1. Librarian Engagement with Information Services at Care 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 CNE IS Operations Technical Services Application Services End User Services CNE HS Librarians Computer-based content e-texts Journals End User Training

7. 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

8. 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

9. 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

10. CNE Intranet

11. Libraries QuickLinks Page

12. Library Quick Links Central Administration

13. 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

14. Clinician Resources SharePoint™ Site Early Version

15. Clinician Resources SharePoint™ Site Current Version

16. 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

20. 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”

21. 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

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

23. Questions ???

24. 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_pric e_cd= 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_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. 153-164). Retrieved October 18, 2010, from http://archive.ifla.org/VII/d2/inspel/00-3hema.pdfhttp://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 http://www.ala.org/ala/mgrps/divs/alcts/resources/papers/risk_ogburn.pdf