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The Future is Here:
Health Resources for All!

Kay Deeney, MLS, AHIP
Educational Services Coordinator
NN/LM Pacific Southwest Region

                                       Rebecca Swift, MLS
                                          Medical Librarian
                             Phoenix Indian Medical Center
The Future is Here: Health
 Resources for All!
 Agenda
    MedlinePlus.gov
    MedlinePlus Connect
    NIHSeniorHealth.gov
    Other websites and databases
    Mobile options
    More MedlinePlus!
http://nnlm.gov/psr
What is the
 National Library of Medicine?




Part of the National Institutes of Health,
 NLM is the provider of PubMed.gov,
MedlinePlus.gov, and many other health
          information resources
          http://www.nlm.nih.gov
Online Health Searching

 88% of online searchers look for
  health information
 Over half of online health searchers
  later discussed information with
  their doctors
 Half of all searches are based on
  discussions with doctors

Harris Poll, “Cyberchondriacs” on the Rise?
August 4, 2010
What are the top sources consulted for
health information?
 Health professional = 86%
 Friend or family member = 68%
 Internet=57%
 Books or other print material=54%
 Insurance provider=33%
 Other source=5%

Source: Pew Internet and American Life Project
The Social Life of Health Information, June 2009
Health Information is Everywhere!
How does MedlinePlus differ from popular
search engines and commercial health sites?
About MedlinePlus.gov
 Debuted in 1998 with 22 health topics, now
  there are over 800 topics
 Designed to be appealing and easy to use
 Not a search engine, but a current collection
  of the best links to health information
 Adheres to strict quality guidelines
 No advertising or collection of personal info
172 tutorials
875 English                                                         78 anatomy videos
                                                                    112 surgery videos
844 Spanish                                                         5 Sp surgery videos




~1,000 drugs                                                               15-20 stories
100                                                                        added daily
supplements




1,445 links to
ClinicalTrials.gov

                                                                       15 English issues
                                                                       2 bilingual issues

Over 100                                                                >40 languages
directories of                                                          >250 topics
doctors, hospitals,                                                     >3,000 links
clinics & libraries

                      >40 languages                                      ~ 3,500 articles
                                      2 RSS feeds
                      >250 topics                                        > 2,000 images
                                      11 daily & weekly listservs
                      3,045 links
What is MedlinePlus Connect?
 A FREE Web application that allows electronic health
 record (EHR) systems to use existing code sets to link to
 relevant information from MedlinePlus.gov.

 Who can use it?
   EHR companies and developers
   EHR customers (hospital systems, doctors’ offices, etc)
MedlinePlus Connect
How Does MedlinePlus Connect Work?




       From EHR to relevant information
Patient View from EHR - Diagnoses
Infobutton Page for Diagnoses
Patient View from EHR - Medications
Infobutton Page for Medications
Benefits of MedlinePlus
Connect!
 …Meaningful use of certified EHR
 technology should result in health care
 that is patient centered, evidence-
 based, prevention-oriented, efficient,
 and equitable…
nihseniorhealth.gov



12/7/2011
Training Programs for Seniors




      http://nihseniorhealth.gov/toolkit/toolkit.html
                            nihseniorhealth.gov/toolkit/toolkit.html
ghr.nlm.nih.gov/
Daily Med




            dailymed.nlm.nih.gov/
Lact Med




           toxnet.nlm.nih.gov/
Mobile Apps!
To Find Quality Health Apps and
Mobile Sites of Interest to Library Users

 National Library of Medicine Mobile Gallery
 Directory of apps and sites at USA.gov
 Other government sites, such as the CDC and the
  Veterans Administration
http://nlm.nih.gov/mobile
Same Resource, Different
Formats
MedlinePlus.gov           MedlinePlus Mobile




              m.medlineplus.gov/
PubMed Mobile   PubMed for
                Handhelds
AIDSinfo

HIV/AIDS
Glossary App

Used by both
consumers
and clinicians
Embryo App
Visual Exploration of Human Embryo Development
This is aHotlines text box
  Health large App

               Directory of health-
              related organizations
                 that have 1-800
                    numbers


                 (from DIRLINE)
              http://dirline.nlm.nih.gov/
Emergencies and Disasters
Free Content for Emergency Responders,
 Health Professionals, and Consumers
         √ Wireless System for Emergency Responders (WISER)
         √ √ Radiation Emergency Medical Management (REMM)
Apps     √ √ AIDSinfo HIV/AIDS Glossary
         √ √ Health Hotlines
         √ √ Reunite
         √ Embryo

         √ Water Emergency Response for Libraries
         √ PubMed Mobile Beta and PubMed® for Handhelds
Mobile   √ √ DailyMed
Sites    √ MedlinePlus Mobile
         √ AIDSinfo Mobile
Radiation
Emergency

What to do?
Mobile
REMM App
(Radiation Emergency
Medical Management)
medlineplus.gov
MedlinePlus is Designed for Everyone

 People use different search strategies
   Type keywords in search box
   Scan list of topics
   Click on meaningful icons or visually appealing images
   Browse pages


 No matter how someone searches, they will find
 information on MedlinePlus!
When formatted for printing,
the URLs are spelled out
Need a Spelling or Definition?
Full-featured Medical Dictionary




                    Clicking the speaker icon will
                    play an audio pronunciation
Reality Check
 One out of _____ American adults reads at the 5th
 grade level or below.

 The average American reads at about the 8th grade
 level, yet most health care materials are written
 above the ____ grade level.
Reality Check
 One out of 5 American adults reads at the 5th
 grade level or below.

 The average American reads at about the 8th grade
 level, yet most health care materials are written
 above the 10th grade level.

 Source: Partnership for Clear Health Communication, National
 Patient Safety Foundation
      http://www.npsf.org/askme3/pdfs/STATS_GLANCE_EN.pdf
Health Literacy Defined
 Ability to obtain and understand health
 information, and to act on that information




  1 in 3 adults have Basic or Below Basic skills
        http://nces.ed.gov/pubs2006/2006483_1.pdf
MedlinePlus Offers Easy-to-understand
Information
       Easy-to-read              How to Write
        Resources                Easy-to-read

Plain language information      Tools to help
from government agencies         recognize elements of
and health organizations         easy-to-read resources
Interactive Tutorials with      Helpful information
audio, images, and text at 6th   for writing
grade level                      understandable
                                 information
Multiple
Languages
on Health
Topic Pages
Multilingual Materials
Medical
encyclopedia entry
Medical
encyclopedia
  images
Medical
  Encyclopedia –
Patient Instructions
Drug Record




    Source: American Society of Health System Pharmacists
Drug Record in Spanish
Herbs and Supplements
Natural Medicines Comprehensive Database
  100 English and Spanish monographs
  Herbals, dietary supplements, and how they work
  Effectiveness ratings for different indications
  Safety concerns, including precautions, warnings and possible
  interactions with medications, foods, and other herbs and
  supplements
  Extensive lists of references, with links to PubMed
National Center for Complementary and Alternative
Medicine
National Toxicology Program
Herbs and Supplements Record
Videos and Cool Tools
Interactive
Tutorial Text
Summary
Anatomy Videos

                 From A.D.A.M

                 Features brief
                 video with
                 transcript

                 Requires
                 QuickTime
                 (free download)
Surgery Videos
MedlinePlus Magazine

              A quarterly publication
              of the Friends of the
              National Library of
              Medicine.

              Get a free subscription!
http://www.nlm.nih.gov/medlineplus/magazine/issues/summer11/articles/summer11pg22-23.html
NIH MedlinePlus Salud

 NIH MedlinePlus Salud
 comes out twice a year

 Bilingual format on
 facing pages
Salud Bilingual Format
Free MedlinePlus Brochures




      English: http://nnlm.gov/training/resources/mptri.pdf
    Spanish: http://nnlm.gov/training/resources/mptri_esp.pdf
Take-away Points
              1) Help your patrons/
                 patients be informed
                 health information
                 searchers
              2) Encourage them to ask
                 questions
              3) Be an advocate for health
              4) Look to NLM for great
                 resources!
Resources for Exploring
 NLM Gallery http://www.nlm.nih.gov/mobile/
 PSR Midday at the Oasis Webinars
  http://nnlm.gov/psr/services/webmeeting/archives.html
    Going Mobile, Staying Social: Using Technology for
     Health, October 19, 2011
    Not the Oscars, but Medline Plus! February 16, 2011
    Technology Update: MedlinePlus Connect! December
     15, 2010
Questions?
   Kay Deeney, MLS, AHIP
   Educational Services Coordinator
   NN/LM Pacific Southwest Region
   UCLA Louise M. Darling Biomedical Library
   kdeeney@library.ucla.edu

   Rebecca Swift, MLS
   Medical Librarian
   Phoenix Indian Medical Center
   Phoenix, AZ
   rebecca.swift@ihs.gov

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Future is here: Health resources for all-2011

  • 1. The Future is Here: Health Resources for All! Kay Deeney, MLS, AHIP Educational Services Coordinator NN/LM Pacific Southwest Region Rebecca Swift, MLS Medical Librarian Phoenix Indian Medical Center
  • 2. The Future is Here: Health Resources for All!  Agenda  MedlinePlus.gov  MedlinePlus Connect  NIHSeniorHealth.gov  Other websites and databases  Mobile options  More MedlinePlus!
  • 4. What is the National Library of Medicine? Part of the National Institutes of Health, NLM is the provider of PubMed.gov, MedlinePlus.gov, and many other health information resources http://www.nlm.nih.gov
  • 5. Online Health Searching  88% of online searchers look for health information  Over half of online health searchers later discussed information with their doctors  Half of all searches are based on discussions with doctors Harris Poll, “Cyberchondriacs” on the Rise? August 4, 2010
  • 6. What are the top sources consulted for health information?  Health professional = 86%  Friend or family member = 68%  Internet=57%  Books or other print material=54%  Insurance provider=33%  Other source=5% Source: Pew Internet and American Life Project The Social Life of Health Information, June 2009
  • 7. Health Information is Everywhere! How does MedlinePlus differ from popular search engines and commercial health sites?
  • 8. About MedlinePlus.gov  Debuted in 1998 with 22 health topics, now there are over 800 topics  Designed to be appealing and easy to use  Not a search engine, but a current collection of the best links to health information  Adheres to strict quality guidelines  No advertising or collection of personal info
  • 9. 172 tutorials 875 English 78 anatomy videos 112 surgery videos 844 Spanish 5 Sp surgery videos ~1,000 drugs 15-20 stories 100 added daily supplements 1,445 links to ClinicalTrials.gov 15 English issues 2 bilingual issues Over 100 >40 languages directories of >250 topics doctors, hospitals, >3,000 links clinics & libraries >40 languages ~ 3,500 articles 2 RSS feeds >250 topics > 2,000 images 11 daily & weekly listservs 3,045 links
  • 10. What is MedlinePlus Connect?  A FREE Web application that allows electronic health record (EHR) systems to use existing code sets to link to relevant information from MedlinePlus.gov.  Who can use it?  EHR companies and developers  EHR customers (hospital systems, doctors’ offices, etc)
  • 12. How Does MedlinePlus Connect Work?  From EHR to relevant information
  • 13. Patient View from EHR - Diagnoses
  • 14. Infobutton Page for Diagnoses
  • 15. Patient View from EHR - Medications
  • 16. Infobutton Page for Medications
  • 17. Benefits of MedlinePlus Connect!  …Meaningful use of certified EHR technology should result in health care that is patient centered, evidence- based, prevention-oriented, efficient, and equitable…
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  • 21. Training Programs for Seniors http://nihseniorhealth.gov/toolkit/toolkit.html nihseniorhealth.gov/toolkit/toolkit.html
  • 23.
  • 24. Daily Med dailymed.nlm.nih.gov/
  • 25.
  • 26. Lact Med toxnet.nlm.nih.gov/
  • 27.
  • 29. To Find Quality Health Apps and Mobile Sites of Interest to Library Users  National Library of Medicine Mobile Gallery  Directory of apps and sites at USA.gov  Other government sites, such as the CDC and the Veterans Administration
  • 31. Same Resource, Different Formats MedlinePlus.gov MedlinePlus Mobile m.medlineplus.gov/
  • 32. PubMed Mobile PubMed for Handhelds
  • 33. AIDSinfo HIV/AIDS Glossary App Used by both consumers and clinicians
  • 34. Embryo App Visual Exploration of Human Embryo Development
  • 35. This is aHotlines text box Health large App Directory of health- related organizations that have 1-800 numbers (from DIRLINE) http://dirline.nlm.nih.gov/
  • 37. Free Content for Emergency Responders, Health Professionals, and Consumers √ Wireless System for Emergency Responders (WISER) √ √ Radiation Emergency Medical Management (REMM) Apps √ √ AIDSinfo HIV/AIDS Glossary √ √ Health Hotlines √ √ Reunite √ Embryo √ Water Emergency Response for Libraries √ PubMed Mobile Beta and PubMed® for Handhelds Mobile √ √ DailyMed Sites √ MedlinePlus Mobile √ AIDSinfo Mobile
  • 38. Radiation Emergency What to do? Mobile REMM App (Radiation Emergency Medical Management)
  • 39.
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  • 42.
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  • 44.
  • 45. MedlinePlus is Designed for Everyone  People use different search strategies  Type keywords in search box  Scan list of topics  Click on meaningful icons or visually appealing images  Browse pages  No matter how someone searches, they will find information on MedlinePlus!
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  • 53. When formatted for printing, the URLs are spelled out
  • 54. Need a Spelling or Definition?
  • 55. Full-featured Medical Dictionary Clicking the speaker icon will play an audio pronunciation
  • 56.
  • 57. Reality Check One out of _____ American adults reads at the 5th grade level or below. The average American reads at about the 8th grade level, yet most health care materials are written above the ____ grade level.
  • 58. Reality Check One out of 5 American adults reads at the 5th grade level or below. The average American reads at about the 8th grade level, yet most health care materials are written above the 10th grade level. Source: Partnership for Clear Health Communication, National Patient Safety Foundation http://www.npsf.org/askme3/pdfs/STATS_GLANCE_EN.pdf
  • 59. Health Literacy Defined Ability to obtain and understand health information, and to act on that information 1 in 3 adults have Basic or Below Basic skills http://nces.ed.gov/pubs2006/2006483_1.pdf
  • 60. MedlinePlus Offers Easy-to-understand Information Easy-to-read How to Write Resources Easy-to-read Plain language information Tools to help from government agencies recognize elements of and health organizations easy-to-read resources Interactive Tutorials with Helpful information audio, images, and text at 6th for writing grade level understandable information
  • 61.
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  • 68. Medical Encyclopedia – Patient Instructions
  • 69.
  • 70.
  • 71.
  • 72. Drug Record Source: American Society of Health System Pharmacists
  • 73. Drug Record in Spanish
  • 74. Herbs and Supplements Natural Medicines Comprehensive Database 100 English and Spanish monographs Herbals, dietary supplements, and how they work Effectiveness ratings for different indications Safety concerns, including precautions, warnings and possible interactions with medications, foods, and other herbs and supplements Extensive lists of references, with links to PubMed National Center for Complementary and Alternative Medicine National Toxicology Program
  • 75.
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  • 82. Anatomy Videos From A.D.A.M Features brief video with transcript Requires QuickTime (free download)
  • 84.
  • 85.
  • 86. MedlinePlus Magazine A quarterly publication of the Friends of the National Library of Medicine. Get a free subscription!
  • 88. NIH MedlinePlus Salud NIH MedlinePlus Salud comes out twice a year Bilingual format on facing pages
  • 90. Free MedlinePlus Brochures English: http://nnlm.gov/training/resources/mptri.pdf Spanish: http://nnlm.gov/training/resources/mptri_esp.pdf
  • 91. Take-away Points 1) Help your patrons/ patients be informed health information searchers 2) Encourage them to ask questions 3) Be an advocate for health 4) Look to NLM for great resources!
  • 92. Resources for Exploring  NLM Gallery http://www.nlm.nih.gov/mobile/  PSR Midday at the Oasis Webinars http://nnlm.gov/psr/services/webmeeting/archives.html  Going Mobile, Staying Social: Using Technology for Health, October 19, 2011  Not the Oscars, but Medline Plus! February 16, 2011  Technology Update: MedlinePlus Connect! December 15, 2010
  • 94. Kay Deeney, MLS, AHIP  Educational Services Coordinator  NN/LM Pacific Southwest Region  UCLA Louise M. Darling Biomedical Library  kdeeney@library.ucla.edu  Rebecca Swift, MLS  Medical Librarian  Phoenix Indian Medical Center  Phoenix, AZ  rebecca.swift@ihs.gov

Editor's Notes

  1. I’m sure you all see this in your libraries!
  2. Problem code of medication codeCode to topic
  3. A peer-reviewed and fully referenced database of drugs to which breastfeeding mothers may be exposed. Among the data included are maternal and infant levels of drugs, possible effects on breastfed infants and on lactation, and alternate drugs to consider.
  4. Content optimized for small screensWorks on smart phones and other mobile devicesIn English and Spanishm.medlineplus.govm.medlineplus.gov/spanish
  5. If you are printing information for a patron, clicking the Print button will reformat the information into a page that is much more useful for a printout, as you’ll see on the next page.
  6. All of the links have the entire URL, or web address, typed out in full. It also provides the URL of the main page, so that the person can go back there if they need to access it from another computer later.
  7. The Share link allows you to take the information from this page and post, share or bookmark the information to nearly 300 different services or sites. You can share on Twitter, add to bookmark services such as Delicious, blogging applications such as Wordpress and Blogger, URL shortening such as Bit.ly, and many more There are currently 283 services and sites listed under the Share link, check it out!