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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