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If it's not broken, why fix it


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This presentation discusses how improve and update resources, programs and services that are working well. This presentation highlights the path of a NLM project that included proposing a project in an area of interest, investigating a Web based health literacy resource, advocating for an area needing improvement, and receiving response and support from the institution to implement the change.

Published in: Health & Medicine, Education
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If it's not broken, why fix it

  1. 1. 1   Diana  Almader-­‐Douglas   NLM  Associate  Fellow,  2012-­‐2013   Na6onal  Library  of  Medicine   Arizona  Health  Sciences  Library  
  2. 2. 2   Overview  of  the  Na6onal  Library  of  Medicine   Associate  Fellowship  Program     Project   Challenges   Tips    
  3. 3. 3   Analyzed   Health   Literacy  Web   Page   Collaborated   Via  Email,   Phone,  And   Web   Researched   Electronic   Resources   And  Literature  
  4. 4. 4  
  5. 5. 5   •  Study,  research  and  evaluate  NLM  programs  and   services   •  Create  self  directed  course  of  study   •  Interpret  results  
  6. 6. 6       Evaluate  and  re-­‐design  a  Health  Literacy  Web  Page   produced  by  the  Na6onal  Network  of  the  Libraries  of   Medicine     •  My  goal  was  to  make  the  resource  more  culturally   inclusive    
  7. 7. 7   •  Opportunity   •  Background   •  Awareness  of  issues     •  Interests  
  8. 8. 8     “The  degree  to  which  individuals  have  the   capacity  to  obtain,  process,  and  understand   basic  health  informa6on  and  services  needed   to  make  appropriate  health  decisions”           Ins6tute  of  Medicine  of  the  Na6onal  Academies.  Health  literacy:  A  prescrip6on  to  end  confusion.  Nielsen-­‐ Bohlman  L,  Panzer  AM,  Kindig  DA,  editors.  Washington:  Na6onal  Academies  Press;  2004,  345  p.   hp://­‐Literacy-­‐A-­‐Prescrip6on-­‐to-­‐End-­‐Confusion.aspx  
  9. 9. 9  
  10. 10. 10   Evaluated   •  Currency  of  the  informa6on   •  Authority  of  the  resources   •  Links   •  Visual  design  of  the  Web  page   Reviewed     •  Literature   •  Similar  resources  on  the  Web  
  11. 11. 11     Tied  ac6vity  to   mission,  vision,  goals,   objec6ves  and  even   the  strategic  plan     Referred  to  ALA             Developed  elevator   speech       Recruited  and  used   ‘champions’  
  12. 12. 12   Environmental  Scan     Literature  Review     Use  Sta6s6cs     Historical  Interviews     Ques6onnaire       Social  Media  Promo6on  Of  Proposed  Changes  To  The  Web   Site  
  13. 13. 13   Content   Design   Health  Literacy  in  a  Cultural   Context     Surgeon  General’s   Perspec6ves     Health  Resources  and   Services  Administra6on   Health  Literacy  page     New  sec6on  headings   Font  color   h@p://  
  14. 14. 14       Pageviews  did  not  decrease  ager  the  addi6ons   were  made     Average  6me  spent  on  page  increased  ager   adding  content  
  15. 15. 15       Pageviews  increased  when  changes  were   announced  via  social  media   Iden6fied  trend  of  lower  use  during  summer   months  and  holidays  
  16. 16. 16   JUNE  19   JULY  1-­‐3   JULY  4  HOLIDAY  
  17. 17. 17     Social  Media  is  effec6ve  in  promo6ng  outreach       Learned  about  the  resource     By  enhancing  the  Web  page  with  content  about  health   literacy  in  a  cultural  context,  primary  users  of  the  page   will  be  able  to  improve  health  informa6on  services  of   diverse  popula6on  groups    
  18. 18. 18   •  Buy-­‐in   •  Not  everyone  agreed   •      Collabora6on  and   communica6on  in  an   electronic  envirnment  
  19. 19. 19   •  •  Be  ac6ve   Does  your  passion  fits  into  your  ins6tu6on’s   mission,  values,  strategic  plan?     •  Scan  the  environment   •  Team  up   •  Ins6tu6onal  culture    
  20. 20. 20   •  Make  use  of  interns,  fellows,  and  graduate  assistants   •  •  Different  eyes  bring  different  perspec6ves   Keep  in  mind  diversity     •  •  •  Allocate  6me    in  your  or  staff  schedules  to  evaluate   programs,  products,    and  services   Be  prepared  to  advocate  the  worth  of  evalua6ng  the   good  stuff     Iden6fy  your  champions  
  21. 21. 21       Na6onal  Library  of  Medicine     Na6onal  Network  of  the  Libraries  of  Medicine     Arizona  Library  Associa6on    
  22. 22. 22   American  Library  AssociaPon  Council.  ALA  Policy  Manual.    B.3  Diversity.  [Updated  2013  Jan   27,  cited  2013  Jul  1].    Available  from:   h@p:// diversity       Google  AnalyPcs.  The  difference  between  clicks,  visits,  visitors,  entrances,  pageviews,  and   unique  pageviews.  [Internet].  Mountain  View  (CA);[cited  2013  May  30];    [about  2  screens].   Available  from:  h@ps://     InsPtute  of  Medicine  of  the  NaPonal  Academies.  Health  Literacy:  a  prescripPon  to  end   confusion.  Nielsen-­‐Bohlman  L,  Panzer  AM,  Kindig  DA,  editors.  Washington:  NaPonal   Academies  Press;  2004,  345  p.     NaPonal  Network  of  Libraries  of  Medicine  New  England  Region  CommuniPes  of  Interest:   Health  Literacy  [Internet].  Worcester  (MA):  University  of  Massachuse@s  Medical  School;   [updated  2013  Feb  20;  cited  2013  Apr  12].    Available  from:   h@p://  
  23. 23. 23     Diana  Almader-­‐Douglas