Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Lecture:Definition and application of EBM
Slide content:Growing Advocacy for Medicine Being More Evidence-Based Effectiveness was one of six attributes advocated in IOMs Crossing the Quality Chasm (Source: Institute of Medicine, 2001) Report advocates in detail the use of informatics for a learning health care system (Source: Eden, Wheatley, McNeil, & Sox, 2008) Descriptions of Methodological Details and Challenges for EBM, in Medical Care (Source: Medical Care, 2007) EBM key points in JAMA (Source: Guyatt & Voelker , 2015) 6
Slide notes:6 Theres a growing advocacy for the practice of medicine to be more evidence based. The Institute of Medicine, in its report Crossing the Quality Chasm [ kazm ], names effectiveness as one of the six attributes of the high-quality 21st-century health care system, citing the use of EBM principles. Another report in this series talks about the learning health care system in which we learn from what we do. Naturally, the main way to learn from what we do is to collect data and analyze it, which can be done without computer-based information systems. However, information systems greatly facilitate the ability to analyze dataincluding the ability to perform data comparisons and trend analyses. Information systems also significantly increase the speed at which analysis can be done. Improved data analysis capabilities have opened new ways for us to learn what works and what doesnt work in health care. EBM entails many methodological details and challenges. We cover some of them in this unit. More detailed descriptions of these challenges are found in a 2007 supplement to the journal Medical Care , and key points of EBM are presented in a 2015 JAMA article, Everything You Ever Wanted to Know about Evidence-Based Medicine.