Lewis and Clark 
Expedition Painting

2005 PNC/MLA Annual Conference
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2005 PNC/MLA Annual Conference
Medical Libraries: Core of Discovery

Contributed Papers

Barriers to Access to Information on the Health of Indigenous Peoples in the United States and Canada
Kathy Murray, Manager and Professor, Health Sciences Information Service, University of Alaska Anchorage

Access to information on the health of indigenous people in the U.S. and Canada has improved with broader access to existing databases such as Medline, the Native Health Databases ( http://hsc.unm.edu/library/nhd/index.cfm) of the University of New Mexico Health Sciences Center, and those of organizations with broad mandates including the health of indigenous peoples, such as the Canadian Circumpolar Institute and the Arctic Institute of North America, University of Calgary. The introduction of websites such as ArcticHealth (http://www.arctichealth.org) and American Indian Health (http://americanindianhealth.nlm.nih.gov/) have significantly improved access. The nature and content of these databases and websites will be quantified and compared as sources for information on this topic.

Barriers beyond technology remain, created by cultural issues, by the inaccessibility of grey literature, and by questions concerning the intellectual ownership of traditional knowledge. This talk will examine these cultural factors, including language and the reluctance of indigenous peoples to participate in research undertaken by those from other cultures. The accessibility of the grey literature will be evaluated. This material is often available in full text on organization websites, but the hunt for it requires visits to numerous such sites. Indigenous peoples cross national borders so publications dealing with their health are issued by national, state, and local as well as international agencies. This dispersed distribution presents barriers to accessibility. The comparison of databases described above will consider how well these issues are addressed and how effectively the grey literature is made accessible. Political barriers to collection and distribution of information will be evaluated. The paper will conclude by investigating trends perhaps countering cultural sensitivities, such as a growing awareness that the knowledge of traditional healers is being lost as they age because they are not finding willing recipients for their knowledge within their cultures.

Come Morph With Me: Reinventing Ourselves and our Profession
Marsha Kmec, B.S., M.L.S, Director of Library Services, Olive View/UCLA Medical Center, Sylmar, California

As health science librarians, we have personally witnessed a dramatic change in our libraries and our profession. Our responsibilities from five years ago have shifted dramatically. Often, the literature searching and document delivery, once an everyday routine, has been delegated to our library assistants. Reinventing ourselves has become essential yet for many of us, we don?t know where to begin or how to start this vital transformation.

As statistics for my document delivery and literature searches declined, the need for patient information and consumer health awareness increased dramatically. Turning to the power and potential of numerous available grants helped open the latent possibilities in my library.

Grants may have helped save me but more importantly, they gave me confidence to think outside the box, innovate and just go for it. From desktop delivery to partnerships forged with the community, public libraries, nurses and health educators, my responsibilities have blossomed into many unique opportunities for others and me as well. Come explore change with me and together we?ll learn what we can do in an effort to jump right into the transformation process.

The Experience Based Library
Michele Spatz, M.S., Director, Planetree Health Resource Center, The Dalles, Oregon

Building on the principles of an experienced based economy, the Planetree Health Resource Center staff held a retreat to explore the question, "What is the experience of visiting our library like for the user who enters our doors?" We revisited our mission statement and our goals. We then looked at our facility and our services through the eyes of the user. We explored the question, ?what services can we add or change to enhance an individual?s experience of visiting our library?? One of the ideas that bubbled up and resonated with our staff was, "blood pressure screenings". It's definitely outside the box in terms of library services, however, it does fill a need in our community and supports one of our stated goals: "to be advocates for health in our community."

This presentation focuses on a brief discussion of the application of the principles of the experienced based economy to library services, how our staff approached its retreat from an experienced-based perspective and how a non-traditional library service was implemented. Our new service provides a natural access point to an important and universal health screening and allows us to build relationships with community members, thus opening the door to our other array of services.

A Model for Point-of-Service Health Resource Library: Community Health Resource Library - Gresham Station
Melissa L. Horner, Medical Librarian, Adventist Medical Center, Portland, Oregon

This paper describes the development, funding, execution, and maintenance of providing a healthcare library within a physician office setting. The Community Health Resource Library (computer-based library) will provide point-of-service access to credible health reference links and materials, and will assist patients and/or patients? families in providing healthcare information for disease conditions and management, health decision making, and general health promotion and wellness information for all age groups.

The Community Health Resource Library is primarily a computer-based library consisting of two workstations with computers that allow access to pre-selected health resource sites in Kiosk mode. Also available are Krames handouts, and limited books and journals. The medical librarian at Adventist Medical Center will be available via telephone to assist with online resources and provide other library assistance.

The Medical Education Committee acts as an advisory committee, which oversees the content and usage of the library.

This point-of-service library concept will serve as a model for other satellite physician offices within the hospital structure.

Using lean methodologies in the library setting
Susan Schweinsberg Long MSL AHIP, Medical Library Director, Virginia Mason Medical Center, Seattle, Washington

Three years ago, Virginia Mason Medical Center embarked on a profound journey of transformation to benefit its patients. Lean methodologies and the principles of the Toyota Production System are applied to all processes and work settings at VM including the Medical Library. After identifying Document Delivery as a key service, the Library used Value Stream Maps, 5S and standard processes to focus on value-added components, eliminate waste, decrease turnaround times, and reduce errors or defects. Ongoing improvement strategies include developing standard work, measuring performance in all processes, maintaining shared agreements and trying out improvements using a Plan-Do-Study-Act cycle. Lean provides the tools and methods to look at library processes in a new way and to apply learnings to the challenges involved in the delivery of knowledge-based information within our organization.

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