1. The Library Role in Knowledge Management Linda Watson, MLS (lwatson@umn.edu) lwatson@umn.edu Director, Health Science Libraries University of Minnesota Presentation to E-Applications Team – August 11, 2005

2. 2 Linda Watson, MLS Positions Positions –August 2005 Director of Health Science Libraries at U Minn –1990-2005 Director of Health Sciences Library at U of Virginia –1985-1990 Associate Director at Houston Academy of Medicine Texas Medical Center Library –1975-1985 National Library of Medicine Professional Service Professional Service –Medical Library Association (President 2002-2003) –Association of Academic Health Sciences Libraries –Institute of Medicine Rural Health Committee (2004) –National Library of Medicine advisory committees Education Education –MLS Simmons College, Boston –BA University of Connecticut

3. 3 Challenges for the AHC Competition, Costs and Competition, Costs and Conserving Scarce Human Attention Conserving Scarce Human Attention –“continuous partial attention” – involvement in a continuous flow of interaction and information in which you can only partially concentrate on each Expanded Definition of “Knowledge” Expanded Definition of “Knowledge” –Published knowledge such as books, journals, databases (explicit) –Organizational knowledge embedded in institutional processes and people (implicit) Changing Library Roles Changing Library Roles

4. 4 Background Documents National Library of Medicine Long Range Plan, 2000-2005, 2000. National Library of Medicine Long Range Plan, 2000-2005, 2000. –http://www.nlm.nih.gov/pubs/plan/lrp00/lrp00.html http://www.nlm.nih.gov/pubs/plan/lrp00/lrp00.html AAMC Next Generation IAIMS: Binding Knowledge to Effective Action, 2002. AAMC Next Generation IAIMS: Binding Knowledge to Effective Action, 2002. –http://www.aamc.org/programs/betterhealth/iaimsinside.pdf http://www.aamc.org/programs/betterhealth/iaimsinside.pdf Blue Ridge Academic Health Group: Into the 21 st Century: Academic Health Centers as Knowledge Leaders, 2000. Blue Ridge Academic Health Group: Into the 21 st Century: Academic Health Centers as Knowledge Leaders, 2000.

5. 5 Background Documents Association of Academic Health Sciences Libraries: Building on Success, Charting the Future of Knowledge Management within the Academic Health Center, 2003 Association of Academic Health Sciences Libraries: Building on Success, Charting the Future of Knowledge Management within the Academic Health Center, 2003 –http://www.aahsl.org/document/CTFprint.pdf http://www.aahsl.org/document/CTFprint.pdf Watson and Fuller: Commentary on Managing and Leveraging Organizational Knowledge in The Academic Health Center: Leadership and Performance, Cambridge Univ Press, 2005 Watson and Fuller: Commentary on Managing and Leveraging Organizational Knowledge in The Academic Health Center: Leadership and Performance, Cambridge Univ Press, 2005

6. 6 National Library of Medicine 2000-2005 plan envisioned the future (2010): 2000-2005 plan envisioned the future (2010): –Healthcare: personal health records; information prescriptions –Education: simulation, virtual patients, interactive curricula, distance education NLM Planning, 2006-2016 NLM Planning, 2006-2016 –Strategic visioning session April 2005 –First planning meeting Oct 31, 2005

7. 7 AAMC / NLM IAIMS Project Next Generation IAIMS Report, 2002 Next Generation IAIMS Report, 2002 –IAIMS = Integrated Advanced Information Management Systems –Describes standard and leading edge practices in health care, education, research Education: Education: –Simulations, online tutorials integrated into practice setting systems; customized curricula with attention to learning preferences; online curriculum databases and evaluation data –Required informatics curricula NLM IAIMS Grant Opportunities NLM IAIMS Grant Opportunities

8. 8 Blue Ridge Health Group, 2000 AHCs should explicitly manage their knowledge as an organizational asset to improve their performance and strengthen their ability to meet both the market and social needs of their immediate community and beyond. AHCs should explicitly manage their knowledge as an organizational asset to improve their performance and strengthen their ability to meet both the market and social needs of their immediate community and beyond. AHCs should help current and future health professionals acquire the skills needed to use existing organizational and global knowledge and prepare for new demands associated with their professions in the digital era. AHCs should help current and future health professionals acquire the skills needed to use existing organizational and global knowledge and prepare for new demands associated with their professions in the digital era.

9. 9 Context for AHC Learners The role of “learner” applies to everyone; we are all learners The role of “learner” applies to everyone; we are all learners Learning can be explicit (formal) Learning can be explicit (formal) Learning can implicit (informal) Learning can implicit (informal) Learning goes through stages Learning goes through stages Learning is a means to an end; one end is performance, another is enrichment Learning is a means to an end; one end is performance, another is enrichment

10. 10 Learner Lifecyle Novice Expert Class Course Teacher Test / Grades Curriculum Listening Discovery Trial and error Collaborating Instructions Asking Skimming Conversing Networking Coaching / Teaching Observing Comparing Reflecting Informal Learning (pull) Formal Learning (push) Adapted from Jay Cross: Workflow Institute

11. 11 Usefulness Equation Orginal context is evaluating evidence based information (Patient Oriented Evidence that Matters) Orginal context is evaluating evidence based information (Patient Oriented Evidence that Matters) Can also relate to how individuals gather and assess general information for learning Can also relate to how individuals gather and assess general information for learning Usefulness = Relevancy x Validity Work David Slawson MD, UVa

12. 12 Learner Trends Recognition of unique learning styles / preferences; personalization Recognition of unique learning styles / preferences; personalization Generational differences Generational differences –digital natives and digital immigrants (Marc Prensky) http://www.marcprensky.com/writing/Prensky%20- %20Digital%20Natives,%20Digital%20Immigrants%20-%20Part1.pdf http://www.marcprensky.com/writing/Prensky%20- %20Digital%20Natives,%20Digital%20Immigrants%20-%20Part1.pdf Diverse and non-traditional students Diverse and non-traditional students Students in clinical rotations remote from campus resources Students in clinical rotations remote from campus resources Knowledge management and information literacy (not just computer literacy) Knowledge management and information literacy (not just computer literacy) Competency based learning (performance) Competency based learning (performance) Interdisciplinary / Multidisciplinary Interdisciplinary / Multidisciplinary Life-long learning (different stages of expertise) Life-long learning (different stages of expertise)

13. 13 Envisioning a Learning Environment Learning Environment Learning Objects Learning Activities Learning Places Learning Assessment Learning Methods Learning Participants Lectures, images, virtual patients, molecular models, books, journal articles, patient education, practice tests…. Classes, assignments, journal club, research experience, studying, presentations, practicing skills…. Lecture, pbl, lab, patient contact, simulation, vr, podcasts, collecting & analyzing data, conversations… Classroom, lecture hall, barns & pastures, hospitals, clinics, community, library, home, coffee shop, hallways, transportation (commuting)…. Students, clinicians, scientists, librarians, patients & families, staff, each other…. Tests, portfolios, observation, feedback….

14. 14 Managing a Learning Environment What if we could develop an intelligent knowledge repository that incorporated all the elements of the Learning Environment; tagged and indexed appropriately; linked to an individual’s personal profile; shared across the AHC and beyond What if we could develop an intelligent knowledge repository that incorporated all the elements of the Learning Environment; tagged and indexed appropriately; linked to an individual’s personal profile; shared across the AHC and beyond Build on work of Medbiquitous (standards), HEAL and MedEdPortal (repositories) Build on work of Medbiquitous (standards), HEAL and MedEdPortal (repositories) A curriculum database on steroids! A curriculum database on steroids!

15. 15 Knowledge Repository Requirements Robust, secure and flexible technology, both central (servers, etc) plus local (the user’s preferred device) Robust, secure and flexible technology, both central (servers, etc) plus local (the user’s preferred device) People to design the system architecture, standards, policies, user interface(s) and tools People to design the system architecture, standards, policies, user interface(s) and tools People to populate the system with shared content People to populate the system with shared content People to use the system (as learners and as teachers) People to use the system (as learners and as teachers)

16. 16 Library Roles Resources: published knowledge: books, journals, indexes, preservation and archives (print) Resources: published knowledge: books, journals, indexes, preservation and archives (print) Design and management of access system Design and management of access system Study space – reading rooms Study space – reading rooms Resources: same (but increasingly electronic, some born digital, more locally developed) Resources: same (but increasingly electronic, some born digital, more locally developed) Integrating multiple access systems Integrating multiple access systems Study space – small group rooms, computer labs, wired and wireless Study space – small group rooms, computer labs, wired and wireless Traditional - 1990Evolving - 2005

17. 17 Library Roles Librarians Librarians –Select resources –Organize resources –Preserve resources –Answer questions –Teach how to find information Librarians same, plus Librarians same, plus –Develop/deploy tools (like blogs, wikis, pda services) –Teach in curriculum –Go on patient rounds –Partner on research teams –Partner in the community Traditional - 1990Evolving - 2005

18. 18 Partner in Patient Care Clinical information systems linked with knowledge-based resources Clinical information systems linked with knowledge-based resources Funded “clinical information specialists” Funded “clinical information specialists” Librarians support patient education and facilitate “information prescriptions” Librarians support patient education and facilitate “information prescriptions” Research studies link library services with improved health outcomes Research studies link library services with improved health outcomes

19. 19 Partner in the Community Increased information outreach to the underserved, including native populations Increased information outreach to the underserved, including native populations Librarians partner with public health networks, local health coalitions, health literacy efforts, and public libraries Librarians partner with public health networks, local health coalitions, health literacy efforts, and public libraries Partnerships with business Partnerships with business National partnerships National partnerships

20. 20 Library Roles – the Future Part of the system development team Part of the system development team –Information organization, dissemination, and archiving expertise –Content from licensed resources (online books, journals, images, databases) –Local content (ie training modules on information management) –Development/deployment of tools for information customization (Blogs, wikis, RSS feeds, podcasts) –Training of faculty and students to maximize use of the knowledge repository

21. 21 Some Challenges Understanding individual user preferences and information-seeking behaviors (an anthropological approach) Understanding individual user preferences and information-seeking behaviors (an anthropological approach) Integrating “just-in-time” learning in the clinical environment Integrating “just-in-time” learning in the clinical environment –How to connect the AHC’s Knowledge Repository with disparate clinical information systems and policies

22. 22 Some Challenges Even after building a Knowledge Respository for a Learning Environment… Even after building a Knowledge Respository for a Learning Environment… How to provide knowledge access to ALL AHC constituents How to provide knowledge access to ALL AHC constituents –the hospitals where students train –students and their mentors in community preceptorships –Patients and families; the community Issues are technology, politics, restrictive license agreements Issues are technology, politics, restrictive license agreements