1. docMD: (DOCument Mediated Delivery)
Eric H. Schnell
Associate Professor
Head, Information Technology
Prior Health Sciences Library
The Ohio State University
docMD is funded through support by the National Network of Libraries of Medicine, Greater Midwest Region. Ohio State University project number

2. docMD Goal
“ To establish an electronic document delivery service for hospital libraries that are unable to support such a service themselves due to limited human, financial, or technical resources “

3. docMD Objectives
Establish a mediated direct-to-customer document delivery service for hospital libraries
Identify the costs involved in providing such a service
Develop a model for use by other resource libraries in other regions of the country

4. Why docMD? IDD Reduces telecom costs IDD Reduces turnaround time
(Landes ’97)
IDD Reduces turnaround time
1986: days (Budd)
1999: reduced to 2.52 (Sellen)
Web delivery reduces supply costs
(Weible ’02)

5. Barriers to Hospital Library IDD Implementation
Firewalls (McKnight 2001)
communication ports
network authority
Workflow / staffing (Jackson 1993)
Access to technical staff
Fiscal resources

6. How docMD Jumps these Barriers
Firewalls
a common communication port is used (80)
Workflow / staffing
DOCLINE processing remains the same
Less physical processing of documents
Access to technical staff
Essential technical staff at mediation center
Little technical site support needed
Fiscal resources
GMR supported

7. Scans/Sends though IDD Scans/Sends though IDD
docMD Delivery Model
Customer
with docID#
Alert
Local Library
DOCLINE
Lending “A”
Lending “B”
Scans/Sends though IDD
Scans/Sends though IDD
docMD
Web Server

8. Survey Tools
Project Librarian Survey Technical Survey (Lib / Cust) Attitudes Survey (Cust) Turnaround Time Study

9. docMD Statistics (as of Sept 2, ‘04)
406 registered customers
3111 documents processed
~15% have gone unviewed
>40% sent to the librarian
<1% required reposting
<1% alternative distribution
<1% posting failures

10. docMD Statistics Average document processing time: 1 minute
Average number of documents requiring follow up: 1 per week
Percentage of documents arriving upside down: 20% -> 1%
Number of customers contacting docMD central regarding difficulty in downloading a document: 1

11. Turnaround Time Pre – docMD: 6.53 days (max 19 days)
Post – docMD: days (max 9)

12. Feedback
“Our docs are always so delighted when personalized mail arrives for them.” one has a “raft of administrators tooling past his office wanting to know how his articles were retrieved electronically. They believe that he magically pulled them up all by himself. “
“another test subject… has been running around Nursing telling people…”

13. Issues:
Geography: Project leaders / librarian face-to-face contact difficult
Geography II: Difficult if not impossible to organize group training
Geography III: helps. Phone is more effective but more time consuming

14. Issues:
How docMD is implemented at a site is dependent on the hospital librarian
Level of participation is dependent on the marketing performed by the hospital librarians
Too much hand-holding or separation anxiety?

15. Issues: Funding Pay-to-Play (1) Pay-to-Play (2) Subsidized (1)
Each hospital pays a fee based on scale determined by the number of documents they normally process through DOCLINE in relation to other participants in a tiered fee schedule.
Pay-to-Play (2)
Each hospital pays a per-document fee based on the actual number of documents they process using docMD and is billed on a quarterly or annual or per-document basis.
Subsidized (1)
Each NNLM region establishes funding opportunities for resource libraries to support a docMD service for their resource area. Resource libraries apply for the available awards.
Subsidized (2)
Each NNLM region provides a funded mandate to each resource library to establish a docMD service in their area.
Benevolent
Any library can provide the service but supports it using their individual operating funds and can pursue reimbursement from the participants.

16. Expanding the Concept: OhioDOC
Establish a direct-to-customer electronic document delivery service for all OhioLINK libraries.
Establish a system for centralized electronic document delivery distribution
Establish electronic document delivery services in libraries without them
Create workflow efficiencies

17. Current Direct to Customer Processing Model
EDD
Local Library
OCLC / DOCLINE
Ohio Lending “A”
Ohio Lending “B”
Scans/Sends though IDD
Scans/Sends though IDD
Web Server

18. Scans/Sends though EDD Scans/Sends though EDD
OhioDOC Model
Customer
Local Library
OCLC / Docline
Ohio Lending “A”
Ohio Lending “B”
Scans/Sends though EDD
Scans/Sends though EDD
OhioDOC

19. OhioDoc Model Expanded
Customer
Local Library
EDD
OCLC / Docline
Ohio Lending “A”
Ohio Lending “B”
Ohio Lending “C”
Ohio Lending “D”
Ohio Lending “E”
Web Server

20. Current Direct to Customer Processing Model
Ohio “A”
Ohio “B”
Ohio “C”
Process
Web

21. OhioDOC Processing Model
Ohio “A”
Ohio “B”
Ohio “C”
Process
Web
Web

22. OhioDOC Expectations
Lending libraries still scan and process documents intended for OhioLINK libraries
Borrowing libraries would no longer receive and process documents coming from OhioLINK lending libraries

23. Thanks!
Project:
docmd.med.ohio-state.edu