Congratulations to the fellows and mentors chosen for the 2013-2014 NLM/AAHSL Leadership Fellows Program.
According to the statement posted on the MLA-LMS listserv, “the NLM/AAHSL Leadership Fellows Program prepares emerging leaders for director positions in academic health sciences libraries. The program provides a combination of in-person and virtual learning experiences for fellows and offers the opportunity to work collaboratively with the cohort of participants. Fellows are paired with mentors who are academic health sciences library directors and will visit the libraries of their mentors.”
More information about the program is available at
Although I haven’t seen a non-academic librarian accepted in a while, the program isn’t limited to just academic librarians. Hospital librarians and librarians from other library environments can and should apply if they have a “strong interest in pursing a directorship in academic health sciences libraries.”
2013-2014 NLM/AAHSL LEADERSHIP FELLOWS PROGRAM
Debra R. Berlanstein
Associate Director, Hirsh Health Sciences Library
Mentor: Thomas G. Basler
Director, Libraries and Learning Resource Centers
Chair, Department of Library Science and Informatics
Medical University of South Carolina
National Network of Libraries of Medicine Outreach Librarian
National Library of Medicine
Mentor: Pamela S. Bradigan
Assistant Vice President, Health Sciences
Director, Health Sciences Library
Ohio State University
Division Head for Information Services/Library Manager
Morehouse School of Medicine
Mentor: Barbara Bernoff Cavanaugh
Associate Director, Health Sciences Libraries, and Director, Biomedical Library
University of Pennsylvania
Deborah L. Lauseng
Assistant Director, Academic and Clinical Engagement Taubman Health Sciences Library
University of Michigan
Mentor: Anne Linton
Director, Himmelfarb Health Sciences Library
George Washington University
Associate Director for Services
Health Sciences and Human Services Library
University of Maryland
Mentor: Christine D. Frank
Director, Library of Rush University Medical Center
Associate Director for Advanced Technologies and Information Systems
Welch Medical Library
Johns Hopkins School of Medicine
Mentor: Gerald J. Perry
Director, Health Sciences Library
University of Colorado Denver
A few weeks ago over dinner and drinks my public librarian friend and I got into a very interesting and lively brainstorming discussion about the biggest “things” that have or will hit libraries. The conversation was all over the place.
Some of the things we discussed:
- Budgets or Tax Proposals
- Closing of libraries or space problems
- Competition – Used to be book stores but who is it now?
- Technology – 3D printers, Google Glass, ebooks, virtual reality
- Outreach – embedded librarians, phone booth libraries, gas station out reach
- Legislation – ACA, local issues, NIH, NSA spying
- Staffing – Where is that giant hiring push? Staff retire and aren’t replaced.
This discussion has been bouncing around in my head for a while and I keep thinking about the “things” (good or bad) that will affect specifically medical librarians and librarianship.
In your opinion what are the major things to to be hitting medical libraries in the near future?
- Afordable Care Act – Hospitals tightening budgets (and thus the library’s budget) in response to lower reimbursement
- Meaningful Use – Promote the spread of EHRs to improve health care in the United States
- Big Data – Its use in hospitals and biomedical research
- Space – Change of library space from holding books to services? (Often means shrinking of library space)
- Electronic resources- What isn’t available electronic these days!? Access and usage across devices and outside of the institution.
- Employment – In response to some of the above instititutional issues, librarians are losing their jobs or are not being replaced as they retire or move to another position.
- e-Science – Better known as just science within scientific community, but is heavy on the tech, data, and social side of things
I think all of those thing are going to make an impact on medical libraries. But if you had to narrow it down to one thing from the above list, or something I havne’t listed, what would be the biggest thing medical librarians must deal with on the horizon?
Please make it a discussion by commenting below and on Twitter #hittingmedlibs.
Tomorrow I will be moderating the #medlibs chat and we will discuss the use of social media for patient education and consumer health. 72% of adults seek medical information online, and between 26-34% (depending on various reports) of people use social media to find health information. The thought is the trend will continue to grow.
I will be asking these questions (I’m giving them to you ahead of time so you can think about them):
- How are librarians using social media to provide consumer health information or patient education?
- How do you measure the effectiveness of a social media health information campaign?
- What are some barriers to providing patient education/consumer health information via social media?
#medlibs is a active group with lots of ideas and opinions so I am sure we will have more questions as we discuss things, but this is these are the main ones to get us started.
See you all online Thursday July 11, 2013 at 6pm PST and 9pm EST.
I am writing a book chapter on this topic and this #medlibs discussion will help me with it. I may use some tweets or reference parts of the #medlibs chat in the chapter. I don’t want to squelch the overall fun chattiness of the group. If I use anything I will only refer to tweets that are specifically related to the discussion topic and I will make every effort to let you know I am using your tweet.
A colleague tweeted this article, “Are Physicians Truly Engaging with their Patients? by Nancy Finn” about physicians, EMRs and meaningful use. According to the article, “as of March, 2013, 160,890 eligible professionals had received Medicare incentive payments and 83,765 professionals had received Medicaid incentive payments” for achieving stage 1 one meaningful use. While they were able to achieve stage 1, are they ready for stage 2? How are they changing their practice patterns to achieve stage 2?
The article states stage 2 requirements are:
- Provide patients with their health information (via a web portal) on 50% of occasions and have at least 5% of these patients actually download, view or transmit that data to a third party.
- Provide a summary of the care record for 50% of transitions of care during referral or transfer of patient care settings.
- Provide patient-specific education resources identified by Certified EHR technology to more than 10% of patients with an office visit.
- Engage in secure messaging to communicate with patients on relevant health information.
- Make available all imaging results through certified EHR technology.
- Provide clinical summaries to more than 50% of patients within one business day.
Finn wonders if “a majority of physicians remain steadfast in dominating the physician/patient relationship, convinced that engaging patients in their care is a burden? Or are many of them beginning to realize that engaging the patient in their health care decisions will make health care more efficient and cost effective, and improve patient outcomes?”
The librarian in me wonders if there are ways we can help physicians meet stage 2 requirements. I know with EPIC a physician can send a request for a librarian to provide patient education information to the patient through their portal. I know specifically of one librarian who got a message in Epic to do that. She logged in, provide links and contact information to appropriate free patient ed resources to the patient. The patient got the information through My Chart and was so happy that she emailed the librarian thanking her for the information. Another nice thing about this patient ed transaction, EPIC noted that patient education information was sent to the patient and included that in her chart for the doctor to see.
I’m not trying to say that doctors shouldn’t help provide patient education information, but I also know that in a hospital environment things can be hectic, confusing, scary, etc. for the patient. They may have gotten information from the doctor but not understood it or wanted more detailed information. Using the librarian to provide patient education material through EPIC (and EPIC notes that it was provided) has got to help both doctors and patients.
Are there other ways that librarians can help doctors and their institutions meet stage 2 requirements? Please comment with your ideas.
Join me tomorrow April 25th for a #medlibs Twitter chat at 6pm Pacific/9 Eastern on the topic of the business of hospital libraries, hosted by yours truly (@Krafty).
The Affordable Care Act has changed the way hospitals are reimbursed for medicare patients. In the past hospitals made more money off of patients who were readmitted for things they were orginally discharged with. Now, they are penalized for readmissions happening within 1 month of discharge for certain conditions. This means that a lot of hospitals are going to be seeing losses of millions of dollars.
Where does the library stand in the face of these losses when technology has changed the way we search for things and users often search Google before asking a librarian. The librarian needs to get lean and mean and start operating his/her library like a hospital department that is responsible for achieving the specific goals of the hospital. So if the hospital’s goal is to reduce readmissions by x% then the librarian needs to figure out specifically how the library can help the hospital do that. (If your answer is I can give them more literature searches, then think again because that won’t help you keep your job because administrators think they can do that already.)
This tweet chat will discuss the various ways librarians can specifically show their worth to their own administration instead of passivley pointing to some standard or study illustrating the need for a hospital library. We will be discussing ideas of what we can do to answer our administration’s always constant question “What have you done for me lately and why should I give you money instead of another department?” The game has changed and we need to change our strategy.
If you are new to Twitter or the idea of tweet chats then I highly recommend participating using the website http://www.tweetchat.com. Login to the site using your Twitter username and password then type in the word medlibs into the box at the top of the page next to the go button. You will be able to follow the discussion very easily and you won’t have to worry about adding #medlibs to every post because it already does that for you. For more information about tweet chats check out this quick guide.
Researchers from Louisiana State University Health Sciences Center in Shreveport, LA are conducting a 15-20 minute survey to identify consumer health information services.
The researchers hope to receive responses from public libraries, academic institutions, hospitals and not-for-profit organizations involved in consumer health information services. The goal is to identify what services are currently offered, who is offering them and how often.
The data may be able to assist other organizations in implementing new consumer health information services. Organizations that participate will be entered for a drawing to win one of two $300 checks. After the survey period, 53 randomly chosen hospital librarians that complete the follow-up survey will receive $10 for their time and effort.
This research is possible through financial support from the Hospital Libraries Section of the Medical Library Association. The survey will be open from April 15, 2013 to April 30, 2013 at 11:45 pm Pacific time. If you are willing to participate, please go to https://www.surveymonkey.com/s/2012_CHISS.
Earlier last week people on medlib-l discussed (The perfect library storm) closures of hospital libraries. They are seeing a contradiction between Evidenced Based Medicine imperatives vs budget and resource demands on hospital libraries. Some are seeing how the increase in pricing and bundling practices have caused the hospitals to “throw it back to the physicians and staff” causing libraries to close. I interpret this statement to be that the hospitals are no longer willing to provide monies for institutional support of resources (the library) and require doctors and staff to buy their own resources.
This email conversation is very timely. It turns out this week I will be in Tulsa, OK teaching the class, “The Evolving Librarian: Responding to changes in the workplace and in healthcare.” Technology changes, social changes and healthcare changes have forced hospital librarians to step back and really change the way we do things.
Personally, we hospital librarians need to start treating our library like a hospital department and not a library. I mentioned this in my medlib-l post. I know this statment sounds odd because you might think we do that already. I think we could do better. I think librarians not only need to align their goals to the hospitals, but they need to make the hospital’s goals their goals.
With the Affordable Care Act, hospitals stand to lose 1% of their Medicare payments in penalties if patients with specific conditions are readmitted within 1 month of discharge. By 2015 it will be 3%. That is billions of dollars. To put it in perspective, Barnes-Jewish Hospital in St. Louis will lose $2 million dollars according to Kaiser Health News. Dr. John Lynch the chief medical officer of Barnes-Jewish says they could absorb the loss this year but not over time if penalties continue to accumulate.
You better believe all of the other hospital departments in your hospital are working toward the hospital goals. Aligning the library to demonstrate specifically (hard numbers) how it can help the hospital achieve their goals is essential.
I thought long and hard about my post to medlib-l before I sent it. The reason was I didn’t want to lay blame for hospital libraries closing on the librarians. I didn’t want to imply that they weren’t doing their jobs or that if they “could’a, would’a, should’a” they would still have their jobs. That wasn’t my intent. Although, one person responded on the list saying they found it “disheartening that sometimes when a library staff is downsized or actually closed, that a too common belief is that if only ‘that library’ had been doing more, building a stronger case, demonstrating their worth in concrete ways, etc., etc., this would not have happened.”
Who knows what the situations were at those hospital library closures or downsizings? However, I firmly believe if you don’t start looking at your library as a business arm of the hospital and align your goals to support the hospital achieve its goals, then you are going to have a very rough time. Because if an institution as established and good as Barnes-Jewish is dealing with these things, then it can, and is happening everywhere. Where do you think the library stands when the institution has to deal with a $2 million dollar loss one year? Repeatedly? Where do you think it stands if you do not illustrate exactly with hard numbers how your department has helped prevent that loss.
I think everyone (administrators, doctors, nurses, etc.) can agree that the idea of a library is good. But when faced with money demands, that idea needs concrete specific support. That support must be generated from within. Administration doesn’t care about the library in terms of JCAHO standards. Administration doesn’t care about the Rochester study or newer updated similar published research. Administration cares about what your library is doing now. Those studies, standards, etc. aren’t going to change your administration’s mind, you are. They don’t care if you give them every flipping article under God’s green earth saying that a library will save them money and help them cure every disease known to man. Administration only cares about you, your library, what you are doing, and how it benefits them.
I am not alone in thinking that hospital librarians need to change they way they think and do “library business.” The Mid Atlantic Region will be running a CE webinar series starting May 31, 2013, entitled “Running Your Hospital Like a Business.” Some of the things the series will address are: writing a business plan, art of negotiation, and proving your worth/adding to your value. All of these things are those business skills that I ran away from in college but now am kicking myself as I realize I really need them today and could’a, should’a taken a business class back then.
Oh well, time to beef up now.
Many who go to MLA often find themselves in the evening after the meeting going out to dinner and the bars to discuss library and non-library stuff. I remember somebody mentioning that we met for drinks so often that we could have our buisness meetings at the bar. After a good laugh and a few more drinks later the unofficial Drinking SIG was born.
I want to stress it is all in good fun and completely unofficial from MLA. There are no dues but you will probably have a bar bill. Last year was the first year the unofficial Drinking SIG came off of the barstool and started selling t-shirts and other fun items promoting the group. This year for 2013 a new design and new set of items is available http://www.cafepress.com/drinkingsig for you to purchase.
Even though the SIG is not official, it wouldn’t exist without the people of who attend MLA. So all of the profits from the SIG’s cafepress site sold will go to the MLA scholarship fund.
Next Friday Fun post will be a guest post from Heather Holmes about the unofficial Drinking SIG.
The last month we have had some really good #medlibs discussions on Twitter. Many have been moderated by guest #medlibs who host the discussion on a specific topic.
- March 11, 2013 Chat with Ambulance Riding Librarian
- March 6, 2013 Apps and Tablets
- February 28, 2013 The Horizon Report
- February 20, 2013 Opinion vs Libel
I hosted the Apps and Tablets discussion (as well as several previous ones) it is not only fun but pretty darn easy to do. You welcome everybody to the group discussion and then you get the ball rolling with a question, thought or talking point that you post. From there the discussion almost takes on a life of its own. If there are specific points or topics you want to make sure you hit, then you monitor the discussion and throw them in either when the discussion moves that way or after a certain amount of time.
One important thing you need to know is you don’t have to be an expert in the topic to moderate. You just have to have an inquisitive mind and the ability to ask questions. The rest of the group will take the discussion and move with it. Often there are several people with many different perspectives that can help educate you and the rest of the group.
So if there is a topic you are dying to discuss, please become a #medlibs moderator. (Remember I said it is very easy.) Go to the #medlibs Calendar and click on a date that works for you. Then enter your topic and information in the details link. Once you have done that, you are on the schedule and we will look forward to tweeting with you.
I posted yesterday that EMP released a statement they were dropping the lawsuit against McMaster and Askey. As I mentioned the CBC article indicates that they dropped 1 of the 2 lawsuits. I asked yesterday if anybody knew about EMP dropping the second lawsuit against Askey. I have gotten a few replies indicating that EMP has not dropped the lawsuit against Askey, just the one against McMaster and Askey.
So it appears that Askey is not free of the EMP lawsuit yet.
According to an updated article from The Chronicle , “Mr. Askey declined to comment on the case that’s being dropped, but he did say that the separate lawsuit filed against him by Mr. Richardson appeared to be continuing for now.”
The Canadian Association of University Teachers announced that McMaster had decided to pay Askey’s legal expenses (Askey was covering them previously.). However, it is unclear to me from this article whether Askey’s legal bills would be covered with the suit that included McMaster or whether they also were covering the legal bills for the suit that is just against Askey (which has yet to be dropped).
If you have any updates to this post please comment below.