News for Institutional Subscribers

A Message from Dr. Denise Basow

Dr. Denise Basow    

Dear Colleague,

In our previous newsletter, I shared exciting news about our new Clinical Effectiveness (CE) Business Unit, which strengthens our mission of improving the quality and effectiveness of clinical decision-making at the point of care. As a reminder, CE was created to provide more value to you and your institution by helping you to improve the quality of care throughout the care continuum; reduce costs by optimizing clinical processes and medication decision-making; and ensure patients receive the best overall experience possible.

We continue to respond quickly when new global health crises emerge. We have made all Zika virus content accessible for free and continue to update Zika topics as new information becomes available, enabling clinicians to treat patients as effectively as possible. Additionally, in the wake of recent earthquakes in Ecuador, we have opened nationwide access to UpToDate to aid healthcare and rescue workers as they care for survivors.

At Wolters Kluwer Health, we are always looking for new ways to connect clinicians with our most important clinical and practice-changing updates. In December, we launched our new monthly Podcast series, "UpToDate Talk," featuring interviews with our authors and section editors about the latest "What's New" and "Practice Changing UpDates" topics based on the latest medical evidence. We welcome your feedback, which you can provide by rating the podcasts on iTunes.

In April and May, we had the privilege of meeting with several customers at our U.S. and U.K. Advisory Board meetings. These forums help us to learn more about your quality, patient care and HIT objectives, and how we can help you achieve them. In early June, we met with Canadian Quality Council executives at our Canada Advisory Forum. The participants provided insight into top priorities, such as increasing patient engagement and supporting team-based care.

Finally, we continue to expand our recognition around the globe as a resource for point-of-care continuing education – from meeting the Maintenance of Certification requirements for the American Board of Medical Specialties and the Association of American Medical Colleges, to being accepted as a CME provider by the Saudi Commission for Health Specialties. Starting June 22nd, UpToDate will offer credits to clinicians practicing in Kuwait. Also in late June, the College of Family Physicians in Canada will launch their new credit reporting platform, Mainpro+, eliminating activity maximums for online activities. You can read more about the effects of these changes and more below.

As always, we appreciate your loyalty, trust and collaboration as we continue to innovate and develop solutions that help you to improve your institution's clinical effectiveness.

Sincerely,

Denise Basow, MD
President & CEO, Clinical Effectiveness
Wolters Kluwer

Global Health

Mosquito_Zika    

Supporting the Fight Against Zika and Ensuring Ecuador Earthquake Survivors Get the Best Care

In response to the Zika virus, a public health emergency that has affected individuals in at least 34 countries, Wolters Kluwer has made all Zika virus information within UpToDate free to the public. UpToDate has opened access to Zika virus infection and Patient information: Zika virus infection (The Basics). Both topics will be continuously updated as new information is revealed. Additional Zika virus content is also available to UpToDate subscribers.

Also, in the wake of recent earthquakes in Ecuador, we have opened nationwide access to UpToDate to aid healthcare and rescue workers as they care for survivors.

UpToDate MobileComplete Now Available for Mobile Enterprise Users

mobileIn March, Wolters Kluwer announced the launch of UpToDate MobileComplete for customers at hospitals, health systems and other institutions. With UpToDate MobileComplete, institutional users now have offline access to trusted, evidence-based recommendations across iOS® and Android devices, regardless of Wi-Fi and cellular network connectivity challenges. This new capability takes the speed and convenience of the award-winning mobile app one step further by enabling users to download the UpToDate clinical content locally to their device. Clinicians can access all of UpToDate without an Internet connection — even in dead zones. For users with restrictive data plans, offline access aids in reducing data usage.

If you are interested in UpToDate MobileComplete, please contact the UpToDate account representative at your organization.

Test Your Knowledge with the "Specialty of the Month" Challenge

Long-term use of proton pump inhibitors (PPIs) in older adults has been associated with increased risk for all of the following EXCEPT:

A.  Anemia
B.  C. difficile infection
C.  Cognitive impairment
D.  Osteopenia

Check your answer at the end of the newsletter.

UpToDate Expands into Primary Care Sports Medicine

Wolters Kluwer added primary care sports medicine to UpToDate in December 2015, marking the 23rd medical specialty available to subscribing clinicians and healthcare institutions around the world. The addition of primary care sports medicine is the result of over five years of collaboration led by Karl "Bert" Fields, MD, ABFM, CAQSM, Editor-in-Chief of UpToDate in Sports Medicine. The UpToDate primary care sports medicine specialty includes over 260 topics, including easy-to-read patient education topics in English and Spanish, plus over 1,400 graphics.

Sleep medicine will be launched as the 24th medical specialty later in 2016.

Dutch Stage-6 Amphia Hospital Fully Integrates UpToDate within EMR

Amphia Hospital in the Netherlands is the first hospital in Europe to fully integrate UpToDate® Anywhere within its Epic electronic medical record (EMR) system. The integration was complete in December 2015. "Since May, we have been using UpToDate Anywhere with mobile access. Now, by having UpToDate embedded within Epic, it has added a new dimension to how we use our EMR," said Dr. C. van Guldener, medical manager of Internal Medicine and Gastroenterology, Amphia Hospital.

Bringing the Latest Evidence to the Point of Care

Outcomes videoUpToDate is the only clinical decision support resource that brings world-renowned experts together to interpret new evidence and provide actionable recommendations in a matter of days. Watch this four minute video to see how 13 hypertension experts from around the world interpreted the results of the recent SPRINT trial, resulting in new UpToDate recommendations for treating high blood pressure (in only 10 days).

Clinician Stories

Your colleagues and peers are using UpToDate to help diagnose and treat the most unpredictable cases. Read more about the help UpToDate provided to clinicians in the following Clinician Stories:

  • Diagnosing PCOS 
    Dr. Beth Klug, Second-year resident in Family Medicine, VCU/Riverside Family Medicine

UpToDate Talk

UpToDate Talk    

In the recently launched UpToDate Talk podcast series, UpToDate faculty discuss important "What's New" and "Practice Changing UpDates" based on recent medical journal articles. Each clinical podcast includes the most current clinical information available as of the release date listed.

To be alerted as each new episode airs, simply subscribe to our podcast channel on iTunes. We hope you find this an enjoyable way to keep UpToDate! Help us to improve by rating us on iTunes.

New Product Features

UpToDate iPad MultiTasking

With iPad MultiTasking enabled, users can now keep the UpToDate Mobile App open and also use other applications simultaneously, such as a web browser, mail application, or presentation creator, saving time and the hassle of having to toggle between applications.

"OK Google" Can Now Activate UpToDate Content

Subscribers using UpToDate on Android™ mobile devices can now use "OK Google" voice dictation to search and activate the UpToDate Mobile App. This allows access to UpToDate quickly and hands-free, eliminating several steps when searching for particular drug dosing or disease pathologies, for example.

2016 Advisory Board Program

In the first half of 2016, Wolters Kluwer Health has hosted the following UpToDate Advisory Board meetings:

US CAB Group Photo 2016

U.S. Advisory Board in New Orleans on April 8

Eleven key customers from across the United States met with Wolters Kluwer Health executives, including Diana Nole, CEO of Wolters Kluwer Health, and Dr. Denise Basow, President and CEO, Clinical Effectiveness, Wolters Kluwer. The advisers provided input on future product direction and learned about plans to make UpToDate an even more integral part of caring for patients. Dr. David K. Butler, an adviser and Vice President of EHR Optimization and Transformation at Sutter Health in Sacramento, said, "I'm pleased that UpToDate invites their customers to weigh in on their business and strategy plans, as this ensures they are aligning with the most pressing challenges we as customers face in this very new healthcare landscape." Click here to hear from another adviser.

U.K. Advisory Board in London on May 20

UK CAB Group Photo 2016

Nine customer advisers from Trusts across the United Kingdom (UK) came together to discuss their initiatives with Wolters Kluwer Health's leadership team. Key topics included UpToDate's role in improving patient safety and medical education for both junior doctors and experienced clinicians. Dr. Rakesh Patel, Clinical Associate Professor, Medical Education, University of Nottingham School of Medicine presented the results of his EPIFFANY educational intervention project, designed to increase the skills, knowledge and competence of junior doctors to avoid prescribing errors.

Rakesh Patel

"I appreciated the invitation to present efforts we're taking to improve decision-making among junior doctors via our EPIFFANY training program, which reduced junior doctor prescribing errors by 50%," said Dr. Patel. "One of the cornerstones of the program is to empower junior doctors to feel more confident when making clinical decisions at the point of care, and UpToDate played a part in making that happen."

Canada Advisory Board in Ottawa on June 8

CFHI's Six Levers for Accelerating Healthcare Improvement
Andre Picard

Ten advisers from Quality Councils and other healthcare organizations met with Wolters Kluwer Health leadership to offer insights into their healthcare initiatives and how UpToDate clinical decision support can help them realize their key objectives: reduction in the variability of care, promotion of team-based care, and patient engagement. André Picard, a well-known healthcare reporter from The Globe and Mail in Toronto (pictured left), served as guest speaker and discussed the challenges and opportunities in Canadian healthcare.

Kaye Phillips, PhD and Senior Director for the Canadian Foundation for Healthcare Improvement (CFHI), presented on CFHI's Six Levers for Accelerating Healthcare Improvement (right). This concept served as a springboard for discussion on improving healthcare in Canada and how UpToDate can support those efforts.

CME CORNER

Earning CME/CE/CPD Credit with UpToDate

UpToDate is recognized as a continuing education resource by associations, colleges, and authorities worldwide. UpToDate individual subscribers and users at institutions offering UpToDate Anywhere can accrue CME/CE/CPD by researching topics within UpToDate, and redeem those credits through their country's respective authority.

Australia
Austria
Belgium
Canada

Hong Kong
Ireland
Italy
Japan

Mexico
New Zealand
Oman

Qatar
Singapore
South Africa

Turkey
United Arab Emirates
United Kingdom


Recent Authorities to Accept Continuing Education Credits Earned Using UpToDate Include:

Maintenance of Certification (MOC)

Clinicians can use the time they spend with UpToDate to fulfill continuing professional development requirements including MOC Part II of several ABMS Member Boards.

Through the American Board of Medical Specialties (ABMS) and Association of American Medical Colleges' (AAMC) joint initiative to create a wide array of Maintenance of Certification (MOC) Activities, UpToDate has met the MOC requirements as a Part II activity by the following ABMS Member Boards:

  • American Board of Allergy and Immunology
  • American Board of Anesthesiology
  • American Board of Colon and Rectal Surgery
  • American Board of Family Medicine
  • American Board of Preventive Medicine
  • American Board of Psychiatry and Neurology
  • American Board of Thoracic Surgery

American Board of Surgery

Credits earned from use of UpToDate may fulfill Part 2 CME requirements of the American Board of Surgery MOC Program.

The American Board of Internal Medicine (ABIM) is implementing new technology for CME providers like UpToDate to transmit MOC CME credits in a way the ABIM can accept and process. UpToDate is very interested in supporting our subscribers as they work to meet their MOC requirements. We are working to develop software on our end so that UpToDate users can obtain these credits in the future.
 


Saudi Commission for Health Specialties

UpToDate is accredited by the Saudi Commission for Health Specialties (SCFHS). Time spent reading UpToDate may be claimed towards CME on the basis of 1 hour of learning equals 1 credit. SCFHS will accept a maximum of 10 credit hours earned from use of UpToDate by each health care practitioner per year during her/his re-registration period.
 


As of June 22, 2016, UpToDate to Offer Credits in Kuwait

Kuwait Institute of Medical Specialization

The Kuwait Institute of Medical Specialization (KIMS) will recognize the ACCME-accredited program UpToDate as a Category 2 Distance-Learning Provider. Participants can earn up to 5 credits per day and use credits earned to meet up to 40% of their Maintenance of Professional Competence (MPC) licensing requirements.
 


​Changes Coming at the College of Family Physicians of Canada

The College of Family Physicians of Canada (CFPC) has announced their new credit reporting platform Mainpro+, which will launch on June 27, 2016. With this new program, activity maximums for online activities have been eliminated, including the maximum of 15 Mainpro-M1 credits for UpToDate activities. For more Mainpro+ information and FAQ's please visit the website: http://www.cfpc.ca/Mainpro+_FAQs/.

UpToDate credits earned prior to June 27, 2016 will be subject to the 15 credit maximum. If possible, please process credits earned prior to June 27, 2016 separately from those earned after the launch of the new Mainpro+ program on June 27th. Any future submissions of UpToDate for a time period which crosses June 27, 2016 will require additional information and review by CFPC. For these submissions, please provide your detailed activity log to indicate how many credits were earned prior to June 27. You can access your activity log and credit certificate by going to "View My Past Submissions" and clicking on "View/Print" in the "Log" column.

We encourage you to process your UpToDate credits now if you plan to submit them to fulfill CFPC requirements for the cycle ending June 2016. If you have questions, please contact the CFPC CPD staff at mainprocredits@cfpc.ca.

Highlights of UpToDate in the News

HIE logo

Clinical Effectiveness: The Evolution of Evidence-Based Medicine
Dr. Denise Basow, President and CEO of Clinical Effectiveness at Wolters Kluwer, discusses Clinical Effectiveness and the role of healthcare technology in improving Clinical Effectiveness. Read the full HIE Answers article here.

HBR logo

An Online Medical Database is Reducing Doctor Error
Co-written by Dr. Peter Bonis and authors from the Global Health Institute at Harvard University and Harvard Medical School, this article examines the positive impact of UpToDate on reducing diagnostic errors in resource-limited settings. The article also discusses a significant study currently being implemented to demonstrate how access to evidence-based resources during medical training can generate better outcomes for patients. Read the Harvard Business Review article here.

Dr. Ken ABC logo

Video: UpToDate Featured on American sit-com, "Dr. Ken"
UpToDate was prominently featured on the American sit-com, "Dr. Ken," from ABC. The episode, "Ken's an Expert Witness" (Series 1, Episode 19), aired on Friday, March 18, 2016. According to Nielsen Ratings, the episode had an audience of 5.47 million viewers. Watch the clip now!

Specialty of the Month Challenge Answer

Answer: A

Recent studies have found an association between risk for dementia and long-term PPI use in older adults, and 2016 Beers criteria identify PPIs as potentially inappropriate for chronic use in older adults because of increased risk for C. difficile and bone loss.

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