonates
w/ Med Affairs management may not be the one that resonates w/ IT.

IT responds to ing costs: project that "consolidate systems w/scalability to broader user base s likelihood of funding.

*Aunt C says: Managers, KWs should trump IT regarding helping to keep KW ergonomic injury prevention a top priority for project.



yanag


change as little as possible

#P-3
Consider non-positive effects of new tool
People & Software Change

Software changes people and reality

Recent evidence for negative health impact
work strain

Toolitis and possible morale effect

#P-3: Change isnt all good

The slightest change in something as seemingly trivial as the ease of use of a button can sometimes completely alter behavior patterns.

..Extensive organizational changes including ..changed job tasks were associated with a small in work stress, disturbed sleep, incomplete recovery, and health complaints.

Greubel J, Kecklund G. The Impact of organizational changes on work stress, sleep, recovery and health. Ind Health. 2011 Mar 1. [Epub ahead of print].

Stansfeld S, Candy B. Psychosocial work environment and mental healtha meta-analytic review. Scand J Work Environ Health. 2006 Dec;32(6):443-62. Review.

de Lange AH, et al. A hard day's night: a longitudinal study on the relationships among job demands and job control, sleep quality and fatigue. J Sleep Res. 2009;18(3):374-83.

JARON LANIER YOU ARE NOT A GADGET, A MANIFESTO Alfred A Knopf, 2010;4.

Small things add up (death by a thousand cuts)


Family%2520Feud%2520Board%2520Blank yanag (Gadget) & yanaTool


Change as Little as Possible

Spend as Little as Possible

#P-4
$$$$$$$$$$$
Spend as Little as Possible

Objective: Steer Clear of Perils, Realize Payoffs

Big Conceptual Buckets for What Med Comm Tools Do

4 People Principles for Medical Communications Tools
Principles #P-1 thru #P-4

Tool Shopping

Manager (Power & Funds)

Front-line User

Tool Maintenance

6 Tool Principles for Medical Communications Tools

Principles #T-1 thru #T-6

Tool: Inherent Properties

Tool: Buyers System & Hows Its Customized

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\9K4SAC62\MC900334650[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\OPPZ9ENG\MC900353893[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\9K4SAC62\MC900334650[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\OPPZ9ENG\MC900353893[1].wmfFirst.. Faceted Navigation: Search & Browsing

History of Web Search

Navigational Search iteratively narrow scope per fixed hierarchical taxonomy (Yahoo! Directory, ODP)

Direct Search -- bag of words (Google, other search engines)

Faceted Search #2 + #1 ; (a la e-commerce); combining text search w/progressive narrowing in each dimension, thereby navigating thru multidimensional info; semi-structured data, continuous dimensions, & folksonomies

Faceted classification:
multiple classifications per object, so info can be ordered in many ways
(vs.1 fixed way in a taxonomy or tree-structure)

Facet: clearly defined, mutually exclusive, collectively exhaustive aspects, properties, or characteristics of a class or specific subject**

ODP = Open Directory Project, also known as DMOZ (from directory.mozilla.org)

**http://www.lucidimagination.com/Community/Hear-from-the-Experts/Articles/Faceted-Search-Solr

* also, guided navigation or parametric search

Again, faceted navigation. Also, leveraging end-user data (views, downloads, roles, responsibilities, functional area, etc.) to increase likelihood of "knowing" user preferences, then serve up recommendations, see also's, etc.)

The Association for Computing Machinery's Special Interest Group on Information Retrieval description re:role of Faceted Search (2006 workshop):The web search world, since its very beginning, has offered two paradigms: Navigational search uses a hierarchy structure (taxonomy) to enable users to browse the information space by iteratively narrowing the scope of their quest in a predetermined order, as exemplified by Yahoo! Directory, DMOZ, etc.Direct search allows users to simply write their queries as a bag of words in a text box. This approach has been made enormously popular by Web search engines.Over the last few years, the direct search paradigm has gained dominance and the navigational approach became less and less popular. Recently a new approach has emerged, combining both paradigms, namely the faceted search approach. Faceted search enables users to navigate a multi-dimensional information space by combining text search with a progressive narrowing of choices in each dimension. It has become the prevailing user interaction mechanism in e-commerce sites and is being extended to deal with semi-structured data, continuous dimensions, and folksonomies. SIGIR'2006 Workshop on Faceted Search - Call for Participation

First.. Faceted Navigation: Search & Browsing

Navigational Search iteratively narrow scope per fixed hierarchy/taxonomy (Yahoo! Directory, ODP)

Direct Search -- bag of words (Google, etc)

Faceted Search #1 + #2; (e-commerce); navigate multi-dimensional info combining text search w/progressive narrowing of choices in each dimension; semi-structured data, continuous dimensions, & folksonomies

Benefits users can refine search results, drilling down via facets and/or words until info found

In-search feedback for searcher at-a-glance search results summary & breakdown

Less dead ends users know how many hits match before they click
(values with zero hits usually removed)

No selection hierarchy imposed users free to add or remove constraints in any order

Tool can leverage end-user data (eg, views, downloads, roles, responsibilities, functional area, etc.) to increase likelihood of presenting options that align with user preferences then serve up recommendations
eg See-alsos

ODP = Open Directory Project, also known as DMOZ (from directory.mozilla.org)

**Source: http://www.lucidimagination.com/Community/Hear-from-the-Experts/Articles/Faceted-Search-Solr


Enable user to navigate info along multiple paths corresponding to different orderings of the facets. Faceted classification systems are also distinct from folksonomies or other tagging systems that do not break out the tags into independent facets

The Association for Computing Machinery's Special Interest Group on Information Retrieval description re:role of Faceted Search (2006 workshop):The web search world, since its very beginning, has offered two paradigms: Navigational search uses a hierarchy structure (taxonomy) to enable users to browse the information space by iteratively narrowing the scope of their quest in a predetermined order, as exemplified by Yahoo! Directory, DMOZ, etc.Direct search allows users to simply write their queries as a bag of words in a text box. This approach has been made enormously popular by Web search engines.Over the last few years, the direct search paradigm has gained dominance and the navigational approach became less and less popular. Recently a new approach has emerged, combining both paradigms, namely the faceted search approach. Faceted search enables users to navigate a multi-dimensional information space by combining text search with a progressive narrowing of choices in each dimension. It has become the prevailing user interaction mechanism in e-commerce sites and is being extended to deal with semi-structured data, continuous dimensions, and folksonomies. SIGIR'2006 Workshop on Faceted Search - Call for Participation

Tool Principles 1-6


C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfinherent in tool

dependent on tool buyers system and/or customization

Searchable to the 9s

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf #T-1
Query/Escalation Answer Database

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfmost important feature; text-word searchable !!

faceted navigation: user system dialogue

easily searchable via text and/or metadata

consider MeSH-only medical-scientific metadata

(if you must, user-entered keyword by drop-down pick list)

Faceted navigation is a must to support browsing, the "dialogue" between the user and the system.

Terminology must make sense to the end-user, so language should adapt to the way end-user views the world, not the other way around.

Address relevance, even though this is a tricky thing. End-user must have confidence that your system does a credible job of providing content in an order based upon what the end-user means, not what the end-user says (types) [difficult to build into the KM system].

#T-1: Searchable to the 9s

*Aunt C says: If you cant easily & text-word search your query database, you have nothing!

Variables too great; speed too important

End-user should drive how system uses search terminology, NOT vice versa

*Aunt C: A NO vote for med info front-liner keyword entry (ends up a mess)

*Aunt C: Buy contingent on search usability beta test: if managers & front-liners cannot easily find what youre looking for, forget it

Relevance of search yield: issue of user confidence

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\9K4SAC62\MC900334650[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\OPPZ9ENG\MC900353893[1].wmfTerminology must make sense to the end-user, so language should adapt to the way end-user views the world, not the other way around.

Address relevance, even though this is a tricky thing. End-user must have confidence that your system credible job of providing content in an order based upon what the end-user means, not what the end-user says (types)

Tool Principles 1-6

Family%2520Feud%2520Board%2520Blank Searchable to the 9s

Speedy & Freeze-free


C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfinherent in tool


C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf #T-2
Tool System Combined with Your System
Speedy & Freeze-Free

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmftool system tools company servers

your system -- your servers

internal (US remote & non-hdqtrs) user speed

external US and global user speed consideration

#T-2: A Tool Thats Speedy & Freeze-Free

*Aunt C says: If your med info tool is as slow as molasses or freezes up, you have nothing!

Speed too important for remote, non-headquarters users, global affiliates and global outsourcers

**Aunt C: Do speed usability beta test: if remote US users or rest-of-world internal or external users have speed or freezing issues, get fixed or dont buy

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\OPPZ9ENG\MC900353893[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\9K4SAC62\MC900334650[1].wmfCarols 10 Principles for Medical Communications Tools
Tool Principles 1-6



Scalable & Big Enough


C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfinherent in tool


C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf

Tool System Repository
Scalable and Big Enough

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmftool system tools company servers

your system -- your servers

if it fills up, what are your options? $$ ?

how soon will it fill up?

#T-3: Scalable/ Big Enough Repository

*Aunt C says: If your med info tool repository fills up, you will need to spend more to expand it or buy a new tool.

$$ too important to run out of space in a short time

**Aunt C: Understand repository space needs
a) talk to others who have run out of room
b) make estimates & projections of what youll need

Tool Principles 1-6




Training-free



C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfdependent on tool buyers system and/or customization

A Tool Without Training
Plug and Play

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmftool training is tedious, not intellectually stimulating, the stuff of work strain, and diverts effort away from the medicine and science

tool-itis fosters widespread (usually hidden) cynicism & disengagement among knowledge workers

the more training needed, the lower Aunt Cs grade

More evidence of the importance of easy-to-use and intuitive, which are not antithetical to powerful and effective.

#T-4: Med Info Tool Without Training As Little As Possible If You Must

*Aunt C: Tool training mandated for front-liners not mandated for managers themselves gets a D-.

Time/$$ too important (negative cost:benefit ratio)

*Aunt C: Question every tool needs didactic training.

*Aunt C: If >2 screen shots, look for another trainer.

Innovative approaches eg train-while-doing

easy-to-use/intuitive NOT antithetical to powerful/effective

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\OPPZ9ENG\MC900353893[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\9K4SAC62\MC900334650[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\OPPZ9ENG\MC900353893[1].wmfC:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\9K4SAC62\MC900334650[1].wmfMore evidence of the importance of easy-to-use and intuitive, which are not antithetical to powerful and effective.



Tool Principles 1-5

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf Training-free

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf Walmart-esque



customization-dependent


C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf Speedy & Freeze-free

#T-5
Floor Plans & the Power of Convention
A Sam Walmart State of Mind

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfimplemented tools fixed features eg, floor plan -- based on the tool & how customized

partly rational, partly arbitrary

key to business process efficiency

plan & stick to fixed features like glue

#T-5: Drill is Good (& Efficient)

*Aunt C: Dont let the new tool force you to throw the deck of cards up in the air.

Make new tool build on your conceptual floor plan & other fixed features

*Aunt C: Question Our floor plan is better. Answer: Not for us, it isnt.

*Aunt C: Change as little as possible

Tool Principles 1-6

Family%2520Feud%2520Board%2520Blank Browsable to the 8s



customization-dependent


Training-free

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf Walmart-esque


C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf Speedy & Freeze-free


Browsability: Back to the Future
Making Search More Visible

C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfa la Marion-the-Librarians library

extremely searchable but browsable too

challenge your vendors to show you this feature

undeveloped dimension: giant mouseovers; mouseover sub-windows without leaving Kansas; robotic evolving drop-downs that auto-add metadata


#T-6: Browsability

Faceted Navigation for Browsing

See Coveo

See Surfray Ontolica

See MS FAST SearchServer 2010

document thumbnails

scrolling previews

visual banners & applications to highlight key info


C:\Documents and Settings\RM98949\Local Settings\Temporary Internet Files\Content.IE5\3U5F1CT3\MP900439152[1].jpg

The Future

A Sea Change At Hand

d Margin Pressures New Business Models

Patient Power/Regulatory Scrutiny

Payer Power

Prescribing Power

Pricing Power

More treatments

More patients

Less govt $$$

E7 PowerBRAZIL, CHINA, INDIA, INDONESIA, MEXICO, RUSSIAN, TURKEY

More chronic disease

Aggressive Marketing Power

Health Information Power
Global Medical AffairsDISEASE MANAGEMENT, PUBLICATIONS, MED LIAISONS

Health Economics Power

SystemChoices

System Choices

Objectives

Spring 2011: Whats Out There

Steer Clear of Perils & Realize Payoffs:

10 Principles for Med Communications Tools

To Update or Not To Update

Change Was Good: Recent Research on Detrimental Employee Health Effects and Change in Job Tasks

People Principles 1-4 & Tool Principles 1-6

References

Questions?

Thank You!

[email protected]

Add-On Slide 2: Terms List for Research

Add-On Slide 3: Term Formats to Limit

*Activities of Daily Living --
articles w/topic as major focus

Stress, Psychological[mh] --
search as mesh heading w/subheading

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