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Regional Advisory Council (RAC) Minutes: Base Year

Date: December 12, 2011

Location: UIC Student Center West, Chicago, IL

RAC Members Present: Mary Blackwelder, Jane Blumenthal, Pam Bradigan, Arlis Dittmer, Liz Fine, Martha Hardy, Jennifer Helmen, Heather Holmes, Matt Hoy, Joyce Lindstrom, Mike McGraw, Cody McSellers-McCray, Barb Platts, Elisabeth Rowan, Travis Schulz, Jim Shedlock, Cory Smith, Janet Stith, Molly Youngkin

RAC Members Absent: Rhona Kelley

GMR Staff Present: Max Anderson, Holly Burt, Kate Carpenter, Samanthi Hewakapuge, Ruth Holst, Jacqueline Leskovec, Irene Williams

Call to Order: The meeting was called to order at 12:57 p.m.

Welcome and Introductions: Kate Carpenter opened the meeting at 12:57 p.m. asking for each person to introduce themselves and share an accomplishment in one’s professional life or a watershed moment that led attendees to be interested in promoting access to high quality information for health professionals or for the public.

GMR Orientation and Update: Ruth Holst began the orientation with a slide presentation covering a brief history of the RML program, the current mission and goals of the National Network of Libraries of Medicine (NN/LM), and the programs and priorities of the Greater Midwest Region (GMR) for the current contract.  This was followed by reports from program coordinators Max Anderson, Holly Burt, Samanthi Hewakapuge, and Jacqueline Leskovec, who outlined their respective job responsibilities and works in progress.  The presentation closed with examples of how RAC input has shaped GMR programming in the past. 

Facilitated Discussion: Kate Carpenter facilitated a discussion an open discussion on program planning and priority setting using three structured interview questions.

  1. Based on what you've heard from the GMR staff and your colleagues, are there specific activities or services the GMR should initiate or modify?
    • Convert all GMR classes to online classes; provide webinars and asynchronous options. Use any new money for new programs and classes.
    • Health care reform, increases in DRG codes, transition from ICD-9 to ICD-10; all these provide opportunities for medical librarians to become involved. GMR should hire a project manager.
    • Emphasis on physician charting improvement - librarians could play a role. Find out what national physician associations are doing to educate MDs about this.
    • Mandates are coming - there must be opportunities for librarians in the larger picture.
    • EHR (electronic health record) implementation is underway - where are the librarians in this process?
    • Librarians can play a role with info buttons in the electronic medical record (EMR).
    • Librarians have a role with language processing, vocabularies and ontologies.
    • Not just EHRs, but explore librarian roles in other informatics arenas.
    • GMR can facilitate the conversation with librarians.
    • Help with information gathering - GMR could do a survey on who is doing what.
    • More information and training related to meaningful use.
      • Bring PNR class on meaningful use to GMR
      • Bring a version of SE/A's clinical informatics class to GMR
    • Integration of info button is an example of meaningful use.
    • Assessment of patient health literacy is part of health care reform - librarians could be involved in this. Opportunities for nursing education by librarians.
    • Librarians are great trainers. Librarians at Ohio State University were involved in rolling out the EMR as well as personal health records (PHRs).
    • AHIMA (American Health Informatics Management Association) has assigned someone to teach the public about PHRs in every state. There is a lot of public interest in PHRs.
    • MedlinePlus should be integrated into PHRs, not just EMRs.
    • GMR should target outreach to librarians who are NOT medical librarians, but who work with populations that are interested in health. Example is community college librarians.
  2. What are you seeing in your environment and/or the overall health care environment that the GMR needs to be aware of as we move forward with program planning and implementation?
    • What can the GMR do to assist with the problem of library closings?
    • Get the message to hospital librarians that the library is going away and that librarians must take the information to users, e.g. deliver information services via mobile devices.
    • Question was raised about librarian involvement in ICD-9 implementation. Answer is that librarians were not involved. [Note: the American Association of Medical Record Librarians changed their name to the American Medical Record Association in 1970 and then to American Health Information Management Association in 1991.]
    • Librarians are not just procurement agents - we need to emphasize selection.
    • Need to be careful about placing emphasis on resources - librarians provide service and expertise.
    • Librarians involve space, services/expertise and resources - each could be administered separately.
    • Physical space is still critical in some institutions - finding a balance is key.
    • Librarians are being embedded as part of the clinical rounding team.
    • Advocate best practices in a balance.
  3. From your perspective, what should be the GMR priorities for next year?
    • Focus on those items that are change-related, especially in keeping up with technologies. Librarians have to change to keep their jobs.
    • More MedlinePlus training for community-based organizations and how to find reputable sources.
    • Project management classes would be helpful. There are lots of tools that could be adapted to the library setting.
    • Get the new GMR project management class developed and available soon.
    • Deans at some institutions have latched onto the expertise value of librarians.
    • A major challenge is to stop doing things that are no longer needed in the library.

Wrap-up and Adjournment: Meeting closed at 5:10 pm.

Using Mobile Technologies at the Bedside: A Symposium

Date: Tuesday, December 13, 2011

Day two of the RAC meeting was devoted to a symposium on mobile technologies. In addition to RAC members, other Network members were invited to attend. Approximately 40 people were in attendance.

Agenda:
Overview - Max Anderson
Mobile Medical Librarians in Practice - Heather Holmes & Susan Fowler
Mobile Clinical Apps: A Vendor Perspective - Paul Stadter
Facilitated Discussion - Ruth Holst

Key points from the facilitated discussion at the end of the symposium in response to the question “What do people in the field need to know and how could GMR get info to them?”

  • Provide clinical librarian communication opportunities and mentoring
  • Publish articles on the subject
  • Create RML advocacy kit to assist librarians in advocating for mobile devices within their institution
  • Show how mobile devices provide faster service – instant response
  • Advocacy kit could help people keep their jobs
  • Presentations to hospital administrators at the state and national level
  • Show mobile apps to doctors if they are not already aware of them
  • Differentiate various patron groups to which addressing mobile apps information; tweak differently to each group (e.g. students need head-based information before looking up items)
    One institution could not find a compelling reason to purchase mobile technologies.  Used for checkout to residents to test rather than as a study.
  • Provide support and training for apps.  Venders support via phone calls and webinars
  • Some institutions have assigned a librarian to support apps.

At conclusion of the discussion, it was agreed that the GMR would ask these speakers to give their presentations via a webinar or as an online session for the benefit of others in the region.

Respectfully submitted,
Ruth Holst
Associate Director, NN/LM, GMR