MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'integrated'. Sat, 03 Sep 2011 02:06:46 +0100 http://www.medworm.com/index.php?rid=4848153&cid=t_344885_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2Fxcfk_QG4yb0%2F Hired someone new and exciting? Promoted a rising star? Finally solved that hard-to-fill spot? Share the news with us and we’ll share with it others. That’s right. Send us your announcements and we’ll find a home for them. Don’t be shy. Everyone wants to know who is coming and going, especially with all the layoffs. Despite the downsizing, there is movement. Here are some of the latest changes. Recognize anyone? And here is our regular feature. Send us a photo and we will spotlight a different person each week. This time around, we note that Quintiles hired Peter Lassoff as leader for the EU Pharmaceutical Regulatory and Quality practice where he will provide regulatory support across all consulting practices. Previously, he spent 12 years at Parexel, where he was vp of consulting ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4848153 Fri, 20 May 2011 11:40:24 +0100 4848153 http://www.medworm.com/index.php?rid=4842011&cid=t_344885_155_f&fid=38412&url=http%3A%2F%2Fpathlabmed.typepad.com%2Fsurgical_pathology_and_la%2F2011%2F05%2Fincidentalomas-revisited.html In this study, sarcoidosis was diagnosed by EBUS-FNA in 22% of patients and 2 patients developed lung cancer 2 years after initial finding. While I concur with the basic premise of the post (i.e. that one shouldn't jump into a full-blown diagnostic work-up of an incidental finding), I think we should also insist on developing evidence-based criteria for managing these types of findings such as, Fleishner criteria for lung nodules. (Source: The Daily Sign-Out) The Daily Sign-Out blogs http://www.medworm.com/rss/comments.php?id=4842011 Thu, 19 May 2011 11:17:00 +0100 4842011 http://www.medworm.com/index.php?rid=4696719&cid=t_344885_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FC4I7Th9bops%2F My guess is you’ve probably never asked yourself this question. A quick preview: Technical barriers aren’t the limiting factors to Facebook becoming a care coordination platform. Facebook’s company DNA won’t play well in health care. Could Facebook become the care coordination platform of the future? If not Facebook, then what? 1) Technical barriers aren’t the limiting factors to Facebook as a care coordination platform. Can you imagine Facebook as a care coordination platform? I don’t think it’s much of a stretch. Facebook already has 650 million people on its network with a myriad of tools that allow for one-to-one or group interactions. What would it take to make Facebook a viable care coordination platform? More servers to handle the volume ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4696719 Sat, 09 Apr 2011 23:13:18 +0100 4696719 http://www.medworm.com/index.php?rid=5159039&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fwww.dcscience.net%2F%3Fp%3D4213%26utm_source%3Drss%26utm_medium%3Drss%26utm_campaign%3Dcranial-osteopathy-at-the-royal-london-hospital-for-integrated-medicine-and-inaction-by-dr-gill-gaskin Jump to follow-up Last year the Royal London Homeopathic Hospital was rebranded as the Royal London Hospital for Integrated Medicine (RLHIM). The exercise seems to have been entirely cosmetic. Sadly, they still practise the same nonsense, as described in Royal London Homeopathic Hospital rebranded. But how different will things be at the Royal London Hospital for Integrated Medicine?. Recently I came across a totally disgraceful pamphlet issued by the RLHIM [download pamphlet]. If you haven’t come across craniosacral therapy (and who could blame you, a new form of nonsense is invented daily), try these sources. EBM-first has an up-to-date collection of references. Why Cranial Therapy Is Silly, by Stephen Barrett, M.D. What is Craniosacral Therapy? Wikipedia gives the history... DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=5159039 Sat, 26 Mar 2011 17:02:48 +0100 5159039 http://www.medworm.com/index.php?rid=4600491&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F03%2F15%2Fnursing-times-2011-vol-107-no-7%2F This article describes how a collaborative project at Leicestershire Partnership Trust is addressing the needs of patients with dual diagnosis. The aims of the project, as well as the successes and challenges are outlined. Guidance is provided on setting up a collaborative service. Contact the Library for a copy of this article. Filed under: Current Awareness, Journals Tagged: Dual Diagnosis, Integrated Care, Mental Health, Substance Abuse (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4600491 Tue, 15 Mar 2011 10:38:16 +0100 4600491 http://www.medworm.com/index.php?rid=4549939&cid=t_344885_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FzIiicEuNJck%2F Hired someone new and exciting? Promoted a rising star? Finally solved that hard-to-fill spot? Share the news with us and we’ll share with it others. That’s right. Send us your announcements and we’ll find a home for them. Don’t be shy. Everyone wants to know who is coming and going, especially with all the layoffs. Despite the downsizing, there is movement. Here are some of the latest changes. Recognize anyone? And here is our regular feature. Send us a photo and we will spotlight a different person each week. This time around, we note that IBM Global Business Service hired Neil Patel as an associate partner in the Life Sciences R&D Practice. Prior to joining IBM, he was with PricewaterhouseCoopers in the Pharma Life Sciences Practice as a director and, before that, he worked... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4549939 Fri, 04 Mar 2011 13:10:43 +0100 4549939 http://www.medworm.com/index.php?rid=4134196&cid=t_344885_147_f&fid=39273&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FePharmaSummit%2F%7E3%2FJTJukTRLr80%2Fintegration-is-key-for-effective.html Recently at One-to-One Media, they looked at the effectiveness of integrated marketing efforts. While print is still an important part any marketing campaign, the effective integration of digital marketing into this plan will result in more views. It will also allow your potential customers to customize their experience and ultimately make them more likely to say yes to your product. By allowing individuals to choose which platform they engage with you on, you can better customize their data to fit their needs. Across all platforms, mobile is the one that is growing the fastest. The ePharma Summit has a number of sessions dedicated to integrating social media into the traditional media mix. Event Co-Chair Joe Shields, Product Director at Pfizer will be presenting on “Hyperintegration in... ePharma Summit blogs http://www.medworm.com/rss/comments.php?id=4134196 Wed, 03 Nov 2010 15:29:00 +0100 4134196 http://www.medworm.com/index.php?rid=4027237&cid=t_344885_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fi64TWB_EG3E%2F Sometimes you read something and the full impact doesn’t hit you until hours — perhaps days — later.  As I was out mountain biking today, the importance of something I ran across yesterday suddenly hit me. Accountable Care Organizations (ACOs) are today’s cure-du-jour for reforming the health care delivery system. Bob Berensen, MD of the Urban Institute strongly questions whether the shared savings model under current legislation provides enough economic incentive for hospitals to disrupt their existing core business of acute, inpatient care. The dialogue took place at HSC’s 15th Annual Wall Street Comes to Washington Conference. Here’s the conversation from the transcript — I actually went back to dig this out of my trash: Paul Ginsburg: Actually, let me ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4027237 Sun, 03 Oct 2010 22:16:40 +0100 4027237 http://www.medworm.com/index.php?rid=3965524&cid=t_344885_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FW7-Cvm8tO98%2F Who has the most comprehensive data about YOUR clinical conditions? For most people, the answer today is “your health plan”, but it’s not at all clear that health plans will continue to have this role in the future. As physicians and hospitals adopt EHRs, it’s foreseeable that clinical data about patients will be far more available and accessible. Will patient data become: A jockeying point for control and business advantage between health plans and care providers, A collaborative opportunity to optimize clinical care and care coordination, or Both? (more…) Article Series - Stages 2 and 3 of HITECH: The Golden Era of Care Coordination or Bureaucrats Practicing Medicine?Overview: Here Come Stages 2 and 3 of HITECH!Megatrend Spotting: Health Plan Role of Having “Best Data... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3965524 Mon, 13 Sep 2010 23:23:38 +0100 3965524 http://www.medworm.com/index.php?rid=3862013&cid=t_344885_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fquackademic-medicine-infiltrates-the-new-england-journal-of-medicine%2F2010.08.12 One of the things that disturbs me the most about where medicine is going is the infiltration of quackery into academic medicine. So prevalent is this unfortunate phenomenon that Doctor RW even coined a truly apt term for it: Quackademic medicine. In essence, pseudoscientific and even prescientific ideas are rapidly being “integrated” with science-based medicine, or, as I tend to view it, quackery is being “integrated” with scientific medicine, to the gradual erosion of scientific standards in medicine. No quackery is too quacky, it seems. Even homeopathy and naturopathy can seemingly find their way into academic medical centers. (more…) *This blog post was originally published at Science-Based Medicine* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3862013 Thu, 12 Aug 2010 12:00:31 +0100 3862013 http://www.medworm.com/index.php?rid=3740553&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F09%2Fhealthmatters-2010-no-79%2F Title: Saving energy Skinny: Under the government’s Climate Change Act (2008) reducing carbon emissions is something the public sector must do. Hand-in-hand with the goal to cut emissions is the need to improve patients care using technology. Article suggests solution. Filed under: Environmental, Integrated Care Tagged: Climate Change, Public Sector, Quality of Patient Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3740553 Fri, 09 Jul 2010 12:00:37 +0100 3740553 http://www.medworm.com/index.php?rid=3718699&cid=t_344885_150_f&fid=38374&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FePharmaSummit%2F%7E3%2FQO1X5ewvc0Y%2Fsanofi-aventis-to-raise-awareness-of.html According to Medical Media & Marketing, Jeff Gordon is teaming up with sanofi-Pasteur to promote awareness of whopping cough. Television and radio ads will begin running in August, in combination with print, online and patient materials that will also be distributed.A digital effort will take place as well:Other campaign elements include a website (SoundsofPertussis.com) and Facebook page. By texting “SOUNDS” to 292929 on a mobile phone, participants will receive a text message five days later reminding them to get vaccinated. From the campaign website, visitors can check out Jeff Gordon's “favorite road tunes,” and download the songs from iTunes for $0.99 to $1.29 each. For every song downloaded (selections run the musical gamut, from U2, Sheryl Crow and Rascal Flatts, to Riha... ePharma Summit blogs http://www.medworm.com/rss/comments.php?id=3718699 Thu, 01 Jul 2010 15:41:00 +0100 3718699 http://www.medworm.com/index.php?rid=3625634&cid=t_344885_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fnational-privacy-center-backed-trusted-entities Amidst all the millions of federal dollars slated for health IT adoption, HHS understands the importance of protecting patient information in electronic form. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=3625634 Thu, 03 Jun 2010 12:59:26 +0100 3625634 http://www.medworm.com/index.php?rid=3533779&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F05%2F05%2Fprimary-care-and-emergency-departments%2F Title: Primary care and Emergency Departments Skinny: Studies the impact of using primary care within or alongside Accident and Emergency. The report highlights that use of primary care clinicians in Accident and Emergency departments can benefit patients where services are integrated and clinicians work together. The findings of this report are being developed into a guide for commissioners on use of primary care clinicians with Accident and Emergency departments and this guide will be available soon. Publisher: Primary Care Foundation Size of Publication: 102p. Published: 08/03/2010 Filed under: Accident and Emergency Departments, Commissioning, Grey Literature, Hospitals, Interagency Relations, NHS, Primary Care, Quality, Urgent Care Tagged: Accident and Emergency Departments, Commissio... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3533779 Wed, 05 May 2010 06:50:02 +0100 3533779 http://www.medworm.com/index.php?rid=3519468&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fwww.dcscience.net%2F%3Fp%3D3023 Hot off the press The Prince’s Foundation for Integrated Health (FIH) has been spreading misinformation about medicine since 1993.  It has featured often on this blog. Now it has closed its doors. An announcement has appeared on the FIH website 30 April 2010 The Trustees of The Prince’s Foundation for Integrated Health have decided to close the charity. The announcment goes on "Whilst the closure has been planned for many months and is part of an agreed strategy, the Trustees have brought forward the closure timetable as a result of a fraud investigation at the charity." "The Trustees feel that The Foundation has achieved its key objective of promoting the use of integrated health. Since The Foundation was set up in 1993, integrate... DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=3519468 Fri, 30 Apr 2010 14:17:21 +0100 3519468 http://www.medworm.com/index.php?rid=3453909&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fwww.dcscience.net%2F%3Fp%3D2914 Yet another university has stopped its homeopathy course. The particular interest of this course was that it was being run at Robert Gordon University, Aberdeen, the vice-chancellor which was Michael Pittilo, until his recent premature death. Pittilo is the person who recommended to the government that herbalists and Chinese medicine practitioners should get honours degrees and be regulated like doctors. His report, was, in my opinions, disastrously bad.  It recently emerged that this, very bad, advice would not be accepted by the Department of Health (DH), so the campaign against the Pittilo proposals, on this blog and elsewhere was successful. The alternative DH proposals look pretty silly, but we won’t really know until after the election exactly what will happen. ... DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=3453909 Fri, 09 Apr 2010 06:04:10 +0100 3453909 http://www.medworm.com/index.php?rid=3435020&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F04%2F02%2Fjournal-of-the-american-medical-association-2010-vol-303-no-11%2F This article aims to determine the the availability and degree of integration of palliative care services and to compare between National Cancer Institute (NCI) and non-NCI cancer centers in the United States. This article can be accessed online using an NHS Athens password alternatively contact the library for a copy of this article. Filed under: Current Awareness, E-Journals, Journals Tagged: Cancer, End o Life Care, Integrated Care, Palliative Care, Service Provision, United States (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3435020 Fri, 02 Apr 2010 17:39:17 +0100 3435020 http://www.medworm.com/index.php?rid=3429197&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fwww.dcscience.net%2F%3Fp%3D2881 Conclusions I’ll confess to feeling almost a little guilty for having appeared to persecute the particular individuals involved in thie episode. But patients are involved and so is the law, and both of these are more important than individuals,  The only unfair aspect is that, while it seems that even the Prince of Wales’ Foundation for Integrated Health has rejected Daniel and Atkinson, that Foundation embraces plenty of people who are just as deluded, and potentially dangerous, as those two.  The answer to that problem is for the Prince to stop endorsing treatments that don’t work. As for the University of Buckingham. Well, despite the right wing maverick Kealey and the ‘anti-evidence’ Miles, I really think they’ve done the right thing. They’ve li... DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=3429197 Thu, 01 Apr 2010 06:37:46 +0100 3429197 http://www.medworm.com/index.php?rid=3338441&cid=t_344885_155_f&fid=38412&url=http%3A%2F%2Fpathlabmed.typepad.com%2Fsurgical_pathology_and_la%2F2010%2F03%2Fwhen-disruptive-integration-comes-to-health-care.html When Disruptive Integration Comes to Health CarePosted using ShareThisInteresting article containing an interview with Dr. Jason Hwang co-author of The Innovator’s Prescription: A Disruptive Solution for Health Care (McGraw-Hill, 2009).It got me thinking about niches where "disruptive innovation" may occur in laboratory medicine and pathology.  Please share any thoughts you may have--let's get a conversation started about this!One area is lab testing for wellness or serial monitoring of chronic diseases managed on an outpatient basis.  The traditional hospital-based lab (like mine) just has not evolved to meet these needs.  Your lab may still be focused on inpatient lab testing.  Outreach efforts may want to incorporate marketing for these niches.Ano... The Daily Sign-Out blogs http://www.medworm.com/rss/comments.php?id=3338441 Fri, 05 Mar 2010 19:38:10 +0100 3338441 http://www.medworm.com/index.php?rid=3208533&cid=t_344885_122_f&fid=36582&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSharpBrains%2F%7E3%2FuP6E-oQhJ1Q%2F Rumor has it that Apple is going to announce a tablet computer, which may well become a revolutionary new way for users to read and experience all kinds of educational content. Will it support or hinder our Cognitive  Fitness? In this article, I describe the criteria that a tablet computer—and its technological ecosystem—must meet in order for the solution to make users more knowledgeable and smarter. To achieve these lofty goals, the tablet must be much more than an “e-reader”. The offering must be an integrated learning environment with which users transform the information that they read, hear and view on the tablet into their own knowledge. The key consideration in designing such a system is that productive reading is active reading. In other words, learning involves a lot of ... SharpBrains blogs http://www.medworm.com/rss/comments.php?id=3208533 Tue, 26 Jan 2010 15:20:13 +0100 3208533 http://www.medworm.com/index.php?rid=3115038&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F23%2Flocal-routes-guidance-for-developing-alcohol-treatment-pathways%2F Title: Local Routes: Guidance for developing alcohol treatment pathways Skinny: Provides good practice guidance on the development of integrated care pathways for people with alcohol problems – alcohol treatment pathways (ATPs). It is illustrated with a number of examples but is not intended to provide an exhaustive resource of off-the-shelf pathways. Publisher: DH Size of Publication: 35p. Published: 01/12/2009 Posted in Alcohol, Care Pathways, Grey Literature Tagged: Alcohol, Care Pathways, Grey Literature, Integrated Care Pathways (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3115038 Wed, 23 Dec 2009 14:13:58 +0100 3115038 http://www.medworm.com/index.php?rid=3100734&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F18%2Fworld-class-commissioning-december-2009-update%2F Title: World class commissioning – December 2009 update Skinny: Dear colleague letter detailing the latest information on the WCC assurance framework, practice based commissioning and integrated care pilots, PCT Spend and Outcomes Factsheets and Tool (SPOT), Whats new on the WCC Website and the Belfield Blog. Publisher: DH Size of Publication: 4p. Published: 16/12/2009 Posted in Commissioning, Grey Literature, NHS, Primary Care Tagged: Assurance Framework, Commissioning, Good Practice, Grey Literature, Integrated Care, Practice Based Commissioning, Quality, World Class Commissioning (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3100734 Fri, 18 Dec 2009 10:53:01 +0100 3100734 http://www.medworm.com/index.php?rid=3092645&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F16%2Fprioritising-need-in-the-context-of-putting-people-first-a-whole-system-approach-to-eligibility-for-social-care-consultation-report-on-revised-guidance-on-eligibility-criteria-for-adult-social-care%2F Title: Prioritising need in the context of Putting People First: A whole system approach to eligibility for social care: Consultation report on revised guidance on Eligibility Criteria for Adult Social Care, England 2009 Skinny: Revised guidance that following consultation will replace the 2003 Fair Access to Care Services guidance.  It aims to support fair and transparent implementation of eligibility criteria, within the new policy context of personalisation and prevention set out in Putting People First.  Publisher: DH Size of Publication: 20p. Published: 16/12/2009 Posted in Grey Literature, Integrated Care, NHS, Older People, Public Sector, Social Services Tagged: Consultations, Financial Management, Grey Literature, Guidelines, Social Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3092645 Wed, 16 Dec 2009 14:55:35 +0100 3092645 http://www.medworm.com/index.php?rid=2862604&cid=t_344885_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FNHWsxnws2mA%2F Here’s the big idea: accountable care organizations (ACOs) are about creating accountability. ACOs of various types are being proposed in national health reform legislation. For all you ever wanted to know about ACOs, read How to Create Accountable Care Organizations from the Center for Healthcare Quality and Payment Reform.   I spent an hour and a half poring over the details of this excellent report written by Harold Miller. My mistaken impression has been to focus on the organizational form of ACOs, rather than their objectives.  Organizational form is relevant in understanding ACOs, but primarily as a means toward creating accountability, not the end in itself.  Thus, expect to see many varying types of ACOs emerging based on local needs and characteristics. I initially a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2862604 Mon, 05 Oct 2009 18:26:29 +0100 2862604 http://www.medworm.com/index.php?rid=2851709&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F30%2Fhealth-matters-2009-no-77%2F Title: Darzi’s reforms and the recession Skinny: In March 2009 the Nuffield Trust held a strategy summit seminar to examine the idea of ‘progress to quality’ following on from the Darzi report, reviewing evidence of what is working and considering possibilities for the future. Article reports on seminar discussions regarding levers for improving quality including: integrated care models, competition and patient choice, accountability, regulation and clinical leadership. (Print subscription held at Fade Library) Posted in Choice, Integrated Care, Journals, NHS, Quality Tagged: Darzi Report, Darzi Review, Integrated Care, NHS Reform, Quality, Recession (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2851709 Wed, 30 Sep 2009 21:43:07 +0100 2851709 http://www.medworm.com/index.php?rid=2846314&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F30%2Fintegrated-care-pilots-an-introductory-guide%2F Title: Integrated care pilots: an introductory guide The Skinny: Introductory guide to the national programme of integrated care pilots and evaluation provides a summary of the work each pilot will be doing as they implement and test their models of integrated care. Publisher: DH Size of Publication: 20p Published: 30/09/2009 Posted in Grey Literature, Integrated Care, NHS, Primary Care Tagged: Grey Literature, Integrated Care, Models, Pilot Studies, Research (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2846314 Wed, 30 Sep 2009 14:00:49 +0100 2846314 http://www.medworm.com/index.php?rid=2820608&cid=t_344885_155_f&fid=38412&url=http%3A%2F%2Fpathlabmed.typepad.com%2Fsurgical_pathology_and_la%2F2009%2F09%2Fprogress-on-integrated-diagnostics-for-breast-cancer.html This will be the first in, hopefully, a series of blog entries that will chronicle my institution's effort to establish integrated diagnostic reporting for radiology-pathology testing for breast disease.The lab admin director with whom I work is also enthusiastic about this project and we have talked informally about this for a couple of months while gathering information from various sources, especially from LabSoftNews.  The first person with whom we met was her counterpart in radiology.  This conversation was open-ended and basically explored our "visions" of what something like this might look like and then a rough idea of where we needed to go to get started.  Unfortunately, my counterpart in rads was on vacation for the following week but the plan was ... The Daily Sign-Out blogs http://www.medworm.com/rss/comments.php?id=2820608 Tue, 22 Sep 2009 01:36:13 +0100 2820608 http://www.medworm.com/index.php?rid=2814366&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F21%2Fthe-case-for-change-why-england-needs-a-new-care-and-support-system-engagement-findings-2009%2F Title: The case for change: why England needs a new care and support system – engagement findings Skinny: Summarises public and stakeholder responses to the Government’s ‘Care, Support, Independence’ engagement process about the future of adult care and support in England, which took place between May and November 2008. Includes debate on the question: what should be the balance of responsibility between the family, the individual and the Government? Report is divided into following chapters: Executive summary Stakeholder engagement events User-led organisations – stakeholder top-up engagement report Written responses from stakeholders Toolkit responses Citizens’ events Inclusivity research Website, email and letter responses Annexes Publisher: DOH Size of ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2814366 Mon, 21 Sep 2009 16:54:06 +0100 2814366 http://www.medworm.com/index.php?rid=2757755&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fwww.dcscience.net%2F%3Fp%3D2131 This report outlines areas of potential consensus to guide research funders, researchers, commissioners and complementary practitioners in developing and applying a robust evidence base for complementary practice.” As happens so often, there is implicit in this sentence the assumption that if you spend enough money evidence will emerge. That is precisely contrary to the experence in the USA where spending a billion dollars produced nothing beyond showing that a lot of things we already thought didn’t work were indeed ineffective. And inevitably, and tragically, NICE’s biggest mistake is invoked. “It is noteworthy that the evidence is now sufficiently robust for NICE to include acupuncture as a treatment for low back pain.” [p ] Did the advisory group not read... DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=2757755 Wed, 02 Sep 2009 13:33:41 +0100 2757755 http://www.medworm.com/index.php?rid=2727068&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F24%2Fthe-team-around-the-child-tac-and-the-lead-professional-a-guide-for-managers-2%2F Title: The Team Around the Child TAC and the lead professional: A guide for managers The Skinny: Replaces guidance originally published by the DfES in 2006 and reprinted in 2007. It remains non-statutory guidance. The new guidance has been updated and re-titled in order to reflect policy developments and include revisions identified in consultation with practitioners and managers across the children and young people’s workforce. It also seeks to link together the processes and tools, to show how collaboratively they provide a package of support to help practitioners and managers implement integrated working in their practice. Publisher: Every Child Matters Size of Publication: 84p Published: 21/08/2009 Posted in Child Protection Services, Children, Education, Grey Literature, Interagenc... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2727068 Mon, 24 Aug 2009 09:23:10 +0100 2727068 http://www.medworm.com/index.php?rid=2727069&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F24%2Fthe-team-around-the-child-tac-and-the-lead-professional-a-guide-for-managers%2F Title: Early identification, assessment of needs and intervention – The Common Assessment Framework for children and young people: A guide for managers The Skinny: Replaces guidance originally published by the DfES in 2006 and reprinted in 2007. It remains non-statutory guidance. The new guidance has been updated and re-titled in order to reflect policy developments and include revisions identified in consultation with practitioners and managers across the children and young people’s workforce. It also seeks to link together the processes and tools, to show how collaboratively they provide a package of support to help practitioners and managers implement integrated working in their practice. Publisher: Size of Publication: 68p Published: 21/08/2009 Posted in Children, Education, ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2727069 Mon, 24 Aug 2009 09:20:35 +0100 2727069 http://www.medworm.com/index.php?rid=2727073&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F24%2Fearly-identification-assessment-of-needs-and-intervention-the-common-assessment-framework-for-children-and-young-people-a-guide-for-practitioners%2F Title: Early identification, assessment of needs and intervention – The Common Assessment Framework for children and young people: A guide for practitioners The Skinny: Replaces guidance originally published by the DfES in 2006 and reprinted in 2007. It remains non-statutory guidance. The new guidance has been updated and re-titled in order to reflect policy developments and include revisions identified in consultation with practitioners and managers across the children and young people’s workforce. It also seeks to link together the processes and tools, to show how collaboratively they provide a package of support to help practitioners and managers implement integrated working in their practice. Publisher: DSCF Size of Publication: 68p Published: 21/08/2009 Posted in Child Protec... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2727073 Mon, 24 Aug 2009 08:25:53 +0100 2727073 http://www.medworm.com/index.php?rid=2702545&cid=t_344885_155_f&fid=38412&url=http%3A%2F%2Fpathlabmed.typepad.com%2Fsurgical_pathology_and_la%2F2009%2F08%2Fupcoming-audioconference-integrated-breast-cancer-diagnostics.html The Dark Report is presenting an audioconference on August 19, 2009 titled "Pathology and Radiology's Combined Future is Now at KU: How Integrated Breast Cancer Diagnostics are Improving Patient Care."I am sponsoring this audioconference at my hospital.  The radiologists and I started a radiology-pathology monthly correlation conference last December as part of the radiology quality assurance process which has evolved into a monthly breast conference as part of our weekly Tumor Board Conference that now also attracts oncologists, surgeons, internists, nurses and others.  As I’m sure you are aware, the Dark Report, Dr. Bruce Friedman in LabSoftNews blog has written extensively on this for quite some time and, honestly, I thought it was so “out-there” that I w... The Daily Sign-Out blogs http://www.medworm.com/rss/comments.php?id=2702545 Sat, 15 Aug 2009 12:00:00 +0100 2702545 http://www.medworm.com/index.php?rid=2670815&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fwww.dcscience.net%2F%3Fp%3D2007 Conclusion Recent events show that the halcyon days for alternative medicine are over. When the Pittilo report first appeared, it was greeted with derision in the media. For example, in The Times Alice Miles wrote “This week came the publication of the Report to Ministers from the Department of Health Steering Group on the Statutory Regulation of Practitioners of Acupuncture, Herbal Medicine, Traditional Chinese Medicine and Other Traditional Medicine Systems Practised in the UK. Otherwise known as twaddle.” In the Independent, Dominic Lawson wrote So now we will have degrees in quackery. What, really, is the difference between acupuncture and psychic surgery? People will no doubt continue to use it and that is their right and their responsibility. But if the government w... DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=2670815 Tue, 04 Aug 2009 17:45:35 +0100 2670815 http://www.medworm.com/index.php?rid=2510164&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F06%2F24%2F4110%2F Title: Reviews in 2009/10 – main report The Skinny: Details how the Care Quality Commission will be assessing and rating health and adult social care organisations. There will be three types of review: periodic reviews of commissioners; periodic reviews of providers; special reviews and studies, including an overarching State of health and social care annual report. These will involve assessing how organisations have performed against key measures of quality to deliver the right outcomes for people; encouraging organisations to improve their services and provide value for money; making information about the quality and safety of services available to the public and people who use services, so that they can make better informed decisions about health and adult social care. Publish... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2510164 Wed, 24 Jun 2009 13:49:55 +0100 2510164 http://www.medworm.com/index.php?rid=2477544&cid=t_344885_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FHfQyuzLUvbw%2F Yet again the city of San Francisco is demonstrating its “love” for humanity.  By threatening to fine them for getting their garbage wrong. Reports MSNBC: Trash collectors in San Francisco will soon be doing more than just gathering garbage: They’ll be keeping an eye out for people who toss food scraps out with their rubbish. San Francisco this week passed a mandatory composting law that is believed to be the strictest such ordinance in the nation. Residents will be required to have three color-coded trash bins, including one for recycling, one for trash and a new one for compost — everything from banana peels to coffee grounds. The law makes San Francisco the leader yet again in environmentally friendly measures, following up on other green initiatives such as bannin... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=2477544 Mon, 15 Jun 2009 12:56:17 +0100 2477544 http://www.medworm.com/index.php?rid=2452542&cid=t_344885_97_f&fid=36415&url=http%3A%2F%2Fwww.dcscience.net%2F%3Fp%3D1593 Jump to follow-up The first post was NICE falls for Bait and Switch by acupuncturists and chiropractors: it has let down the public and itself. That was followed by NICE fiasco, part 2. Rawlins should withdraw guidance and start again. Since then, something of a maelstrom has engulfed NICE, so it’s time for an update. It isn’t only those who are appalled that NHS should endorse voodoo medicine on the basis of very slim evidence who are asking NICE to rethink their guidance on low back pain. Pain specialists are up in arms too, and have even started a blog, ‘Not Nearly as NICE as you think …‘, to express their views. Equally adverse opinions are being expressed in the Britsh Medical Journal. A letter there is signed by over 50 specialists in pain medicine. It ... DC's Improbable Science blogs http://www.medworm.com/rss/comments.php?id=2452542 Wed, 03 Jun 2009 07:20:28 +0100 2452542 http://www.medworm.com/index.php?rid=2314599&cid=t_344885_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fehr-incentive-payment-dates Let me be the first to announce the delay of the deadlines to qualify for EHR incentives.  Actually, there is no official announcement or even open discussion - yet.  But, I believe it is inevitable.  I believe this for two reasons: (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=2314599 Mon, 30 Mar 2009 18:49:56 +0100 2314599 http://www.medworm.com/index.php?rid=2217362&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fdcscience.net%2F%3Fp%3D1196 Recently I wrote a piece for the National Health Executive (”the Independent Journal for Senior Health Service Managers”), with the title Medicines that contain no medicine and other follies. In the interests of what journalists call balance (but might better be called equal time for the Flat Earth Society), an article appeared straight after mine, [...] (Source: DC's goodscience) DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=2217362 Thu, 26 Feb 2009 22:36:36 +0100 2217362 http://www.medworm.com/index.php?rid=2191302&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fdcscience.net%2F%3Fp%3D1143 What on earth has gone wrong at the Barts and The London School of Medicine and Dentistry (SMD)? It is not so long ago that I discovered that the very sensible medical students at Barts were protesting vigourously about being forced to mix with various quacks.  A bit of investigation soon showed that the students [...] (Source: DC's goodscience) DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=2191302 Mon, 16 Feb 2009 21:19:17 +0100 2191302 http://www.medworm.com/index.php?rid=2104904&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fdcscience.net%2F%3Fp%3D790 I’m perfectly happy to think of alternative medicine as being a voluntary, self-imposed tax on the gullible (to paraphrase Goldacre again). But only as long as they do no harm and only as long as the obey the law of the land.  Only too often, though, they do neither. When I talk about law, I don’t [...] (Source: DC's goodscience) DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=2104904 Thu, 15 Jan 2009 10:49:10 +0100 2104904 http://www.medworm.com/index.php?rid=1997017&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fdcscience.net%2F%3Fp%3D454 Jump to follow-up It’s hard enough to communicate basic ideas about how to assess evidence to adults without having the effort hindered by schools. The teaching of quackery to 16 year-olds has been approved by a maze of quangos, none  of which will take responsibility, or justify their actions, Consider, for example, Edexcel Level 3 [...] (Source: DC's goodscience) DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=1997017 Fri, 28 Nov 2008 15:57:36 +0100 1997017 http://www.medworm.com/index.php?rid=1974909&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F11%2F20%2Fregulation-of-health-care-provision-in-england%2F is a King’s Fund briefing on the recent history of the quality and safety, financial and economic regulation of health care providers in England. It considers new regulatory machinery that is being introduced and looks at the future relationship between these different regulatory systems. Posted in Clinical Governance, Financial Management, Governance, Grey Literature, Management, NHS, Quality   Tagged: Clinical Governance, Financial Management, Grey Literature, Integrated Governance, Legislation, Regulations    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1974909 Thu, 20 Nov 2008 10:29:26 +0100 1974909 http://www.medworm.com/index.php?rid=1920902&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F10%2F30%2Fthe-meaning-of-integrated-care-a-systems-approach%2F Conclusion: When we perceive health and social services as CASs we should gain more insight into the processes that go on within and between organizations and how top management, for example within a hospital, in fact executes its steering function. Posted in Access from Home, Access from Work, Complexity Science, E-Journals, Electronic Resources, Integrated Care   Tagged: Complex Adaptive Systems, Complex Tasks, Complexity Science, Integrated Care, Self-organization, Successive Adaptation    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1920902 Thu, 30 Oct 2008 11:46:16 +0100 1920902 http://www.medworm.com/index.php?rid=1883257&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F10%2F16%2Fclinically-led-models-of-integrated-care%2F The DH Primary and Community Care Strategy announced the plan to pilot new clinically-led models of integrated care. This prospectus invites innovative applications from clinicians, care professionals and managers. It sets out the scope of the programme, provides the evidence base and the process for selection.  The application form is also provided. Posted in Grey Literature, Primary Care   Tagged: Grey Literature, Integrated Care, Pilots    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1883257 Thu, 16 Oct 2008 14:36:23 +0100 1883257 http://www.medworm.com/index.php?rid=1783155&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fdcscience.net%2F%3Fp%3D254 There have been some really excellent books about quackery this year.  This isn’t one of them. Nice dedication uh? It is about a lot more than quackery  It is about the scientific method in general. and in particular about how often it is misunderstood by journalists.  Abuse of evidence by the pharmaceutical industry is treated just as [...] (Source: DC's goodscience) DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=1783155 Thu, 11 Sep 2008 13:15:43 +0100 1783155 http://www.medworm.com/index.php?rid=1605816&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F07%2F11%2Fvisions-for-care-in-strategic-health-authorities%2F is a briefing from the King’s Fund that provides a thematic summary of some of the key features of the nine SHA plans in response to the Darzi Review, for the North West, North East, Yorkshire and the Humber, West Midlands, East Midlands, East of England, South East Coast, South Central and South West. Themes emerging are identified as: Waiting times Patient Choice Commissioning Shifting care from hospitals to community settings Primary care and community services Long term conditions, care co-ordinators and direct payments Centralising care Care pathways Public health (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1605816 Fri, 11 Jul 2008 05:57:51 +0100 1605816 http://www.medworm.com/index.php?rid=1543088&cid=t_344885_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F06%2Fdr-john-briffa-and-quacktitioner-royal.html Dr John Briffa & the Quacktitioner RoyalStill reeling from Dr John Briffa’s attack on Diabetes UK, I was trying to work out exactly what Dr Briffa means when he describes himself as an “integrated” physician. As opposed to the rest of us, I suppose, who are presumably disintegrating.Finally, I have found an authority for “integrated” physicians. A Royal authority no less. Prince Charles, the Quacktitioner Royal, a man devoted to medical wibble, has his own website entitled “The Princes Foundation for Integrated Health” Factors like fulfilling work, strong communities, the buildings we live in, our relationship with the natural world and the food we eat directly affect our wellbeing. So the first step in integrated health is helping people to make choices that keep them w... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1543088 Wed, 25 Jun 2008 12:50:00 +0100 1543088 http://www.medworm.com/index.php?rid=1532074&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fdcscience.net%2F%3Fp%3D235 A report has appeared on Regulation of Practitioners of Acupuncture, Herbal Medicine, Traditional Chinese Medicine. The report is written by people all of whom have vested interests in spreading quackery. It shows an execrable ability to assess evidence, and it advocates degrees in antiscience It would fail any examination. Sorry, Prof Pittilo, [...] (Source: DC's goodscience) DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=1532074 Fri, 20 Jun 2008 20:05:15 +0100 1532074 http://www.medworm.com/index.php?rid=1494744&cid=t_344885_90_f&fid=36413&url=http%3A%2F%2Fdcscience.net%2F%3Fp%3D233 We have often had cause to criticise Boots Alliance, the biggest retail pharmacist in the UK, because of its deeply unethical approach to junk medicine. Click here to read the shameful litany. The problem of Boots was raised recently also by Edzard Ernst at the Hay [...] (Source: DC's goodscience) DC's goodscience blogs http://www.medworm.com/rss/comments.php?id=1494744 Thu, 05 Jun 2008 14:35:46 +0100 1494744 http://www.medworm.com/index.php?rid=1223636&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F12%2Frealising-britains-potential-future-strategic-challenges-for-britain%2F Realising Britain’s Potential: Future Strategic Challenges for Britain (Executive Summary) from the Cabinet Office identifies four major challenges to be faced by Britian: The importance of early years learning and childcare in helping those from poorer homes and in improving later performance. Continued investment in physical infrastructure (roads and rail). Demands on public services and housing, especially in the South East, from a rising population, including continuing net migration into Britain. Increasing life expectancy, with a rise of a half within a decade of those aged over 85, and a two-fifths increase by 2022 in the demand for informal care from family, friends and community members. The report suggests a mix of the public and private sector providers will be req... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1223636 Tue, 12 Feb 2008 07:34:29 +0100 1223636 http://www.medworm.com/index.php?rid=1166314&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F21%2Fimproved-health-system-performance-through-better-care-coordination-health-working-paper-no-30%2F from the OECD attempts to assess whether–and to what degree–better care coordination can improve health system performance in terms of quality and cost-efficiency. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1166314 Mon, 21 Jan 2008 13:55:18 +0100 1166314 http://www.medworm.com/index.php?rid=1154073&cid=t_344885_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F217342986%2F My colleague and friend Dr. Jaan Sidorov has recently started a blog — Disease Management Care Blog.  Check it out and add it to your RSS feed.  Jaan is eminently qualified to write on the topic — he spent 25 years at Geisinger Health System in Pennsylvania as a practicing physician and as an executive, and he just ended a term on the board of DMAA—the Care Continuum Alliance (formerly Disease Management Association of America). Jaan’s sense of humor and articulateness shine through in his latest posting “Are Integrated Delivery Systems really all that?” He presents a Top 10 list of “why IDS’ could always remain the health care solution of the future”. Jaan, it’s worth splitting a hair here. Let’s clarify who we’re talking about when saying “an integra... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1154073 Wed, 16 Jan 2008 00:55:49 +0100 1154073 http://www.medworm.com/index.php?rid=1146148&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F13%2Fcommissioning-framework-for-health-and-well-being-responses%2F The Commissioning framework for health and well-being sets out the eight steps that health and social care should take in partnership to commission more effectively. It is squarely aimed at commissioners and providers of services in health, social care and local authorities.  Recently issued are the ministerial statement and summary of responses to consultation on the framework. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1146148 Sun, 13 Jan 2008 08:13:01 +0100 1146148 http://www.medworm.com/index.php?rid=1041289&cid=t_344885_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F11%2F21%2Fpartnerships-for-older-people-projects-interim-report%2F POPP is an initiative being led by the Department of Health, providing £60m funding to council-based partneships to set up innovative pilot projects to: Provide person-centred and integrated care for older people. Encourage investment in preventative approaches which promote health, well being and independence for older people. The strategic aim of ‘Partnerships for Older People Projects’ is to test and evaluate innovative approaches that enable a sustained focus on prevention. It is expected that partnerships will demonstrate improved outcomes in:- Providing more low level care and support in the community with a view to preventing or delaying the need for higher intensity and more costly care Reducing avoidable emergency admissions to hospital Supporting more older people... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1041289 Wed, 21 Nov 2007 08:35:50 +0100 1041289 http://www.medworm.com/index.php?rid=863637&cid=t_344885_86_f&fid=34454&url=http%3A%2F%2Fmedicallibrarianmaven.wordpress.com%2F2007%2F09%2F11%2Fliving-la-vida-cybertools%2F As I am sure you all have noticed I went MIA for a while.  Why?  Well, it was the summer of the ILS migration!  We had been using Professional Software since as long as I’ve been here (November 1994) and though it was a great system it was becoming outdated and the developer seems to have disappeared.  We had extra money in our budget this year and decided to take the opportunity to make the change.  We chose CyberTools for several reason including price and the fact that three of the other libraries in our health system and the idea of a union catalog was tempting.  We have not been disappointed. No ILS is perfect but for our needs CyberTools has come close.  So far I’ve only really played extensively with the circulation module and the catalog module.  I am particular... Musings of a Medical Librarian Maven blogs http://www.medworm.com/rss/comments.php?id=863637 Tue, 11 Sep 2007 18:36:06 +0100 863637