"quantum physics and hospital library assessment"
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Quantum Physics and Hospital Library Assessment
Michele Klein-Fedyshin, M.S.L.S.Health Sciences Library System
University of PittsburghUPMC Shadyside
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Change Your Perspective
• Take it to a molecular level. Electrons move from one level to another, but it requires energy.
• Release your Molecular attractions: To a policy, procedure
• See your world as a place with endless possibilities surrounding you- in the center
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Assessment in Hospital Libraries
• Rule #1 Look at it from a Molecular level-Assessment must be locally relevant.
• Evaluate using your institution’s annual goals and objectives
• Watch for “Dashboard” topics in the red at management meetings
• Incorporate Patient Safety Goals your institution has targeted
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Subatomic “Pick-a-Piece” ApproachRule 2
• Focus on a specific service or area, rather than generic library services satisfaction
• Service focus might include:– Turnaround time for patient-related articles– Turnaround time for patient-related searches– Use of the library for patient education or by
patients – Return on Investment (ROI)-how many patients are
referred to the hospital physicians or services by the library
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Focus Areas to Consider
• Financial impact of local consortiums• Impact of Library Services on bottom line: LOS,
recruitment & retention, mandatory competencies, nursing specialty certification
• Use of Library by ED, or other department• Counting in relation to Clinical Care
– Count calls from units for services, articles, information– Cultivate nurses-highest group of new users– Automate request forms and put them online or on EHR– Put Ask-a-Librarian as an e-mail or web option
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Valuing Evidence
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Pay for Performance-Never Events
• Hospitals stand to lose incentive pay for a list of “never” events
• Libraries can help maintain reimbursements for specified incentive areas
• Here’s how we “Go Local”,
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Library Case Study-Assessment against Local Goals
• Due to P4P, our hospital wants to reduce or remove Foley catheters. They have established a nursing committee to determine criteria
• The Chair runs into the library for a STAT search on this as the committee awaits across the hall
• I find and retrieve this article from PubMed and our online subscription
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ROI
• PubMed is free-no costs for the database
• Research the cost of Medsurg Nursing
• The search took about 15 minutes of my time
• The costs savings from this committee’s protocol could be worth hundreds and thousands of dollars. I hope to stay in contact with the committee and track the results of their work.
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Hospital Compare Graph
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Case Study of Document Delivery Assessment in Hospital Library
• Used with permission of Karen Roth and Thomas Hill.
• Study title: Electronic DD and its connection to patient care in the hospital– Clocked mean delivery time, tested delivery time
for actual requests, send survey using SurveyMonkey) to customers
– Results: 94% agreed speedy delivery is important for clinical care
– 98% received them in time
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Case Study-CHI Justification
• To justify a CHI Library to administration, KD Profitt used this graph and the argument:
• Adults with health insurance from employers have the highest health literacy.
• Patients’ with high health literacy obtain their information from written sources (books, magazines, brochures)
• Point-The library attracts well insured, case-mix friendly patients to the hospital in support of its bottom line
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Library as Drug Information Center?
• Many hospital pharmacists obtain their information from their hospital library or its DB’s
• Some libraries collect drug journals for hospital-wide use
• Patients also come to the library for drug information
• Can you add Drug Information Center to your name?
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“The Web changes everything”
• Assessing e-services is the newest challenge, but important as we move “from collections to connections”.
• Web usage statistics, Ask a Librarian analysis, use of chat for reference, remote access to e-journals and databases all supply data. How has your user base changed with the advent of multiple access points for resources?
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Electronic Assessment Methods
• SurveyMonkey• Zoomerang• Web Statistics functions for databases • Badge Reader reports• “Hits” on “Ask A Librarian”, E-Journals, your web
site • How many request arrives via the hospital’s
EHR system?• How often do you e-mail your search results?
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Evidence-Based Librarianship
• Starts with you!• Benchmarking data for
comparisons• Benchmark against self as
well. Are you services increasing, changing?
• Is information essential? How do we prove it?
• Personalize it-Hand it to the CFO, research his/her needs, sit down at breakfast with them
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Magnet Status
• Can pull you into the limelight, onto Research Councils and into new services
• Magnet Status is highly valued by nurses and administrators
• Sit on the EBP/Research Council, present to them, help write the Magnet documents
• Policies and Procedures reflect literature
• Adjust your collection to their needs; seek funding if needed
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Magnet Provisions
• “Research/Evidence-Based Practice• The nursing organization must be able to
demonstrate the presence of well- established and operationalized structures and processes for research and evidence-based practice. The Nursing Research Council/Committee or a similar type of structure must be well established.
• The outcomes from the council or committee must demonstrate how nursing research and evidence-based practice is supported and implemented throughout the organization.
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Case Study-Challenge
• Cost per Case• Is the hospital meeting
its targeted cost per case?
• What impact do library services have on cost per case?
• Do admissions having library services reduce the cost per case?
Red-Below desired goal
Yellow-Approximating desired goal
Green-Exceeding desire goal
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Change Energy Levels
• It takes energy to move to a new, higher E level in an atom
• Libraries are no different
• Pick a project, focus your evaluation, and announce your results in and out of your institution
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Just who do you think you are?
• And at the end of the day, when the administrator asks just who you think you are, you can reply,
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Tools for your Use
• A list of resources and references from my talk is in the back of the room.