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Frequently Asked Questions – Point of Care Tool

What is a physician point of care tool? Physician point of care tools are evidence-based electronic clinical resources that assist with care decisions, research, Graduate Medical (GME) and continuing (CME). These tools also provide quick references, supplemented by a research platform with a database of core resources such as full text electronic monographs, journals and articles. The most popular benefits of these tools are pharmaceutical information and calculations, evidentiary summaries, and CME credits. Ascension previously had two tools in place: DynaMed and Up to Date.

Who made the decision to pursue this initiative to move to one national physician point of care tool for Ascension? This initiative was led by senior leadership within Clinical & Network Services (CNS) including Richard Fogel, MD, Senior Vice President and Chief , CNS; Baligh Yehia, MD, MPP, FACP, Chief Medical Officer, CNS; and Michelle Heavens, Vice President, Operations, CNS, with input from a decision team which included Chief Clinical Officers, Designated Institutional Officers, Ascension Medical Group (AMG) dyad leadership and library services. This tool is managed by library services, which transitioned to CNS in November 2019. The decision team developed key requirements for the tool, gained trial access to both tools, attended live demonstrations, reviewed pricing and coverage terms, and evaluated both vendors.

Why is Ascension reducing the number of available tools? Operations and services for library services, which currently manages physician point of care tools, have been optimized and aligned across the System. This includes existing knowledge resources managed by library services such as physician point of care tools. Achieving standardization in a more affordable tool that could meet our needs as an evidence-based resource, ensuring access for medical and nursing staff, allied and GME, while also extending coverage to inpatient and ambulatory sites of care, is important.

1 What do I need to know about DynaMed? DynaMed combines the best available evidence with clinical expertise. DynaMed’s seven-step evidence-based methodology, robust systematic literature surveillance with daily updates, and clinical expertise that complements and clarifies the evidence provides clinicians with trusted information they can use to diagnose and manage patients.

Questions arising during patient care need fast answers. In DynaMed, the right information is quickly surfaced. Actionable recommendations, key takeaways and synopses provide a quick answer with the ability to dig deeper as needed.

Who has access to this tool? Access to DynaMed will be provided to all nursing and medical staff including employed and non-employed providers associated with our and academic medical centers. This includes GME. Allied Health professionals will also have access to the tool.

When does my market transition to using this tool? DynaMed implementation will begin July 1, 2020. Please see page 4 for more details about your market’s implementation.

Can I continue to use my existing tool if it is not DynaMed? You will still have access to Up to Date until the end of your existing contract. No further Ascension access will be provided after this date. Details for your specific market are noted on page 4. Individual access is available for Up to Date at the discretion and initiation of the provider.

How do I access DynaMed? Subscription options, workflow integration, plus remote and mobile access are included. DynaMed is available where, when and how users need it via a convenient mobile app and easy offsite and onsite access.

Do I have access to CME and MOC via DynaMed? Tracking CME/CE/CPD and MOC credits in DynaMed is easy. DynaMed is committed to supporting the lifelong learner. Whether it’s a clinician in need of CME, a resident preparing for rounds, or a medical student looking to expand their knowledge and enhance their learning beyond the classroom, DynaMed can help.

What about my CME credits that are currently housed within another tool? You should retrieve your existing CME credits within Up to Date as soon as possible before your market transitions away from this point of care tool.

2 What specialities are covered by DynaMed?

Allergy and Immunology* Obstetric * * Cardiovascular Medicine * Colon and Rectal * Oral Health Critical Care Orthopedics and Sports Medicine* * Otolaryngology* (Adult and Pediatric)* and Laboratory Medicine* Endocrinology and Diabetes and General Practice* Physical Medicine and Rehabilitation* and Hepatology Preventive Medicine* General Surgery* (Adult)** Primary Care Sports Medicine Gynecology* (Adolescents and Adults)*** Medicine Pulmonary and Critical Care Medicine Immunology Rheumatology Infectious Diseases Sleep Medicine * Surgery* and Hypertension Thoracic Surgery * Urology Neurosurgery

*DynaMed Point-of-Care Learning has met the requirements as a MOC Part II CME Activity for the noted American Board of Medical Specialties’ Member Boards **Dynamed covers primary care topics under Family Medicine and Internal Medicine – in specialties and ​ MOCs ***Dynamed covers Sports Medicine with Orthopedics

Are there any markets with previous experience with DynaMed? DynaMed has been in use in several markets across Ascension, including: ● Ascension St. Vincent’s (AL) ● Ascension Via Christi (KS) ● Ascension Saint Agnes Hospital (MD) ● Ascension Borgess (MI) ● Ascension Genesys (MI) ● Ascension St. John (MI) ● Ascension St. John Macomb-Oakland Hospital, Madison Heights (MI) ● Ascension Our Lady of Lourdes (NY) ● Ascension St. John (OK)

3 When will DynaMed access be available in my market?

Market Implementation Discontinuation Date of Up to Date

● Ascension Via Christi (KS) ● Ascension Saint Agnes (MD) ● Ascension Borgess (MI) ● Ascension Genesys (MI) No change in service. ● Ascension St. John (MI) DynaMed is already N/A ● Ascension St. John Macomb-Oakland in place. Hospital, Madison Heights (MI) ● Ascension Our Lady of Lourdes (NY) ● Ascension St. John Health System (OK) ● Ascension St. Vincent’s (AL)

Ascension St. VIncent’s (FL) July 2020 N/A

Ascension Providence Hospital – Novi July 2020 N/A Campus (MI)

Ascension Wisconsin (WI) July 2020 N/A

Ascension Providence (AL) July 2020 N/A

Ascension St. Mary’s (MI) July 2020 N/A

Ascension St. Joseph’s (MI) July 2020 N/A

Ascension St. Vincent (IN) May 2020 May 2020

Ascension Saint Thomas (TN) June 2020 June 2020

Ascension Seton (TX) June 2020 June 2020

AMITA Health (IL) September 2020 November 2020

Ascension St. John Macomb-Oakland October 2020 December 2020 Hospital, Warren (MI)

Ascension Providence (TX) August 2020 August 2020

Ascension Crittenton Hospital (MI) January 2021 March 2021

Ascension Sacred Heart (FL) February 2021 April 2021 .

4 Who do I contact with basic questions about the DynaMed tool, including training ​ and education? Your main contact for DynaMed will be library services, who will play a critical critical role in your local implementation and training plans. Contact information is below:

Medical Librarian Market Email Address Tennessee Christy Tyson Kansas [email protected]

Kellee Seldon Wisconsin [email protected] Michele Matucheski Wisconsin [email protected]

James Donovan Oklahoma [email protected]

Jean Jenkins New York [email protected]

Joseph King Florida [email protected]

Sybil Bullock Alabama [email protected]

Bonnie Arnold Illinois [email protected]

Laura Wimmer Illinois [email protected]

Eleanor Truex Illinois [email protected]

Jennifer Randazzo Macomb/Oakland,MI [email protected]

Margaret Moutseous Indiana [email protected]

Alexia Estabrook Southfield, MI [email protected]

Karin Werner Detroit, MI [email protected] Detroit, MI Debra Ciccini Grand Blanc, MI [email protected]

Jennifer Barlow Kalamazoo, MI [email protected]

Darlene Ennis Texas [email protected]

Sophia Conover Texas [email protected]

Andre Lamb Maryland [email protected]

Rebecca Smith Rochester, MI [email protected]

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