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LIPPINCOTT, WILLIAMS & WILKINS. WOLTERS KLUWER MISSION Wolters Kluwer is The Professionals First Choice for information, tools, and solutions to help

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LIPPINCOTT, WILLIAMS & WILKINS Slide 2 WOLTERS KLUWER MISSION Wolters Kluwer is The Professionals First Choice for information, tools, and solutions to help professionals deliver quality results more efficiently. Our customer promise is to be the preferred global provider of information-enabled solutions to help professionals manage processes and drive results effectively. At Wolters Kluwer, we excel at combining our superior information with the latest innovative technologies for use in the professional context our customers operate in. Our intelligent solutions incorporate open architecture networks in which we play a hub role, coordinating activities and enabling communication across a customers workflow. We ensure that our customers have the solutions they need, when they need them, and in the media best suited to their requirements. Slide 3 IN MY WORDS Embed content at point of use Cradle to grave (student practicing professional) Participate vitally & meaningfully in customers daily lives Slide 4 PRODUCT LINE LIFECYCLE OF A HEALTHCARE WORKER IN CLASS STUDYPROF. ON- BOARDING APPREN- TICESHIP MID-CAREERBRIDGING TO CLINICAL CERT. EXAM RECERT. EXAM Slide 5 IN MY WORDS Participate vitally & meaningfully in customers daily lives Embed content at point of use Cradle to grave (student practicing professional) We solve problems Slide 6 FOR EXAMPLE Slide 7 CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists PHARMACY SCHOOL SPECIALTY STUDY CERTIFICATION EXAM ON JOB TRAINING PRACTICERECERT. EXAM MED SCHOOL Internists & Primary Care Physicians USMLE 1USMLE 2ROTATIONINTERN YEAR RESIDENCYMED BOARDS PRACTICERECERT. EXAM MED SCHOOL USMLE 1USMLE 2ROTATIONINTERN YEAR RESIDENCY BOARDSFELLOWSHIPPRACTICERECERT. EXAM NURSING SCHOOL SIMULATIONSCLINICALSNCLEXPRACTICEADVANCED DEGREES BASIC SCIENCE TECHNIQUEHANDS ON TRAINING CERTIFICATIONPRACTICECONTINUING EDUCATION Slide 8 CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists Office-Based Clinic Hospital Different clinical settings PHARMACY SCHOOL SPECIALTY STUDY CERTIFICATION EXAM ON JOB TRAINING PRACTICERECERT. EXAM MED SCHOOL Internists & Primary Care Physicians USMLE 1USMLE 2ROTATIONINTERN YEAR RESIDENCYMED BOARDS PRACTICERECERT. EXAM MED SCHOOL USMLE 1USMLE 2ROTATIONINTERN YEAR RESIDENCY BOARDSFELLOWSHIPPRACTICERECERT. EXAM NURSING SCHOOL SIMULATIONSCLINICALSNCLEXPRACTICEADVANCED DEGREES BASIC SCIENCE TECHNIQUEHANDS ON TRAINING CERTIFICATIONPRACTICECONTINUING EDUCATION Slide 9 CONTINUING EDUCATION IT GETS COMPLICATED Pharmacists Nurses Surgeons Massage Therapists Office-Based Clinic Hospital Different clinical settings PHARMACY SCHOOL SPECIALTY STUDY CERTIFICATION EXAM ON JOB TRAINING PRACTICERECERT. EXAM MED SCHOOL Internists & Primary Care Physicians USMLE 1USMLE 2ROTATIONINTERN YEAR RESIDENCYMED BOARDS PRACTICERECERT. EXAM MED SCHOOL USMLE 1USMLE 2ROTATIONINTERN YEAR RESIDENCY BOARDSFELLOWSHIPPRACTICERECERT. EXAM NURSING SCHOOL SIMULATIONSCLINICALSNCLEXPRACTICEADVANCED DEGREES BASIC SCIENCE TECHNIQUEHANDS ON TRAINING CERTIFICATIONPRACTICECONTINUING EDUCATION The 5-Minute Clinical Consult Slide 10 IT GETS COMPLICATED MED SCHOOL Internists & Primary Care Physicians USMLE 1USMLE 2ROTATIONINTERN YEAR RESIDENCYMED BOARDS PRACTICERECERT. EXAM Primary Care Physician in Small Group Practice Could be MD, PA, NP. Sees 25 patients a day, < 15 min each. Mostly sees the same stuff, but at least 1X a day encounters something hasn't seen before, or hasn't seen in awhile, or that is on tip of tongue but just can't remember e.g., what's the lab test for celiac disease? Cares a lot about quality of service for patients, and patients are asking a lot more questions and generally getting more demanding. Interested in anything that can improve quality of service without adding significantly to costs. Overworked, lots of pressure, always worrying about the consequences of making a mistake will pay a reasonable price for extra piece of mind. Increasingly expected to use EMR would like to get information specific to the patient from inside the EMR. Resident or Medical Student Could be 3rd or 4th year med student just starting to encounter patients, or resident with more experience and more responsibility. Sees patients on rounds at a hospital or in a clinic setting. Will probably spend some time in an office-based practice. Sees a large variety of cases and is often on the hook for figuring out a care-plan on the spot without any prior information about a patient. Will need to answer for any medical decisions to chief resident or attending. Feels a lot of pressure to do adequate research and take appropriate measures while on call, and then be able to answer for them on rounds. Has computers at every corner, probably carries a smartphone, very tech-savvy, uses EMRs almost exclusively over paper charts. Has learning responsibilities in addition to patient care that include: attending lecture, discussing other students' cases with faculty, etc. The 5-Minute Clinical Consult Slide 11 We want to help our patients, But we need to make our businesses work, And we have no time. IN A NUTSHELL Slide 12 Slide 13 ATUL GAWANDE SAYS Slide 14 Slide 15 PRIMARY CARE PAIN POINTS Slide 16 Even faster answers to clinical questions (5 min

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