Update on The National Network of Libraries for Health & A Virtual Health Library for Canada.
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Transcript of Update on The National Network of Libraries for Health & A Virtual Health Library for Canada.
Update on The National Network of Libraries for Health
&A Virtual Health Library for
Canada
Jim Henderson
for the
National Network of Libraries for Health Task Force
Canadian Health Libraries Association / Association des bibliothèques de la santé du Canada
Life Sciences Library & Osler Library of the History of Medicine
McGill University
With thanks to Patrick Ellis
Task Force Co-Chair
For use of his presentation to the e-Health Conference, Toronto, November 2007
• Canadian health libraries and nation-wide access to e-resources
• International models• Canadian initiatives• Review of 2007 events and activities• Opportunities and challenges
Overview
• Access to knowledge-based resources is critical to effective health care practice.
• Many Canadian health professionals face significant barriers to access.
Key Issues
6
CHLA/ABSC
• Voluntary organization• Membership: 400 librarians, library
technicians and other library staff from all sectors of health care including hospitals, universities, drug companies, government agencies, patient organizations, public libraries
• Chapters: 18 chapters with an additional 400 members
7
• One of the driving forces of the organization since its inception in 1975 has been improvement in access to health information in Canada.
CHLA/ABSC
8
Our Clientele•Practitioners, patients, researchers,
students, policy makers, facility and program administrators
•Major consumers of journal literature•Growing population of clinicians entering
the field from evidence-based curricula
CHLA/ABSC
9
• Canada is the first country outside the US to implement DOCLINE ILL system
• 1997: CHLA/ABSC took the leadership role in bringing DOCLINE to Canada
• 2008: Over 400 libraries utilizing DOCLINE in Canada
CHLA/ABSC
• Health libraries and their users have struggled for decades with the conundrum of how to support the information needs of a highly literate clinical population in need of the best available information.
Access: Not a New Issue
High quality information services now provided by libraries to health professionals
BUTNo coordination to ensure:
−Universal, pan-Canadian access−Cost effectiveness−Best health research information is
available to support patient care
Access: A Growing Issue
• 2008: Library collections are increasingly electronic
• The access model has changed• The days of bound journal collections
and long hours slaving over a hot photocopier are gone the way of the buffalo. But who can use these brave new collections?
Old Wine, New Bottles
Existing Canadian Model
• Canadian Research Knowledge Network (CRKN)
http://researchknowledge.ca/en/index.jsp
Canadian Foundation for Innovation funding.
CRKN: An Existing Canadian Model
• Through its innovative licensing agreements, CRKN provides desktop access to electronic versions of scholarly journals and research databases for 72 participating universities across Canada. Currently, more than 2,200 scholarly journals are available online to over 650,000 university researchers and students.
• CRKN has built a virtual library for the academic community.
• Access is based upon institutional affiliation.
• Can a similar model be built that spans the health community?
CRKN: An Existing Canadian Model
Models in Other Countries
• National networks of health librariesNational Network of Libraries of Medicine,
US National Library of Medicine, National Institutes of Health
National Library for Health, UK National Health Service
17
United Kingdom
The mission of the National Library for Health (NLH) is to help patients and professionals use best current knowledge in decision-making. The library consists of three main resources:
1. Firstly, there is the commitment of 1,275 librarians who know the local communities, and their needs and priorities. The plan is for all healthcare organisations to identify a board member to be Chief Knowledge Officer, supported by a librarian acting as Knowledge Manager.
2. The second resource is the national digital knowledge base, a single source of knowledge catalogued, classified and organised so that it is not only easy to find but can be delivered through the media that are now available, for example digital laboratory reports, and e-prescriptions.
3. The third resource is the users, organised in communities of practice, which manage the National Specialist Libraries such as the National Library for Cancer or the National Library for Knowledge Management.
Models in Other Countries (cont’d)
• International coordinationPan-American Health Organization’s
BIREME (Sao Paulo, Brazil)−Infrastructure−Open access−National licensing support (HINARI
and other WHO programs)
Models in Other Countries (cont’d)
• National licenses for specific resources−Australia−Denmark, Finland, Norway, Sweden−Scotland, Ireland, Wales−Spain−South Africa−Iceland
Canada
•National, regional and provincial organizations are broadening the delivery of health knowledge to the clinician’s desktop.
•CMA, CDA, CNA, CAOT, DrsNS, BC Coll Physcns & Surgns Library, OntarioMD, Univ de Montréal RUIS Consortium . . . .
Provincial Initiatives
• e-HLbchttp://www.ehlbc.ca/
• Alberta’s Health Knowledge Networkhttp://www.hkn.ca/
• Saskatchewanhttp://www.shirp.ca/
The Electronic Health Library of BC provides the academic and health care community of British Columbia with easy access to online health library resources. The purpose of the e-HLbc is to support and improve practice, education, and research in the health sciences.
eHLbc– 6 health authorities– 24 publicly-funded post-secondary
institutions– 3 provincial ministries– College of Physicians and Surgeons
• CMA Clnical Resourceshttp://www.cma.ca/index.cfm/ci_id/50587/la_id/1.htm
• NurseOne, the CNA Portalhttp://www.nurseone.ca
• OntarioMDhttp://www.ontariomd.ca
Association Initiatives
27
Evidence-Based Health Care : Proof of NNLH
Concept
• Canadian Cochrane Library rollout has been fragmented and distribution very uneven.
• But . . . other countries have made it work:
Australia, Denmark, England, Finland, Ireland, India, New Zealand, Northern Ireland, Norway, Scotland, South Africa, all of South and Central America, Spain, Sweden, Wales and the state of Wyoming all have unrestricted access.
Cochrane : Proof of NNLH Concept
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The Cochrane Library has been licensed for all citizens of:
Cochrane : Proof of NNLH Concept
Saskatchewan
New Brunswick
Northwest Territories
Nunavut
Yukon
Nova Scotia
Cochrane: Proof of NNLH Concept
How Much Would it Cost?• Total cost now:
US $250,000-300,000• National license: US $491,500• $0.015 per Canadian per year• Less than double the current investment
opens access by about 90%!
37
CHLA/ABSC Vision
The NNLH/RNBS will contribute to the maintenance and improvement of the health of Canadians by promoting and facilitating universal access to relevant, peer-reviewed health information for practitioners, consumers, researchers, policy makers and government officials by coordinating virtual library linkages.
History of Task Force Activities
• 2001: Government On Line submission presented • 2002: CHLA submitted proposal to Romanow
Commission advocating the need for a NNLH/RNBS• 2003: NNLH/RNBS Task Force conducted
environmental scan of provincial initiatives• April 2004: NNLH/RNBS website went live• August 2004: Proposal submitted to Health Canada
promoting a national license for the Cochrane Library• 2005: Stakeholders meeting in Ottawa• 2005 to 2006: Project Advisory Team formed, RFP
issued, and RFP contract finalized• September 2006: Concept of Operations released
Concept of Operations
Local / Regional
Health Libraries
Health Care Professionals
NNLH / RNBS National
Coordinating Office
Concept of Operations
Coordination of existing library programs and expertise
Ensure universal access to knowledge for health professionals
Sir J.A. Muir GrayCanadian clinicians and patients need
clean, clear knowledge /Les cliniciens et les patients ont besoin
de connaissances nettes et clairesCMAJ 175 (2): 129, 131 (July 18, 2006)
Recent Events
2007•CMAJ editorial (March) suggesting
free Cochrane Library access could be forthcoming – but not yet
•Announcement of closure of Canadian Health Network
2007– No / Slow Progress:
•Ontario – LHIN initiatives for electronic resource access
•Quebec – interRUIS initiatives for electronic resource access
•Federal e-Science Library
Recent Events
2007•Consolidation of definition of
“knowledge translation” at CIHR•Continuing escalation of demand
for access to clinical electronic resources
Recent Events
Task Force Activities
2007•Continuing strong support from CISTI and the Public Health Agency of Canada and participation / support from Canadian Nurses Association
Task Force Activities
2007•Yet more support for NNLH among
professional organizations and academic groups confirmed
Task Force Activities
2007•Endorsement of library-based model
including −Infrastructure−Training−Expert searching
as well as −Virtual Health Library
Task Force Activities
2007•Building the business case for a
“Virtual Health Library”•Currently in the environmental
scan and consultation process
Task Force Activities
2007• Linking health knowledge to decision
making in a complex system – building a pan-Canadian Virtual Health Library
Opportunities and Challenges
Can we build a Virtual Health Library based upon the exponential growth in Canadian electronic libraries?
Challenges:– Affiliation – Infrastructure support– $– User support
Opportunities and Challenges
Can we link the health library knowledge support initiatives with the electronic health records initiatives?
Challenges: - Until now, nobody has asked
BUT records without knowledge? . .
Sir Muir Grey (paraphrased):
“Electronic health records will allow practitioners to diagnose and treat more people, faster, and in a greater number of communities . . .”
Sir Muir Grey (paraphrased):
“. . . using out-of-date techniques and incorrect choices for medications if these records are not linked to knowledge sources.”
Summary
• Significant growth in demand for and support of a Virtual Health Library
• Endorsement of library-based model• Growing success of local and regional
programs• Continuing lack of access for many,
duplicate access for others
NNLH/RNBS Web Site
http://chla-absc.ca/nnlh/indexe.htm
http://chla-absc.ca/nnlh/indexf.htm
Comments & Questions??