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Delivering independent intelligence for health and wellbeing Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries Group 2010 Shannon Robalino – National Library for Public Health Gordon Watson – County Durham and Darlington Health Improvement Service

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Page 1: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeingDelivering independent intelligence for health and wellbeing

Bringing together local, regional, and national public

health information Health Libraries Group 2010

Shannon Robalino – National Library for Public Health Gordon Watson – County Durham and Darlington

Health Improvement Service

Page 2: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Knowledge for public health“Applying what we know already will have a bigger impact on health and disease than any drug or technology likely to be introduced in the next decade.”

Sir Muir Gray, NHS Chief Knowledge Officer

“…Web 3.0 will ultimately be seen as applications which are pieced together… the applications are relatively small, the data is in the cloud, the applications can run on any device, PC or mobile phone, the applications are very fast and they’re very customizable.”

Eric Schmidt, CEO, Google

Page 3: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Participants in the evidence project

• National Library for Public Health (NHS Evidence – specialist collection)

• Health Promotion Library, part of County Durham and Darlington Community Health Services

Page 4: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

National Library for Public Health

library.nhs.uk/PUBLICHEALTH

Page 5: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

What the NLPH does• Provide high-level evidence-based public

health information• Systematic reviews / meta-analyses• Guidelines• Policies & strategies• Other relevant information (e.g. news, events)

• Annual Evidence Updates• Monthly newsletters

Page 6: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Public Health Language• List of standardised

terms to describe information

• AKA thesaurus or taxonomy

• Used by PHOs, some PCTs, public health / health promotion libraries and many others

www.phl.nhs.uk

Page 7: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

History of Public Health Language

• Merging of Public Health Information Tagging System (PHITS) and Government Classification Language (GCL)

• Part of SNOMED (Systematised Nomenclature of Medicine Clinical Terms) which incorporates 1000s of terms from MeSH and other standarised medical languages

Page 8: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Why is it important?

• Terms and concepts standard across a discipline

• Hierarchy not that important!

Page 9: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Health Promotion Library• Uses a Discovery to Delivery model• Serving commissioner and provider services staff

in a large geographical area with a population of about 600,000 in NE England

• Other NHS staff – primary and secondary care• Local authority staff – community and social

services• Education sector – primary, secondary, FE, HE• Community and voluntary sectors

Page 10: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

HPAC Library Management System• Library catalogue at www.hpac.cdd.nhs.uk• Web-based, using open source components• Dublin Core – online interoperable metadata

standards• NLPH metadata harvested daily from NHS

Evidence repository• Open Archives Initiative Protocol for Metadata

Harvesting (OAI-PMH)• Public Health Language

Page 11: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Users reviews and recommendations

• Review function in context of other web 2.0 features, such as personalised RSS feeds, favourites

• Based on knowledge management model of After Action Reviews

• In addition to rating the resource, users asked to share how the resource has been used, context and setting

• Users who borrowed this also borrowed….

Page 12: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

How it worksYouth worker searches for a resource suitable for

brief intervention on alcohol with young people

User review of the resource and users who borrowed this also….

User finds a suitable resource in the library catalogue

A systematic review on alcohol and young people from the National Library for Public Health

Search

Linked to Linked to

Page 13: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

How it looks in practice

Page 14: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

NLPH Evidence in HPACClicking on the evidence link displays the evidence data in the same space and style as local resources with links directly to the original document and to the NLPH.

Page 15: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Direct link to the original document

Page 16: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Library user behaviour• Library users are frontline public health

practitioners, not researchers or academics• 90 percent of all our requests for resources

come through catalogue• Evidence is linked to resources they use in

their everyday practice - one click away with no password in between

• Maximum information for minimal effort

Page 17: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Survey results and LMS logs• 550 registered library users – 25 percent

response• 87 percent said they would find it useful in their

work• 85 percent who had used it said they found it

‘very useful’ • 90 percent said they would find a resource

recommendation feature useful• LMS logs show an average of 300 ‘clickthroughs’

to the evidence and guidance each month

Page 18: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Outcomes• Integrating locally held resources with user

experience (reviews), recommendations and expert knowledge (evidence) is providing a rich user experience and increasing the value of library content

• Frontline practitioners are accessing the evidence and finding it useful in the context of their everyday work

“It ties all the information, resources and stats together” – survey respondent

Page 19: Delivering independent intelligence for health and wellbeing Bringing together local, regional, and national public health information Health Libraries

Delivering independent intelligence for health and wellbeing

Contact informationShannon RobalinoLead Information SpecialistNational Library for Public [email protected]

Gordon WatsonKnowledge Manager County Durham and DarlingtonHealth Improvement [email protected]