Knowledge Management (KM), with a staff of 23, provides high-level data and knowledge organization skills to optimize the enterprise clinical, research and educational initiatives. Collaborating with clinicians and researchers, highly trained information specialists embed best practices in the organizing, structuring and reuse of the institution’s knowledge. The information specialists that constitute the Knowledge Management Team, in addition to their unique expertise in library and information science, also hold deep knowledge and expertise in the areas of adult learning, molecular biology, public health, pharmacology and communication. Current knowledge management services include expert genetics/molecular biology information assistance to support biomedical research and in-depth clinical evidence to inform the development of local and national patient care guidelines.
Evidence-based Practice Support:
The KM team employs a matrix of strategies to foster evidence-based medicine practice. The team provides access to a list of commercially-produced evidence-based databases through a primary navigation button within the Digital Library. This list encompasses critical resources such as UpToDate®; Cochrane Database of Systematic Reviews, Review of Effects and Register of Controlled Trials; ACP Journal Club; and links to globally accessible EBM resources such as the National Guideline Clearinghouse™. The site also features KM’s internally-developed EBM databases such as the Clinical Informatics Consult Service (CICS) Evidence Based Site, which houses evidence syntheses created in response to complex clinical queries, and the Pathway/Order Set Literature Locator, which contains expert search strategies and literature summaries to support evidence-based development of standardized clinical practice. Access to key National Center for Biotechnology Information resources including PubMed, GenBank™, Entrez Gene ™, Map Viewer™, and OMIM™ is available throughout the Medical Center. In addition, the Medical Center information systems are accessible via the Digital Library.
Programs and Services:
The Knowledge Management team is committed to service, and its most important resource is the expertise of its staff. Information specialists help students, residents and faculty stay abreast of the latest findings in the literature by actively participating on clinical rounds and providing targeted support to researchers. In addition to working as clinical and research informationists, KM information specialists participate in multidisciplinary teams throughout the medical center, supporting a variety of programs such as pathways/order sets development, the Institutional Review Board (IRB), and a variety of patient information services. KM team members contribute vetted personalized patient information links addressing diseases/conditions and lab findings/vital signs to the medical center’s online patient portal, MyHealthAtVanderbilt, and the medical center’s electronic medical record system, StarPanel. KM assistance with comprehensive literature reviews is available to researchers developing IRB protocols and to IRB protocol analysts. KM information experts support Vanderbilt’s AHRQ-funded Evidence-based Practice Center’s creation of systematic reviews by identifying and evaluating scientific evidence to determine best treatment practices for critical health issues.
To support Vanderbilt’s Clinical and Translational Science Award (CTSA), the KM team provides expert training and consultation for requests received through StarBRITE: Biomedical Research Integration, Translation and Education online system, a one-stop shop for VMC researchers in need of regulatory, study design, biostatistics, technology, or other support, such as location of data on known single nucleotide polymorphisms (from dbSNP, OMIM, HGVbaseG2P, and other databases) detected via Vanderbilt’s DNA Databank.
KM’s research interests include integrating evidence into the patient care and research workflow using informatics applications; assessing various stakeholder groups' interaction with health information; education, skills development, and leadership development of information professionals; optimal selection and use of information resources; health literacy projects and interventions; organizational knowledge management; and digital library development. Recently funded research projects include: Planning Multidisciplinary and Multicenter Strategies for Understanding Optimal Health Information Delivery to Children(IMLS LG-52-08-0074-08; completed March 2009), Go Local Tennessee (completed November 2008) and The Clinical Informationist: Does the Model Work? (NLM 5 R01 LM07849; completed May 2007)