Concurrent Papers

Papers will be presented in two sets of concurrent session.

The speakers' presentations have been made available in PDF when possible. Viewing requires Adobe Acrobat.

Friday 2/9/01, 10:30-noon	Concurrent Papers Session I	Concurrent Papers Session II
Friday 2/09/01, 3:30 - 5:00 pm	Concurrent Papers Session III	Concurrent Papers Session IV

    Concurrent Papers I - Friday, 2/9/01
        Time: 10:30 - noon
        Location: Spring Room
        Moderator: Mike Liddicoat,
                           Los Gatos Community Health Library

Title: CHILE: Consumer Health Information Links for Everyone
Time: 10:30 A. M.

Speaker: Pat Auflick
Phone: (520) 626-6770
E-mail address: pauflick@ahsl.arizona.edu

Authors:
   Pat Auflick
   Rachael Anderson
   Fred Heidenreich
   Jeanette McCray
   Jerry Perry
   Mary Riordan
   Cathy Wolfson

Organization:
   Arizona Health Sciences Library
   University of Arizona
   1501 N. Campbell
   P. O. Box 24-5079
   Tuscon, Arizona 85724-5079

Abstract:
CHILE (Consumer Health Information Links for Everyone) is a collaborative effort between the Tucson Pima Public Library (TPPL) and the Arizona Health Sciences Library (AHSL). It strengthens a pre-existing, informal relationship between the two institutions. Our goal is to improve access to consumer health information and make it more readily available to the residents of Pima County, Arizona. While AHSL has always been open to and serves anyone from the general public, we're developing this collaboration with the goal that the public library would be the well-publicized frontline for the public's health information needs and AHSL would back it up with in depth resources, information sources and training as needed.Funded by the National Library of Medicine, this project is 1) strengthening the working relationship between the two libraries, 2) providing training for the handling of health reference questions, 3) developing a referral system for responding to reference questions, and 4) establishing a system for document delivery services.

The project has also developed a web page which will provide access to links of importance such as lupus, valley fever, and the Hanta virus for individuals living in the Southwest and serve as a vehicle to the SOAHR (Southern Arizona Health Referral) database, an online reference referral directory. This paper will summarize what has been accomplished to date and provide information on those areas that are still under development.
Title: Didn't I Just See You on TV Last Night? Using Local Media to Market a Consumer Health Library.
Time: 10:55 A.M.

Speaker: Eris Weaver, MLIS
Phone: (707) 778-9114
E-mail address: erisw@phcd.org

Organization:
   Redwood Health Library
   314 Western Avenue
   Petaluma, CA 94952

Abstract:
For those of us in libraries that do not have a captive audience of students or researchers, marketing is an essential and ongoing part of our job. Consumer health libraries in particular face the sometimes daunting task of promoting our services to a public who, in this information-overloaded age, seem oblivious to our existence. Much has been written about the importance of marketing our programs, and there are lots of examples of written materials available. But so far the medium by which most of America gets its news has remained untapped: television.

As part of our efforts to reach a greater proportion of our population, the Petaluma Health Care District has partnered with the local community access cable station to produce health-related programming. These programs not only serve as a marketing tool for our programs, but stand alone in their provision of valuable information on various health topics. Librarian and health educator Eris Weaver will discuss her experience as writer, producer, cameraperson, and host as well as show clips from recent programs featuring the Redwood Health Library.
Title:S.C.A.L.E. - Spiritual Care at Life's End: A Multi-disciplinary Approach to End-of-Life Issues in a Hospital Setting
Time: 11:20 A.M.

Speaker: Sally A. Harvey, MLS, AHIP
Director of Library Services
Phone: (602) 588-5863
E-mail address: sally.harvey@bannerhealth.com

Organization:
   Thunderbird Samaritan Medical Center Library
   5555 W. Thunderbird Road
   Glendale, AZ 85306

Abstract:
End-of-life care is a hot topic in many hospitals of late, in part due to a lack of training received by physicians, nurses and other healthcare professionals in this area. A society that places enormous value on youth and avoids the topic of death also contributes to the discomfort many healthcare professionals feel discussing this topic with their patients and family members. Inpatient satisfaction survey scores, at Thunderbird Samaritan Medical Center (TSMC), were very inconsistent on the question of how the facility was meeting the emotional and/or spiritual needs of patients. A staff survey/needs assessment was also conducted regarding end-of-life care which pointed out communication issues among staff members. All of these factors led to the development of an inter-disciplinary team to examine the issue of end-of-life care at TSMC.

This paper will cover the following points:
- the development of the project committee and clarification of goals
- the results of the needs assessment conducted prior to implementation
- the development of the staff training curriculum for the project
- implementation of the project goals
- evaluation of the project
- role of the librarian in the project
Title: Complementary and Alternative Medicine (CAM): Where Do Health Professionals Get Their Information?
Time 11:45 A.M.

Speaker: David J. Owen
Phone: (415) 476-3760
E-mail Address: owen@library.ucsf.edu

Authors:
    David J. Owen
    Min-Lin E. Fang
    Gail Persily

Organization:
   Library and Center for Knowledge Management
   University of California San Francisco (UCSF)
   530 Parnassus Avenue CL Room 202
   Box 0840
   San Francisco, CA 94143-0840

Abstract:
The Library/Center for Knowledge Management at UCSF is currently involved in a cooperative project between librarians and faculty to build a suite of electronic CAM resources. To identify these resources and assess CAM information needs of UCSF faculty, a Web-based questionnaire was developed to survey a group of over 300 faculty members who had previously self-identified as being interested in CAM. Data was analyzed using SAS.

Preliminary results show the main areas of interest were herbal medicine, relaxation exercises and acupuncture. Other interesting findings include: 57% sought CAM information about once a month; subjects spent an average of 30 minutes looking for information, and the searches were frequently unsuccessful; 75% had used MEDLINE as the primary database for CAM information; less than 15% were aware of or had used CAM databases such as AMED. When asked about interest in learning more about CAM resources, respondents expressed a preference for computer-based instruction.

Survey results are being used to identify resources on topics and services of interest to the campus community and to begin mapping the CAM literature. Clinicians and researchers seek CAM information from a variety of sources, making heavy use of personal contact with colleagues. If print and online resources are used, it is primarily restricted to ones with which they are already familiar, i.e., MEDLINE and JAMA. Very few use, or are familiar with, specialized CAM resources. These results demonstrate a need for further education and services. Further implications of these findings for libraries and librarians are discussed.

    Concurrent Papers II
        Time:Friday, 2/9/01 10:30-noon
        Location: Osaka Room
        Moderator: Laurie Isenberg,
                          Dominican University of California

Title: Digital Reference Services: Current and Future Directions
Time: 10:30 A.M.

Speaker: Peggy Tahir, MLIS
Phone: (415) 476-5765
E-mail address: tahir@library.ucsf.edu

Organization:
   Library and Center for Knowledge Management
   University of California San Francisco (UCSF).
   530 Parnassus Avenue CL Room 202
   Box 0840
   San Francisco, CA 94143-0840

Abstract:
The UCSF Library serves a diverse clientele, many who are located remotely from the main campus-some as far away as Fresno. This creates challenges when providing reference services. With technologies such as email and the availability of web-based digital library collections, we can reach out to our remote users and develop public service models for access to materials, reference, and instruction. Though new technologies may create challenges of implementation, staffing and training, it is important to use and develop tools for patron access to both content and user assistance. In order to meet the needs of our widespread campus community, the use of electronic reference services has become an integral part of the Library's reference services programs. The Library has been providing email reference services for the past three years. Our service has a 24-hour turnaround time and uses a triage approach to answering questions. This has proved to be a useful way to interact with our client base and to forge ongoing relationships with students and faculty. This paper will discuss our current approach to electronic reference services, and our experience using web-based reference tools to enhance customer service. Reference web pages, web-based pathfinders, links to knowledge resources, and online database guides are ways we can reach our remote users at any time. Service parameters, environment, primary clientele, and the advantages and challenges of digital reference services will be covered. Also discussed will be new tools and future directions for this service.
Title: Creating the Agile Library
Time: 10:55 A.M.

Speaker: Jackie Wilson
Phone: 415 476-2534
E-mail address: wilsonj@library.ucsf.edu

Organization:
   Library and Center for Knowledge Management
   University of California San Francisco (UCSF).
   530 Parnassus Avenue CL Room 202
   Box 0840
   San Francisco, CA 94143-0840

Abstract:
In this time of evolution and radical change to libraries and the library profession there are great benefits to creating an agile library-one that can gracefully manage change and master innovation. Learn about the need for greater agility and the various organizational alternatives that promote or hinder agility. Best alternatives are recommended. Traits of agile libraries include: organizationally structured to address new challenges, staffed by independent self-managed professionals, have structured work processes, able to form work teams rapidly, and able to incorporate consultants, part-time and temporary staff profitably. The benefits of the effective project management alternative will be highlighted. An agile project-based library should be client/patron driven and have a clear mission, goals, and performance standards. It should regularly and effectively use metrics to assess its environment and than regularly plan and implement change based on this evidence. One of the most important metrics for an agile library is customer satisfaction measurement. Other effective tools for the agile library are self-managed teams, performance databases, and conflict resolution resources
Title: AMECHII: The Development of a Statewide Digital Health = Information System in Michigan
Time: 11:20 A.M.

Speaker: Harvey Brenneise, MSLS, MA
Phone: (517) 324-8317
E-mail address: hbrenne@mphi.org

Organization:
   Michigan Public Health Institute
   2436 Woodlake Circle, Suite 380
   Okemos, MI 48864

Abstract:
The Access Michigan Electronic Community Health Information Initiative (AMECHII) [ is a response to a recommendation of the Michigan Information Technology Commission Report, "we recommend improved access to high-quality health care information for all Michigan stakeholders." The desired outcome is ubiquitous and universal access to high-quality, timely, reliable and valid health information for health consumers and practitioners regardless of geographic location in the state, many of whom are currently unserved or under served. This project is truly multi-type-including public, general academic, academic health science, hospital, and special libraries. The objectives include extending the current network infrastructure to serve all libraries and to negotiate statewide licenses for core and extended electronic collections, including reference materials and serials, recognizing the economic realities in American hospitals and libraries and the need for economic viability of publishers. This pilot project, if successful, will be used as a model for other state-wide information projects or collaborative international projects designed to team librarians in developed and developing nations in planning and implementing information delivery systems. The planning process, which will begin with a comprehensive needs assessment, gap analysis and economic model, will result in the design of a state-wide health information architecture/system design, and will include economic sustainability and new paradigms for library collaboration and federation in the acquisition and distribution of electronic resources over a wide area.
Title: Issues in Subject Heading Specificity for Describing Web Resources at the Arizona Health Sciences Library
Time: 11:45 A.M.

Speaker: Fred Heidenreich
Phone: (520) 626-7724
E-mail address: fredheid@ahsl.arizona.edu

Authors:
Fred Heidenreich
Mary L Holcomb
Gerald J Perry

Organization:
    Arizona Health Sciences Library University of Arizona
   1501 N. Campbell/Box 24-5079
   Tuscon, Arizona 85724

Abstract:
The Arizona Health Sciences Library Web site serves as a gateway to over 1500 Web-based information resources, including individual electronic journals, e-journal collections, databases, digital textbooks and reference materials, and locally-compiled Web resource guides. While keyword searching based on words in the title of each resource is offered, it is largely ineffective without descriptive annotations and a system of subject headings. Library staff therefore developed a single controlled vocabulary of subject headings based on the broad MeSH terms used in the "List of Journals Indexed in Index Medicus" (LJI) to facilitate broad subject searching across all available electronic resources. While this approach has generally resulted in more comprehensive retrieval than keyword searching, these broad categories fail when more specificity is required. Mapping of terms in see-reference style has resulted in a modest level of improvement, but this solution is unsatisfactory, given the workload required to map all possible specific/broad term combinations. Another solution is to use the Library's online catalog as the searching tool of choice where more specificity is desired. This solution is unsatisfactory as well not only because it imposes the need to search two systems that offer different categories of information but also because not all resources listed on the Web site have records in the online catalog. This paper will discuss the problems of multiple levels of specificity and the current AHSL solutions.

    Concurrent Papers III - Friday, 2/9/01 3:30-5:00pm
        Time: 3:30 - 5:00 pm
        Location: Spring Room
        Moderator: Mike Liddicoat,
                           Los Gatos Community Health Library

Title: Learning to Use Information for Patient Care? Assessing Residents' Knowledge and Education in Medical Informatics
Time: 3:30 P.M.

Speaker:
Keir Reavie
Phone: (415) 476-4519
E-mail address: reavie@library.ucsf.edu

Authors:
Keir Reavie
Julie Haugen, Barnett-Briggs Medical Library, San Francisco General Hospital Medical Center,

Organization:
   Library and Center for Knowledge Management
   University of California San Francisco (UCSF).
   530 Parnassus Avenue CL Room 202
   Box 0840
   San Francisco, CA 94143-0840

Abstract:
A review of the medical literature indicates that clinical faculty expect residents to acquire medical informatics skills that can assist them with patient care. The literature also discusses how students attain these skills and/or provides suggestions for integrating medical informatics into a residency rotation. After completing a review of this literature, the libraries of the University of California San Francisco (UCSF) and the San Francisco General Hospital Medical Center (SFGHMC) developed and carried out a survey of UCSF and SFGH residents to deduce the extent to which learning medical informatics skills is part of their rotations. SFGHMC is a teaching hospital for UCSF and geographically located four miles away from the main UCSF campus. Of the 1,049 UCSF residents, approximately 850 rotate through SFGHMC annually. The survey was initially piloted with residency rotations on both campuses, and then sent to all UCSF residents. Its overall goal was to provide data for the libraries to complete a needs assessment and facilitate a seamless and integrated approach on both campuses to incorporate medical informatics training in UCSF's residency curricula. Results of the survey are presented, along with discussion on how the information gathered is being used by the libraries to modify and develop new medical informatics classes for UCSF residents.
Title: An Informatics Course for First Year Pharmacy Students
Time: 3:55 P.M.

Speaker:
Gail Persily, MLIS
Phone: (415) 476-3766
E-mail address: persily@library.ucsf.edu

Authors:
Gail Persily, MLIS
David Owen, PhD
Patricia Babbitt, PhD

Organization:
   Library and Center for Knowledge Management
   University of California San Francisco (UCSF)
   530 Parnassus Avenue CL Room 202
   Box 0840
   San Francisco, CA 94143-0840

Abstract:
Purpose: This paper will report on the development and delivery of a required course in pharmacy informatics for first year pharmacy students.

Setting/Participants/Resources: The University of California San Francisco School of Pharmacy recently redesigned its curriculum to create a program that prepares PharmD graduates for the changing healthcare environment. The new curriculum emphasizes the role of pharmacists as information providers and the importance of a commitment to lifelong learning.

Brief Description: As part of its new curriculum, the School of Pharmacy wanted to include a required first year course focusing on informatics topics of relevance to pharmacists. Comments and suggestions for content were solicited from various individuals representing different aspects of pharmacy informatics at UCSF including faculty, librarians, a hospital information systems expert and basic science researchers. The course set as its goal "training tomorrow's pharmacists in the fundamentals of practicing pharmacy in the informatics age." Topics covered included bibliographic and other information resources, fundamentals of databases and database design, and pharmacy information systems. Guest speakers were brought in to discuss specific implementations of systems relevant to pharmacy, while librarians provided lectures on database structure and design, and pharmacy information resources. An important component was the hands-on computer lab sessions that accompanied most of the lectures and provided a central element of the course. In the laboratory, students were trained to use major drug information software, to create web pages to simulate responses to patient queries, and to understand the use and applications of a clinical pharmacy database; librarians provided training in the use of the Microsoft Access software.

Results/Outcome: The Introduction to Pharmacy Informatics course offered to students in the Spring of their first year provides a comprehensive overview of informatics topics as they relate to the practice of pharmacy. In Spring 2001 this course will be taught for the second time. The Library is working with the faculty to improve on its sections of the course.

Evaluation Method: The student evaluations of the course and its lecturers are closely reviewed to guide planning for the next session of the course. A review and revision of lectures and emphasis is planned before the course is offered in the Spring 2001 quarter.
Title: U.S./Mexico Border Health Informatics: What Are the Issues?
Time: 4:20 P.M.

Speaker: Gerald J. Perry, MLS, AHIP
Phone Number: (520) 626-6438
E-mail address: jperry@ahsl.arizona.edu

Authors:
Gerald J. Perry, MLS, AHIP
Marlo Maldonado Young

Organization:
   Arizona Health Sciences Library
   University of Arizona
   1501 N. Campbell Avenue
   PO Box 245079 Tucson, AZ 85724-5079

Abstract: The U.S./Mexico border, which stretches 2,000 miles from the Gulf of Mexico to the Pacific Ocean, is an area of dramatic extremes in terms of access to health services for the nine million people living along this culturally diverse region. Cardiovascular and cerebrovascular disease, communicable diseases, diabetes, malignant neoplasms, environmental and occupational diseases, unintentional injuries, and infant mortality are core health issues for the people living on both sides of the U.S./Mexico border. According to a 2000 Pan-American Health Organization report on U.S./Mexico border sister communities, mortality rates for heart diseases are three times greater in U.S. border communities than in their Mexico counterparts. Diabetes is a particularly serious health problem on both sides of the border, ranking third as the leading cause of death of adults over 45 years old, and as the second leading cause of death for women in that same age group. Investigations into border health issues must consider the complex political, economic and values-based factors that impact health status, and access to and utilization of health services. Border health information resources including those produced by the U.S. and Mexican governments, professional societies and regional agencies are available but underutilized. This presentation highlights sources and strategies for conducting and supporting original research into border health topics. The outreach partnership between the Arizona Health Sciences Library and the University of Arizona's Hispanic Center of Excellence is also described, as a model of collaboration for extending and enhancing access to ethnic and region-specific informational resources and services.
Title: New Roles: Professional Staff Sharing between a Hospital and an Academic Library
Time: 4:45 P.M.

Speaker: Melissa L. Just, MLIS, AHIP
Phone: (323) 442-1122
E-mail address: just@usc.edu

Organization:
Health Sciences Library, Childrens Hospital Los Angeles
MS41, 4650 Sunset Blvd.
Los Angeles, CA 90027
(& Norris Medical Library, University of Southern California)

Abstract:
The University of Southern California has several on- and off-site affiliated hospitals, some of which have their own libraries. Traditionally, these libraries, like most hospital libraries, have been staffed by librarians who are hired, managed, and employed by the individual hospitals. The university employs most of the medical staff at the affiliated hospitals, while the other staff is employed by the hospital and is not officially affiliated with the university.

Determining library privileges for the individuals is complex. Both physical resources and electronic resources require many different access agreements depending on affiliation, physical location and status. Additionally, because the librarians work outside of the university-based library system, any changes in resources or access require communication between the librarians at the hospitals and the university library.

When the librarian position at Childrens Hospital Los Angeles library opened, the hospital proposed a unique solution. The hospital outsourced the library position to the university. This librarian works half time in both the academic and hospital libraries. This arrangement solves multiple problems including: 1) the librarian is always up to date on resources and access, 2) she is able to actively participate in the selection and acquisition of new resources while representing the unique needs of the hospital, and 3) the two libraries were be able to negotiate a closer relationship for ILL and resource sharing.

This paper will describe the current relationship and the benefits and drawbacks from both perspectives.

    Concurrent Papers IV - Friday, 2/9/01
        Time: 3:30 - 5:00 pm
        Location: Osaka Room
        Moderator: Laurie Isenberg,
                          Dominican University of California

Title: Database Cleanup: Errors in the Catalog!
Time: 3:30 P.M.

Speaker: Sue Trombley
Phone: 626-4656
E-mail address: susant@ahsl.arizona.edu

Organization:
   Arizona Health Sciences Library
   University of Arizona
   1501 N. Campbell Avenue
   PO Box 245079
   Tucson, AZ 85724-5079

Abstract:
All librarians (not just cataloging librarians) may at some point be involved in cleaning up their library's catalog database. This project may include elimination of duplicate entries as well as the updating and maintenance of bibliographic or authority records.

What it also includes is error correction. Such errors can consist of simple typographical errors, mistakes in call number transcription, or unauthorized name and subject headings. Any of these errors, even if not blatant, can seriously impact a search. Error discovery and correction may be the most troublesome facet of database cleanup, as it is the most obvious to professionals, staff, and catalog users, yet it is hard to detect beforehand.

How does one detect the most blatant errors in order to correct them? How does one determine the priority of such a project? Are there safeguards or preventive measures that can be put in place to avoid such errors in the future?

A search of the literature revealed few recent articles on database errors, suggesting a diminishing concern regarding the subject. This paper emphasizes the importance of error monitoring and correction, offers examples, and explores some ideas for proactively monitoring the catalog database.
Title: Library Support of Handheld Computers
Time: 3:55 P.M

Author: Mari Stoddard, MLIS
Phone: 626-2925
E-mail address: stoddard@ahsl.arizona.edu

Organization:
   Arizona Health Sciences Library
   University of Arizona
   1501 N. Campbell Avenue
   PO Box 245079
   Tucson, AZ 85724-5079

Abstract:
Medical libraries led the way in delivering professional information via paper, stand-alone PCs and Web-enabled computers. Recently health care journals from Medical Economics to Annals of Internal Medicine began reporting increased use of personal digital assistants (PDAs), such as PalmPilots and Pocket PCs, by health professionals. Thus, PDAs offer a new platform for delivering traditional library services. As with all new technologies, determining the best way to provide these services poses some problems. Yet the core mission of medical libraries-accurate and timely delivery of information that enhances the quality of health care, education and research-provides some pointers. This library is currently examining six ways of delivering that kind of information:
Evaluation of the need for and quality of these six methods range from counting users of the PC-to-PDA connections; measuring web-hits; doing classroom evaluations and follow-up interviews for training; and surveying the need for and use of self-directed learning on PDAs. Assessing which methods will best suit this new information-delivery platform will take several years. Some PDA-based library services will prove to be awkward or unsuitable; others will be obvious in hindsight. Yet, just as medical libraries found with paper, PCs and the Web, this new technology offers many opportunities.
Title: Responding to the Needs of Researchers with Health Sciences Data Sets Resources
Time: 10:55 A.M.

Speaker: Peggy Tahir
Phone: (415) 476-5765
E-mail address: tahir@library.ucsf.edu

Authors:
   Peggy Tahir
   Min-Lin E. Fang
   Jacqueline Wilson
   Janet Cowan, Manager

Organization:
   Library and Center for Knowledge Management
   University of California San Francisco (UCSF).
   530 Parnassus Avenue CL Room 202
   San Francisco, CA 94143-0840

Abstract:
This paper will report on a project developed to assess UCSF researchers' needs and uses of health sciences data sets (computer files of research data) in order to develop a new library service. Researchers on campus need access to data sets for their investigations, publications, teaching and professional practice. However, there is currently no coordinated program on campus to assist them in finding and accessing data sets. A team of professional staff from the Reference Department, Data Management Services, IT and Technical Services developed and implemented a survey using web-based conferencing software (Facilitate.com) to determine the needs of researchers on campus for data sets resources. Based on the survey results, we are investigating ways the library can provide services to assist clientele who need access to these resources. We have begun to assess the current availability of data sets and tools in the Library's collections, at UCSF or on other UC campuses, or via state, federal or other agencies. The team is developing web pages that will point to key data sets resources available either via the web or in our collections. We are also exploring other academic data services as potential models for our service. This project has provided an excellent venue for working on collaborative teams across library departments, as well as between the library and campus departments. The paper will discuss the lessons learned by this collaborative process, including campus political issues that came to light working with departments and faculty outside the library.
Title: Using Remote Storage to Maintain Access During a Time of Severe Space Crunch
Time: 4:45P.M.

Speaker: Anne Swedenberg Prussing
Phone: (858) 534-2229
E-mail address: aprussing@ucsd.edu

Organization:
   UCSD Biomedical Library
   9500 Gilman Drive 0699
   La Jolla, CA 92093-0699

Abstract:
Lack of room for shelving the growing monograph and serial collections had reached the crisis point as plans for library expansion at UCSD Biomedical Library had been postponed again, this time with an expected completion date of 2005. Electronic books and monographs are not yet at a point to save our users and ourselves from the need for access to print. Although the library had moved most journals prior to 1965 to a storage facility 8 miles away several years ago, library users and staff had felt that browsability of the monograph collection was a necessity, at least until a crisis was reached. In the summer of 1999 this space crisis came. We devised a "survival until 2005" plan, involving moving half of the monographs (over 25,000 volumes) to remote storage while maintaining access to these materials with one-day paging. This paper will describe the factors that forced us to take this dreaded step, the planning and staff involvement in the methodology, and the reactions of our users. In addition, it will offer "lessons learned" to others facing similar crises of overcrowded collections space.