"Quantum Physics and Hospital Library Assessment"Presentation Transcript
Quantum Physics and Hospital Library Assessment Michele Klein-Fedyshin, M.S.L.S. Health Sciences Library System University of Pittsburgh UPMC 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” 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
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
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
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
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?
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
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
“ 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.
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?