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Quantum Physics and Hospital Library Assessment Michele Klein-Fedyshin, M.S.L.S. Health Sciences Library System University of Pittsburgh UPMC Shadyside.

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Presentation on theme: "Quantum Physics and Hospital Library Assessment Michele Klein-Fedyshin, M.S.L.S. Health Sciences Library System University of Pittsburgh UPMC Shadyside."— Presentation transcript:

1 Quantum Physics and Hospital Library Assessment Michele Klein-Fedyshin, M.S.L.S. Health Sciences Library System University of Pittsburgh UPMC Shadyside

2 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

3 Assessment in Hospital Libraries Rule #1 Look at it from a Molecular level- Assessment must be locally relevant. Evaluate using your institutions annual goals and objectives Watch for Dashboard topics in the red at management meetings Incorporate Patient Safety Goals your institution has targeted

4 Subatomic Pick-a-Piece Approach Rule 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

5 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

6 Valuing Evidence

7 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 Heres how we Go Local,

8 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

9 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 committees 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.

10 Hospital Compare Graph

11 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

12 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

13 Library as Drug Information Center? Many hospital pharmacists obtain their information from their hospital library or its DBs 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?

14 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?

15 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 hospitals EHR system? How often do you e-mail your search results?

16 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


18 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

19 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.

20 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

21 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

22 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,

23 Tools for your Use A list of resources and references from my talk is in the back of the room.

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