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National Network of Libraries of Medicine

Pacific Northwest Region

Quarterly Report
February to April 2003


Table of Contents

A. NETWORK PROGRAMS

  1. Health Professional Access to Information
  2. Assess Needs of Health Science Librarians
  3. Network Membership Program
  4. Document Delivery
  5. Resource Libraries
  6. Communication
  7. Regional Advisory Committee
  8. Monitor Region's Programs
  9. User Feedback
  10. Training Facility
  11. NLM User/Non-User Needs Assessment
  12. NLM Grants
  13. Follow-up with NLM-funded Projects

B. OUTREACH PROGRAMS

  1. Outreach to Health Professionals
  2. Consumer Health Information Services
  3. Training to Support Electronic Access to Health Information
  4. Exhibits and Presentations at Meetings
  5. Technology Awareness and Integration
  6. Library Improvement
  7. Connections

C. ENHANCEMENTS

D. NN/LM WEB SERVICE

E. ADMINISTRATION, STAFF AND OTHER


A. NETWORK PROGRAMS

1. Health Professional Access to Information
The Pacific Northwest Chapter, Medical Library Association, has decided to explore whether consortial purchasing of electronic journals and databases could be part of its functions. A committee has been named to begin this investigation, with Susan Barnes, Resource Sharing Coordinator, as a member. This effort would replace the Washington Medical Library Association consortial purchasing, which has been regional from the beginning because more libraries than just those in Washington were needed to bring more purchasing power. Participants in the existing WMLA consortial subscription to 142 Lippincott Williams & Wilkins titles are enthusiastic about being able to provide access to this content for their users. They report that the titles are not only important for their institution's work, but that providing access to the titles is also excellent public relations for the libraries in the group.

2. Assess Needs of Health Science Librarians
Staff attended the annual meeting of the Washington Medical Librarians Association in April, held on the Bastyr University campus in Kenmore, WA.

3. Network Membership Program
In this region as of the end of this quarter:

  • 156 Full Members -- ORUTUA, Legacy Meridian Park closed due to budget cuts at its institution and ORUORD, Oregon Health and Science University's Van Hassel Dental Library withdrew from DOCLINE because OHSU has consolidated all its ILL operations into the main library, ORUORE -- another result of budget cuts. A third victim of budget cuts, WAUFGD, Kennewick General Hospital's library, lost its staff and withdrew from DOCLINE, but apparently did not close. (Note that this number does not include WAUPNR, which is counted as a full member by DOCUSER because WAUPNR is active in DOCLINE. However, WAUPNR is the LIBID for the NN/LM PNR office.)
  • 151 Affiliate Members -- 2 new this quarter: the two Health Information Libraries that PeaceHealth Medical Group operates in Eugene, OR. Although these are both part of the same institution, they were each made Affiliate Members so that each could have its own DOCUSER record, thereby having its own entry in the MEDLINEplus list of consumer health libraries providing service to local residents.
  • 159 DOCLINE participants -- ORUTUA, Legacy Meridian Park closed, and ORUORD and WAUFGD withdrew from DOCLINE as noted above. (3 of these are borrow-only libraries and therefore not full members.) (Note that this number omits two Demo Libraries, WAUXXF and AKUXXK, which are "active" DOCLINE participants but are not real accounts; it also omits WAUPNR, which is an active DOCLINE participant but is the LIBID for the NN/LM PNR office.)
  • 14 Public Libraries, one of which is a DOCLINE participant (and therefore a full member).

148 SERHOLD participants. (Note that this number omits the 2 demonstration libraries, WAUXXF and AKUXXK, from DOCUSER's list of SERHOLD participants.)

The Directory of Health Science Libraries is being printed and is due for delivery at the end of May, 2003.

4. Document Delivery
No activity.

5. Resource Libraries
Planning began for a meeting with representatives from the region's Resource Libraries. The meeting will be held in Seattle in June.

6. Communication
The winter issue of Dragonfly was closed at the end of March 2003. There were eight original articles. These included a new series on consumer health outreach projects, new EFTS members in our region, and a profile of Gail Kouame, the PNR Consumer Health Coordinator who started in January 2003. There was also the second part of an article by Drexie Malone, a U. of Washington Information School student, describing a usability study of participants with visual impairment using the NN/LM PNR Website.

The March issue of Brainstorm, the City of Seattle's Community Technology E-zine featured the EthnoMed Project in the "What's Hot" section: http://seattle.gov/tech/brainstorm.

RML staff members participated in conference call for DOCLINE Coordinators, Consumer Health Coordinators, Outreach/Education Coordinators, Tribal Connections, and the the NN/LM Public Library outreach evaluation initiative, as well as the general monthly conference calls.

There were 244 messages on HLIB-NW, the regional discussion list. Fifty-seven of these messages, or 29%, were sent from PNRNews, the official NN/LM PNR announcement list.

7. Regional Advisory Committee
See the entry under A.5. Resource Libraries.

8. Monitor Region's Programs
Ms. Kouame assisted with facilitating an RML meeting to discuss implementation of the NLM initiatives focusing on Public Libraries and the Public Health workforce.

9. User Feedback
Attached is an article that appeared in the Clearwater (ID) Tribune, February 13, 2003, following a demonstration of MEDLINEplus and PubMed conducted by Ms. Milgrom. Later in the quarter, Pam McBride, manager of an IADL-funded project based at Clearwater Valley Memorial Hospital, forwarded to the RML an e-mail from a physician who attended the session. Dr. McGrath commented, "The patient page MEDLINEplus through the NLM is a great resource in patient care. I probably give patients info from it 5 -8 times/day. I am glad we got turned onto it at that meeting."

10. Training Facility
The training facility was used by the NTCC trainers for PubMed and Gateway classes on March 11 and 12. Thirty-eight students participated.

11. NLM User/Nonuser Needs Assessment
No activity.

12. NLM Grants
No activity.

13. Follow-up with NLM-funded Projects
In February, Linda Milgrom, Outreach Coordinator, visited three outreach sites in north central Idaho, accompanying Pam McBride, manager of an IADL-funded project in the Orofino area. Ms. Milgrom presented information about NLM resources at a local hospital, a community technology center and at the Clearwater Memorial Public Library.

Ms. Milgrom and Ms. Kouame visited Ferry County Memorial Hospital in Republic, WA, while on an outreach trip to the north east section of the state in March. This small frontier hospital is completing an Internet Connections project funded by NLM. During their visit, Ms. Milgrom and Ms. Kouame presented an overview of MEDLINEplus, PubMed, and other NLM resources to an audience of hospital staff, community members, and the local public librarian.

Ms. Milgrom surveyed the project managers of recently completed projects funded by the RML to learn if relationships fostered by outreach projects were sustained and how they reflected on their experiences. We were also interested in if we should reconsider procedures and parameters for regional funding opportunities. The article can be accessed at http://nnlm.gov/pnr/news/200301/fundingreview.html.
The lessons learned by project participants were:

  • Work with the community from the very beginning, including when outcomes are defined.
  • Offer noontime trainings, offer lunch, make it fun!
  • Equipment purchased for outreach has had lasting utility throughout the institution.
  • Short duration of outreach projects is beneficial because activities remain focused. (Quarterly reports also help!)
  • Conversely, for community-based work, long time frames are required because active members of the community are often over-committed and group dynamics slow down any project.
  • Plan evaluation to measure progress "as you go," rather than trying to wrap it all up at the end.
  • Find a good contact person/collaborator, someone with power in partner agency.
  • Need more money.
  • Don't bite off too much.

These findings will drive a modification of the funding opportunities we offer. We are planning to offer a continuum of support -- from needs assessment prior to a full-fledged project to support to assess follow-up -- as well as funding for new directions (e.g., hardware/software for electronic document delivery and professional development).

B. OUTREACH PROGRAM

Date Location Sponsor Activity Focus
No. of Attendees
Staff
02/06/03 Clearwater, ID Orofino Public Library Train Cons
3
Milgrom
02/06/03 Clearwater, ID Clearwater Valley Hospital Library Train HP
12
Milgrom
02/06/03 Idaho County, ID Kooskia Train Cons
3
Milgrom
03/12/03 Pend Orielle, WA Stevens County Public Library Train HP
Cons
12
Milgrom
Kouame
03/12/03 King County, WA Cross Cultural Health Care Resource Center Train HP
25
Alyssa Sampson
03/13/03 Kettle Falls, WA Stevens County Public Library Train Cons
5
Milgrom
Kouame
03/13/03 Colville, WA Colville Community Technology Center Train Cons
6
Milgrom
Kouame
03/13/03 Onion Creek, WA Stevens County Public Library Train Cons
1
Milgrom
Kouame
03/14/03 Republic, WA Ferry County Memorial Hospital Train HP
8
Milgrom
Kouame
03/18/03 Kitittas County, WA Kitittas Valley Community Hospital Train HP
6
Melanie Jones
03/19/03 King County, WA Cross Cultural Health Care Resource Center Train HP
5
Alyssa Sampson
03/20/03 Lapwaii, ID Nez Perce Tribe Men's Wellness Program Train Cons
30
Milgrom
03/24/03 King County, WA Cross Cultural Health Care Resource Center Train HP
16
Alyssa Sampson
04/01/03 Thurston County, WA ESD #113 Train HP
12
Milgrom
04/09/03 Jackson County, Or SW Oregon AHEC Cyber Health Camp Train Cons
11
Brendan Ashby
04/17/03 Multnomah County, OR SW Oregon AHEC Cyber Health Camp Train Cons
12
Brendan Ashby
04/22/03 Jackson County, OR SW Oregon AHEC Cyber Health Camp Train Cons
5
Brendan Ashby,
04/22/03 Jackson County, OR SW Oregon AHEC Cyber Health Camp Train Cons
7
Brendan Ashby
TOTAL
179

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

1. Outreach to Health Professionals
Maryanne Blake, Education/Communication Coordinator, was asked to review and comment on a new Web site for the Medical Home project based at the University of Washington. She is also working with the project's staff to explore ways to promote health information resources to the Medical Home teams in the state of Washington. On March 18th Ms. Blake and Ms. Kouame were invited guests at a Medical Home Project Board of Director's meeting. Ms. Kouame was able to talk about NLM and the Regional Medical Library's resources for consumer health information with meeting attendees. This was advantageous since the concept of Medical Home relies on both parents and health professionals working together to care for children with special health care needs.

Ms. Milgrom taught a hands-on workshop -- Navigating the Web: Internet Resources for School Nurses -- at Educational Service District #113 in Olympia, WA, in April. The invitation to present this workshop came from a nurse who had attended a presentation given by Ms. Milgrom at a school nurses CE class in January.

Mr. Rambo attended the Partners in Information Access for Public Health Professionals steering committee meeting at NLM on March 17.

Mr. Rambo attended the Northwest Regional Public Health Network steering committee meeting in Seattle on March 24.

2. Consumer Health Information Services
Funding for five Electronic Access to Health Information proposals was awarded effective March 2003. However, since they had no substantial activity during this quarter, their individual reports will begin next quarter. The projects will run for 18 months and will be monitored by Ms. Kouame.

As part of the Tribal Connections (phase 3) project, Ms. Barnes developed a health information Web site for the Samish tribe in collaboration with the tribal health committee. Priorities that the health committee had established for their tribal health plan provided a framework for a small selection of quality resources that provide useful personal health information. These priority topics include Arthritis and Musculoskeletal Disorders; Cancer; Food and Herbs; Heart Disease, Stroke, and Diabetes; Immunization and Infectious Disease; Mental Health, Substance Abuse, and Tobacco; Oral Health; and Respiratory Disease. (The categories are grounded in the Healthy People 2010 areas of emphasis, with additions to accommodate the community's needs.) MEDLINEplus, healthfinder.gov Just for You: American Indian and Alaska Natives, Easy-to-Read Health and Medical Sites, Information for Elders, Nutrition.gov, and Tox Town round out the offerings, providing a large collection of links for those whose needs or curiosity extends beyond the priority topic selections.

Roy Sahali, Tribal Connections project manager and Community Resources Coordinator, provided technology consultation to the Samish tribe for telephone conversion to Voice-Over-IP and network security upgrades.

Also as part of the Tribal Connections (phase 3) project, Ms. Milgrom and Mr. Sahali were invited to give a presentation on "Finding Accurate Health Information" at the Nimiipuu Health Men's Cancer Awareness and Healthy Lifestyles Conference in Lewiston, ID.

Ms. Kouame arranged with a subcontractor to update the HealthInfoquest Web site, a previously funded project designed to provide librarians with pathfinders to health information. The update was completed in April.

Mr. Rambo planned and chaired monthly conference calls for the Medical Library Association Task Force on Health Information Literacy.

3. Training to Support Electronic Access to Health Information
Ms. Milgrom and Ms. Kouame traveled to the remote northeast corner of Washington state. They gave presentations to public librarians, health professionals, parents of special needs children, and other consumers in five towns in three counties.

Quarterly reports from six subcontractors are included with this report. These include --

Final quarterly reports for three that officially end in May 2003:

  • CyberCamp, (AHEC of SW Oregon)
  • Cross Cultural Resource Center (Cross Cultural Health Care Program)
  • Finding It on the Internet: Health Access for Elders (OHSU Resource Library subcontract)

Initial quarterly reports for three that began in December 2002 are also attached. Since these three spent the first weeks dealing with administrative matters, the reports this quarter cover Dec 2002-Apr 2003:

  • Central Washington REACH (Washington State University)
  • X-plain Vietnamese Breast Cancer Tutorial (Ethnomed, Harborview Medical Center)
  • Locating Resources for Children at Risk (Oregon Pacific AHEC)

4. Exhibits and Presentations at Meetings
The RML and regional colleagues exhibited at the following national and regional meetings. Exhibit reports are included in the appendix.

Date Location Sponsor Activity Focus No. of Attendees Staff
03/19/03 Seattle, WA Society for Adolescent Medicine Exhibit HP
85

Barnes
Kouame

03/22/03 San Francisco, CA American Academy of Dermatology Exhibit HP
192
Blake
Milgrom
Mary Buttner
04/09/03 Yakima, WA Washington Library Association Exhibit Cons
40
Kouame
05/14/03 Albany, OR "Drugs and Dialogue: A view from the Trenches" Exhibit HP
59
Karen Bondley
04/23/03 Corvallis, OR Oregon Library Association Exhibit Cons
37
Rogers
04/23/03 Butte, MT Montana Library Association Exhibit Cons
23
Bill Kehler
TOTAL
436

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

National exhibits during the quarter:

  • Society of Adolescent Medicine, Seattle WA, Mar 19-22 [Ms. Kouame, Ms. Barnes]
  • American Academy of Dermatology, San Francisco CA, Mar 22-25 [Ms. Blake, Ms. Milgrom]

Local/Regional exhibits:

  • Washington Library Association, Yakima WA, Apr 9-12 [Gail Kouame]
  • Drugs and Dialog: Practical Tools for Pharmacists and Nurses, Albany OR, Apr 11
  • Oregon Library Association, Corvallis OR, Apr 24-25 [Liisa Rogers]
  • Montana Library Association, Butte MT, Apr 24-25

The Montana Library Assn exhibit was done by Bill Kehler, a network member librarian, funded in part by an RML mini-award. Another network member, Laurel Egan of St. James Hospital in Butte, MT, gave a presentation about MEDLINEplus at the meeting.

The Drugs and Dialog exhibit was done by Karen Bondley of the Oregon Pacific AHEC as part of her RML-funded outreach project.

Ms. Kouame and Ms. Milgrom presented an RML update at the Washington Medical Library Association annual in April. They focused on outreach by showing slides and telling stories from their recent visit to northeast Washington state.

5. Technology Awareness and Integration
National exhibits during the quarter:

  • Society of Adolescent Medicine, Seattle WA, Mar 19-22 [Ms. Kouame, Ms. Barnes]
  • American Academy of Dermatology, San Francisco CA, Mar 22-25 [Ms. Blake, Ms. Milgrom]

Local/Regional exhibits:

  • Washington Library Association, Yakima WA, Apr 9-12 [Gail Kouame]
  • Drugs and Dialog: Practical Tools for Pharmacists and Nurses, Albany OR, Apr 11
  • Oregon Library Association, Corvallis OR, Apr 24-25 [Liisa Rogers]
  • Montana Library Association, Butte MT, Apr 24-25

The Montana Library Assn exhibit was done by Bill Kehler, a network member librarian, funded in part by an RML mini-award. Another network member, Laurel Egan of St. James Hospital in Butte, MT, gave a presentation about MEDLINEplus at the meeting.

The Drugs and Dialog exhibit was done by Karen Bondley of the Oregon Pacific AHEC as part of her RML-funded outreach project.

Ms. Kouame and Ms. Milgrom presented an RML update at the Washington Medical Library Association annual in April. They focused on outreach by showing slides and telling stories from their recent visit to northeast Washington state.

6. Library Improvement
No activity.

7. Connections
Mr. Sahali:

  • Participated in the winter Affiliated Tribes of Northwest Indians (ATNI) conference in Portland, OR, and provided resource information for a e-health grant and support for the Internet CafĂ©.
  • In March, met with new consumer health coordinator, Gail Koume, and former consumer health librarian, Nancy Press, regarding her participation in the African American Reach and Teach Health ministry project (AARTH); during that time, we also met with new project manager, Ron Burroughs, to arrange training schedules and web support.
  • Negotiated with the Makah Tribe (Neah Bay, WA) to place the MedlinePlus icon on their new intranet health portal. This site will be demonstrated at ATNI-sponsored Visioning Conference II in May.
  • Participated in field trip to Yakama Tribe and Heritage College (central WA) as part of a tour sponsored by UW Office of Educational Partnership and Learning Technologies.
  • In April, consulted with the Camas Institute regarding the Kalispell tribe's technology project, which was made possible by a TOPs grant from the U. S. Department of Commerce.

C. ENHANCEMENTS

The Tribal Connections Internet portal -- www.TribalConnections.org -- continues to be developed to provide wellness information, as well as health careers educational opportunities and other resources for and about American Indian and Alaska Native health issues. Pat Chinn-Sloan, fiscal technician in the PNR office, has taken on the bulk of the Web development and maintenance work, working with Mr. Sahali and with occasional consultation from Michael Boer, Technology Coordinator.

Tribal Connections Phase 3: See also relevant entries under B.2. Consumer Health

Ms. Milgrom, Roy Sahali, Community Resources Coordinator, and Joan LaFrance, project evaluator and chronicler, visited the Nez Perce Reservation in Idaho. They met with community health staff in Lapwai and Kamiah to finalize plans for making short videos on health and wellness topics starring tribal members and to investigate possibilities for training.

Other Tribal Connections: Mr. Sahali provided support to MCR discussions about the TC Four Corners Project. He provided follow-up consulting with Jacarja Pueblo in New Mexico (was part of Phase 2); a referral from Larry Berry, a systems manger with the Indian Health Service.

Miles White, a UW Ph.D. candidate in ethnomusicology, was hired on an hourly basis as editor/writer to assist with the development of the Tribal Connections Web site.

D. NN/LM WEB SERVICE
In February, we migrated three NN/LM servers to a new network subnet featuring gigabit Ethernet, a tenfold increase in bandwidth. This project involved changing the IP numbers of Alpha, Bravo, and Charlie, the three servers. The new subnet is dedicated to housing servers, so we believe it will be more stable and secure than subnets shared with labs and staff workstations. The increased bandwidth is also beneficial to the servers.

The Partners in Public Health website was migrated from a folder on nnlm.gov to its own domain name, PHPartners.org. This site is housed on the same NN/LM servers as nnlm.gov and www.tribalconnections.org.

Michael Boer, Technology Coordinator and NN/LM system administrator worked with other technical coordinators to research improvements in the quality and appearance of the nnlm.gov search engine, htdig. The most visible result of this research is the ability to include subsite templates in the results pages. The first of these new templates was implemented for the PHPartners.org site.

Several content management system (CMS) experiments were conducted to explore the potential for offering Weblog (blog) and Wiki services on the nnlm.gov servers. Some of these prototypes will be presented at the May 2003 NN/LM Web Developers Conference.

Mr. Boer continues to participate in the National Outreach Mapping Center Technical Advisory Committee. In addition to weekly conference calls, his role includes maintaining the NOMC.Role_Assignments table. The NOMC.Projects database was frozen and its contents were transferred to NLM for inclusion in the new Outreach and Consumer Health System.

NN/LM Web Service:
Visits per Month

Year
February March April
2003
71974 80390 89042
2002
89303 97313 95795

NN/LM Web Service:
/members/reports/Transmitted
Year February March April
2003 3121 3151 3661
2002 6450 6477 6761
E. ADMINISTRATION, STAFF AND OTHER

Dr. Fuller and Mr. Rambo attended the mid-year RML Directors meeting at the New
York Academy of Medicine in February.

Ms. Milgrom, Ms. Blake and Ms. Kouame taught a session of Dr. Sherrilynne Fuller's U. of Washington Information School health sciences class in February. The topic for the session was consumer health information.

A considerable amount of staff time this quarter was spent testing NLM and NOMC reporting forms and systems and inputting or importing records. Several staff members worked on NLM's Outreach and Consumer Health Project Database and NOMC Mapping Applications. Ms. Milgrom tested and entered Outreach Activities Report Forms data for the entire contract period.

Ms. Kouame attended the March NTCC training on PubMed, the NLM Gateway, and ClinicalTrials.gov at the U. of Washington.

Ms. Kouame and Ms. Milgrom attended the outreach evaluation class -- Measuring the Difference -- taught by Catherine Burroughs and Ms. Blake, at the U. of Washington in Seattle, WA, in February.

Dr. Fuller, Ms. Kouame, and Roy Sahali, Community Resources Coordinator, participated in a faculty field trip to the Yakima Valley (in central Washington) focusing on community partnerships, especially with minority institutions. The tour was sponsored by the University of Washington's Office of Educational Partnerships and Learning Technologies.

Mr. Rambo participated on a University of Washington Librarian Peer Review committee throughout March and April.