# Presentation: 715360

## 			Planning and Implementing 		a Digital Library for   Public Health Seattle & King County

- Ann Madhavan, MLS

## University of Washington Health Sciences Libraries 

Public Health Seattle & King County

- University of Washington Health Sciences Libraries
- Public Health Seattle & King County

- A Collaboration Between...

## Funded by... 

- The Grace and Harold Sewell Memorial Fund, Inc.
- 	Sewell Learning Partnerships goal is to “place experienced librarians within leading health care organizations for the purpose of both partners gaining a greater understanding of how best information sciences can be effectively applied in each environment”

## PHSKC

- _[http://www.metrokc.gov/health/](http://www.metrokc.gov/health/)_
- serves 1.8 million people – one third of the state’s population and the 12th most populous county in the U.S.
- serves 39 incorporated cities (Seattle is the largest at 563,374)
- jurisdiction covers 2,134 square miles of land (size of Delaware)

## PHSKC

- is the 10th largest public health department in the U.S.
- has ~ 1,500 regular employees and 10 public health centers
- provides safety net medical services, jail health services, EMS, has an research/academic health department, coordinates with community health partners...

## The PHSKC HIV/AIDS Library...

- originated in 1985 because of information needs of the AIDS epidemic
- since 1994, has received NLM funding for several projects involving upgrading computer equipment and providing training to community based organizations

## Needs Assessment

**Notes:**
March-April 2005

## Survey Results

- Approximately 700 survey respondents
- Greatest number of respondents fell into the following interest/work categories:
- Administration/Program Management
- Health Education/Promotion
- Public Health Nursing

**Notes:**
Survey completed in the Spring of 2005
Estimated total number of employees at PHSKC 
Online survey biased toward those with online access 

## Online Access

- Over 80% have access to the Internet at home and/or work
- Over 40% need to access online information more than once a day to do their job
- Over 70% feel confident about their ability to do so
- Over 55% know how to evaluate information from the Web as to reliability and accuracy

## Most Frequently Used Websites

- Search engines (Google, Yahoo, ...)
- _[PHSKC Public Website ](http://www.metrokc.gov/health/)_
- PHSKC Employee Intranet
- _[Washington State Department of Health ](http://www.doh.wa.gov/)_(DOH)
- _[Centers for Disease Control and Prevention ](http://www.cdc.gov/)_(CDC)

**Notes:**
Comments indicate that Google is the search engine of choice!

## Information Needs

- 	Almost 80% of survey respondents reported that if they had an information need they would search for the information themselves...

## Locating Journal Articles & Books 

- Top Three Choices
- Recommendations from colleagues
- Workplace reference materials
- Newsletters or current awareness tools

**Notes:**
Recommendations from colleagues consistent with information seeking behavior of many other health related workers
Current awareness tools may include News Alerts, Listservs, Mailing Lists...

## Types of Information Needed

- Top Ten...
- Print Sources/Documents (Word, Excel, PDF)
- Electronic / Internet Sources
- Telephone Directories for Contact Information (Phone numbers, Addresses)
- Advice / Information from Colleagues

- Professional Conferences & Workshops
- Reference Books
- Government Publications
- Dictionaries
- Best Practices / Evidence-based
- Work Manuals

## Topics

- All aspects of Public Health, including Infectious Diseases, HIV AIDS, STD, Immunization,
- 	Nutrition, Maternal and Child Health, Toxicology...
- Directories
- Community Specific Information
- Grant Information
- Legal Information
- State and Federal Government Information
- Technology-related Information
- Financial Information...

## Public Health Journals

- American Journal of Public Health
- JAMA: Journal of the American Medical Association
- MMWR: Morbidity and Mortality Weekly Report
- New England Journal of Medicine
- Public Health Reports...

## 60% of survey respondents did not receive professional journals for work purposes  
Of those who did, most paid for them themselves

- Of those who did, most paid for them themselves

**Notes:**
Several receive:
American Journal of Nursing (61)
American Journal of Public Health (21)

## Lacking Skills In...

- Using article databases such as PubMed/MEDLINE, PsycINFO, or Web of Science
- Using Electronic discussion lists or listservs
- Finding "Grey literature" such as reports from government agencies or NGOs that are not published commercially
- Accessing journal subscriptions in print or online
- Searching statistics databases such as ICPSR, census.gov resources
- Consulting online catalogs, experts, librarians

## Yes  56.7% No	 6.1%

- If a digital library (journals, books and related content available online in digital format only) of core public health journals and books were available in Public Health would you use the digital library content?

## If computer literacy training was made available to you what applications would you like to receive training in? 					

- Yes !

-  Microsoft Office
-  File & Folder Management
-  Internet Search Engines
-  E-mail
-  Geographic Information Systems
-  Reference Managers

**Notes:**
Among others...
Mitigating factors: time, user friendliness, accessibility

## Reoccurring Themes

- Need for evidence-based, point of service, just in time information
- Need for a diverse range of information resources on a wide range of public health related topics
- Need and desire for improved access to information
- Need and desire for training to improve information seeking skills
- Perceived lack of time and support to maximize information use

## Implications of Survey Results

## Implications

- Improve access to information
- Improve information seeking and critical appraisal skills
- Improve knowledge management skills

## Plan...

- 	Explore a range of options to improve information provision including:
- Development of a virtual/digital online library
- Offering online and onsite training regarding efficient searching, critical appraisal, knowledge management, and application use

## Issues to Consider

- Cost to implement & maintain
- current investment in information resources?
- cost effectiveness of electronic access?
- personnel costs?

**Notes:**
Will explore grants, cost sharing, departmental fiscal commitment
Will explore longer term grants, partnerships with UW and/or other consortiums, consultancies
Will explore identify a continuum of services from free to fee based
Will consider phasing in services
Must effectively evaluate this project to demonstrate ongoing cost benefit and impact on quality of care/services

## Issues to Consider

- Sustainability
- who will update and maintain the website?
- who will administer electronic resource licenses?
- who will troubleshoot?

**Notes:**
Will explore grants, cost sharing, departmental fiscal commitment
Will explore longer term grants, partnerships with UW and/or other consortiums, consultancies
Will explore identify a continuum of services from free to fee based
Will consider phasing in services
Must effectively evaluate this project to demonstrate ongoing cost benefit and impact on quality of care/services

## Issues to Consider

- Levels of Support
- buy in from PHSKC?
- ownership?
- breadth of access?
- continuing financial support?

**Notes:**
Will explore grants, cost sharing, departmental fiscal commitment
Will explore longer term grants, partnerships with UW and/or other consortiums, consultancies
Will explore identify a continuum of services from free to fee based
Will consider phasing in services
Must effectively evaluate this project to demonstrate ongoing cost benefit and impact on quality of care/services

## Issues to Consider

- How to Measure/Evaluate Impact
- is the resource being used?
- is it being used effectively?
- is it having an impact?
- can we improve usability?

**Notes:**
Will explore grants, cost sharing, departmental fiscal commitment
Will explore longer term grants, partnerships with UW and/or other consortiums, consultancies
Will explore identify a continuum of services from free to fee based
Will consider phasing in services
Must effectively evaluate this project to demonstrate ongoing cost benefit and impact on quality of care/services

## Questions?

**?**