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Archive for the ‘Knowledge Management’ Category

Knowledge Management (KM) In Action: Silverman Symposium Posters Online

Tuesday, June 9th, 2015

[Guest post by Margo Coletti]

First, some background: The Silverman Symposium is an annual celebration of quality improvement at Beth Israel Deaconess Medical Center and the BID community hospitals, now in its 8th year. The Symposium is sponsored by the Silverman Institute for Health Care Quality & Safety (the QI department at BIDMC). The Symposium consists of a morning lecture, followed by two afternoon poster sessions to showcase our own safety and quality improvement initiatives. Each year, over 100 posters are mounted and displayed, either on paper or electronically.  The number of posters has grown every year. For the 2015 symposium we had 183 posters. The poster session is our opportunity to show what we’ve accomplished and share our work with each other. During the session, we make connections, discuss our work, garner ideas, and learn from each other. This is knowledge sharing at its finest.

Last spring we asked ourselves: What happens after the Symposium? How can we help the ideas, the connecting, the learning, the sharing continue? Up until this year, the posters had been archived in PDF format on the Silverman Symposium website, but they were not searchable. They were not even discoverable unless the searcher knew the title and year of the poster. In the spring of 2014, after that year’s symposium, we approached a Silverman Institute director. We explained that we in Knowledge Services wanted to harness the knowledge represented by the posters and make it accessible after the symposium. This was an ideal opportunity to utilize and showcase our knowledge management (KM) skills.

With the approval and cooperation of the Silverman Institute, we applied for a Knowledge Management Pilot Project funding from the NN/LM NER. The goal of our project was to produce a searchable, openly-accessible repository of projects, represented by posters, in order to foster knowledge sharing both within the BID organizations and within the global healthcare community.  The objectives were to:

  1. Organize the Silverman Posters PDFs into one searchable repository that is openly accessible and discoverable via Google or any other web search engine.
  2. Design a database that can be used by Knowledge Services as a blueprint for similar projects.
  3. Raise the level of awareness of the quality and safety projects which are undertaken each year in BIDMC.
  4. Raise the visibility and value of Knowledge Services.

The grant allowed us to hire a consultant, Brandy King, MLS, to provide technical expertise in the software selection and database design. It also paid for the first year’s software license. Knowledge Services Director, Margo Coletti, AMLS, AHIP and Senior Information Specialist, Nathan Norris, MLS, AHIP, worked with Brandy King and with Silverman Institute Director of Regulatory Affairs, Kathy Murray. Brandy came on board in August, 2015, and the database software, Omeka, was selected in September.

The work that went into designing the database was shared by everyone on the team. We considered the needs of all of the stakeholders: the database owners (Knowledge Services), the content owners (Silverman Institute), the authors (BID staff members), and the end users (healthcare professionals both within and outside of the BID organization). The Omeka software proved problematic in some areas and we had to work around the quirks and limitations. The most challenging piece was the taxonomy. We considered several options for building a searchable vocabulary and in the end we agreed that the Institute of Medicine’s quality indicators would be of greatest value to the organization. Diane Young, MLS, Information Specialist, joined the team in January, 2015, for the most labor-intensive phase of the project, the data input. By April 9th, the day of the 2015 Symposium, we had loaded, edited and tagged 644 posters, dating from 2012 through 2015.

Silverman Symposium Posters Online can now be viewed at http://bidmc.omeka.net . It is a work in progress as we are still adding the back file from 2006 through 2011. And starting with 2016, we will be reassessing our tags, perhaps adding other indicators of quality such as patient safety goals.

Our project has had an immediate impact on our organization in its recognition of the function and abilities of Knowledge Services. On April 23rd, we presented the database at the BIDMC Leadership Meeting. After the meeting, we were approached by two different people, representing Nursing and Ethics respectively, to work with each of them on different KM projects.

The database itself has contributed to the mission of the medical center, “extraordinary care, where the patient comes first, supported by world-class education and research.” Each of the QI projects represented by the posters is an exercise in knowledge sharing that benefits patient care, teaching and research. It allows our staff to learn from each other and it allows people outside the institution to learn from us as well.

Finally, as the project uses database technology to harness our internal knowledge assets to benefit our community of users, it serves as an example of KM in action (the 3-legged stool of KM: people, technology and knowledge assets). As such, our project was featured in a CE class at MLA 2015, “Knowledge Sharing for Improvement: Hospital Librarians as Knowledge Managers.”

We are grateful to the New England Region for their support.

Submitted by Margo Coletti, Director, Knowledge Services, Beth Israel Deaconess Medical Center, Boston, MA

This project has been funded in whole or in part with federal funds from the National Library of Medicine, National Institutes of Health, under Contract No. HHSN276201100010C with the University of Massachusetts, Worcester.

Breaking an EHR system: a sandbox workshop

Monday, January 26th, 2015

The National Network of Libraries of Medicine, New England Region is offering this free workshop to its members.

Date: April 24, 2015

Place: Lamar Soutter Library, UMass Medical School

Time: 10AM-2PM

Instructor: PJ Grier, Outreach/Access Coordinator, National Network of Libraries of Medicine, Southeastern/Atlantic Region

Register at http://tinyurl.com/p3nxmq9

Class Description:

The overall objective is to give librarians an opportunity to “touch and feel” the functionality of a certified electronic health record system (EHR-S) in a “safe harbor” demonstration environment. Because many health sciences librarians are currently excluded from accessing their institutional electronic health record system (EHR-S) on an operational, day-to-day basis, this class provides that opportunity, albeit in a “practice” environment.

EHRs are crucial building blocks in the formation of an encrypted national health information network. This is a key reason why health sciences librarians continue to be engaged in important EHR supporting roles within their respective institutions with regard to planning, deployment and even optimization efforts. Now is the time to start evaluating and identifying strategies of how health sciences librarians can best contribute to the value of an EHR from a daily operations, patient care perspective.

This course will access an EHR-S via actual use in a demo environment. Through guided instruction, lecture and videos, students will create practice authentication that will enable them to access and experiment with the functionality of a certified EHR-S. Practice system exercises include dashboard components such as charting, custom texts, adding/registering a new patient, alerts/warnings, medication reconciliation, patient scheduling, meaningful use and billing. From a clinical encounter perspective, there will be sufficient “sandbox” time to enter appropriate ICD-9 diagnosis codes and/or diagnosed health conditions, treatment plans and patient education information (via NLM’s MedlinePlus Connect query process), into the clinical narrative (SOAP Note) of a fictitious patient, as a “physician user”.

Registration: Librarian’s Role in FMEA (Failure Mode and Effects Analysis)

Thursday, January 23rd, 2014

On Wednesday, January 29, 2:00 to 3:00 pm, the NAHSL CE committee is sponsoring a webinar on how librarians can become involved with their hospital’s quality improvement staff in carrying out a Failure Mode and Effects Analysis. Our information- and knowledge-management skills are valuable in this process. The class will give a practical introduction to the steps of FMEA, and point out how our skills can improve specific steps.

Registration is through Wild Apricot, and MLA credit has now been confirmed. Registration fee is $15 for NAHSL members.

http://northatlantichealthscienceslibraries.wildapricot.org/Default.aspx?pageId=1471749&eventId=824899&EventViewMode=EventDetails

Knowledge Management: A Primer [Natick]

Wednesday, September 11th, 2013

The Massachusetts library System is offering a Knowledge Management classes in three locations:

October 28, 2013 from 1-3:30pm (Natick)

October 29, 2013 from 1-3:30pm (Lakeville)

October 30, 2013 from 1-3:30pm (Worcester)

Below is a short description of the course.  If you are interested in registering go to http://www.eventkeeper.com/code/events.cfm?curOrg=MLS

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Could your library benefit from formalized structures to encourage staff to exchange a variety of skills, tools, and practices with each other?

This workshop will focus on the building blocks of Knowledge Management: those practices that, when implemented in a library environment, contribute to valued efficiencies and decision-making. We will address the complex challenges around retaining institutional memory, training and learning, and human resources functions.

Through a series of real life scenarios, experiential exercises, and much discussion, participants will discover practices to facilitate collaboration, strategies to retain organizational memory and knowledge assets, and inexpensive, user-friendly tools to readily access documents and information and to know ‘who is doing what’?

Participants can expect to leave this workshop with a roadmap for their library administration to plan and implement Knowledge Management practices that are tailored to the organization’s identified needs, objectives, and culture.

Please visit WP-Admin > Options > Snap Shots and enter the Snap Shots key. How to find your key