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Cbi 8th Dsi Conference 19 May2011 Final Mitchell Copyrighted All Rights Reserved

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This document summarizes a presentation on tools used in medical affairs. It discusses principles for both people and tools when selecting medical communication tools. For people principles, it emphasizes that tools serve humans, knowledge workers should be involved in selecting and testing tools, and changes to tools and processes should be minimized. For tool principles, it highlights the importance of searchability and allowing faceted navigation for searching knowledge bases and documentation.

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CBIs 8 th Annual Forum on Dissemination of Scientific Information 17-18 May 2011 Philadelphia Tools in the Medical Affairs Arena: Perils and Payoffs C. Latham Mitchell MD Managing Principal, Erudita Biotechnical LLC linked in try4a.png 2011-02-19 001 2011-02-19 002.JPG
Disclaimer and Copyright The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Erudita Biotechnical LLC, its directors, officers, employees, volunteers, members, chapters, councils, affiliates, or any organization with which the presenter is employed or affiliated. Information regarding for-profit or nonprofit entities in this presentation is non-exhaustive, and no such entity or other resource is endorsed by the presenter. These PowerPoint slides are the intellectual property of the individual presenter and are protected under the copyright laws of the United States of America and other countries. Used by permission. All rights reserved. All trademarks are the property of their respective owners.
Disclaimer and Copyright continued 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. All content is for information use only, and is not to be construed as a guaranteed outcome. Erudita Biotechnical LLC cannot accept any responsibility for any errors or omissions or any liability resulting from the use or misuse of any such information.
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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf
Divide 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:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE5ZP08E4WC900237167[1].wmf 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 2011 PAUL E. BROCK, Associate Director, KM Medical Information and Services COE J&J North America Pharmaceuticals Scientific Affairs FOUNDATION
C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE5ZP08E4WC900237167[1].wmf tools tool processes changing tools or processes C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE5CKNF5MBP900341396[1].jpg C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE58LA91MYP900387570[1].jpg But 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.
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.
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. G reubel 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.
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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf
First.. 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
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
Carols 10 Principles for Medical Communications Tools Tool Principles 1-6 Family%2520Feud%2520Board%2520Blank C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool dependent on tool buyers system and/or customization Searchable to the 9s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf most 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 ) #T-1 Query/Escalation Answer Database Searchable to the 9s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
#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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf
Carols 10 Principles for Medical Communications Tools Tool Principles 1-6 Family%2520Feud%2520Board%2520Blank Searchable to the 9s Speedy & Freeze-free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool dependent on tool buyers system and/or customization C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf tool system tools company servers your system -- your servers internal (US remote & non- hdqtrs ) user speed external US and global user speed consideration #T-2 Tool System Combined with Your System Speedy & Freeze-Free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
#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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf
Carols 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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool dependent on tool buyers system and/or customization C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf tool system tools company servers your system -- your servers if it fills up, what are your options? $$ ? how soon will it fill up? #T-3 Tool System Repository Scalable and Big Enough C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
#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. $$ too important to run out of space in a short time ** Aunt C : Understand repository space needs a) talk to others who have run out of room b) make estimates & projections of what youll need C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf
Carols 10 Principles for Medical Communications Tools Tool Principles 1-6 Family%2520Feud%2520Board%2520Blank Searchable to the 9s Speedy & Freeze-free Scalable & Big Enough Training-free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf dependent on tool buyers system and/or customization C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf tool training is tedious, not intellectually stimulating, the stuff of work strain, and diverts effort away from the medicine and science tool- itis fosters widespread (usually hidden) cynicism & disengagement among knowledge workers the more training needed, the lower Aunt Cs grade #T-4 A Tool Without Training Plug and Play C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
#T-4: Med Info Tool Without Training As Little As Possible If You Must * Aunt C : Tool training mandated for front-liners not mandated for managers themselves gets a D-. Time/$$ 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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf
Family%2520Feud%2520Board%2520Blank Carols 10 Principles for Medical Communications Tools Tool Principles 1-5 C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Walmart-esque C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool customization-dependent implemented 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 Searchable to the 9s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Training-free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Scalable & Big Enough C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Speedy & Freeze-free #T-5 Floor Plans & the Power of Convention A Sam Walmart State of Mind C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
#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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf
Carols 10 Principles for Medical Communications Tools Tool Principles 1-6 Family%2520Feud%2520Board%2520Blank Browsable to the 8s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool customization-dependent Searchable to the 9s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf a 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 Training-free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Walmart-esque C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Speedy & Freeze-free Scalable & Big Enough C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf #T-6 Browsability : Back to the Future Making Search More Visible C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
#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
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 Power BRAZIL, CHINA, INDIA, INDONESIA, MEXICO, RUSSIAN, TURKEY More chronic disease Aggressive Marketing Power Health Information Power Global Medical Affairs DISEASE MANAGEMENT, PUBLICATIONS, MED LIAISONS Health Economics Power System Choices System Choices C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE5U5F1CT3P900439152[1].jpg The Future
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! [email_address]
Add-On 際際滷 2: Terms List for Research
Add-On 際際滷 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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Cbi 8th Dsi Conference 19 May2011 Final Mitchell Copyrighted All Rights Reserved

  • 1. CBIs 8 th Annual Forum on Dissemination of Scientific Information 17-18 May 2011 Philadelphia Tools in the Medical Affairs Arena: Perils and Payoffs C. Latham Mitchell MD Managing Principal, Erudita Biotechnical LLC linked in try4a.png 2011-02-19 001 2011-02-19 002.JPG
  • 2. Disclaimer and Copyright The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Erudita Biotechnical LLC, its directors, officers, employees, volunteers, members, chapters, councils, affiliates, or any organization with which the presenter is employed or affiliated. Information regarding for-profit or nonprofit entities in this presentation is non-exhaustive, and no such entity or other resource is endorsed by the presenter. These PowerPoint slides are the intellectual property of the individual presenter and are protected under the copyright laws of the United States of America and other countries. Used by permission. All rights reserved. All trademarks are the property of their respective owners.
  • 3. Disclaimer and Copyright continued 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. All content is for information use only, and is not to be construed as a guaranteed outcome. Erudita Biotechnical LLC cannot accept any responsibility for any errors or omissions or any liability resulting from the use or misuse of any such information.
  • 4. 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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf
  • 5. Divide 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
  • 6. C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE5ZP08E4WC900237167[1].wmf 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 2011 PAUL E. BROCK, Associate Director, KM Medical Information and Services COE J&J North America Pharmaceuticals Scientific Affairs FOUNDATION
  • 7. C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE5ZP08E4WC900237167[1].wmf tools tool processes changing tools or processes C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE5CKNF5MBP900341396[1].jpg C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE58LA91MYP900387570[1].jpg But theres more to the story FOUNDATION = Knowledge
  • 8. 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
  • 9. 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.
  • 10. yanag you are not a gadget JARON LANIER YOU ARE NOT A GADGET, A MANIFESTO Alfred A Knopf, 2010
  • 11. 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
  • 12. #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.
  • 13. 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
  • 14. #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.
  • 15. 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
  • 16. #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. G reubel 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.
  • 17. 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
  • 18. 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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf
  • 19. First.. 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
  • 20. 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
  • 21. Carols 10 Principles for Medical Communications Tools Tool Principles 1-6 Family%2520Feud%2520Board%2520Blank C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool dependent on tool buyers system and/or customization Searchable to the 9s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf most 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 ) #T-1 Query/Escalation Answer Database Searchable to the 9s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
  • 22. #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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf
  • 23. Carols 10 Principles for Medical Communications Tools Tool Principles 1-6 Family%2520Feud%2520Board%2520Blank Searchable to the 9s Speedy & Freeze-free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool dependent on tool buyers system and/or customization C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf tool system tools company servers your system -- your servers internal (US remote & non- hdqtrs ) user speed external US and global user speed consideration #T-2 Tool System Combined with Your System Speedy & Freeze-Free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
  • 24. #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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf
  • 25. Carols 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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool dependent on tool buyers system and/or customization C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf tool system tools company servers your system -- your servers if it fills up, what are your options? $$ ? how soon will it fill up? #T-3 Tool System Repository Scalable and Big Enough C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
  • 26. #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. $$ too important to run out of space in a short time ** Aunt C : Understand repository space needs a) talk to others who have run out of room b) make estimates & projections of what youll need C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf
  • 27. Carols 10 Principles for Medical Communications Tools Tool Principles 1-6 Family%2520Feud%2520Board%2520Blank Searchable to the 9s Speedy & Freeze-free Scalable & Big Enough Training-free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf dependent on tool buyers system and/or customization C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf tool training is tedious, not intellectually stimulating, the stuff of work strain, and diverts effort away from the medicine and science tool- itis fosters widespread (usually hidden) cynicism & disengagement among knowledge workers the more training needed, the lower Aunt Cs grade #T-4 A Tool Without Training Plug and Play C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
  • 28. #T-4: Med Info Tool Without Training As Little As Possible If You Must * Aunt C : Tool training mandated for front-liners not mandated for managers themselves gets a D-. Time/$$ 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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf
  • 29. Family%2520Feud%2520Board%2520Blank Carols 10 Principles for Medical Communications Tools Tool Principles 1-5 C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Walmart-esque C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool customization-dependent implemented 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 Searchable to the 9s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Training-free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Scalable & Big Enough C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Speedy & Freeze-free #T-5 Floor Plans & the Power of Convention A Sam Walmart State of Mind C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
  • 30. #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:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5PPZ9ENGC900353893[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5K4SAC62C900334650[1].wmf
  • 31. Carols 10 Principles for Medical Communications Tools Tool Principles 1-6 Family%2520Feud%2520Board%2520Blank Browsable to the 8s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf inherent in tool customization-dependent Searchable to the 9s C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf a 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 Training-free C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Walmart-esque C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf Speedy & Freeze-free Scalable & Big Enough C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf #T-6 Browsability : Back to the Future Making Search More Visible C:sers3 adminppDataocalicrosoftindowsemporary Internet Filesontent.IE5N1IHRF6C900186066[1].wmf
  • 32. #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
  • 33. 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 Power BRAZIL, CHINA, INDIA, INDONESIA, MEXICO, RUSSIAN, TURKEY More chronic disease Aggressive Marketing Power Health Information Power Global Medical Affairs DISEASE MANAGEMENT, PUBLICATIONS, MED LIAISONS Health Economics Power System Choices System Choices C:ocuments and SettingsM98949ocal Settingsemporary Internet Filesontent.IE5U5F1CT3P900439152[1].jpg The Future
  • 34. 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
  • 35. Carols 10 Principles for Medical Communications Tools People Principles 1-4 & Tool Principles 1-6
  • 37. Questions? Thank You! [email_address]
  • 38. Add-On 際際滷 2: Terms List for Research
  • 39. Add-On 際際滷 3: Term Formats to Limit *Activities of Daily Living -- articles w/topic as major focus Stress, Psychological[ mh ] -- search as mesh heading w/subheading

Editor's Notes

  • #10: 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, 2010 Microsoft 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)
  • #13: 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. BROCK Associate Director, Knowledge Management Medical Information and Services COE J&J North America Pharmaceuticals Scientific Affairs
  • #17: Small things add up (death by a thousand cuts)
  • #20: 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
  • #21: 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
  • #22: 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] .
  • #23: 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 credible job of providing content in an order based upon what the end-user means, not what the end-user says (types)
  • #28: More evidence of the importance of easy-to-use and intuitive, which are not antithetical to powerful and effective.
  • #29: More evidence of the importance of easy-to-use and intuitive, which are not antithetical to powerful and effective.
  • #32: 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.)
  • #33: 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.)