Quantum Physics and Hospital Library Assessment

Michele Klein-Fedyshin, M.S.L.S.Health Sciences Library System

University of PittsburghUPMC Shadyside

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

Assessment in Hospital Libraries

• Rule #1 Look at it from a Molecular level-Assessment must be locally relevant.

• Evaluate using your institution’s annual goals and objectives

• Watch for “Dashboard” topics in the red at management meetings

• Incorporate Patient Safety Goals your institution has targeted

Subatomic “Pick-a-Piece” ApproachRule 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

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

Valuing Evidence

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

• Here’s how we “Go Local”,

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

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 committee’s 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.

Hospital Compare Graph

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

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

Library as Drug Information Center?

• Many hospital pharmacists obtain their information from their hospital library or its DB’s

• 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?

“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?

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 hospital’s

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

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

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

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.

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

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

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,

Tools for your Use

• A list of resources and references from my talk is in the back of the room.