Transcript Librarian Engagement with Information Services at Care New

Librarian Engagement
with Information Services at
Care New England
Nancy Ross, MLIS
Cedric J. Priebe III, MD
Contents
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Thesis
A little History
Goals
Successes/Ongoing Work
Challenges and Risks
Conclusion
Thesis
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Information Services – Librarian partnerships are
advantageous:
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IS
Librarians
Patients
IS and Health Sciences Librarians can be allies in
advocating for HS Libraries
Libraries gain from technology but give up some control
About CARE NEW ENGLAND
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Formed in 1996 to continually improve the health and well being of the
people and communities of southeastern New England
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Comprised of three hospitals – Butler, Kent and Women & Infants
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Butler Hospital is Rhode Island’s only private, nonprofit psychiatric and substance abuse
hospital for adults, adolescents, children and seniors
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Kent Hospital provides a full spectrum of primary and secondary acute care services
with a medical staff representing more than 30 specialties.
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Women & Infants Hospital, the nation’s seventh busiest obstetrical facility, operates the
nation’s largest single-family room neonatal intensive care unit, the area’s only tertiary
level facility, and provides such specialized services as oncology, urogynecology and
infertility treatment.
Care New England Wellness Center
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The Care New England Wellness Center offers an array of rehabilitation, wellness,
fitness and educational programs, including holistic and complementary therapies.
VNA of Care New England
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VNA of Care New England provides a broad spectrum of home health, hospice and
private duty nursing services for new mothers, the elderly and the terminally ill.
CNE Hospital Libraries
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Butler Hospital - private, nonprofit psychiatric and substance abuse hospital
for adults, adolescents, children, and seniors.
affiliated with The Warren Alpert Medical School of Brown University.
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Kent Hospital – 359-bed, nonprofit, acute care hospital. more than 30
specialty areas. Affiliate of the University of New England College of
Osteopathic Medicine (UNECOM) for medical education.
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Isaac Ray Library - provides services in support of the hospital's clinical,
research and educational programs. The library also serves the community-atlarge by assisting patients and their families when they need reliable health
information.
Kent Hospital Library - support of clinical programs, business and management
practices and staff development efforts. Also serves the community-at-large by
assisting patients and families when they need reliable health information
Women & Infants Hospital - specialty hospital for women and newborns.
The primary teaching affiliate of the Warren Alpert Medical School of
Brown University for obstetrics, gynecology and newborn pediatrics.
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Edward Cardillo Health Sciences Library - provides knowledge-based health care
information to educators, clinicians, researchers and allied health professionals
and serves as a repository for materials of historical interest to the Women and
Infants community.
Overlapping Scopes of Operations
CNE IS
Operations
• Technical Services
• Application Services
• End User Services
CNE HS Librarians
• Computer-based
content
• e-texts
• Journals
• End User Training
Evolving Distribution of Roles
IS
System
Implementation
Joint
Budgeting
Print Materials
Select and Review EContent
Inter-Library Loan
Technical
Infrastructure Support Interface Design
Support Clinical
Executable
Research
Knowledge Design
Clinical System
Support
Business Continuity
Technology
Innovation
User Education
Library
Support Clinical
Research
Support Clinical Care
Marketing/Promotion
Outreach
Executable
Knowledge Mgmt.
Patron Education and
Training
Successes/Ongoing Work
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First Successes
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Consolidation of licensed web content
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Convened CNE Joint Hospital Electronic Content Workgroup
(2006)
Alignment  renewal of license agreements
Reconfiguration of data network to allow operating unit
specific IP range authentication
Joint design of Library “Quick Links” Page
Development of tool for librarian administration of content
links
CNE
Intranet
Libraries
QuickLinks
Page
Library Quick Links Central Administration
Successes/Ongoing Work
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Later Success
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Clinician Resources SharePoint™ site
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Driver – Need to bring on-line Library resources to value more
quickly
Microsoft SharePoint™
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Enterprise Content Management (ECM)
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Content management with distributed administration
Social capabilities
Powerful search
CNErgy Clinician Resources
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Library Resources
Internal & External web links
SWAN – Quality Improvement content
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Clinical Practice Guidelines
Order Sets
Policies & Procedures
Protocols
Suggestion Box
Clinician
Resources
SharePoint™
Site
Early Version
Clinician Resources SharePoint™ Site
Current Version
Successes/Ongoing Work
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Current Efforts
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Executable Knowledge for CPOE (Computer Physician Order
Entry) within the hospital EMR (Electronic Medical Record)
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Links from CPOE Order Sets to
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Library of Order Sets
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Evidence-based literature
Locally authored guidelines & policies
Version control
Downtime access
Role of Librarian in development and maintenance of executable
knowledge
Challenges and Risks
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Challenges
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Aligning Priorities
 Hospitals with differing goals and needs
Management buy-in
 Convincing management that it is legitimate and important
for Librarian to be involved in “new knowledge
management”
Challenges/Risks
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Librarian needs to be more technical
Communication
 “Library Speak” vs “IS Speak”
Challenges and Risks
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Risks
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Cost
 Intermingling of Library & IT budgets
 Opportunity
to grow Library related IT resources within
larger Hospital System IT budgets
 Some risk that Library related expenses trimmed with
discretionary cuts
Conclusion
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IS/Librarian partnership benefits
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IS
Librarians
Patients
Libraries would give up some control
There is risk, but risk/reward ratio is favorable
Questions
???
Additional Resources
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“Now’s the Time: Understanding the Electronic Health Record Maze and Health Sciences
Librarians’ Roles”, DVD for sale on MLA website at
https://service.mlanet.org/mlassa/ecssashop.show_product_detail?p_product_serno=415&
p_mode=detail&p_cust_id=&p_session_serno=&p_order_serno=&p_promo_cd=&p_pric
e_cd=
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Heyman, Martha K. (2000). Speaking IT, Staying a Librarian: Building Successful
Relationships with the Information Technology Organization Without Losing Your Identity
as a Librarian. In International Journal of Special Libraries. (v. 34, iss. 3/4, pp. 153-164).
Retrieved October 18, 2010, from http://archive.ifla.org/VII/d2/inspel/00-3hema.pdf
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Ogburn, Joyce L. (2008, January 11). Moderately Risky Business: Challenging Librarians to
Assume More Risk in an Era of Opportunity. Risk and Entrepreneurship in Libraries, ALCTS
Symposium. Retrieved October 17, 2010, from
http://www.ala.org/ala/mgrps/divs/alcts/resources/papers/risk_ogburn.pdf