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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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
Carols 10 Principles for Medical Communications Tools
Toolshopper People Principles 1-4
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.
Carols 10 Principles for Medical Communications Tools
Toolshopper People Principles 1-4
Family%2520Feud%2520Board%2520Blank
yanag
frontliners to the 9s
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)
Carols 10 Principles for Medical Communications Tools
Family%2520Feud%2520Board%2520Blank yanag (Gadget) & yanaTool
frontliners to the 9s
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
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.)
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
Carols 10 Principles for Medical Communications Tools
Tool Principles 1-6
Family%2520Feud%2520Board%2520Blank
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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
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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
Searchable to the 9s
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)
Carols 10 Principles for Medical Communications Tools
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].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].wmfC:\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
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
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admin\AppData\Local\Microsoft\Windows\Temporary Internet
Files\Content.IE5\9K4SAC62\MC900334650[1].wmfCarols 10 Principles
for Medical Communications Tools
Tool Principles 1-6
Family%2520Feud%2520Board%2520Blank Searchable to the 9s
Speedy & Freeze-free
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].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].wmfC:\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
C:\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].wmf #T-3
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.
$$ too important to run out of space in a short time
**Aunt C: Understand repository space needs
a) talk to others who have run out of room
b) make estimates & projections of what youll need
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admin\AppData\Local\Microsoft\Windows\Temporary Internet
Files\Content.IE5\9K4SAC62\MC900334650[1].wmfCarols 10 Principles
for Medical Communications Tools
Tool Principles 1-6
Family%2520Feud%2520Board%2520Blank Searchable to the 9s
Speedy & Freeze-free
Scalable & Big Enough
Training-free
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C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfinherent in tool
C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmfdependent on tool buyers system and/or customization
C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary
Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf #T-4
A Tool Without Training
Plug and Play
C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmftool training is tedious, not intellectually stimulating, the stuff of work strain, and diverts effort away from the medicine and science
tool-itis fosters widespread (usually hidden) cynicism & disengagement among knowledge workers
the more training needed, the lower Aunt Cs grade
More evidence of the importance of easy-to-use and intuitive, which are not antithetical to powerful and effective.
#T-4: Med Info Tool Without Training As Little As Possible If You Must
*Aunt C: Tool training mandated for front-liners not mandated for managers themselves gets a D-.
Time/$$ 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.
Family%2520Feud%2520Board%2520Blank Searchable to the 9s
C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf
Carols 10 Principles for Medical Communications Tools
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
C:\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
customization-dependent
Scalable & Big Enough
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
C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary
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Files\Content.IE5\9K4SAC62\MC900334650[1].wmfCarols 10 Principles
for Medical Communications Tools
Tool Principles 1-6
Family%2520Feud%2520Board%2520Blank Browsable to the 8s
C:\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
customization-dependent
Searchable to the 9s
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
C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf Speedy & Freeze-free
Scalable & Big Enough
C:\Users\c3 admin\AppData\Local\Microsoft\Windows\Temporary
Internet Files\Content.IE5\YN1IHRF6\MC900186066[1].wmf #T-6
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
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.)
#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
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.)
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
Carols 10 Principles for Medical Communications Tools
People Principles 1-4 & Tool Principles 1-6
References
Questions?
Thank You!
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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