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Dr Stout Keynote on New Tech & EBP

Attendees will learn about a variety of new technologies being used in various areas of healthcare and medicine. A discussion of measuring outcomes in workers’ comp will set the stage for the evolution of evidence-based practice. Problems with evidence-based practice will also be presented. An overview of available diagnostic and evidence-based practice treatment tools will be covered followed by a more specific examination of ATI’s approach to outcomes management and synthetic integration of real-time evidence-based treatment guidelines. Available “literature-access” tools will be demonstrated followed by a discussion of the role of Big Data in healthcare in general and the roles of Big Data in workers’ comp and case management in particular. Attendees will be provided with a number of free resources provided by the work done by ATI’s Department of Research and Data Analytics.

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Dr Stout Keynote on New Tech & EBP

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  1. An Evidence-Based Approach to Comp and Rehab: New Tools and Actionable Methods Chris Stout, PhD VP, Department of Research and Data Analytics, ATI College of Medicine, University of Illinois, Chicago

  2. Who is in the audience today…? Physicians…? Attorneys…? Safety experts….? HR Professionals…? WC Adjusters….? Nurse case managers…? Anyone else….? Folks that just like to raise their hands…?

  3. It’s nice to work with workers’ comp outcomes because… Outcomes are VERY Quantified – RTW at the same job description and PDL or not? – How many days passed before RTW? – Nice, clean, and tidy!

  4. Surgeon’s Perspective on a Good Outcome • No anesthesia issues • No surprises during or after • No complications • Good wound healing • No post-op infection

  5. But how does the story end? Is the patient back at work? Quickly? At the same PDL as prior to injury? With the same job classification?

  6. Just the facts, er, evidence…

  7. Evidence is predicated on clinical outcomes

  8. So, evidence-based practice ROCKs! Right…?

  9. Half of what is taught in medical school will be wrong in 10 years’ time, the problem is we don’t know which half. Sydney Burwell, MD, former Dean, Harvard Medical School

  10. It took an average of 17 years for new knowledge generated by RCTs to be incorporated into practice. –IOM

  11. Not a problem of too little, but too much

  12. Just for Coronary Heart Disease… • 3600 statistical articles are published on average each year • Do you know how long it would take you to keep up…?

  13. If you read 1 article/15 minutes You would have to read >10 articles For 2 hours/day 7 days/week Forever…

  14. OK, So, now So, now WHAT?

  15. It’s about tools… tools…

  16. Onset Location Duration Character Aggravating/Alleviating Relieving factors Timing & severity

  17. Got an image? Onset Location Duration Character Aggravating/Alleviating Relieving factors Timing & severity

  18. • 75% hit rate for NEJM’s weekly puzzler via cut-and-paste • 96% if fill in the fields

  19. There are a number of resources available

  20. EvidenceUpdates • A joint collaboration of BMJ Group and the Health Information Research Unit at McMaster University • Best new evidence tailored to your interests. • 2-step process shrinks ~50,000 articles/year (from >140 clinical journals) down to the most important 1 - 2 articles per month = "noise reduction" of over 99.9%.

  21. And, wouldn’t it be cool if surgeons could have their latest post-op protocol available to their rehab-referrals? They already do (and for free).

  22. And I have been doing some experimenting….

  23. I was always frustrated with the disconnect of getting evidence-based practice in real-time to the clinician while with the patient

  24. But we may have cracked the code

  25. PRN Tx Guideline PRN Tx Guideline Consult ( Consult (brought to you brought to you by your EMR) ) by your EMR

  26. Evidence-based practice is sort of like MoneyBall

  27. Evidence-based practice is not…

  28. Evidence-based practice is not…

  29. As a nice side-effect of building this we found…

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