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Librarian Engagement with Information Services at Care New England. Nancy Ross, MLIS Cedric J. Priebe III, MD. Contents. Thesis A little History Goals Successes/Ongoing Work Challenges and Risks Conclusion. Thesis. Information Services – Librarian partnerships are advantageous: IS

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librarian engagement with information services at care new england

Librarian Engagementwith Information Services atCare New England

Nancy Ross, MLIS

Cedric J. Priebe III, MD

contents
Contents
  • Thesis
  • A little History
  • Goals
  • Successes/Ongoing Work
  • Challenges and Risks
  • Conclusion
thesis
Thesis
  • Information Services – Librarian partnerships are advantageous:
    • 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
About CARE NEW ENGLAND
  • Formed in 1996 to continually improve the health and well being of the people and communities of southeastern New England
    • Comprised of three hospitals – Butler, Kent and Women & Infants
      • Butler Hospital is Rhode Island’s only private, nonprofit psychiatric and substance abuse hospital for adults, adolescents, children and seniors
      • Kent Hospital provides a full spectrum of primary and secondary acute care services with a medical staff representing more than 30 specialties.
      • 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
      • 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
      • 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
CNE Hospital Libraries
  • 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.
    • Isaac Ray Library - provides services in support of the hospital's clinical, research and educational programs. The library also serves the community-at-large by assisting patients and their families when they need reliable health information.
  • 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.
    • 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.
    • 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.
successes ongoing work
Successes/Ongoing Work
  • First Successes
    • Consolidation of licensed web content
      • 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
successes ongoing work12
Successes/Ongoing Work
  • Later Success
    • Clinician Resources SharePoint™ site
      • Driver – Need to bring on-line Library resources to value more quickly
      • Microsoft SharePoint™
        • Enterprise Content Management (ECM)
          • Content management with distributed administration
          • Social capabilities
          • Powerful search
      • CNErgy Clinician Resources
        • Library Resources
        • Internal & External web links
        • SWAN – Quality Improvement content
          • Clinical Practice Guidelines
          • Order Sets
          • Policies & Procedures
          • Protocols
        • Suggestion Box
successes ongoing work15
Successes/Ongoing Work
  • Current Efforts
    • Executable Knowledge for CPOE (Computer Physician Order Entry) within the hospital EMR (Electronic Medical Record)
      • Links from CPOE Order Sets to
        • Evidence-based literature
        • Locally authored guidelines & policies
      • Library of Order Sets
        • Version control
        • Downtime access
      • Role of Librarian in development and maintenance of executable knowledge
challenges and risks
Challenges and Risks
  • Challenges
    • 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
    • Librarian needs to be more technical
    • Communication
      • “Library Speak” vs “IS Speak”
challenges and risks20
Challenges and Risks
  • Risks
    • 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
Conclusion
  • IS/Librarian partnership benefits
    • IS
    • Librarians
    • Patients
  • Libraries would give up some control
  • There is risk, but risk/reward ratio is favorable
additional resources
Additional Resources
  • “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_price_cd=
  • 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
  • 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