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National Network of Libraries of Medicine
Pacific Northwest Region

Annual Report

May 1, 2005 - April 30, 2006


Introduction

The mission of the National Network of Libraries of Medicine is to advance the progress of medicine and improve the public health by: 1) providing all U.S. health professionals with equal access to biomedical information; and, 2) improving the public's access to information to enable them to make informed decisions about their health. The Program is coordinated by the National Library of Medicine and carried out through a nationwide network of health science libraries and information centers.

Network goals are:

  1. To develop collaborations with NN/LM libraries to improve access to and sharing of biomedical information resources throughout the nation;
  2. To promote awareness of and access to biomedical information resources for health professionals and the public; and
  3. To develop, promote, and improve access to electronic health information resources by network member libraries, health professionals, and organizations providing health information to the public.

The Statement of Work focuses on:

Continuing to work with the libraries in the network in establishing connections with health professionals in rural and inner city locations who still do not have adequate access to information;
Working with the NN/LM and other organizations to increase public awareness of and access to health information via the Internet, with particular focus on senior citizens, minority populations and persons of low socioeconomic status; and

Strengthening network capabilities through collaborations and by implementing national support centers in key areas of need, such as outreach evaluation, training and distance education.

This annual report covers the period May 2005 through April 2006, Year 5 of the NN/LM PNR 2001 - 2006 contract.

Highlights this year include:

  • Initiated marketing strategies to increase awareness and profile of Network members as community resources for health information. Invited to partner with the Montana State Library year long "What's Your Story" campaign to help remind Montanans of the value of Montana libraries to the communities they serve. Campaign materials, including a PSA and poster, highlight Montana health libraries and resources of the NLM.
  • Partnering with the U.S. Bone and Joint Decade and the Seattle Public Library, the PNR participated in a national launch of Fit to a T, the Bone and Joint Decade's educational program on bone health and osteoporosis.
  • The PNR continued to reach public libraries via outreach, exhibiting and training. One example of impact: PNR staff worked with Kenai Community Library to strengthen and encourage consumer health service and outreach in the Kenai community. The Kenai Community Library was subsequently recognized as the Alaska State winner for the 2006 NCLIS consumer health awards.
  • Funded a proposal by Southcentral Foundation to partner with the UW HSL in providing a research health informatics specialist intern experience for three members of the Alaska Native community. As a core component of the internship, the interns spent two weeks at the University of Washington for specialized training sessions about NLM resources, grants research and writing, and scientific literacy. The internship was designed to help foster and pursuit research interests of the Alaska Native community that SCF serves.
  • Continued to encourage collaboration and outreach by libraries and community organizations. Funded project partnerships with participation by a diverse number of community-based organizations, such as Catholic and Child Service in Yakima; Alaska Health Fair in Fairbanks; Outside In, a social service agency which operates a medical/dental/alternative health clinic and provides day programs and transitional housing to homeless youth and low-income adults within the Portland Metropolitan Area; several community, health and social services in Royal City, Washington; and Street Youth Ministries and King County Health Authority in Seattle.
  • Continued to support expansion of the Tribal Connections website portal and its mission to provide health care information to Native American and Alaska Native communities.
  • Solicited and awarded 11 successful proposals from network members, up to $10,000 each, to conduct outreach to public health workers, primary healthcare providers, consumers, or others without adequate health information literacy skills or access to information resources. Funded three awards of $2000 each for outreach planning; four mini exhibit or training awards of $500 each; and six additional electronic document delivery projects in remote and rural areas.

A. Network Programs

1. Health Professional Access to Information Services
The PNR continued to facilitate increased health information service, access and training for the public health workforce. We offered a one-day workshop, "Collaborating with Public Health Professionals and Agencies in Your Area: A Special Training Opportunity." Nine librarians, at least one from each state in the region, attended and shared experiences and plans for projects and activities with the public health workforce. Workshop participants were selected based on commitment to provide followup training with public health personnel in their communities.

2. Assess Needs of Health Science Librarians
A web-based continuing education survey was sent to health sciences librarians in the PNR and PSR regions to assess their needs for learning and updating their work-related skills and knowledge.

3. Network Membership Program

MEMBERS
2005-06
2004-05
Year 1
Full
158
156
160
Affiliate
201
187
143
TOTAL
359
343
303

 

MEMBERS
2005-06
2004-05
Year 1
Public Libraries
24
24
17

4. Document Delivery

2005-2006
2004-05
Year 1
SERHOLD Participants
148
146
160
DOCLINE Participants
155
156
160

Five libraries joined the Electronic Fund Transfer System (EFTS)this year:

  • Alaska Native Medical Center, Anchorage AK
  • Fairbanks Memorial Hospital, Fairbanks AK
  • Oregon Research Institute, Eugene OR
  • Northwest Hospital & Medical Center, Seattle WA
  • University of Washington, Seattle WA

5. Resource Libraries
We convened a full day meeting for Resource Libraries in the Pacific Northwest Region to discuss issues and concerns related to information service delivery and to explore approaches for developing a regional emergency preparedness plan.

6. Communication
The Dragonfly newsletter had 40 articles this year. Featured articles included:

  • Oregon Librarians Are Certifiable!
  • RX for Survival: PBS Series on Public Health
  • My Dinner With a Prima Ballerina
  • December 8 Slated for Public Health Training in Seattle
  • What's Your Story? Find it at Montana Libraries
  • Kenai Community Library wins NCLIS Award
  • Free online personal health records for Montana Residents

89 NN/LM and NLM related announcements were distributed via PNRNews this year, a decrease from last year of 39%. Since the Dragonfly newsletter was converted to a timelier blog, we have utilized that format more extensively.

821 messages were sent to HLIB-NW, the regional e-mail list for health information community, the same number as last year.

The RML Marketing Committee worked with Jon Schindehette from the University of Washington Creative to plan promotional materials (including a poster and handout) for the Western Migrant Stream Annual Meeting in January, as well as for use with other Latino outreach that the PNR will be doing.

Invited to partner with the Montana State Library year long "What's Your Story" campaign to help remind Montanans of the value of Montana libraries to the communities they serve. Campaign materials, including a PSA and poster, highlight Montana health libraries and resources of the NLM.

7. Regional Advisory Committee
The PNR convened a Consumer Health Advisory Committee composed of a variety of professional backgrounds from all five states in the PNR.

Mary Ann Hansen, Electronic Information Coordinator at Montana State University-Bozeman, was selected to serve as an additional representative on the Regional Advisory Committee. She has accepted with enthusiasm.

8. Monitor Region's Programs
Gail Kouame met with representatives from Puget Sound Alliance for Community Technology and King County Housing Authority (KCHA) to discuss preliminary plans for them to work together to provide health information services in some of the KCHA facilities.

She also met with Ellen Howard from Harborview Medical Center and Yazmin Mehdi of Seattle Public Library to discuss how Seattle Public Library can serve Somali and Vietnamese communities with health information needs.

9. User Feedback
"On behalf of the Northwest Portland Area Indian Health Board I would like to thank Linda Milgrom for your presentation on MedlinePlus at January's Quarterly Board Meeting. We appreciate you taking the time to help deliver valuable information to delegated, staff, and community members." Peal Capoeman-Baller, Northwest Portland Area Indian Health Board Chair, Portland, OR

"Just wanted to say "nice job" to Susan Barnes on the Docline tutorial -- you really put that Camtasia class to good use! I did a short tutorial for our Intranet page with no voice over and it took me a long time so I can appreciate how much work you put into this! Best regards, Buela (Boo) Horak, St. Joseph Hospital Library, Bellingham, WA

"Montana Health Network and its members want to thank you for the Express Award in the amount of $7045. The award will allow us to teach the healthcare workers employed by out network facilities how to access and share the wealth of information available through your many Internet resources. … we appreciate the feedback and assistance your organization provided to us in progressing through the application process. Our grant writer found your staff knowledgeable, helpful and truly a pleasure to work with." Janet Bastian, Chief Executive Officer, Montana Health Network, Miles City, MT

"We want to extend a heartfelt thank you for teaching three workshops on accessing health information on the web for local public health assessment coordinators in Washington State. The workshop content, especially the PubMed search strategies, was valuable and highly relevant to the work of this group … the workshop greatly contributed to knowledge and skill development in using public health literature -- a core competency for the public health workforce." Christine Spice, MPH, Community Assessment Liaison, Washington State Department of Health.

10. Training Facility
The PNR training room was used by UW Health Sciences Library Bioresearch Liaison Mark Minie for the NCBI class, Introduction to Molecular Biology Information Resources, June 13-15.

The PNR training room was used by NTCC trainers for PubMed and TOXNET training on October 24 and 25.

The PNR training facility was used April 3-5 for classes presented by the National Online Training Center and Clearinghouse (PubMed, TOXNET, and NLM Gateway/Clinical Trials.gov).

11. NLM User/Non-User Needs Assessment
Maryanne Blake did a follow-up survey to the "Measuring Your Impact: Using Evaluation to Demonstrate Value" class that she and Betsy Kelly (MCR) taught in Shrewsbury, MA in March 2005. We learned that 71% of the respondents in the six months since the class had not done a library stakeholder assessment, a SWOT analysis, a logic model for a library service or developed an evaluation plan for a library service -- all evaluation techniques taught in the class. The respondents did however use some tools to collect and analyze data, chiefly library statistics (93.3%), observation (46.7%), benchmarking (40%) and surveys (33.3%). Respondents also say they approached some groups in their institutions to see how "the library could contribute to solving their problems." The main groups were clinical staff (66.7%), their immediate supervisors (26.7%), and upper level administration (20%). While the sample was small (21 respondents) the number will grow as each class will be given a follow-up survey after six-months and the instructors see how the class can become more relevant to future attendees.

12. NLM Grants
Continued to consult with the Nez Perce Tribe on their IADL grant. Linda Milgrom helped Carm Bohnee plan PubMed and MedlinePlus training for tribal health staff and traveled to Lapwai to assist with the first sessions (July 26-27).

13. Follow-up with NLM-funded Projects
In support of an Express Outreach Project awarded to Public Health Seattle & King County, L. Milgrom gave an overview of PHPartners.org and other NLM resources to a group of public health professionals and representatives of community-based organizations in Tacoma on March 29.

In support of an Express Outreach project in Royal City, Washington, L. Milgrom taught a MedlinePlus Train the Trainer class in Royal City, March 18.

M. Blake made a site visit to the NeeMeePoo Health Clinic in Lapwai, Idaho to meet with Tina Bullock and health professionals at the clinic.

PNR staff kept in touch with PIs of the five COPPA awards funded through NN/LM PNR subcontracts. Each was completed on schedule. Final Reports were shared with NNO and their home RML.

B. Expanded Outreach Programs

1. Outreach to Health Professionals.
Poster presentation and exhibit at the Washington State Environmental Health Association meeting in Spokane, May 4-6. The poster was a modification of one originally prepared by a contractor for SIS.

Three workshops for public health staff (assessment coordinators), at the invitation of Washington Department of Health coordinators. At each session, MedlinePlus, PubMed, TOXNET, and PHPartners.org were demonstrated. Session also taught to Maternal and Child Health representatives of local public health jurisdictions in Yakima, WA.

Presentations on PubMed to scientists at Rocky Mountain Labs (NIAID) in Hamilton, MT, and to public librarians at Marcus Daly Hospital.

RML-sponsored one-day workshop, "Collaborating with Public Health Professionals and Agencies in Your Area: A Special Training Opportunity." Nine librarians, at least one from each state in the region, attended and shared experiences and plans for projects and activities with the public health workforce. By accepting travel funds to Seattle, each participant agreed to conduct at least one public health training before April 2006. The website for the workshop is at http://nnlm.gov/pnr/training/phresources.html.

"Navigating the Web: Internet Resources for School Nurses" in Edmonds, Washington, Jan 27.

Public health information on the web for the Washington State Department of Health Injury Prevention Conference in Stevenson, Washington

Visited the Northwest Washington Indian Health Board in Bellingham, Washington. In addition to an overview of the network, she demonstrated PubMed and MedlinePlus.

Workshop in Clarkston, WA on finding health information for the Washington State Office of Maternal and Child Health Eastern Region, a group of public health nurses March 23.

Network resources and NLM databases to Oral Health professionals working in Community Health Centers throughout Montana, Bozeman, April 8.

Finding health information for the Washington State Office of Maternal and Child Health Eastern Region, a group of public health nurses, Clarkston, WA on March 23.

Hands-on class April 22 to the Northwest Chapter of the American Medical Writers Association, in Seattle, Washington.

Site visit to the NeeMeePoo Health Clinic in Lapwai, Idaho to meet with Tina Bullock and health professionals at the clinic.

2. Consumer Health Information Services
Gail Kouame met on May 4 with representatives from Puget Sound Alliance for Community Technology and King County Housing Authority (KCHA) to discuss preliminary plans for them to work together to provide health information services in some of the KCHA facilities.

She also met with Ellen Howard from Harborview Medical Center and Yazmin Mehdi of Seattle Public Library to discuss how Seattle Public Library can serve Somali and Vietnamese communities with health information needs.

G. Kouame participated in "Fit to a T @ Your Library" program in conjunction with the U.S. Bone and Joint decade, the Public Library Association, and Seattle Public Library. She assisted with planning an event that took place in Seattle on October 25. Patricia Barker, a principal ballerina for the Pacific Northwest Ballet Company was a guest speaker.

Cathy Burroughs led discussions including the RML, the University of Alaska Anchorage (UAA) and leadership in Buckland, Alaska, to determine ways to address health information needs in this Alaska Native village. Subsequently, Ms. Burroughs, Gail Kouame and Kathy Murray (UAA) traveled to Buckland in November to provide multiple training sessions and to consult with village school about methods by which they can incorporate health issues into their curriculum at multiple grade levels.

G. Kouame provided a series of training sessions throughout Northeast Washington and Idaho regarding consumer health information mostly for public libraries staff, November 15-18.

G. Kouame provided four continuing education classes for the Portland Area Library System (PORTALS) group in February and March 2006.

3. Training to Support Electronic Access to Health Information
Site visit to the Clinic at Royal City, a community clinic in a primarily Hispanic area of Central Washington that is beginning a community-based health information outreach project funded by the RML. (July 12)

Regional staff reviewed and awarded 11 new express outreach awards. The period of performance for these awards was July 15, 2005-March 30, 2006.

  • Addressing Health Disparities with Health Education-Public Health Seattle & King County, Seattle, WA
  • Fairbanks African-American Health Initiative-Alaska Health Fair, Inc., Fairbanks, AK
  • Healthy Kids in Kittitas County-Catholic Family & Child Services, Yakima, WA
  • Improved Access to Health Information for Low-Income Residents-Kootenai Medical Center, Coeur d'Alene, ID
  • In the Know -- Portland State University, Portland, OR
  • Linking Rural Network Health Workers to Online Health Information Resources -- Montana Health Network, Miles City, MT Need Health Info? Assessing Trustworthy Health Information Online in Northwest Montana-Kalispell Regional Medical Center, Kalispell, MT
  • Pilot Project to Demonstrate the Effective Use and Integration of Regional Library Resources in a Rural Health Care Setting-St. James Healthcare, Butte, MT
  • Quick Link Web Based Health Resources for KCHA Residents-Puget Sound Alliance for Community Technology, Seattle, WA
  • University District Homeless Youth Health Education Project-Street Youth Ministries, Seattle, WA
  • Using the NN/LM to Improve Health Education in Royal City-The Clinic at Royal City, Royal City, WA

Ongoing Outreach Project Awardees:

  • St. Mary's Hospital, Cottonwood, ID, completed their very successful project and submitted their final report.
  • Public Health Nursing project (OHSU, Portland, OR), on schedule
  • Evaluating and Promoting Health Literacy in Recovering Alcoholics and Addicts at the Seattle Salvation Army Adult Rehabilitation Center (UW Health Sciences Library, Seattle, WA), on schedule.
  • Alaska Health Information Outreach Project (Alaska Division of Public Health, Juneau, AK), on schedule. Made plans to exhibit together at Alaska Health summit in December.
  • Walking for Health (Willamette Falls Hospital, Oregon City, OR), on schedule

Roy Sahali prospected potential health information projects with several community-based organizations, including the Jack Straw Foundation, Seattle Indian Health Board, KBCS Radio, Puget Sound Alliance for Community Technology, the Colville Tribe, and the Community Re-entry Program.

4. Exhibits and Presentations at Meetings
State/Regional Exhibits:

Washington State Environmental Health Association, Spokane, WA
Alaska Palliative Care Conference
Rural Nurse Internship Summer Conference
Pacific NW Library Association, Sitka, AK
Montana Public Health Association, West Yellowstone, MT
Idaho Library Association, Pocatello, ID
Joint Conference on Health, Yakima, WA
PNC/MLA 2005, Portland, OR
Primary Care Conference Fall 2005, Seattle, WA
Western Migrant Stream Forum, Portland, OR
Alaska Rural Health Conference, Anchorage, AK
Alaska Library Association, Anchorage, AK
Oregon Library Association, Salem, OR

National Exhibits:

American Society of Neuroradiology, Toronto, ON
Health Ministries Association Annual Conference, Seattle, WA
American Society for Clinical Pathology, Seattle, WA
American School Health Association, Burbank, CA
American College of Physicians, Washington Chapter, Seattle, WA
American Academy of Forensic Sciences, Seattle, WA
American Academy of Dermatology, San Francisco, CA
American Association of Neurological Surgeons, San Francisco, CA
American Association of Neuroradiology, San Diego, CA

Presentations:

Blake, MA "Measuring Your Impact: Using Evaluation to Demonstrate Your Value" CE Course presented at theMedical Library Association Annual Meeting; Phoenix, AZ. May 2006, and also at State Library Meetings in Columbus, Ohio and Des Moines, IA, April 2006.

Blake, M. " When PubMed is not the Answer", American Society of Neuroradiology, May 2005.

Burroughs, CM "Keep your Eye on the Prize: tips on evaluation plans in funding proposals". Annual meeting, Pacific Northwest Chapter of the Medical Library Association. Portland, Oregon. October 17, 2005.

Burroughs, CM "RML Update". Annual meeting, Pacific Northwest Chapter of the Medical Library Association. Portland, Oregon. October 17, 2005.

Kahn, Cynthia and Gail Kouame, "Bloodletting: From Medical Doctrine to Quackery...And Back Again," Poster presentation, Medical Library Association annual conference, May 2006.

Kouame, G. "Health Issues in the Headlines: Learning to Read Between the Lines (Invited speaker) Pacific Northwest Library Association, Sitka, AK, August 5.

Kouame, G. "Health Information Goes Local: Making the Link from MedlinePlus.gov to Community Health Agencies" at the Online Northwest conference, February 10.

Kouame, G. "¿No Comprende? Spanish Health Information Resources for English-Speaking Librarians," CE class at the Washington Medical Library Association meeting, March 30.

Kouame, G. "Health Issues in the Headlines: Learning to Read Between the Lines." Oregon Library Association annual meeting, April 7.

Kouame, G. "Health Questions Shouldn't Hurt." Washington Library Association annual meeting, April 21.

Milgrom, L. Invited presenter on PubMed and other NLM resources as part of a CE course, "The Forensic Librarian," at the annual meeting of the American Academy of Forensic Sciences, February 21. The workshop was organized by a local network member and also included presentations on open access, specialty forensic resources, and organizing a forensic collection.

Milgrom, L. "PubMed and MedlinePlus: Advanced Tips and Tricks", American Society of Neuroradiology, May 2005.

Ryce A. iSchool guest lecturer - INFO 320 class, to discuss Open Access and NIH Public Access Policy, Fall 2005.

Sahali, R. Invited presenter at the annual Native American Journalists Association meeting in Cleveland, OH, September 2006.

Sahali, R. Invited presenter, with staff from two other regions, at the annual CTCNet conference in Cleveland, OH, June 2005.

5. Technology Awareness and Integration
The Electronic Document Delivery forum, which was held in Year 4 as part of the Northwest Interlibrary Loan and Resource Sharing conference in Portland, OR was the evolution of the proposed Technology Forum for this contract.

6. Library Improvement
M. Blake and Susan Barnes, Assistant Director, Outreach Evaluation Resource Center, taught the class "Measuring Your Impact: Using Evaluation to Demonstrate Your Library's Value" in at the Midwest Chapter annual meeting in Fargo, ND on September 16. The invitation to teach this class came from collaboration between the NN/LM Greater Midwest Region, Pacific Northwest Region and the Outreach Evaluation Resource Center.

7. Connections
PNR staff met with Marie Flake from Washington State Department of Health and Ann Madhavan, Sewell Library Fellow on April 17. After reviewing PHPartners.org and activities of the RML, we discussed possibilities for extending access to the Virtual Public Health Library being developed by Ann, to other public health jurisdictions in Washington.

C. Enhancements

Five AEHI projects which had an official start date of September 1, 2004 and actually began work in November 2004 were completed this year:

  1. African American Reach and Teach Health Ministry: Access to Wellness Project 2004-2005 (Seattle, WA)
  2. Electronic Access for Reliable Health and Medical Information Project (Sno-Isle Regional Library, Marysville, WA)
  3. Health Reference Triage: Health Resources for Public Librarians (Tuality Health Information Resource Center, Hillsboro, OR)
  4. Locating Healthcare Resource for Rural Communities (Oregon Pacific AHEC, Corvallis, OR)
  5. Montana Coalition Against Domestic and Sexual Violence (Voices of Hope, Great Falls, MT)

Five COPPA awards in four regions were awarded subcontracts through PNR in Year 4 and were completed this year.

D. Administration, Staff, and Other

Andrea Ryce:

  • Recruited and hired as of August 2005 for the position of Resource Sharing/Network Coordinator
  • Awarded "Outstanding Patient Educator" by the UWMC Patient and Family Education Committee, Oct. 18, 2005.
  • Treasurer - Washington Medical Librarians Association
  • Webmaster - Missions & Mountains 2006 Western Chapters Meeting

Maryanne Blake:

  • Appointed as a member of the Medical Library Association's "Vital Pathways: The Hospital Library Project" Committee to advocate for hospital libraries and hospital librarians.
  • Attended a two-day CDCynergy training at NLM in Bethesda, MD and is now a certified CDCynergy trainer.
  • Led a roundtable discussion on survival strategies for hospital libraries and librarians and participated in the Chapter CE Chairs meeting for MLA.
  • Appointed by M.J. Tooey to the MLA Vital Pathways Task Force, a committee for hospital librarian advocacy.

Gail Kouame

  • Medical Library Association, Western Chapters 2006 Annual Meeting Co-Chair (a joint meeting of four chapters of the Medical Library Association), to take place in Seattle in October, 2006

Roy Sahali:

  • Invited moderator for "The Role of Information Services for Emergency Preparedness and Response Symposium" at MLA.

PNR staff attended a pilot class convened by Susan Barnes and Cindy Olney, "Planning and Evaluation of Health Information Outreach Projects" regarding outreach and evaluation of outreach activities focusing on community-based organizations on January 20.

PNR staff met with Marie Flake from Washington State Department of Health and Ann Madhavan, Sewell Library Fellow on April 17. After reviewing PHPartners.org and activities of the RML, we discussed possibilities for extending access to the Virtual Public Health Library being developed by Ann, to other public health jurisdictions in Washington.

G. Kouame and A. Ryce attended MLA and GMR-sponsored Web-based CE Institute in Chicago - March 13-17.

Participated and presented at the NLM-Centric Network Monitoring Meeting. New York, NY, March 24, 2006.

Roy Sahali identified an editor/consultant for TribalConnections.org to replace Miles White, and continued to publish updates to the website.