1. docMD: Eric H. Schnell (schnell.9@osu.edu) Associate Professor Prior Health Sciences Library The Ohio State University Bringing Electronic Document Delivery to Small Hospital Libraries docMD is funded through support by the National Network of Libraries of Medicine, Greater Midwest Region.

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. Geography

5. What is IDD? Internet Document Delivery Library to library (Odyssey / Ariel) Library to library to customer (patron delivery) Lending library to requesting customer (future)

6. Why IDD / docMD? Reduces telecom costs (Landes ’97) Reduces turnaround time 13.76 days (Budd ‘86) reduced to 2.52 days (Sellen ‘99) Reduces supply costs (Weible ’02)

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

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

9. Traditional ILL/IDD Customer Processing Model Local Library Customer OCLC / DOCLINE Lending “A”Lending “B” Scans/Sends though IDD IDD Web Server

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

11. docMD Statistics (as of Aug 5, ‘05) 490 registered customers 4750 documents processed <1% required reposting <1% alternative distribution <1% posting failures ~15% have gone unviewed >40% sent to the librarian

12. docMD Statistics Average document processing time: 1 minute Average number of documents requiring follow up: 1 per week Number of customers contacting docMD central regarding difficulty in downloading: 4

13. Turnaround Time Pre – docMD: 6.53 days (max 19 days) Post – docMD: 3.52 days (max 11) 46% reduction

14. 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. “

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

16. 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?

17. Issues: Funding Pay-to-Play Hospitals pays a fee based on the number of documents or per document fee schedule. Subsidized Each NNLM region establishes funding opportunities for resource libraries to support a docMD service for their resource area. Benevolent Any library can provide the service but supports it using their individual operating funds and can pursue reimbursement from the participants.

18. Obrigado! E-mail: schnell.9@osu.edu Project: docmd.med.ohio-state.edu