Transcript KP Library Assessment

Under Pressure:
Making the Case
for Hospital Libraries
Rebecca Bayrer, MLIS
Suzanne Beattie, MLIS
Elizabeth Lucas, MLIS, AHIP
Dawn Melberg, MLIS
Eve Melton, MLIS, AHIP
Kaiser Permanente, Northern California
Project Timeline
Summer 2009
Peer Group Meeting
•Query
•Brainstorming
•Committee Formation
Fall 2009
Committee Meetings
•Development of value
categories
•Survey questions
2010
Pilot Surveys
Spring 2011
Survey becomes
standard practice
throughout KP
NCAL libraries
Literature Support
• Performed literature review to identify
best practices
• Key article:
Abels EG, Cogdill KW, Zach L.
Identifying and communicating the
contributions of library and information
services in hospitals and academic
health sciences centers. J Med Libr
Assoc 2004 Jan;92(1):46-55.
Value Category Concept
• Emerges from objective to align KP
Libraries’ mission and goals more
closely to Kaiser Permanente’s mission
and goals
• Kaiser Permanente's Mission
“Kaiser Permanente exists to provide
high-quality, affordable health care
services and to improve the health of
our members and the communities we
serve.”
Value Categories
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Member Services
Utilization / Business / Management
Education / Knowledge
Clinical Care
Research / Innovation
Quality / Risk / Safety
Other
The Survey Process
• Who: Patrons requesting literature
searches or other complex questions
• What: Short, standardized survey
• When: Monthly
• How: Email with a link to SurveyMonkey
Preliminary Results:
Quality Patient Care
Total Responses = 314
Contributed to
higher-quality
care
214
Information
was of clinical
value
68%
74%
56%
Better informed
clinical
decision
175
231
Preliminary Results:
Adverse Events Avoided
Total Responses = 145
Hospital
admission
21
14%
Additional tests
/ procedures
79
21%
54%
9%
Patient
mortality
31
7%
Surgery
Hospitalacquired
infection
13
10
Preliminary Results:
Change in Practice
Total Responses = 214
Diagnosis
59
23%
Overall patient
care and
treatment
182
Choice of tests
14%
71%
36
14%
Choice of
medications
3%
Length of stay
(if hospitalized)
7
37
Preliminary Results:
Cognitive Value
Total Responses = 339
Refreshed
memory of
detail/facts
Provided new
knowledge
38%
129
83%
281
56%
Substantiated
prior
knowledge
190
Lessons Learned
• Design of questions
• Need to have standardized survey
• Timing of survey
Implementation
Challenges
• Internal and external buy-in
• Getting librarians to send the survey
• Getting surveyed individuals to
respond
• Standardizing the process and timelines
• Creating a process for the analysis and
presentation of regional-level report-outs
Future Implementation
Steps
• All KP NCAL libraries will implement the
standardized version of the survey
• Results will be compiled at the local and
regional level
• Results will be shared with local and
regional medical center leadership
• Results will be used for ongoing
evaluation of library services for internal
performance improvement and external
demonstration of value
Benefits
• Aligning our mission and strategy with
the organization’s
• Speaking our administrators’ language
• Generating standardized data across
the region
• Obtaining direct user satisfaction data
that supports our contribution to quality,
performance improvement, and patient
safety and satisfaction
Questions or Comments?
• Rebecca Bayrer, 650-742-2540
[email protected]
• Suzanne Beattie, 916-474-7136
[email protected]
• Elizabeth Lucas, 408-851-2785
[email protected]
• Dawn Melberg, 707-393-4526
[email protected]
• Eve Melton, 209-735-4270
[email protected]