Presentation on theme: "Update on The National Network of Libraries for Health & A Virtual Health Library for Canada."— Presentation transcript:
Update on The National Network of Libraries for Health & A Virtual Health Library for Canada
Jim Henderson for the National Network of Libraries for Health Task Force Canadian Health Libraries Association / Association des bibliothèques de la santé du Canada Life Sciences Library & Osler Library of the History of Medicine McGill University
With thanks to Patrick Ellis Task Force Co-Chair For use of his presentation to the e-Health Conference, Toronto, November 2007
Canadian health libraries and nation-wide access to e- resources International models Canadian initiatives Review of 2007 events and activities Opportunities and challenges Overview
Access to knowledge-based resources is critical to effective health care practice. Many Canadian health professionals face significant barriers to access. Key Issues
6 CHLA/ABSC Voluntary organization Membership: 400 librarians, library technicians and other library staff from all sectors of health care including hospitals, universities, drug companies, government agencies, patient organizations, public libraries Chapters: 18 chapters with an additional 400 members
7 One of the driving forces of the organization since its inception in 1975 has been improvement in access to health information in Canada. CHLA/ABSC
8 Our Clientele Practitioners, patients, researchers, students, policy makers, facility and program administrators Major consumers of journal literature Growing population of clinicians entering the field from evidence-based curricula CHLA/ABSC
9 Canada is the first country outside the US to implement DOCLINE ILL system 1997: CHLA/ABSC took the leadership role in bringing DOCLINE to Canada 2008: Over 400 libraries utilizing DOCLINE in Canada CHLA/ABSC
Health libraries and their users have struggled for decades with the conundrum of how to support the information needs of a highly literate clinical population in need of the best available information. Access: Not a New Issue
High quality information services now provided by libraries to health professionals BUT No coordination to ensure: Universal, pan-Canadian access Cost effectiveness Best health research information is available to support patient care Access: A Growing Issue
2008: Library collections are increasingly electronic The access model has changed The days of bound journal collections and long hours slaving over a hot photocopier are gone the way of the buffalo. But who can use these brave new collections? Old Wine, New Bottles
Existing Canadian Model Canadian Research Knowledge Network (CRKN) Canadian Foundation for Innovation funding.
CRKN: An Existing Canadian Model Through its innovative licensing agreements, CRKN provides desktop access to electronic versions of scholarly journals and research databases for 72 participating universities across Canada. Currently, more than 2,200 scholarly journals are available online to over 650,000 university researchers and students.
CRKN has built a virtual library for the academic community. Access is based upon institutional affiliation. Can a similar model be built that spans the health community? CRKN: An Existing Canadian Model
Models in Other Countries National networks of health libraries National Network of Libraries of Medicine, US National Library of Medicine, National Institutes of Health National Library for Health, UK National Health Service
17 United Kingdom The mission of the National Library for Health (NLH) is to help patients and professionals use best current knowledge in decision-making. The library consists of three main resources: 1. Firstly, there is the commitment of 1,275 librarians who know the local communities, and their needs and priorities. The plan is for all healthcare organisations to identify a board member to be Chief Knowledge Officer, supported by a librarian acting as Knowledge Manager. 2. The second resource is the national digital knowledge base, a single source of knowledge catalogued, classified and organised so that it is not only easy to find but can be delivered through the media that are now available, for example digital laboratory reports, and e-prescriptions. 3. The third resource is the users, organised in communities of practice, which manage the National Specialist Libraries such as the National Library for Cancer or the National Library for Knowledge Management.National Specialist LibrariesNational Library for Cancer National Library for Knowledge Management
Models in Other Countries (contd) International coordination Pan-American Health Organizations BIREME (Sao Paulo, Brazil) Infrastructure Open access National licensing support (HINARI and other WHO programs)
Models in Other Countries (contd) National licenses for specific resources Australia Denmark, Finland, Norway, Sweden Scotland, Ireland, Wales Spain South Africa Iceland
Canada National, regional and provincial organizations are broadening the delivery of health knowledge to the clinicians desktop. CMA, CDA, CNA, CAOT, DrsNS, BC Coll Physcns & Surgns Library, OntarioMD, Univ de Montréal RUIS Consortium....
Provincial Initiatives e-HLbc Albertas Health Knowledge Network Saskatchewan
The Electronic Health Library of BC provides the academic and health care community of British Columbia with easy access to online health library resources. The purpose of the e-HLbc is to support and improve practice, education, and research in the health sciences.
eHLbc –6 health authorities –24 publicly-funded post- secondary institutions –3 provincial ministries –College of Physicians and Surgeons
CMA Clnical Resources NurseOne, the CNA Portal OntarioMD Association Initiatives
27 Evidence-Based Health Care : Proof of NNLH Concept Canadian Cochrane Library rollout has been fragmented and distribution very uneven. But... other countries have made it work:
Australia, Denmark, England, Finland, Ireland, India, New Zealand, Northern Ireland, Norway, Scotland, South Africa, all of South and Central America, Spain, Sweden, Wales and the state of Wyoming all have unrestricted access. Cochrane : Proof of NNLH Concept
29 The Cochrane Library has been licensed for all citizens of: Cochrane : Proof of NNLH Concept
Cochrane: Proof of NNLH Concept How Much Would it Cost? Total cost now: US $250, ,000 National license: US $491,500 $0.015 per Canadian per year Less than double the current investment opens access by about 90%!
37 CHLA/ABSC Vision The NNLH/RNBS will contribute to the maintenance and improvement of the health of Canadians by promoting and facilitating universal access to relevant, peer-reviewed health information for practitioners, consumers, researchers, policy makers and government officials by coordinating virtual library linkages.
History of Task Force Activities 2001: Government On Line submission presented 2002: CHLA submitted proposal to Romanow Commission advocating the need for a NNLH/RNBS 2003: NNLH/RNBS Task Force conducted environmental scan of provincial initiatives April 2004: NNLH/RNBS website went live August 2004: Proposal submitted to Health Canada promoting a national license for the Cochrane Library 2005: Stakeholders meeting in Ottawa 2005 to 2006: Project Advisory Team formed, RFP issued, and RFP contract finalized September 2006: Concept of Operations released
Concept of Operations Local / Regional Health Libraries Health Care Professionals NNLH / RNBS National Coordinating Office
Concept of Operations Coordination of existing library programs and expertise Ensure universal access to knowledge for health professionals
Sir J.A. Muir Gray Canadian clinicians and patients need clean, clear knowledge / Les cliniciens et les patients ont besoin de connaissances nettes et claires CMAJ 175 (2): 129, 131 (July 18, 2006)
Recent Events 2007 CMAJ editorial (March) suggesting free Cochrane Library access could be forthcoming – but not yet Announcement of closure of Canadian Health Network
2007 –No / Slow Progress: Ontario – LHIN initiatives for electronic resource access Quebec – interRUIS initiatives for electronic resource access Federal e-Science Library Recent Events
2007 Consolidation of definition of knowledge translation at CIHR Continuing escalation of demand for access to clinical electronic resources Recent Events
Task Force Activities 2007 Continuing strong support from CISTI and the Public Health Agency of Canada and participation / support from Canadian Nurses Association
Task Force Activities 2007 Yet more support for NNLH among professional organizations and academic groups confirmed
Task Force Activities 2007 Endorsement of library-based model including Infrastructure Training Expert searching as well as Virtual Health Library
Task Force Activities 2007 Building the business case for a Virtual Health Library Currently in the environmental scan and consultation process
Task Force Activities 2007 Linking health knowledge to decision making in a complex system – building a pan-Canadian Virtual Health Library
Opportunities and Challenges Can we build a Virtual Health Library based upon the exponential growth in Canadian electronic libraries? Challenges: – Affiliation – Infrastructure support – $ – User support
Opportunities and Challenges Can we link the health library knowledge support initiatives with the electronic health records initiatives? Challenges: - Until now, nobody has asked BUT records without knowledge?..
Sir Muir Grey (paraphrased): Electronic health records will allow practitioners to diagnose and treat more people, faster, and in a greater number of communities...
Sir Muir Grey (paraphrased):... using out-of-date techniques and incorrect choices for medications if these records are not linked to knowledge sources.
Summary Significant growth in demand for and support of a Virtual Health Library Endorsement of library-based model Growing success of local and regional programs Continuing lack of access for many, duplicate access for others