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The Electronic Health Library of BC

The Electronic Health Library of BC. A unique consortia. Cathy Rayment, Provincial Library Leader, BC Cancer Agency Greg Rowell, Manager, Library Services, Fraser Health Authority May 30, 2007. The Need The Concept History The Project and Launch Year 1 /Year 2 activities

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The Electronic Health Library of BC

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  1. The Electronic Health Library of BC A unique consortia Cathy Rayment, Provincial Library Leader, BC Cancer Agency Greg Rowell, Manager, Library Services, Fraser Health Authority May 30, 2007

  2. The Need • The Concept • History • The Project and Launch • Year 1 /Year 2 activities • Comparison to other consortia

  3. The Need - BC’s Context • 25,000 seat expansion post secondary ed. • Distributed Medical Program • Expansion of Health Research • Huge disparities in access to library resources in both health and academic sectors • Access to evidence-based info will improve health outcomes across the province • Recruitment and retention problems for rural areas • Reduce duplicate licensing

  4. The Concept • License high quality electronic health information to support teaching, research and practice across BC • Improve health and learning outcomes • Ensure equitable access to health info • Maximize access, minimize costs • Support for rural and remote health professionals • Increase collaboration between health care and academic sectors

  5. How did we get here? ???? ????????

  6. Last century… • HLABC submission to Royal Commission on Health Care and Costs -1990 • The final sentence of our submission was “HLABC believes that expanding access to health sciences information is a cost-effective way of providing better health care to British Columbians.”

  7. 1990’s • HLABC projects continue: • 1999 AKHIT – Access to Knowledge-based Health Information Taskforce • 1999 - BC Ministry of Health develops PHLiNCH website

  8. And on into the current century • 2000 - Joint HLABC/MOH Library proposal “Health Knowledge for BC Clinicians” • 2001 - UBC Library proposal “Innovation from information: a strategic initiative to support research and health education in British Columbia” • 2002 – HLABC Executive met with UBC University Librarian to discuss provincial licensing of health databases • 2002 – HLABC forms the Provincial Database Access Review Group

  9. May 2003 - BC Academic Health Council (BCAHC) convenes a meeting of library and administration representatives to review past and current efforts at a provincially coordinated licensing of health e-resources. This initial meeting was the inception of the current e-HLbc concept. A Champion Arrives! http://metropolisplus.com/Superman/Superman06.jpg

  10. Stakeholders Survey • BCAHC surveys BC Libraries to gather baseline information about e-resources • 81 agencies polled • 47 librarian constituents responded • e-HLbc Resources Stakeholders Survey Report released in November 2003 • http://www.bcahc.ca/pdf/Survey.pdf.

  11. Active Planning Phase • 2004-2006 • Other consortial models examined • E-Resource stakeholder report analysed • Business plan developed • RFPs sent out • Products selected • Licenses negotiated • Implementation teams created eg Technical, training, marketing, governance • Website constructed

  12. A labour-intensive process • 27 people in the original eHLbc working group • 17 people in the Business Plan Working Group • 41 people involved in the Implementation Planning group and functional sub-committees

  13. EHLbc Working Group Championsa true cross-sectoral collaboration • Lea Starr, UBC • Brian Owen, SFU • Nancy Levesque, Thompson Rivers University • John Durno, University of Victoria • Lynn Copeland, SFU • Anita Cocchia, BC ELN • Karen MacDonell, College of Physicians and Surgeons of BC • Greg Rowell, Fraser Health Authority • Anne Allgaier, Northern Health Authority • Colleen Kennedy, Interior Health Authority • Linda Manning, Vancouver Coastal Health • Francine Renaud, Interior Health Authority • Ruth Rochlin, Interior Health Authority • Pete Rose, Ministry of Health • Antje Helmuth, Ministry of Health

  14. Not an April Fool’s Day Joke! • April 1, 2006 – eHLbc consortium formally launched and e-resources accessible to all members • Consortium Members currently paying for the project: • 6 Health Authorities • 24 post-secondary institutions • 3 provincial Ministries • College of Physicians and Surgeons of BC

  15. Physicians – 8780 Pharmacists – 3637 Nurses, Psych Nurses, LPNs, Midwives – 36718 Physiotherapists – 2316 OTs – 1368 Dentists, dental hygienists, dental technicians, denturists – 6041 Psychologists – 900 Social workers – 1500 Opticians, Optometrists – 1600 Medical Radiation technologists - 1753 Dieticians, nutritionists – 800 Speech/language pathologists, audiologists – 820 Podiatrists – 83 Kinesiologists – 443 Chiropractors - 860 Massage therapists – 1600 TCM, Acupuncturists, Herbalists – 1225 Naturopaths - 191 Licensed for ALL 83,075 BC health professionals

  16. HS Faculty all publicly funded post-secs -1666 Total Faculty all publicly funded post-secs – 10,040 HS students – all publicly funded post-secs – 10,452 Total students all publicly funded post-secs – 154,263 Licensed for ALL BC Post-Secondary Faculty and Students

  17. Total BC licensed users • Estimated total Health professional users (Academic and health sectors) – 97,193 • Total users, all academic and health sector – 249,378

  18. EBSCO Biomedical Reference Collection CINAHL with Fulltext Medline PsycINFO PsycArticles OVID EBMR (50 su) LWW Total Access Collection (75 su) Medline Linksolver 3 year license for:

  19. Total 3 year operating cost ~$4.08 million

  20. Official Launch Party at CHLA/ABSC May 16, 2006

  21. First Year Tasks • Created Terms-of-reference for all committees • Appointed / recruited members for all committees • Invoiced all Members • Chose an administration model & started process for hiring a coordinator • Started offering training for members library staff • Created an independently-hosted website • Developed a process for adding new user-groups • Developed a process for adding / evaluating new resources (still in-process)

  22. Committees, More Committees • BCAHC Operating Committee (the big bosses) • eHLbc Steering Committee (one member for each member inst.) • eHLbc Management Committee (3 from health, 3 from academia, 1 from BCAHC) • Training subcommittee • Evaluation subcommittee • Marketing/Communications subcommittee • New Users sub-committee

  23. Current Governancehttp://www.diplomacy.edu/Diplo/Calendar2004/img/governance.jpg

  24. Training • Training sessions for library staff started during 2006 CHLA/ABSC conference and have been offered regularly – hands-on and webinars http://www.tmdoccmed.com/MOBILEPICS/training.gif

  25. eHLbc.ca launched Feb.15.07

  26. New Users • eHLbc resources are licensed for ALL health professionals …. But currently only available from Member organizations - those with an existing library infrastructure. • Many health practitioners are not included in the current member institutions, and many have no existing library infrastructure supporting them • How to give them access? • What to charge?

  27. Year 2 tasks • Pilot project trials for extending access to new users to start this summer • Process for adding new resources • Marketing initiatives • Evaluation • Planning for sustainability

  28. New resources? • New Vendors interested in being added • User groups have already started a wish-list • Current resources need to be evaluated • When and how to add new resources? • Electronic suggestion box • Ranking process

  29. Evaluation • Obtaining usage statistics for all members and for entire consortium • Comparison to previous years wherever possible • User satisfaction survey • % of health professionals with access • Success stories? • Budget review

  30. Fraser Health Uptake Log-ins 115% increase 2005 – 19,351 2006 – 41,659 Searches 64% increase 2005 – 94,437 2006 – 155,191 Total Fulltext Access 2005 – stats not available 2006 - 23,002 BCCA Uptake Log-ins (CINAHL, EBMR Medline, PsycINFO) 50% increase 2005 – 6468 2006 – 9706 Searches 43% increase 2005 – 50,161 2006 – 71,908 Total Fulltext Access 32% increase 2005 – 27,835 2006 – 36,930 Evaluation – if you build it will they come? YES!

  31. How to sustain? • 3 year commitment, but the Health Sector is under tremendous budget pressure. • Net incremental cost for the 6 HA members was ~$288,000 in the first year; net incremental cost for the 24 post-sec members was ~$100,700 • MOH contributed one-time $300,000 start-up funds but this is unlikely to happen again • Need an ongoing commitment from the Health sector to protect the consortium

  32. Purchased service models… • NLHKIN – Newfoundland and Labrador Health Knowledge Information Network http://www.med.mun.ca/nlhkin/ • HKN – Health Knowledge Network - http://www.hkn.ca/ • HSIC - Health Science Information Consortium of Toronto http://www.library.utoronto.ca/hsict/

  33. Government-funded models – something we should all aspire to! • SHIRP - Saskatchewan Health Information Resources Partnership - http://www.shirp.ca/index.html • Northern Ontario Virtual Library - http://www.novl.ca/

  34. Bringing in the Public • Atlantic Health Knowledge Partnership http://www.library.dal.ca/kellogg/ahkp/ahkp.htm • Province-wide access to the Cochrane Library for all residents of Nova Scotia. • Funding was provided by the members of the Atlantic Health Knowledge Partnership (AHKP). Realizing access for all Nova Scotians is a joint venture of AHKP and the Nova Scotia Provincial Library.

  35. How is eHLbc different from other Canadian consortial Models? • Started by a federation of member organizations, including healthcare and post-secondary organizations involved in health profession education, as well as related government Ministries. • Licensed for ALL BC health professionals • Not dependent on any large academic partner • Health sector (non-governmental) pays 52.26% of total cost • Electronic library (and training) only – no document delivery or reference services.

  36. Questions For more information contact: Greg Rowell greg.rowell@fraserhealth.ca Cathy Rayment crayment@bccancer.bc.ca

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