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  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 CNE IS Operations Technical Services Application Services End User Services CNE HS Librarians Computer-based content e-texts Journals End User Training

Overlapping Scopes of Operations CNE IS Operations Technical Services Application Services End User Services HS Librarians Computer-based content e-texts Journals Multimedia Services A-V Equipment Video production

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

CNE Intranet

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 Resources SharePoint™ Site Early Version

Clinician Resources SharePoint™ Site Current 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 ???

Additional Resources  “Now’s the Time: Understanding the Electronic Health Record Maze and Health Sciences Librarians’ Roles”, DVD for sale on MLA website at p_mode=detail&p_cust_id=&p_session_serno=&p_order_serno=&p_promo_cd=&p_pric e_cd= p_mode=detail&p_cust_id=&p_session_serno=&p_order_serno=&p_promo_cd=&p_pric e_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 ). Retrieved October 18, 2010, from  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