US Models

1. US Models

2. US Models • National Library of Medicine (NLM)

3. US Models • National Library of Medicine’s National Network of Libraries of Medicine

4. US National Library of Medicine • MEDLINE • Highly structured database containing 13 million articles in the biomedical sciences • Multilingual (86% English) • State-of-the-art (XML) format • PubMed • Powerful interface to MEDLINE

5. US National Library of Medicine • MEDLINEplus • Information for consumer health and patient education • Bilingual (English & Spanish) • clinicaltrials.gov • Database of clinical trials, including those recruiting participants

6. US National Library of Medicine • DOCLINE • Automated interlibrary loan system • Canadian libraries using DOCLINE coordinated through CISTI

7. US National Library of Medicine • Unified Medical Language System (UMLS) / SNOMED (Systematized NOmenclature of MEDicine) • Commission on Systemic Interoperability

8. Muir Gray, MBE • “If knowledge remains separate from the EHR, then more patients will be receive more diagnoses, more quickly,

9. Muir Gray, MBE • “ . . . that are incorrect, and, more often, enjoy the wrong treatment.”

10. US National Library of Medicine • National Centre for Biotechnology Information

11. US National Library of Medicine • Public Health Partners

12. US National Library of Medicine • Specialized Information Services • Environmental Health & Toxicology • Chemical Information • HIV / AIDS • Outreach Activities & Resources / Special Populations • Directory of Health Organizations

13. US National Library of Medicine • Specialized Information Services, including for Special Populations • American Indian Health • Arctic Health • Asian American Health

14. US National Network of Libraries of Medicine • The goals of the NN/LM are to: • To develop collaborations with NN/LM libraries to improve access to and sharing of biomedical information resources throughout the nation;

15. US National Network of Libraries of Medicine • The goals of the NN/LM are to: • To promote awareness of and access to biomedical information resources for health professionals and the public; and

16. US National Network of Libraries of Medicine • The goals of the NN/LM are to: • To develop, promote, and improve access to electronic health information resources by network member libraries, health professionals, and organizations providing health information to the public.

17. US National Network of Libraries of Medicine

19. US National Network of Libraries of Medicine • National Training Center and Clearinghouse (NTCC) • The NTCC supports a variety of training opportunities for NN/LM members and for health professionals. It also manages a searchable database with links to web-based health education training materials.

20. US National Network of Libraries of Medicine • Outreach Evaluation Resource Center (OERC) • The OERC provides assistance in developing well-planned evaluation to help target and measure outreach success. • National Outreach Mapping Center (NOMC) • The NOMC enhances NLM's ability to track and map its outreach efforts, facilitate evaluation of its outreach efforts, and identify potential areas to target.

21. US National Network of Libraries of Medicine • Web Services Technology Operations Center (Web-STOC) • Web-STOC provides systems functions including database management, system policy-development and technical consulting related to the NN/LM Web services.

22. US National Network of Libraries of Medicine • 1962: Presentation to a seminar in Seattle on the “regional” service to all physicians in BC provided by the Library of the College of Physicians & Surgeons of BC via a network of hospital and other health libraries by the then Director, Bill Fraser

23. US National Network of Libraries of Medicine John Fitzgerald Kennedy in his Special Message to Congress on National Health Needs, 1963: "The accumulation of knowledge is of little avail if it is not brought within reach of those who can use it. Faster and more complete communication from scientist to scientist is needed, so that their research efforts reinforce and complement each other, from researcher to practicing physician, so that new knowledge can save lives as swiftly as possible, and from the health professions to the public, so that people may act to protect their own health." 

24. US National Network of Libraries of Medicine • 1964: President's Commission on Heart Disease, Cancer and Stroke, chaired by Michael E. DeBakey, M.D.

25. US National Network of Libraries of Medicine The Medical Libraries Assistance Act was passed in 1965, establishing the National Network of Libraries of Medicine.

26. US Models What would work for Canadian health professionals?