1. Improvement Librarian…. Next Generation Clinical Librarian
Improvement Librarian…. Next Generation Clinical Librarian? Roxanne HLG 2018

2. QI SURVEY
COMPARE TO CLIN. LIB.
WHAT IS QI?
BACKGROUND TO QI TEAM
JD-WHAT DO I DO?
THE ROLE
FUNDING FOR ROLE

3. What is quality improvement?
Not an audit
A joined up and continuous effort to make changes leading to 

4. How did the team come about?
Musgrove Park Hospital (MPH) doing QI for over 13 years
2016 MPH Board committed to a whole hospital QI approach
Internal QI team

5. *Citation for the original research study available at end

6. QI team at Musgrove a bit different
Methodology = Model for Improvement Project Management Benefits realisation Evidence

7. Structure of Boards Outpatient Ophthalmology Inpatient
Colleague Change & Development
Theatres and Critical Care
Patient Safety
Collaborative

8. How did my role come about?
Volume of requests too much
Small pot of money in library only enough for part of role
Made a proposal to Improvement Manager & Improvement Lead

9. Who do I support? Musgrove Park Hospital and Somerset Partnership
Staff inside (majority of role) and outside the improvement department working on QI

10. Where do I work? M T W F
2 days a week based in Library 3 days a week embedded in Quality Improvement Team

11. Impact of Role Case studies Getting involved
Part of process to seek evidence

12. Learn Before Learn During Learn After Case studies / benchmarking
Literature reviews
Site visits
Peers
Learn Before
Action Learning
Review new evidence
Capture new knowledge
Huddles – learn from yesterday plan for today
Learn During
Lessons learned
Communications and knowledge sharing
Process improvements for next time
Learn After
Systematic approach to gathering and assessing relevant information to support evidence based decision making

13. How does the role feel? Amazing (288 days!) True part of the team
Flexibility on both sides, attending meetings outside of set ‘days’

14. What do I do (core parts of role)
Literature searches
Teach staff about evidence for improvement
Attend board meetings
Current awareness (2-3 types)
Synthesis

15. Literature searching Very different to clinical search, much murkier
Have a checklist of sources (attempt to be systematic)
HDAS no longer first port of call

16. Spectrum of evidence requests from team

17. More Examples of Questions…
Does better management of chronic pain patients result in less strain on other areas of the hospital
Design of outpatient waiting area
Income generation ideas
Survey or temperature check on attractiveness of senior clinical roles
Cost improvement projects neurology
Alternative methods for completing discharge summaries
Ophthalmic Viscosurgical Device comparisons
Enhanced recovery benchmarking data
Standardising of safety brief
Innovative ways of working in an integrated endoscopy pathway
Leadership/executive visibility: best practice/case studies as to how to lead a geographically dispersed organisation
Please can you summarise what other trusts do around incident reporting and learning from excellence
Reduce avoidable admissions from acute trusts to care homes

18. SBAR

19. Exciting aspects of role
Opportunities to learn more about clinical work in the wider hospital.
Really targeted, proactive current awareness by virtue of the close working knowledge that comes from being based in the team space.
Evidence directly underpinning projects and influencing project directions and decision making.
Interest in the role from other librarians/QI departments/Trust Execs

20. Initial Survey Results
Support for QI
90% of respondents support any staff undertaking QI
57% support staff from their QI depts specifically
Frequency of support for QI
5% (1 respondent) supports QI work daily
30% support it once per week
Roles
10% have supporting QI written into their JD
85% support QI under the umbrella of the support to the whole trust
In What Capacity?
Majority of support comes in the form of literature searching
20 respondents at time of PPT creation. Does not represent the full picture

21. Similarities to Clinical Librarian?
Literature searching =
Close working relationships = tailored CA
Official relationship with team
Attending meetings and sending evidence out post meeting

22. Differences to Clinical Librarian
Model funded by department in question
Providing the service in a different way as audience is different

23. Roxanne Hart, Improvement Librarian
Thank you
Roxanne Hart, Improvement Librarian

24. References
Sturdy, A.J., Reguera Alvarado, N., Blanco-Oliver, A., and Veronesi, G. (2018) The impact of management consultants on public service efficiency. Policy & Politics. Available from:
Neville, S. (2018) Health Consultancy work under pressure as NHS seeks savings. Financial Times. 18 January. Available from: