Presentations at the HeSCA 2000 Annual Meeting

Associate Professor, School of Medicine, University of North Carolina – Chapel Hill

Technology is on the move! Like skeet shooters, we are faced with the challenge of anticipating how to connect with our targets – our audience, our users, and/or our students. Technology is both part of the problem and part of the answer, but an understanding of the technology and how it changes just simply isn’t enough. We must know how our audience thinks, what motivates them, how to make contact with them.

July 1, 2000

Internet Keynote:

The Wild West of the Internet

Gary Schwitzer, Editor-In-Chief

Mayo Clinic Health Oasis and HealthQuest websites

Rochester, MN

The Mayo Clinic has one of the longest and richest histories in consumer health web production--with 5 years experience! MayoClinic.com is a new venture that builds on this experience. It will not be a gateway site to the Mayo Clinic, but rather, a health management resources product built by a deep team of Mayo Clinic physicians and editorial staff. This talk will profile this new venture.

Gary Schwitzer has specialized in health care communications for more than 25 years. A veteran of broadcast news, he went on to produce multimedia and videotape programs for the Foundation for Informed Medical Decision Making based at Dartmouth College in Hanover, New Hampshire, and for the Foundation’s partner, Health Dialog, Inc., in Boston. In January, 2000, he began working as the Editor-In-Chief of the Mayo Clinic Health Oasis and HealthQuest websites in Rochester, Minnesota.

With public excitement for multimedia growing, and now supported by recognized quantitative benefits, more industries are hoping to be included in the multimedia wave. And as the definition of multimedia continues to expand to include such technologies as desktop video conferencing, CD-ROM recorders, hardware upgrade kits, and even cable television and theater, we must not overlook what has the potential to be the greatest benefit of multimedia – interactivity.

Interactivity is the dialogue that takes place between the user and the system. But more than pressing buttons, interactivity is also the personality that drives the dialogue. As we look closely at the market place definition of interactive, however, we begin to see that a number of products, including CD-ROMs produced for education and training, are only by the lowest definition - interactive.

If we continue to focus on the magic of the technology without carefully considering interactivity, real interactivity, we will not be able to recognize the fullest potential multimedia has to offer as an instructional tool. The challenge now is not to find new multimedia technologies. While technological advances will provide greater opportunities to distribute information, they will more than likely have little impact on the instructional value of the content.

The challenge for us is to design, or think, interactively. The challenge is to produce systems that, while actually having parameters in which the user may roam, provide a seemingly endless conversation in which the user is carefully and gradually brought to the point of understanding through experience.

A mile high in the Great Smoky Mountains at the Cataloochee Ranch in Maggie Valley, ABCD members will participate in an interactive workshop titled "Leading in a Time of Change".

Leading change today is no longer about implementing the latest plan. It is about living with change. This interactive and stimulating workshop teaches the stages of change along with techniques to use with each:

* Learn the predictable stages in reaction to change
* Go beyond the basics
* Gain specific tools for overcoming resistance
* Learn how the changes we face today are different
* Gain insights about the changes we face
* Take away renewed energy and optimism.

There will also be time for networking and a great BBQ lunch. Don't miss this!

More projects, less time? Learn to use "absolute must" planning and control tools to leverage your prospects for successful projects. You will be covering stakeholder analysis, developing the Statement of Work, creating a work breakdown schedule, and using simple but powerful project control techniques.

Effective Communication-Being Our Best! (half day)
Barbara J. Crim, RN, MBA, CNOR

This workshop will cover public speaking and presentation skills. Our personal preferences impact how we receive and process information. Participants will explore their own personality type (based on the Myers-Briggs Inventory) and discuss how understanding their preferences can help them to reach their audience and polish their presentation skills.
Participants will be videotaped and reviewed by their peers for style, clarity, and other basic communication skills.

Barbara J. Crim, RN, MBA, CNOR is currently employed by PRIMEDIA Healthcare, a division of PRIMEDIA Workplace Learning, Carrollton, Dallas, Texas as Healthcare Administrator. In this position she is accountable for the educational content on the Health & Science Television Network (HSTN), the Long Term Television Network (LTCN), Assisted Living Best Practices Video Series, and Medprime.com. Barbara is also a principle in Partners In Learning. Partners In Learning presents seminars and provides custom education to clients. Barbara is a national and international speaker on the topics of creativity, empowerment, effective speaking, competencies, adult learning, team development and process improvement. She has authored a chapters in textbooks on the perioperative education process and critical thinking. She has authored and produced independent study video/study guide educational programs marketed nationwide.

Karen Adsit EdD is the Director of Instructional and Computing
Support Services at The University of Tennessee - Chattanooga, Grayson H. Walker Teaching Resource Center. The Walker Teaching Center provides faculty development and media production assistance to faculty at UTC. Karen's professional interests include the teaching and learning styles, the design of multimedia and user interfaces, and implementation factors that impact the integration of multimedia applications.

Chris Stephens

Learn how to move fluidly from we design to development with one easy tool - Macromedia Fireworks. Create rollovers, buttons, and graphics that can be edited and updated without hassle. Design animations and web comps in a matter of minutes, so you can focus on creativity while Fireworks handles the technicalities. The program also lets you optimize your graphics for use in the most demanding environments. Fireworks is a must for any serious web designer. (Does not require advanced web design skills, but participants must be comfortable using a PC and be familiar with the basics of Windows 95/98).

Chris Stephens is a Medical Applications Developer for the Computer Based Instruction Lab in the School of Medicine at the Medical College of Virginia Campus of Virginia Commonwealth University. He has more than seven years experience designing web pages and is also involved in the development of computerized testing software, educational multimedia used in the undergraduate medical school curriculum, and online survey/evaluation. He is also the web designer for VCU's School of Medicine site. Chris was named by AV Video & Multimedia Producer Magazine as one of the top 100 multimedia producers of 1997.

The sophistication of the latest software programs for producing images provides the biomedical communicator with marvelous new tools to add to their armamentarium. This workshop will use Adobe Photoshop and Adobe Illustrator and will demonstrate how to create illustrations with these powerful and sophisticated programs.

Dee will also be comparing and contrasting the new technology with traditional ways of working and showing how the two can be used together in biomedical communication. Dee will demonstrate how to create a piece of medical artwork from scratch using the large variety of tools and palettes in Photoshop, another using Illustrator and a third combining the two programs. She will also be looking at importing scanned images of traditional artwork, such as pen and ink, and finishing them in Photoshop.

This workshop will be aimed at those who are relatively new to these programs. Anyone attending the intermediate session should be able to proceed with the advanced session.

Dee McLean has many years experience as a medical artist. She runs her own freelance business in London and produces work for a wide range of clients in both the educational and commercial fields. She was recently awarded her Membership of the Institute of Medical Illustrators (IMI). She gives regular workshops on Photoshop which are always in great demand.

Dee will also be comparing and contrasting the new technology with traditional ways of working and showing how the two can be used together in biomedical communication.

Dee will demonstrate how to create a piece of medical artwork from scratch using the large variety of tools and palettes in Photoshop, another using Illustrator and a third combining the two programs. She will also be looking at importing scanned images of traditional artwork, such as pen and ink, and finishing them in Photoshop.

This workshop will be aimed at those with more experience with these programs.

Hospitals have access to many different software packages that offer web-based integration of clinical services with patient information. How do you choose what’s right for you and analyze the return on investment? What departments should be involved in this kind of decision? Here’s some advice on how to analyze the benefits for your group.

Interested in partnering with a health portal? Hear first-hand experiences of the Dartmouth Medical School partnership with drkoop.com. Find out what health portals are looking for, and how to develop and organize content for efficient implementation on the site.

With more than 18 years of experience, Mr. Cathcart manages strategic business development and runs operations for ISS Healthcare Systems. Most recently, he was Vice President of Sales & Marketing for QAD’s Medical Business Unit, which he helped form in 1995. During his eight-year tenure, Mr. Cathcart built sales for ERP software for the Pharmaceutical and Medical Device markets from $2.5 million to $40+ million in three years. Prior to QAD, Mr. Cathcart held strategic positions for 10 years at Johnson & Johnson's family of companies, including J&J’s McNeil consumer products division, Janssen's pharmaceutical division, and J&J's start-up Cordis Corporation. Mr. Cathcart holds a Master’s degree from Duke University’s Fuqua School of Business, and a Bachelor’s degree in Business Finance from Temple University.

Patricia B. Gray is the Editor-in-Chief of the Dartmouth Internet Venture, which is a leading provider of medical content to drkoop.com, the most popular health and medical site on the Web. Mrs. Gray is a former editor and writer for The Wall Street Journal, for whom she covered a broad variety of topics including technology, the law, banking and finance. She was "a special editor" on Page One, where she edited the immensely popular feature stories, as well as “an editor” for the Weekend Journal, a section covering leisure, travel, the arts and entertainment.

This presentation is intended as a guide in basic file preparation, preflighting procedures, and workflow. Topics covered are Designer or Document Originator Preflight Responsibilities, Producing a Clean File, Recommendations for Client Supplied Scans and Files, Establishing a Preflight System Workflow, and When Imaging Errors Occur.

Preflighting is thought to be a method for identifying and resolving potential output problems when first receiving the diskette. In fact, electronic preflighting can reduce errors, reduce waste and improve productivity and communication among clients, customer services representatives, and internal production personnel operators.

While preflighting can often improve productivity, it can also create production bottlenecks. Clients today are often the creators of the electronic files that must be imaged, it is therefore important to communicate and train them in the basic preflighting procedures that they should undertake before any document is submitted for output. This makes them partner of the pre-press team, sharing the goal of reducing waste and improving productivity to assure a quality project.

The National Library of Medicine was built in the 1960s and in 1999 I completed my fourth and fifth renovation projects in five years (my first project was the Learning Resource Center on a tight budget).

The purpose of this session is to review the normal things you need to plan for, such as electrical and telephone requirements. How ergonomics can be improved in the renovation process. And to share the unexpected, such as asbestos or decaying concrete and the effect these things will have on your time frame and budget. Differences between working with a raised and not raised floor will also be discussed. If you are going to be renovating (or budgeting for a future renovation), especially in an older building, this discussion is for you.

With the proliferation of the PalmPilot^TMand other palm-type computers among many residents and physician faculty, an initiative was undertaken to explore ways to integrate these devices into post-graduate medical education at Lehigh Valley hospital (LVH).

At LVH several residency programs track different data. Among the types of data collected are clinical rotation evaluations, skills performed, and diagnoses made. Most data is currently collected via several paper forms including Scantron dot sheets.

This project involves the evaluation and integration of the PalmPilot^TM handheld computers and software applications into medical education and the clinical setting. Applications currently being developed include a database application to track the evaluation of resident clinical rotations, a database application to track diagnoses made and procedures performed, and an application to provide calculated results of frequently used medical laboratory formulas.

These applications will enhance the accurate and timely collection of data currently done with Scantron dot sheets. The evaluation of commercially available patient information tracking applications is also in progress. This presentation will also include a discussion of several commercially available applications, development tools, and references for finding additional information.

Networking in a Biocommunication Department is the all-important structure in today’s work place. The Path Photo and Graphics started with a small network about 12 years ago. Today we are working with PCs, Macs, and Silicon Graphics, server, router, etc. The system runs numerous outputs. This presentation will discuss the impact on the department’s growth such as workload, pricing of products, personnel, and equipment.

This talk will provide the basics, including how to conduct market research on your audiences, develop goals based on consensus, and identify ways to get a return on the investment required.

Jamie Guth is an award-winning health and medical communicator. In the late 1980s, she helped develop and create THE DOCTOR IS IN, the long-running, nationally distributed public television series which is now also distributed on the web. Her credits also include PRESCRIPTION FOR LEARNING, a middle and high school health curriculum, and hundreds of patient education videos. As Manager of Media Services at the Dartmouth-Hitchcock Medical Center, she has led a center-wide committee to develop and implement a strategic web plan.

Interfacing Academic Institutions with Internet Providers - The View From the Ivory Tower

Dr. St. Germain is an accomplished, NIH-funded investigator who maintains a consultative practice in endocrinology. He also teaches several basic science and clinical courses at Dartmouth Medical School, is the Director of the Dartmouth Community Medical School public education initiative, and the Medical Director of the project team at Dartmouth Medical School that prepares public education material on varied health topics for drkoop.com.

Designing and coding for a medical audience – considerations of appropriate layouts, colors, and coding for disabilities

Kevin Phillips led a six-person web team at the Atlantic Intelligence Command. He was the Coordinator of Technology for the Expeditionary Warfare Community of Interest, and part of a traveling roadshow on using web-based collaborative tools sponsored by the Defense Intelligence Agency. Kevin likes caffeine and loud music.

Many biocommunicators are creating instructional programs for a medical audience using the latest in educational technology.

As we enter the 21^st Century the traditional venues of medical education are modifying to accommodate the integration of "newer" media. Will these new tools enable the creation of an ideal learning environment? This presentation will define elements of an ideal learning environment, and describe technology as a component of this environment. Examples of technologies will be shown that create or assist in the creation of an ideal learning environment.

The Division of Biomedical Communication at the University of Arizona provides primary technical support for The Arizona Telemedicine Program, a multidisciplinary clinical program of The University of Arizona Health Sciences Center. The program operates telemedicine clinics in 13 communities and is linked to 35 communities for distance learning. Most sites use both real-time video and store-and-forward technologies. Since becoming functional in May, 1997, 59 percent of over 1400 cases were store-and-forward, nearly all of which utilized images from a digital camera, the Canon PowerShot 600. However, the Canon PowerShot 600 digital camera is no longer marketed. To select a replacement digital camera, Biomedical Communications staff developed a rigorous testing procedure that permits laboratory assessment of digital image resolution and color fidelity. An ISO Standard 12233 test chart is used to quantitate vertical, horizontal, and 45 degree resolution. A GretagMacBeth Color Checker is used to assess color quality. Five digital cameras have been compared with this methodology. This presentation will describe selection criteria and assessment processes utilized and report the outcomes of these tests including specific recommendations.

This presentation offers information on software, called University Service Division Management. It is an Internet-based point of sale system allowing different service divisions (Photography, Graphics, Print Shop, Laboratory, etc.) to bill customers, track jobs, and report production on line via browsers rather than through the university network. This frees up the divisions and provides real-time information on their production.

A video producer's first exposure to directing animation can be a frustrating experience; the language of animation is almost as complicated as the process itself. This presentation will walk you through the experience of communicating your vision to the animator.

This presentation will cover the steps involved in building a basic strategic business plan for a telemedicine project. Issues of demand, costs, competition, trends of technology, as well as the possible revenue side will all be placed within the structure of administrative decision making. The question is often should we start telemedicine service or not? The strategic business plan is one tool to help answer this question.

- Describe how creative thinking will be a key to surviving HealthCare’s ever-changing environment.

Do you feel like you never know what tomorrow will bring? Once you find ‘get the hang’ of something, does it change? Do you hear "we’ve always done it that way" in the workplace? One thing we know for sure, the future isn’t what it use to be! So how do we prepare for what the future is going to hand us? It is through anticipation, innovation and excellence. At the root of all of this is creative thinking. This session will focus on how to change our assumptions, solve problems and move beyond self-imposed limits.

This presentation will provide an introduction to color in the publishing reproductive process and serve as a guide for using today’s color management tools. Remember that when using color and color management, there is no

"right" answer. Color is subjective, what one person may think is right, others may not. The key in finding success determines where color management can make a positive impact on workflow, and then implement it accordingly.

To prepare medical students for the computerization of their National Board Examinations which began in 1999, the Computer Based Instruction Lab (CBIL) at Virginia Commonwealth University’s Medical College of Virginia Campus implemented computer testing on a limited scale in 1997/98. Two such exams were administered in the first year, four in the second, and twelve in the current year. This talk will focus on what as required to successfully implement computerized testing into the medical school curriculum. For people interested in more in depth information, a web address will be provided that present information on the five stages of the project, from establishing need through evaluation and anticipated innovations.

Video streaming is like trying to push a swimming pool through a straw. By now most everyone knows what video streaming is, but sometimes they have unrealistic expectations for what the quality should be. Hear why it is so difficult to make streaming video look like the NBA on NBC, and learn a few tricks to make your video on the web look better.

Last year we presented the concept of developing a Consumer Education Center in a Medical Mall Setting. The Health Library and Learning Center is now a year old, and has become an important source of health care information for many individuals. This presentation will provide an update on the status of the Learning Center. You'll gain some insight into the center's operation through consumer and physician comments and recommendations. We'll take a short video tour of the facility to learn more about its operation. We'll also look at utilization statistics and future plans for the learning center. Will there be learning centers at our hospital sites and other remote facilities? We'll take a look at future plans in this world of tightening budgets.