fellows, print, disaster information and consumer health

Fellows, print, disaster information and consumer health

Joyce E.B. BackusAssociate Director for Library Operations

United States National Library of Medicine National Institutes of Health, Health and Human Services

NLM Associate Fellows2012-2013

Rose Hedberg, Diana Almader-Douglas, Karen Gutzman, Kevin Read

NLM Associate Fellows2nd year

Michele Mason-Coles Suzy Roy Jessi Van Der Volgen

United StatesNational Library of Medicine National Institutes of Health, Health and Human Services

Literature Selection Technical Review Committee (LSTRC) Members

CABELLO, Felipe C., M.D.New York Medical College, Valhalla, NY COURTNEY, Karen L., Ph.D., R.N.University of Victoria, Victoria, BC, Canada CRUMMETT, Courtney, M.L.S., M.SMIT Libraries, Cambridge, MA DELCLOS, George L., M.D., Ph.D.University of Texas-Houston, Houston, TX GWINN, Marta, M.D., M.P.HCenters for Disease Control and Prevention, Atlanta, GA JACKSON, Gretchen P., M.D., Ph.D.Vanderbilt Children's Hospital, Nashville, TN JOE, Jennie R., Ph.D., M.P.H., M.A.University of Arizona College of Medicine, Tuscon, AZ

OGUNYEMI, Omolola, Ph.D.Charles R. Drew University of Medicine and Science, Lynwood, CA PASCOE, John M., M.D., M.P.H.The Children's Medical Center of Dayton, Dayton, OH PASCOE, John R., BVSc, Ph.D.University of California, Davis, CA PHILLIPS, William R., M.D., M.P.H.University of Washington, Seattle, WA RAO, Jaya, M.D.University of North Carolina at Chapel Hill, NC TANNERY, Nancy, H., M.L.S.University of Pittsburgh, Pittsburgh, PA

ZHANG, Ge, M.D., Ph.DUniversity of Akron, Akron, OH


MedPrint UpdateMay 2013

• 18 signed agreements from all 8 Regions• 244 of ~ 250 MedPrint titles have commitments• 51 MedPrint titles have 13 or more

commitments• 78 libraries have committed to retain 1,174

titles


MedPrint homepage

Signed Agreements by Region• 1 - Geisinger Health System• 1- New York State Nurses

Association• 1 - Thomas Jefferson University• 1 - University of Rochester School

of Medicine and Dentistry• 2 - University of South Alabama• 2 - East Carolina University • 2 - University of Tennessee • 2 - University of Mississippi• 2 - West Virginia University

• 3 - University of Minnesota • 4 - Creighton University• 4 – University of Wyoming Libraries• 5 – AHEC (U Arkansas Medical

Sciences)• 5 - Houston Academy of Medicine• 5 - University of Texas Medical

Branch• 6 - University of Washington • 7 - Stanford University Medical

Center• 8 - Baystate Medical Center

MedPrint Libraries & Titles

97

3

74

3

5

4

1

186

212

235

13

207

212

218

74

1

Libraries Titles

Environmental Health and Toxicology homepage

Disaster Information Management Research Center homepage

Disaster Info Specialization ProgramThe Disaster Information Management Research Center at NLM contracted with the Medical Library Association to offer continuing education courses in support of a disaster information specialization for librarians and other interested professionals. http://www.mlanet.org/education/dis

Advanced

• Additional 12 hours of courses AND/OR experiences participating in disaster information outreach activities

• Conference call presentations/webinars such as the recent disaster summits count as credits toward Advanced Level.

• Ideas for advanced hours: http://disasterinfo.nlm.nih.gov/dimrc/disasterinfocurriculum.html

Basic Level (5 Required Courses)• Disaster Health Information: The Basics

• U.S. Response to Disasters & Public Health Emergencies

• Information Roles in Disaster Management

• IS-700: National Incident Management, FEMA

• IS-100.b: Introduction to Incident Command System, FEMA

• Two levels of specialization

• Five new courses added between May-September 2012

FUTURE OF RESOURCE SHARING SURVEY


1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

2,598,366

2,801,712

2,933,9632,930,793

2,876,8612,916,254

3,025,453

2,985,2122,923,384

3,038,9342,865,964

2,704,190

2,480,1322,311,516

2,102,0681,969,656

1,861,2081,765,108

1,631,6671,551,541

ILL Requests in US and Canada in DOCLINE

49% decline 2002 - 2012

I.L.L. Requests in U.S. and Canada in DOCLINE

Strategic Plan: Future of Resource Sharing

“Investigate reasons for declining DOCLINE and document delivery use, determine if other systems are meeting user needs and determine future direction for document delivery.”


Focus Groups


How do your users access biomedical

information ?

What are the challenges

you are facing with ILL?

In a perfect world, how would you

locate resources for

your patrons – for items you do not own?

Three Focus Groups

Hospitals• Wilmington VA Medical &

Regional Office Center• Columbus Regional

Healthcare System• All Children’s Hospital• St. Vincent Hospital • Community Hospital• St. Edward Mercy Medical• Kalispell Regional Medical

Center• Kaiser Permanente• Littleton Regional

Hospital


Large Libraries• SUNY Downstate Medical

Center• Claude Moore Health

Sciences• Detroit Medical Center • University of Illinois, Chicago• Tulane University Medical

Center• University of Washington

Libraries• Yale University• Louise Darling Biomedical

Library

Special Libraries• American Dental

Association• Fred Hutchinson Cancer

Research Center• Pacific College of Oriental

Medicine• Southern New York Library

Resources Council• New York State Nurses

Association

Focus Groups


“We’d like to provide immediate access to whatever it is our users want. The way we’ve done that

historically is by having comprehensive subscriptions and holdings and we

don’t have that anymore.”

“The clinicians coming right out of school don’t understand why everything is just not out there

available for free.”

“I hear so many times…that people don’t want to wait. ILL takes too

long.”

“What is the licensing? Some are becoming

more and more restrictive for ILL - what does this mean for the future of ILL for all of

us?”


• Want everything now – or never• Need e-pub ahead of print• Prefer remote access to resources

Users

• Licensing challenges for e-journal• ILL costs are an issue• Decrease in ILL due to online

ILL

• Seamless delivery to patron• DOCLINE improvements – holdings• Don’t take DOCLINE away

Perfect world

Feedback from Focus Groups

U.S. National Survey: March 2013

– National Survey: March 2013• 2,400 DOCLINE librarians surveyed• 72% partial response rate • 68% complete response rate

– Questions: • Demographics• Systems• Collections• Budget and staffing• E-journal licensing• Lending and borrowing trends


National Survey: March 2013N=1725


National Survey: March 2013

Strongly disagree

11%Disagree 20%

Neutral 12%

Agree 32%

Strongly

Agree 24% Not Sure 1%

Journals primarily electronic

Strongly disagree

11%Dis-agre

e 28%

Neutral 23%

Agree

25%

Strongly Agre

e 5%

Not Sure 7%

License terms are easy to know


National Survey: March 2013

If borrowing up --- to support evidence based practice – 66%

If borrowing down – because more open access or online sources available -- 69%


MEDLINEPLUS


15 Years!

10 Years!

Medline Plus Web Site Changes

1998

Medline Plus 1998

Oct 1998 Sept 1999

Aug 2000Sept 2002

Medline Plus 1998, 1999, 2000, 2002

Multiple Languages in Medline Plus

Multiple Languages

Health Information in Multiple Languages

U.S.37%

Mexico12%Spain

6%

U.K.4%

Colombia4%

Canada4%

Ar-gentina

4%

Chile3%

Uruguay

2%

Aus-tralia

2% Other22%

Visits to MedlinePlus -- Countries

Visits to Medline Plus by Country

Dec-0

9Jan

-10

Mar

-10

May

-10

Jul-1

0Aug

-10

Oct-10

Dec-1

0Jan

-11

Mar

-11

May

-11

Jul-1

1Aug

-11

Oct-11

Dec-1

1Jan

-12

Mar

-12

May

-12

Jul-1

2Aug

-12

Oct-12

Dec-1

2Jan

-13

0

10,000

20,000

30,000

40,000

50,000

60,000

@MedlinePlus Followers

0

2,000

4,000

6,000

8,000

10,000

@MedlinePlusEsp Followers

Medline Plus and Medline Plus Espanol on Twitter

Contact Medline Plus

m.medlineplus.gov

Medline Plus Mobile

Phase 1 Study Questions

• Who is using MedlinePlus Mobile?

• What do they do on MedlinePlus Mobile?

• Are they satisfied with their visit?

• Overview data– Mobile site– Mobile use of full site


MedlinePlus Mobile Users – Gender

Fe-male55%

Male45%

English Survey


Fe-male47%

Male53%

Spanish Survey

MedlinePlus Mobile Users – Country


Country Visits to MobileEnglish

United States (incl Puerto Rico) 60%

Canada 6%

United Kingdom 4%

Netherlands 4%

Mexico 3%

Spain 2%

Australia 2%

India 2%

unresolved 1%

All others 16%

Country Visits to MobileSpanish

United States (incl Puerto Rico) 26%

Mexico 17%

Spain 12%

Canada 9%

Argentina 9%

Colombia 4%

Chile 4%

Netherlands 3%

Uruguay 3%All others 17%

Mobile Visits to MedlinePlus & MedlinePlus Mobile

Nov-11

Dec-11

Jan-1

2

Feb-1

2

Mar

-12

Apr-12

May

-12

Jun-1

2

Jul-1

2

Aug-12

Sep-1

2

Oct-12

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

7,000,000

8,000,000

9,000,000

MedlinePlus Full SiteMedlinePlus Mobile

MedlinePlus Connect

Problem, medication, or lab code-based request

MedlinePlus Connect

Consumer health information targeted response

Clinical systemPatient portal

EHR/Health IT System


Medline Plus Connect Total Application and Service Requests Q4 2010 to present

Medline Plus Social Media

Careers at NLM

fellows, print, disaster information and consumer health

Documents

university of victoria

university of pittsburgh

university of utah

university of alabama

university of washington

dentistry2 university

university of california

university of texas