the evolving librarian - health and medical librarians in a changing environment
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The evolving librarian – health and medical librarians
in a changing environment
Sue Lacey Bryant
Health Education in Transition UHMLG Spring Forum, 4th Feb 2013
The Evolving Librarian
Source: A visualização da imagem anterior desperta para a leitura do artigo: "Evolving Web, evolving librarian" de Amy and Robert Favini
balcaodebiblioteca.blogspot.com
1. Introduction2. A burning platform for change3. The pressing need for innovation4. Positioning librarians as catalysts for change5. Bringing knowledge to bear6. The library as a platform for change
University of Birmingham, main library
PHE
NCB
NICE
HEE
LETB
NIHR
DH
The newNHS infrastructure
Fire fighting
The practice of dealing with problems
as they arise rather than
planning strategically to avoid them
Omphaloskepsis
The contemplation of one's navel
which is an idiom usually meaning
complacent self-absorption
A burning platform for change
• Harsh financial climate
• Ageing population
• £20 billion of efficiency savings required within NHS by 2015
National priorities
•Stemming the increase in emergency admissions
• Service reconfiguration; making the shift from hospital to community care; seamless care
• Addressing inappropriate variations in clinical practice; clinical safety and quality
A pressing need for innovation
“We need to radically transform the way we deliver services. Innovation is the only way we can meet these challenges”
“Put simply, we must make innovation a priority. We know that the NHS can spread new ideas at pace and scale when it puts its mind to it, and we need to do more of this.”
Copying is good
“ Innovation ... needs to be replicable – and replicated – across similar settings. So innovation is as much about applying an idea, service or product in a new context, or in a new organisation, as it is about creating something entirely new. Copying is good.”
Positioning librarians in the workplaceas catalysts for improvement
• Aligning with NHS priorities• Multidisciplinary working• Changing skill mix• Role substitution• Role enlargement• Role enhancement
Enhancing the role of librarians
Role enhancement involves expanding a group of workers' skills so they can assume a wider and higher range of responsibilities through innovative and non-traditional roles
Bringing knowledge to bear in a cold climate: an ABC
A practical approach to ‘KM’
• Applying knowledge
• Building know-how
• Continuing to learn
A = Applying knowledgearound the commissioning cycle
Milton Keynes CCG...
• CCG is responsible for £268 million
• CCG must be innovative and effective if we are to produce better services whilst reducing the increasing cost of healthcare
Director of Corporate Affairs & Partnerships
Corporate Affairs PA
Knowledge OfficerOrganisational &
Workforce Development Manager
Comms and Engagement Manager
Infrastructure & Commissioning Support Lead
Project Manager
The intelligent commissioner
Knowledge service
• Searches - • clinical & cost effectiveness
best practice”; models of service
• Horizon scanning; alerting• Website• Disseminate best evidence
Business intelligence
• Monitor, analyse, interpret, report on cost, activity, outcomes, quality ref contract
• Clinical analytics
• Public health intelligence
Role of Knowledge Officer
Role of KO• Search & summarise info:
– models of service– clinical effectiveness – Clinical effectiveness
• Support pathway review and service redesign as a member of the team
• Profile knowledge needs• Targeted and tailored
Knowledge@lerts
• Lead website steering group
• Commissioning Manual• Innovation action plan• Promote R&D• In house: CCG Telephone
directory; Desk pack• Ensure access • Information skills &
resources
Improving Medical Practice by Assessing CurrenT Evidence
B = Building Know-How to improve performance
Mainstreaming systematic approach
Tools• MK CCG Information pack• Opportunity Locator (NIII)• NHS Atlas of Variation (Right Care programme)• National Benchmarker (Audit Commission)• NHS Comparators• ACGs• JSNA
C= Continuing to learn
• Evidence-based practice skills• Effective meetings practice
• Learning sets to support model of improvement
• Metrics; outcome measures• Mosaic
• Lessons learned events
The library as a platform for change
Understanding the environment
• The context in which health & medical information is needed, managers reach decisions about models of care, patients are asked to enter into shared decision-making
• Changing healthcare environment: policy, economic, legal issues, education & training
patterns, workforce • Changing information environment: virtual learning environments, social networking, the
creative cloud, open access access scientific publishing
Preparing for today and tomorrow
• Health sciences librarians must prepare to meet the needs of today's and tomorrow's health sciences environment
• Multi-disciplinary, life-long learning - to serve the needs of health providers and consumers
See Platform for Change, MLA, 1992
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