elaine martinphia -bor presentation-sept 10-2014
DESCRIPTION
Public Health Information Access Project presentation to the NLM Board of Regents, Septermber 2014TRANSCRIPT
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Elaine Martin, Director New England Region NN/LM Lamar Soutter Library
University of Massachusetts Medical School
NLM Board of Regents MeetingSeptember 10, 2014
Public Health Information Access Project: “Digital Library for Public Health”
Access to Scientific Literature Improves Evidence-Based Public Health Practice
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BackgroundProblem Statement
Limitations of Early Projects
PHIA Goals
Basic Model
Partnerships
Partner Input
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Many public health departments have limited or no access to published literature.
There is an increasing emphasis on evidence-based public health practice.
Problem Statement
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Time-limited: Short-term access to print articles supplied via document delivery limited to 6-12 months;
Utilization constrained: Access to the number of articles limited (e.g., no more than 10 per person);
Cumbersome: Access restricted to walk-in traffic; many spent hours going to libraries and photocopying articles;
Distant: Research libraries, in many cases, are miles/cities away from Public Health Departments;
Indirect: Student help or faculty adjuncts working in Public Health often used to access library resources.
Limitations of Earlier Efforts to Improve Public Health Information Access
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Multi-year demonstration project, intended to:
Identify knowledge resources that are core, useful and evidence-based to improve public health practice.
Promote seamless access to and reinforce understanding of usefulness of PubMed, e-books, other databases, resources from national agencies.
Integrate technology and human systems to support PH access to knowledge resources.
Identify cost-effective and sustainable models for providing PH information access on ongoing basis.
Public Health Information Access Project (PHIA): Goals
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Basic Model
Identify “core” trusted library resources available directly through a digital library interface; identified through benchmarking, direct requests, wish lists, and searches.
Resources not directly available are subsidized through participating National Network of Libraries of Medicine (NN/LM) Members.
Digital Library PHD
Site
Alternate Article
Delivery via Libraries
Timely Information in Support of
Evidence-BasedPublic Health
Practice
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PHIA Public Health Departments and
Library PartnersState Public Heath Department Library Partners AK Alaska Division of Public Health Univ of Alaska (Anchorage) Medical LibraryAR Arkansas Department of Health Univ of Alabama Medical Sciences LibraryCO Colorado Department of Health &
Environment Poudre Valley Health System Library , Univ of Colorado
CT Connecticut Public Health Department Univ of Conn Maynard Stowe Library HI Hawaii Department of Health Univ of Hawaii Medical LibraryIN Indiana State Department of Health Ruth Lily Medical Library, Indiana UniversityKY Kentucky Department for Health Univ of Kentucky Medical Library
ME Maine CDC Maine Medical Center Library MA Boston Public Health Commission Univ of Massachusetts Soutter Library MA Massachusetts Public Health Department Lemuel Shattuck Hospital Library MD Maryland Department of Health &
Mental HygieneUniv of Maryland Health Sciences Library
NH New Hampshire DHHS New Hampshire DHHS Library RI Rhode Island Department of Health Rhode Island Hospital/Lifespan LibraryUT Utah Department of Health Univ of Utah, Eccles Health Sciences Library VT Vermont Department of Health Univ of Vermont Dana Medical Library WI Wisconsin Department of Health
ServicesUniv of Wisconsin, Ebling Library of the Health Sciences
WV West Virginia Bureau of Public Health West Virginia University LibrariesWA Washington State Department of Health Univ of Washington Health Sciences Library
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For what purposes do you need access to journals or other evidence-based resources? High-frequency: info to stay abreast or to provide info
to others—◦ Education, clinical guidelines, conference materials/
presentations, speeches, press releases Also frequent: program and policy development; grants
Less frequent: budget, legislation, program evaluation
To which journals or resources do you wish you had access? Answers used to inform common licensed core of
PH literature for digital libraries
Entry Queries to PH Departments re:Expected Needs and Wishlists
Resources Available through the Digital Library
Digital Library Examples
Digital Library Resources
Full Text Journals Currently in Digital Library
Licensed Databases that Supplement PubMed Search
Publicly Available Resources: NLM, CDC, NAL
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Digital Library Pages –Customized with Common Core
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Licensed (Full Text) Journals: “Core PH”
Licensed databases
Publicly-available resources
Locally-identified resources
Digital Library Resources --Overview of Content
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Journals (Full Text) Currently in Digital Library
Journal Packages
American Society for Nutrition (3)American Society of Microbiology(12)American Thoracic Society (3)Annual Reviews (9) BMJ Journals (6)Elsevier (7) Maney (2) Mary Ann Liebert (14)Nature/Palgrave/MacMillan (3)Ovid (LWW) Titles (8) Oxford University Press (27)Sage (13) Springer (19) University of Chicago Press (5) Wiley Journals (9) – 2 open access
Single Titles (13) American Journal of Tropical Medicine & Hygiene
Health Affairs
International Journal of Tuberculosis
Journal of Agricultural Safety
Journal of Exposure Science & Environmental
Epidemiology
Journal of Food Protection
Journal of Public Health Policy
Journal of Studies on Alcohol & Drugs
Journal of Wildlife Diseases
New England Journal of Medicine
Pediatrics (American Academy of Pediatrics)
Public Health Reports
Scandinavian Journal of Work,
Government -Produced Journals (5) Emerging Infectious Disease Environmental Health Perspectives Journal of Agricultural Health & Safety Morbidity & Mortality Weekly Report (MMWR) Preventing Chronic Disease Total=160
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Licensed Databases Supplement PubMed Search
E-Books
Vendor Collaborating with PHIA to Offer Identified E-Books:
◦ Oxford Textbook of Public Health
◦ IoM Reports (16)◦ Infectious
Disease Series
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National Public Resources: NLM, CDC, NAL
Morbidity and Mortality Weekly Report (MMWR)
Emerging Infectious Diseases (EID) Preventing Chronic Disease (PCD) Data & Statistics Science Clips Public Health Image Library CDC Stacks: Publications 15
Managing the EnterpriseResources, Licenses, Technology
The 10% Rule
Identifying Cost Efficiencies
Complexity of Providing Literature to PH
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Factors Influencing Rule (Collective Data) Identification of Divisions and Program Areas Utilizing Information Number Attending Training Number Responding to Journal Survey Monkey 10 % of Total
11, 000 FTE = 1,100
Aspects that Validate Number of Users/Interest Number attending training and turn-aways Number responding to Journal SurveyMonkey Repeat requests for training
Enterprise Licensing: The 10% RulePrimary Aspects of Licensing
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Annual process, not unlike process faced by individual libraries
Goal: Fair price, not free access Statistics on journal level use by state
regularly provided, used to assess 10% rule Statistics also help for refinement of core
journal set Many enthusiastic partners!
Negotiation Process
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Two Examples
For number of uses in a contract year: Title/Package Uses Public Health Reports
PHIA License cost: $3085 Use 1437 usesAt cost of $11/use w/o license $14,807PHIA cost/use: $2.14
Pediatrics PHIA License cost: $5300 Use 12,317 usesAt cost of $11/use w/o license $135,000PHIA cost/use: $0.43
Enterprise Licensing of Full-Text Access Costs Less than Per Use Access
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Beyond the Licensed Journals
What is impact on Library Partners and Network re: article delivery?
For CY 2013, 15 sites, 1027 articles at cost =$10,736
Key metric for project.
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NEJM Use 2010-2013Shows Complexity of Providing Literature to PH
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2010=2087 2011=11,194 2012=14,022 2013=14,136
Training and Communication are Key
Training FundamentalsProgress to Date
Newsletters and Other Communications
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Training Fundamentals:Making the Link Between Evidence and its Relationship to Practice
General Background re: finding and using: Formulated literature searches Evidence-based guidelines Systematic reviews Review of ‘best practices’ Public health data/resources
Specific Applications:Work through real locally-identified examples, starting with development of well-defined, clearly-focused questions
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Training conducted by NER and/or local resource library staff on content, use of digital library
Almost 900 individuals trained Between 2-4 training sessions to date in each
established site; anecdotally: trainees training others
Trainee roles and specialties highly varied: eg., staff/management, scientist/policy analyst, epidemiologist/lawyer
RISK: Turnover –how to keep training, awareness of resources high in PHDs in the face of management and staff turnover
Training: Progress to Date
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Newsletter: Strategic Project Component
Reliable e-Resources: PHIA NewsletterNewsletter promotes resources related to public health initiatives and training links.
How States are Using PHIA
Anecdotes from key informants:
MarylandKentucky
WisconsinConnecticut
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Used access to literature/information to: understand how other states have dealt with
allowing non-nurse mid-wives to practice, as part of analyses addressing proposed legislation to permit such practice in MD.
assess potential tobacco legislation prior to introduction.
examine state of research regarding change in school hours and impact of improved sleep on students.
develop white papers regarding cost of delivery reforms to end-of-life care.
Maryland
State dentist used journals and STAT!REF in setting up a new program through the local health department for dental care.
Wisconsin
Used the information provided by the Digital Library for writing grants
Kentucky
“I wanted to pass along our experience using resources available to us via the CT DPH Digital Library. Here in Connecticut, we modify our Youth Risk Behavior Survey; this year, staff at our State Department of Education wanted to capture information about students experiencing housing insecurity. We know there is health and academic risk in this vulnerable population.
Having the resources available through the Public Health Information Access Project greatly helped us find relevant research on this topic to better inform our survey development workgroup.
--C. Jorge
“Great recognition for this very valuable initiative. Kudos and thank you. ”
Jewel Mullen, MD, MPH, MPA, Commissioner, Connecticut Department of Public Health
Connecticut
Advancing the Project(Where do we go from here?)
What Distinguishes PHIA From Other Projects?
Short-Term and Longer Term
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Readiness and Engagement of PHD to Participate ◦ Understanding of importance of evidence-based process◦ Agree to team approach: to install/maintain digital library & provide
coordination and support initial training◦ Agree to project requirements (including evaluation)
Enterprise Licensing of Core Journals for All PHDs◦ Provides full–text to the desktop, unlimited access for employees◦ Offers appropriate collection development for PHDs ◦ Engages publishers, libraries and public health departments
Creative Partnerships ◦ Builds on existing NN/LM Network relationships and enhances a
value network Project Supports Technology Innovation
◦ Provides buy-in to need for library resource access◦ Seamless access directly to desktop/device◦ Interoperable connectivity from Vendors/Publishers
What Distinguishes PHIA From Other Projects?
Advancing the Project(Where do we go from here?)
Short-term:◦ Review data, evaluation results, web-based training, and
partner contributions to refine model and enhance project efficiencies
◦ Strengthen training and utilization of resources in the face of PH/Library staff turnover
◦ Derive cost per PH user of Core and Essential PHIA Knowledge resources
Longer-term:◦ Expand project and identify sustainable model for all
state Public Health Departments
◦ Identify options, data to justify inclusion of other public health organizations