Librarian Engagement with Information Services at Care New England

1. Librarian Engagementwith Information Services atCare New England Nancy Ross, MLIS Cedric J. Priebe III, MD

2. Contents • Thesis • A little History • Goals • Successes/Ongoing Work • Challenges and Risks • Conclusion

3. 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

4. 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.

5. 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.

6. Overlapping Scopes of Operations

7. Evolving Distribution of Roles

8. 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

9. CNEIntranet

10. Libraries QuickLinks Page

11. Library Quick Links Central Administration

12. 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

13. Clinician ResourcesSharePoint™ SiteEarly Version

14. Clinician Resources SharePoint™ SiteCurrent Version

15. 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

19. 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”

20. 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

21. Conclusion • IS/Librarian partnership benefits • IS • Librarians • Patients • Libraries would give up some control • There is risk, but risk/reward ratio is favorable

22. Questions ???

23. 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