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National Network of Libraries of Medicine
Pacific Northwest Region

Quarterly Report

May - July 2002

A. Network Programs


1. Health Professional Access to Information Services

The Public Health Document Delivery project funded at the end of the last contract has made initial progress, with Nancy Griffin of the Idaho Health Sciences Library having completed her survey on information uses and needs of public health professionals in the state of Idaho, and submitting the data. The project is now on temporary hold as new research questions and approaches are developed, with an eye to holding meetings later this year or in early 2003.

The regional group subscription to a large package of full-text electronic Lippincott Williams & Wilkins journals from Ovid has brought enhanced access to information for health professionals in several states and also in British Columbia. Susan Barnes, Resource Sharing Coordinator and one of the motivators in acquiring the subscription for 25 libraries last year, has been leading a group from the Washington Medical Librarians Association (the group that provided centralized billing for the subscription) in its effort to mainstream consortial purchasing. Substantial progress took place during the quarter, with investigations of other consortia and contacts with local experts. This effort will continue, and during the upcoming quarter the emphasis will be on renewal of the existing LWW subscription for another year.

2. Assess Needs of Health Science Librarians

A question-and-answer session at the Washington Medical Librarians' Association Internet Users' Group revealed information needed by potential participants in the Electronic Funds Transfer System (EFTS).

S. Barnes and the regional MLA Chapter's Technology Committee designed a questionnaire-to be distributed by the regional chapter-to learn details beyond those found in DOCUSER about use of Electronic Document Delivery in the Pacific Northwest, to prepare for an education campaign.

3. Network Membership Program

As of the end of this quarter:

  • 157 Full Members (3 fewer than last quarter due to removal of the 3 Washington State Hospital libraries);
  • 146 Affiliate Members (3 new joined this quarter);
  • 161 DOCLINE participants (4 of which are borrow-only libraries and therefore not full members);
  • 13 Public Libraries, one of which is a DOCLINE participant (and therefore a full member); and
  • 151 SERHOLD participants (this reveals 6 DOCLINE libraries that are not participating in SERHOLD; these libraries will be contacted and encouraged to participate).

In preparation for presentations at the American Library Association annual meeting in June, a PowerPoint presentation to publicize membership in the National Network of Libraries of Medicine was created and distributed to the presenters. In conjunction with this, the network membership application form was revised for distribution at the ALA meeting.

Mailing addresses were compiled from DOCUSER and cleaned, after which membership certificates for the 2001-2006 contract period were mailed, with a cover letter, to full and affiliate members in the region. Work on the new edition of the Directory of Health Science Libraries in the Pacific Northwest continued, with proofreading and error correction taking place.


4. Document Delivery

S. Barnes and Michael Boer continued to work with the NLM DOCLINE Interface Review Team, which meets an average of once per week. M. Boer represented PNR at the NLM/RML DOCLINE Meeting in Dallas on May 20.

DOCLINE Interface Review Team (aka DIRT) teleconferences continued during the quarter, and concluded with a final call during which the upcoming phases were outlined: selection of a contractor by NLM; creation and testing of prototypes; design, testing, and release of "DIRT revision" of DOCLINE.

The three new DOCLINE libraries that joined the network last quarter (the libraries for the 3 Washington state hospitals--Eastern State Hospital, Western State Hospital, and Rainier School) withdrew because of budget difficulties within the Washington State Library.

S. Barnes was selected as the ILL Liaison from MLA to ALA, and following the ALA annual meeting she submitted an ILL news update to the Medical Library Association's MLA News.

Four libraries in the region (Seattle Children's Hospital, Intercollegiate College for Nursing Education, Tuality Community Hospital, and Tuality Health Information Resource Center) participated in the pilot project to test batch transfer of SERHOLD data into OCLC WorldCat, and helped NLM and OCLC determine that their records should be upgraded with identification numbers from each.

5. Resource Libraries

Draft Memoranda of Understanding were sent to the eight 1996-2001 Resource Libraries for their review, input, and consideration for renewal for the 2001-2006 contract period. The RL representatives were asked to suggest any other libraries that they think should be considered for RL status. None were suggested. All of the current RLs chose to renew.

6. Communication

At NLM's request, staff reviewed drafts of the Access to Electronic Health Information RFP, outreach reporting form, and exhibit report.

We published the Spring 2002 issue of the RML newsletter, Dragonfly, with five articles and several announcements.

204 messages were sent over HLIB-NW, the regional e-mail discussion list, this quarter: 84 in May, 56 in June and 64 in July.

Maryanne Blake, M. Boer, Sherrilynne Fuller, Linda Milgrom, and Neil Rambo attended the RML Directors' Meeting and staff breakout sessions at the MLA annual meeting in Dallas.

M. Blake participated in a conference call on June 4 for the outreach RFP, June 13 for the Outreach & Education monthly teleconference.

S. Barnes was interviewed for an article about medical Web sites to be published in the Seattle Times (copy attached.)

R. Sahali provided background information to Senators Maria Cantwell and Patty Murray for bills providing resource and training for Native Americans.

7. Regional Advisory Committee

No new activity.

8. Monitor region's programs

No new activity.

9. User Feedback

Drexie Malone, a University of Washington Information School student who has been working with the PNR Web committee, concluded her usability study of the regional web site for blind users, and reported on the results, which were generally positive: the site is fairly easy to use via a screen reader. A few minor difficulties were revealed through this study, including the screen reader's pronunciation of initialisms and unfamiliar terms such as MEDLINEplus, and problems caused when the screen reader is set to "links only" mode and skips any textual explanations of links. All users completed their assigned tasks successfully, but tasks involving location of information below the top level page took noticeably longer.

10. Training Facility

No new activity.

11. NLM User/Non-User Needs Assessment

No new activity.

12. NLM Grants

L. Milgrom was named to an NLM Special Emphasis Panel for Internet Access to Digital Libraries (IADL) grants and reviewed IADL proposals Jul. 22-23, in Chevy Chase, MD. In addition, she consulted with many applicants for the PNRML Outreach Project Awards and IADL grants.

13. Follow-up with NLM-funded Projects

No new activity.

B. Outreach Programs

Reports from PNRML-funded outreach projects with the Oregon Health & Sciences University, Southwest Oregon Area Health Education Center, and the Cross Cultural Health Care Program Resource Center are attached. The PNRML continues to monitor these projects and to offer assistance if needed.

Four proposals for Outreach Project Awards for Year 02 were received by the July 1 deadline. Reviews and rankings by selected staff and external reviewers were completed. L. Milgrom forwarded this documentation, along with suggested questions/clarifications for bidders, to the National Network Office.

L. Milgrom, Roy Sahali, and Susan Usitalo traveled to the Nez Perce reservation (Lapwai and Kamiah, ID) June 4 and 5, to begin discussions of Tribal Connections activities. The team attended a staff meeting of the tribe's Community Health Department and had discussions with individuals from the information technology and clinical departments of Nimiipuu Health (the Nez Perce health department).

M. Blake, R. Sahali, and Joan LaFrance traveled to the Confederated Tribes of the Umatilla Indian Reservation (Pendleton, OR) on June 11 and 12 to begin discussions of Tribal Connections activities. The team was invited to attend a meeting of the Tribal Health Commission and had discussions with individuals from the information technology and clinical departments of Yellowhawk Clinic.

Date Location Sponsor Activity Focus No. of Attendees Staff
5/9/2002 Roseburg, OR AHEC of Southwest Oregon Pres HP
1
Bill Duffy
5/21/2002 Seattle, WA IHS Injury Specialist Fellowship Train Cons
15
Press
6/3/2002 Medford, OR AHEC of Southwest Oregon Pres Cons
14
Brendan Ashby
6/14/2002 Medford, OR AHEC of Southwest Oregon Pres Cons
8
Brendan Ashby
7/10/2002 Portland, OR AHEC of Southwest Oregon Pres Cons
33
Brendan Ashby
TOTAL
71

Focus (targeted program area): HP=health professional, Cons=consumer, TA=technology awareness, LI=library improvement, Conn=connections

1. Outreach to Health Professionals

Outreach activities this quarter were focused on consumers.

2. Consumer Health Information Services

L. Milgrom, S. Barnes and M. Blake joined the NN/LM Consumer Health Coordinators' listserv (until the PNR Consumer Health Coordinator position is filled) and participated in teleconferences June 13 and July 11.

L. Milgrom met with the ad hoc committee on foreign language patient education materials, convened by Liz Workman (University of Utah) at MLA and continued to participate in e-mail and conference calls with the group. The group discussed existing projects in the regions that provide consumer health materials in languages other than English and inherent technical difficulties and access issues. Since identifying, describing and evaluating these materials is so labor-intensive, the group is considering development of a proposal to NLM, possibly to integrate efforts with MEDLINEplus.

Work resumed on the Easy-to-Read Web page (in development for the Indian Health Service consumer oriented Web site) with the discovery that almost half of the links no longer function because of URL changes between mid-May-when Nancy Press, the page's original author departed-and mid-June, when S. Barnes took over its completion.

Collaboration with the Samish Tribe began-as part of the Tribal Connections project-with attendance at cultural gatherings and meetings with tribal representatives and the tribal health committee, creation of a health planning resource notebook and Web site, and an initial needs assessment of how tribal members currently obtain health information.

3. Training to Support Electronic Access to Health Information

PNR granted Melanie Jones of Kittitas Valley Hospital (Ellensburg, WA) a $500 mini-award to cover training costs for health professional and consumer groups in central Washington. Mini-labs targeting university students, staff, physicians, nursing students and others will be held at the Community Health Library in Ellensburg.

Sarah McCord, Washington State University (Pullman, WA) will exhibit at a conference in Coeur d'Alene, ID: "Health and Safety in Western Agriculture-Cultivating Collaborations." Her participation will be funded by a $500 mini-award.

4. Exhibits and Presentations at Meetings

Date Location Sponsor Activity Focus No. of Attendees Staff
5/30/2002 Eugene, OR Oregon Academy of Family Physicians Exhibit HP
43
Steve Teich
6/26/2002 San Francisco, CA American Diabetes Association Exhibit HP
432
Milgrom, Blake, Mary Buttner
TOTAL
475

L. Milgrom and M. Blake exhibited on behalf of NLM at the American Diabetes Association Annual Meeting, June 15-17, San Francisco, CA. An exhibit report is included in the appendix. Mary Buttner, librarian at the Lane Medical Library, Stanford University, assisted at the exhibit.

5. Technology Awareness and Integration

R. Sahali provided an orientation and overview of the network and available resources to new physicians at the Nisqually Tribe and the Tribal Health Department of the Muckleshoot Tribe..

6. Library Improvement

No new activity.

7. Connections

R. Sahali began negotiations with American Indian Radio on Satellite (http://www.airos.org/) to produce health information programming directed at Native American audiences for broadcast on Indian radio stations as well as via web and satellite radio.

He also met with Terry Baines of the State of Alaska Telelmedicine project to begin the planning process for a statewide education project on telemedicine resources.

C. Enhancements

The 3rd phase of the Tribal Connections project--seeking to integrate health information outreach into community-based health programs--continued to develop. Initial contacts with the three communities were made and plans begun, as described below.

L. Milgrom, R. Sahali, and Susan Usitalo traveled to the Nez Perce reservation (Lapwai and Kamiah, ID) June 4 and 5, to begin discussions of Tribal Connections activities. The team attended a staff meeting of the tribe's Community Health Department and had discussions with individuals from the information technology and clinical departments of Nimiipuu Health (the Nez Perce health department).

M. Blake, R. Sahali, and Joan LaFrance traveled to the Confederated Tribes of the Umatilla Indian Reservation (Pendleton, OR) on June 11 and 12 to begin discussions of Tribal Connections activities. The team was invited to attend a meeting of the Tribal Health Commission and had discussions with individuals from the information technology and clinical departments of Yellowhawk Clinic.

Collaboration with the Samish Tribe began--as part of the Tribal Connections project--with attendance at cultural gatherings and meetings with tribal representatives and the tribal health committee, creation of a health planning resource notebook and Web site, and an initial needs assessment of how tribal members currently obtain health information.

D. NN/LM Web Service [Added Category]

NN/LM Web Service:
Visits per Month
Year May June July
2002 91,381 79,001 83,629
2001 84,859 80,234 78,820
NN/LM Web Service:
/members/reports/ Transmitted
Year May June July
2002 5,512 5,227 5,824
2001 6,607 6,232 6,225

M. Boer chaired the NN/LM Web Developers Conference on May 18, 2002, in Dallas, which was attended by 18 NN/LM and NLM staff members. He presented details on the planned implementation of the next generation NN/LM web server. Most of this quarter was spent setting up the new servers and preparing for the transition of all web services to the new platform, which is scheduled for September.

E. Administration, Staff and Other [Added Category]

M. Boer was appointed to the National Outreach Mapping Center's Technical Advisory Committee.

M. Blake is chair of the screening committee for the Consumer Health Coordinator search. The committee (2 PNRML staff members, 1 U. of Washington Health Sciences Library staff member, and 1 external member) will review applications, recommend candidates for further consideration, and participate in preliminary and final interviews. The position description has been posted and advertised in several sources.

M. Blake taught the "Measuring the Difference ..." evaluation class with Cathy Burroughs at MLA in Dallas on May 18 and again in Bozeman, MT on June 27 to the Tribal College Librarians Workshop.

N. Rambo officially assumed the office of Director of the Medical Library Association on May 21 at the annual meeting in Dallas.

N. Rambo attended a 3-day workshop for University of Washington managers on strategic leadership, Jun. 10-12.