Advancing healthcare

Advancing healthcare
HEALTHCARE
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Advancing the practice of
healthcare worldwide
A healthier world
Sharing the newest ideas, opinions and data.
Supporting healthcare professionals’ learning and
development. Developing tools to make information
accessible and useful. Using digital technology to
make best evidence instantly available to working
clinicians. Challenging received wisdom.
That’s what BMJ does. We’ve been doing it since 1840.
Since starting out as the publisher of a single
medical journal in 1840, BMJ has evolved into a
global healthcare knowledge provider. Today, we
help medical organisations and clinicians
tackle today’s most critical healthcare
challenges.
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Leading source of medical information for over
170 years.
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The BMJ is the fourth most cited general
medical journal in the world.
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Each month, more than five million users visit
our websites, where we have content available
in 10 languages.
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Over 700,000 healthcare professionals from
more than 100 countries access our revision
resources and online learning tools.
“ At BMJ we believe the
work we do with individual
professionals, their
institutions, organisations
and governments, really
does make a difference
to the health of people all
around the world.”
Tim Brooks
CEO, BMJ
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Advancing healthcare
“ BMJ has worked closely
with us to understand
our goals. Their expertise
and clear commitment
to friendly, responsive
customer service stand
out for me and I will
continue to choose BMJ
as a trusted publisher and
provider.”
BMJ shares knowledge and expertise to
improve experiences, outcomes and value.
Martin Elcock, Librarian for Outreach,
University Hospitals Birmingham NHS
Foundation Trust
Making sure that patients receive safe and
reliable care is a real challenge and priority
for healthcare organisations around the
world.
Our products and services are designed
to help organisations set and achieve
strategic clinical objectives, improve
quality and reduce costs.
Whether the focus is on communitybased care or medical specialties
performed within the hospital
environment, our innovative resources
ensure clinical teams can manage,
monitor and improve the care that
organisations provide.
We support a wide range of customer needs, which includes
Audit performance
Improve patient care and safety by benchmarking to allow for peer comparison, and turn
data stored on local clinical systems into usable information through analysis.
Diagnose early
Encourage prevention through early diagnosis and have better clinical management of
conditions in primary care with analysis, audits, prompts and decision support tools.
Design KPIs
Recognise important performance priorities and measure their outcomes with tools that
also embed existing international KPIs into clinical practice.
Get published
Improve authors’ success in conducting and publishing high quality clinical research and
other medical writing through our knowledge environment and editorial expertise.
Improve data quality
Improve clinical performance with a series of prompts, clinical rules and audits that
measure, report on and identify opportunities where to improve the quality of coded data.
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Reduce cost
Identify opportunities to reduce the rate of growth in healthcare
spending, whilst simultaneously improving patient outcomes and the
quality of care.
Reduce variation
Obtain rapid and clinically-relevant insight on high-and low-performing
areas within organisations, based on national performance levels.
Support clinical decisions
Allow for better decisions at the point of care through referential
knowledge, the latest research and guidelines.
Support CME/CPD
Support the educational needs of all medical students and professionals
throughout their career with flexible and relevant modules that are a
source of accreditation in most countries.
Support pathways
Easily examine organisational performance with metrics, get access
to learning resources that raise awareness of guidelines, and use the
latest clinical reviews that provide the most likely clinical applications in
primary and secondary care.
With offices in eight locations around the world, we employ practising
clinicians and in-house teams of clinical writers, editors, health
economists, data intelligence and information specialists. We also have
a unique external network of clinical advisory board members, medical
experts, authors and over 4,000 international peer reviewers. Together
we are able to continuously develop the best tools and resources to help
individuals and organisations deliver high-quality, safe and affordable
healthcare.
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“ Support for clinicians
around the world is
increasingly about
delivering knowledge
to strategic decision
makers, at the point
of care, through
mobile channels
and integrated into
electronic health
record systems.”
Dr Ricardo Cypreste
Clinical Specialist, BMJ, Brazil
Our expertise
Evidence:
Underpins everything we do – it’s what
makes us one of the world’s most trusted
knowledge providers.
Application aided by technology:
Integrated digital and mobile solutions to
improve clinical performance and patient
outcomes.
Publishing:
At the forefront of innovative healthcare
thinking and practice since 1840, The BMJ
is the fourth most cited general medical
journal. We also offer more than 60 peerreviewed specialist journals across a range of
medical and allied science fields and we are
leaders in digital publishing and open access.
Data analytics:
Improving the quality and cost-effectiveness
of patient care through clinical analysis,
economic evaluation and interpretation of
clinical data.
Decision support:
Quick, accurate, concise, evidence-based
answers to clinical questions, plus access to
the latest research and guidelines – all built
into the clinician’s workflow.
Medical education:
Tailored resources to help clinicians identify
learning needs and keep up with the latest
evidence, guidelines and best practice.
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Health knowledge:
Jargon-free, evidence-based resources
developed for health professionals and
patients alike.
Quality improvement:
Practical and customisable resources and
events to help clinicians achieve measurable
improvements in quality and safety, and to
publish their findings.
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A global partner
From cutting-edge research to helping some
of the world’s most vulnerable people, we work
with a wide range of healthcare organisations
to deliver results. Our products and services are
now in daily use in countries from the USA to
Australia, from Brazil to Saudi Arabia.
Brazil
Strengthening the online digital support
for healthcare professionals in Brazil by
providing full BMJ Best Practice content in
the local language.
Europe
Enhancing over 700,000 medical
professionals knowledge and progress
throughout their careers. Our online
educational tools feature over 1,000
evidence-based modules across 70
specialty areas, and are available in 10
languages.
India
Enriching 800,000 doctors’ knowledge
in India by delivering the best research
publications through integrated systems to
over 500 medical institutes.
New Zealand
Supporting all New Zealand GPs with
online learning education, through a
longstanding partnership with the
Royal New Zealand College of General
Practitioners.
Saudi Arabia
Improving the education and clinical
practice of more than 150,000 students,
researchers and health professionals
throughout Saudi Arabia.
“And everything that
comes from BMJ is a
standard on its own”
Miss Lilja Stefansdottir
CEO Surgical Services, Landshospitali
Reijkjavik, Iceland
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Medical education
Journals
Our extensive range of professional development
resources assist with assessment, training and
CME/CPD through online courses, live events and
webinars.
Providing high-quality content for healthcare
professionals, clinicians and researchers across the
globe, our diverse portfolio includes some of the
most influential specialty journals in their field.
A comprehensive, evidence-based online learning resource that helps medical
professionals and students enhance their knowledge and progress their careers.
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Over 1,000 evidence-based, peer-reviewed modules across 70 specialty areas.
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Available in 10 languages.
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Accredited for CME/CPD points in several countries.
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Over 430,000 registered users worldwide.
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Nearly 4 million modules completed: over 520,000 modules purchased and
completed in the last year.
learning.bmj.com
At the forefront of innovative thinking and practice in
healthcare since 1840, The BMJ aims to independently lead
the debate on healthcare.
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The fourth most cited general medical journal in the
world.
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High international visibility, with more than 1 million
online visitors each month and a weekly print
circulation of over 100,000.
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The first scholarly journal to launch a device-responsive
site, with new content published twice daily online.
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Available online, on the iPad, and in print.
thebmj.com
Quality exam revision questions that match the current curriculum, test and increase
medical knowledge as well as improve exam aptitude.
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Chosen by over 210,000 medical professionals worldwide for their revision.
More than 42,000 questions in the database.
Over 5,000 questions are answered per hour at peak times.
More than 21 million exam revision questions answered in the last year.
onexamination.bmj.com
A free, secure and easy to use resource to assist clinicians and other healthcare
professionals to track and record their CPD/CME credits.
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Captures learning needs at the point of care.
Keep track of reading with the interactive bookmark.
Available as an app.
portfolio.bmj.com
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Print ISSN: 0966-6494,
Online ISSN: 1752-069X
Frequency: Monthly
This international journal supports students every step of
the way, from applying to medical school to qualification
and the transition to junior doctor.
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Written by medical students and experts.
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Over 75,000 page views a month on student.bmj.com.
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More than 23,000 followers on Twitter.
student.bmj.com
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Journals
We publish leading specialist journals on behalf of many
prestigious medical organisations and societies. Most of our
publishing collaborations have existed for many years, and
some stretch back over half a century.
Our collection of 60+ journals includes some of the most
influential titles in their field:
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Nearly 80% of our titles saw Impact Factor
rises in 2014.
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Across all our society journals we achieved an
average Impact Factor rise of 12.21% in 2014.
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In the last 12 months, over 23.2 million unique
users accessed our society journals online,
generating over 66.3 million page views.
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25% of our users view journal content from
mobile devices.
*2013 Journal Citation Reports
Science Edition (Thomson Reuters, 2014)
®
**Number 1 original research journal in the field of rheumatology.
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For a full listing of
our Journals go to
journals.bmj.com
See out what we do
for societies:
bmj.co/societies
Annals of the Rheumatic Diseases
ard.bmj.com
Impact Factor: 9.270*
IF ranking: 1/30 **
Print ISSN: 0003 4967
Online ISSN: 1468 2060
Frequency: Monthly
First Published: 1939
British Journal of Sports
Medicine (BJSM)
bjsm.bmj.com
Impact Factor: 4.171
IF Ranking: 6/81
Print ISSN: 0306-3674
Online ISSN: 1473-0480
Frequency: 22 issues (mails monthly)
First published: 1966
HEART
heart.bmj.com
Impact Factor: 6.023
IF Ranking: 12/125
Print ISSN: 1355-6037
Online ISSN: 1468-201X
Frequency: Fortnightly
First published: 1939
Archives of Disease in Childhood (ADC)
adc.bmj.com
Impact Factor: 2.905
IF Ranking: 14/177
Print ISSN: 0003-9888
Online ISSN:1468-2044
Frequency: Monthly
First published: 1926
Evidence Based Medicine
ebm.bmj.com
Print ISSN: 1356-5524
Online ISSN: 1473-6810
Frequency: Bimonthly
First published: 1995
Journal of Medical Ethics (JME)
jme.bmj.com
Impact Factor: 1.691
IF Ranking: 2/18
Print ISSN: 0306-6800
Online ISSN: 1473-4257
Frequency: Monthly
First published: 1975
ADC Fetal and Neonatal (FN)
fn.bmj.com
Impact Factor: 3.861
IF Ranking: 4/177
Print ISSN: 1359-2998
Online ISSN: 1468-2052
Frequency: Bi-monthly
First published: 2004
GUT
gut.bmj.com
Impact Factor: 13.319
IF Ranking: 2/74
Print ISSN: 0017-5749
Online ISSN: 1468-3288
Frequency: Monthly
First published: 1960
THORAX
thorax.bmj.com
Impact Factor: 8.562
IF Ranking: 2/53
Print ISSN: 0040-6376
Online ISSN: 1468-3296
Frequency: Monthly
First published: 1946
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i
Clinical decision support
Case study
The Hokkaido Centre for Family
Medicine, Japan
Our digital support tools bring trustworthy,
evidence-based information to help
clinicians deal with the realities that come
with clinical life.
A powerful approach to
evidence-based medicine
An online decision-support tool for use
at the point of care. Structured around
the patient consultation, it presents
the required information for clinicians
to make informed decisions.
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Launched in 2009, it now receives
over 3 million online visits a year.
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National contracts including Brazil,
Norway, Saudi Arabia.
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Over 1,000 workflow and actionoriented topics.
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Over 3,500 images and links to
over 4,000 high-quality guidelines.
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Available as online and offline iOS
and Android apps, in both English
and Portuguese.
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Website search enabled for over 60
languages.
Personalisation features that are
used by over 100,000 registered
users from 800 customers in over
60 countries.
bestpractice.bmj.com
An online medical data resource
designed for the practice of evidencebased medicine (EBM). It publishes
the latest peer-reviewed information
on important clinical conditions, and
provides guidance on good evidencebased practice.
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Launched in 1999, and used
by over 1 million clinicians,
academics, researchers and
guideline developers worldwide.
Provides over 250 systematic
overviews that cover more than
500 key clinical questions about
the effectiveness of over 3,000
interventions.
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Identifies and synthesises the best
available evidence.
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Places high-quality research into
a clinical context and uncovers
important evidence gaps.
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Ideal resource to teach, learn and
practise EBM.
clinicalevidence.bmj.com
“ BMJ Best Practice is my reliable resource of evidence-based
practice. It is my reference for teaching, training, writing, in doubt, in
emergencies and in leisure.”
Sam George, Consultant Anaesthetist, Hereford County Hospital, UK
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The Hokkaido Centre for Family
Medicine in Japan has long believed
in the value of evidence to support
its practice and staff have referred
to it for many years to keep their
knowledge current.
The Centre is looking at how staff can
apply evidence-based knowledge more
effectively in their day-to-day practice.
Dr Tesshu Kusaba shares his mission
for the centre. “It is the aim of our
centre to provide continuous education
opportunities for our doctors. However
it is also important that this knowledge
is effectively put into practice and
communicated clearly to our community.
This is where evidence-based medicine
can have great power”.
The Centre has access to many journals
and online resources and staff return
to BMJ Clinical Evidence on a regular
basis when they want to reference the
latest research evidence. Dr Tesshu
Kusaba explains, “It is the quality of
critical appraisal that we believe sets
BMJ Clinical Evidence apart and makes it
the best resource available for updating
knowledge.”
Therefore, it was a logical decision for
the centre to select BMJ Best Practice, a
new decision-support tool, also from BMJ.
BMJ Best Practice has been purposefully
designed to give clinicians direct access
to the latest research evidence, expert
opinion and guidelines. Through one
simple resource it provides practical
support for more than 10,000 diagnoses
and related treatment decisions.
“You can spend a lot of time searching
through journals and text book-based
resources,” Dr Tesshu Kusaba notes, “but
as a busy family medical centre we need
quick and easy access to high quality
sources of evidence.”
He adds “It is only when you can
access the relevant evidence about the
condition you are faced with, that you
can really start to draw out the benefits
from the research. BMJ Best Practice has
allowed us to act upon new evidence and
combine it with a mix of other medical
resources including expert opinion and
guidelines.”
Since they took out their BMJ Best
Practice subscription, the Medical Centre
has really started to exploit its true
potential and on average practitioners are
already referring to it four to five times a
week.
“The content in BMJ Best Practice is very
useful to me in my day-to-day practice,”
explains Dr Tesshu Kusaba. “The topics
covered are presented in a very clear
and concise manner and when I am
not sure of an answer I can consult BMJ
Best Practice quickly and it provides
the information I need. For example
I recently saw a man who had herpes
“ Without delay, I found the
latest evidence and guidelines
on the most appropriate
course of action. The
navigation and design of BMJ
Best Practice allows me to
get to the information I need
quickly and that has really
impressed me.”
zoster. I wanted to use an antiviral agent
on him, but I was slightly unsure as to
how long I should use it. So I went to BMJ
Best Practice , selected the condition and
went to the treatment part.
BMJ Best Practice is proving to be a big
success and is being integrated into dayto-day workflows more and more across
the practice.
“We feel that one of the biggest benefits
of BMJ Best Practice is that we are now
actually in a position to exploit the
evidence that is out there to support our
practice. With BMJ Best Practice, very
useful to me in my day-to-day practice,
we can still reference the latest evidence,
but more importantly we can easily select
the topic that is of interest to us from the
front screen and then find the supporting
information to help us manage and treat
our patients confidently and effectively.
And that is the most important thing.”
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Quality improvement
Case study
Services hospital, Lahore
Encouraging and supporting more frontline
healthcare staff to get involved in improving
healthcare for the first time.
Improving illiterate patients’
understanding and adherence
to discharge medications
Our online workspace supports individuals and
teams through healthcare improvement projects
and on to publication. We provide the necessary
interactive workbooks, learning modules,
tools, and resources to help make healthcare
improvement simple.
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Provides an exclusive route to publication in
the BMJ Quality Improvement Reports journal:
qir.bmj.com.
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Works with numerous organisations
internationally to support their healthcare
improvement strategy.
Adherence to a hospital discharge
medication regime is crucial for
successful treatment and to avoid
increasing rates of drug resistance.
Double Gold winner
‘E-Learning Awards:
‘Most innovative new
learning product’ and
‘Best online distance
learning programme’.
Subscribe to BMJ products
+ 44 (0) 207 111 1105
[email protected]
quality.bmj.com
BMJ Outcomes
Coming soon
Working in collaboration with leading
organisations and thinkers, BMJ is embarking
on BMJ Outcomes with the intent to facilitate
discussion and support the consolidation of
knowledge in outcome measurement.
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Take part in this exciting new
initiative. Contact:
Anecdotal evidence in Services Hospital,
Lahore (Pakistan) suggested that the
relatively high levels of illiteracy in the
patient population was a major factor in
poor adherence.
Baseline measurement revealed that
48% of all the hospital’s patients were
illiterate with just 5%-12% of illiterate
patients being able to interpret their
handwritten discharge prescription after
leaving hospital.
BMJ published the quality improvement
project that intervened by designing a
new discharge prescription proforma
which used pictures and symbols rather
than words to convey the necessary
information. The new standardised
form became a picture rather than
word based. For example, instructions
such as ‘bd’ and ‘tds’ could be replaced
by pictures of a sun rising over the
mountains to represent morning, and a
moon and stars to represent night time.
Repeated surveys demonstrated large
relative increases in comprehension of
the new proformas amongst illiterate
patients with between 23%-35% of
illiterate patients understanding the
new proformas. Literate patients who
received counselling with the new
proforma understood it 100% of the
time (vs. 100% with the old handwritten
TTO). Illiterate patients who received
counselling with the new proforma
understood it 35% of the time (vs. 12%
with the old handwritten TTO)
Illiterate patients who did not receive
counselling with the new proforma
understood it 23% of the time (vs. 5%
with the old handwritten TTO).
The new picture-based discharge
proforma has markedly improved
understanding of discharge medication
regimes among illiterate patients.
The project demonstrated a relative
increase in understanding of 192%
among illiterate patients who received
counselling and a relative increase of
360% among illiterate patients who were
not counselled.
This intervention shows a remarkable
improvement in healthcare and its
findings exist among other articles in
the new peer-reviewed BMJ Quality
Improvement Reports journal, all
constructed around the SQUIRE
guidelines to make them easy to search
and to understand.
Find out more
quality.bmj.com
Richard Purdy
Head of International Corporate
Development
+44 (0) 207 383 6192
[email protected]
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Health analytics
Practice productivity tools
“ In the same way that
satellite navigation
systems have replaced the
need for road maps, our
new ‘clinical navigation
system’ replaces the need
for clinicians to read and
absorb all NICE guidelines
because they are built in.”
Our workflow tools make the most effective
use of data to help improve the quality of care,
increase efficiency and maximise practice income.
Dr Peter Green,
Chief Clinical Officer, NHS Medway CCG
Chris Askew
Contract+, FrontDesk
and Safety+
+44 207 383 6608
[email protected]
Richard Crowther
Audit+ and
HealthChecks+
(East of England,
Hampshire and the
Isle of Wright)
+44 (0) 7768 526039
[email protected]
Ajay Kenth
Audit+ and
HealthChecks+
(South West, Midlands,
North West Scotland,
NI and Wales)
+44 (0) 7767 670655
[email protected]
Audit+
HealthChecks+
More than a powerful data analysis tool for GPs. It audits and
analyses clinical data, and enables clinicians to act on delivering
high quality care for better outcomes.
Designed for use by public health departments in England to help them
deliver NHS Health Check programmes to measured standards.
Contract+
An easy-to-use QOF management solution. It enables practices
to maximise their QOF points, deliver top quality patient
services and increase their income.
FrontDesk
A highly flexible, modular GP appointments and resource
scheduling system, Frontdesk is the most popular third party
appointments system for primary care in the UK.
Safety+
Collates and distills alerts relevant to the practice, identifying
any affected patients. It helps general practices to manage and
demonstrate response to safety alerts, and to support patient safety.
It also improves the efficiency and effectiveness of the local practice.
Chronic Kidney Disease audit
A quality improvement programme for Chronic Kidney Disease
(CKD). Lead by BMJ, the audit aims to measure the management and
outcomes for people with CKD in stages 3-5.
Visit: ckdaudit.org.uk
Macmillan Cancer
Decision Support tool
(eCDS)
A risk assessment toolset that
calculates a patient’s risk of cancer,
using BMJ’s audit+ software.
Winner of the 2014
HSJ Award for ‘Value
and Improvement
in Information
Technology’.
Visit
informatica.bmj.com
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Clinical Intelligence
Meet the BMJ healthcare team
High quality data gives organisations the
ability to understand and prioritise their needs and
measure the impact of any changes.
Our clinical data interpretation specialists can
compile, analyse and interpret data to help
improve the quality of patient care and cost
effectiveness.
• Understand different patient groups within a
population.
• Model the impact of service reconfigurations.
• Conduct a top down analysis to identify areas for
improvement.
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Our offerings include:
A suite of tools that help hospitals to improve
their quality and efficiency, as well as being more
aware of their local market.
Population insight for medicines management
teams on dispensing patterns within their area.
A full solution for public health to monitor their
Health Check programmes.
We can help reduce the burden on health
systems by making changes where we can
based on the best available evidence.
Talk to us today.
Find out how our clinical data driven products
and services can help your organisation.
Contact
John O’Connell
Head of Primary & Secondary Sales (ROW)
+44(0)20 7383 6987
[email protected]
Dr Klara Brunnhuber
[email protected]
Dr Nikki Curtis
[email protected]
Dr Ricardo Cypreste
[email protected]
Dr Rufus Helm
[email protected]
Product Manager, BMJ
Clinical Evidence and BMJ
Best Practice
Clinical Specialist
UK & ROW
Clinical Specialist
Brazil
Head of Clinical Engagement &
Business Development
Dr Yasir Khan
[email protected]
Dr Ahmad Risk
[email protected]
Dr Ashley McKimm
[email protected]
Dr Kieran Walsh
[email protected]
Clinical Specialist
Middle East, Far East
& Australia
Clinical Director
Middle East
Head of BMJ Quality
Clinical Director
UK & ROW
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Meet the BMJ healthcare
Commercial team
We can give you access to the latest evidencebased medical information, learning resources
and innovative tools. Talk to us today.
Angus Metcalfe
[email protected]
John O’Connell
[email protected]
Ajay Kenth
[email protected]
Phil Perks
[email protected]
Tao Zhang
[email protected]
Lorenzo Fabbri
[email protected]
Jason Lim
[email protected]
Elena Kalceff
[email protected]
Pauline Dilworth
[email protected]
Richard Purdy
[email protected]
Commercial Director
Head of Primary &
Secondary Care (ROW)
UK
UK, N. Europe, Turkey &
Baltics
China
DACH S. Europe and S.
America
South East Asia
Oceania
Head of International
Government Relations
Head of International
Corporate Development
Prashant Mishra
[email protected]
Ingrid Bray
[email protected]
Camille Kelly
[email protected]
Commercial Director - India
Corporate Communications
Manager
Sales and Marketing Executive
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BMJ
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Switchboard: +44 (0)20 7387 4410
Customer Service: +44 (0) 20 7111 1105
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