Librarian Engagementwith Information Services at

Care New EnglandNancy Ross, MLISCedric 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 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 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 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.

Overlapping Scopes of Operations

Evolving Distribution of Roles

IS

System Implementation

Technical Infrastructure Support

Support Clinical Research

Clinical System Support

Business Continuity

Technology Innovation

User Education

Library

Print Materials

Inter-Library Loan

Support Clinical Research

Support Clinical Care

Marketing/Promotion

Outreach

Executable Knowledge Mgmt.

Patron Education and Training

Joint

Budgeting

Select and Review E-Content

Interface Design

Executable Knowledge Design

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

CNEIntranet

Libraries QuickLinks Page

Library Quick Links Central Administration

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

Clinician ResourcesSharePoint™ SiteEarly Version

Clinician Resources SharePoint™ SiteCurrent Version

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

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 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 IS/Librarian partnership benefits

IS Librarians Patients

Libraries would give up some control There is risk, but risk/reward ratio is favorable

Questions

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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