HealthLibrarianshipCompetenciesReview2018

PresentedonbehalfofALIA/HealthLibrariesAustraliaAnnRitchie,NationalManager(StrategyandCoordination)

RAILSConference28thNovember2018

Today’spresentation

1.  Whatisahealthlibrarian?

2.  HLACompetencies–thereview–  Objectives,methodology,results

3.  Nextsteps

Rolesofhealthlibrariansinmultidisciplinaryteamsservingmultipleclientgroups:!  Reference&researchlibrarians!  Informationists–embedded!  Clinical,subject,faculty&liaison

librarians!  Collections&resourcesmanagers!  Systems&e-resources/e-services

managers!  Education/literacy/e-learning

librarians!  Researchdatamanagers!  Andmore

Whatisahealthlibrarian?•  Alibrarianwhoworksinahealthcareservicetoachievethebusinessgoalsoftheirorganisation

•  Ahealthinformationprofessionalwhoservestheinformationneedsoftheirclientsinmultipleways–rightinformation,rightplace,righttime

•  Adynamic,innovative,techno-savvy,evidence-basedpractitionerwithadvancedhealthinformationskills,knowledgeandattributes

•  Notsimplyanylibrarianwhoworksinahealthlibrary!

Whoarewe?2014-16Census:Quickfacts

Kammermann,M.2016.TheCensusofAustralianHealthLibrariesandHealthLibrariansWorkingOutsidetheTraditionalLibrarySetting:TheFinalReport.

o  328healthlibraries(2%dropsince2002)

o  1250staff,1050LISqualified,mostlyfemale

o  ~50%workinhospitals,alsouniversities,research,not-for-profitcommunity/socialcare,dentistry,pharma/drug,etc

o  serveclientgroupsfrommultipleorganisations

o  10%jobvacancyrateo  2:1willretire<5yrsvsnew

recruits

Wherearehealthlibrarieslocated?

73%metro---31%regional---4%rural/remote61%public---20%NFP---14%privatesector

State/Territory Number of LIS Percentage NSW 104 32

Victoria 96 29 Queensland 48 15

SA 27 8 WA 26 8 ACT 19 3 NT 10 3

Tasmania 7 2 Total 328 100

Whoareourclients?Typeoforgserved Number Percentage Typeoforgserved Number Percentage

Hospital 112 51% Healthprofassocn 20 9%

University 87 40% PrimarycareGPs/private 20 9%

Communityhealth 60 27% Pathology 16 7%

Mentalhealth 48 22% Pharmacy/drugcoDentistry

1211

5%5%

Publichealth 46 21% Healthinformatics 5 2%

Researchinstitute 45 21% Biotech 2 1%

Govtdept 36 16% PublisherConsultingfirmVeterinary

321

1%

Consumer/patientorgn 24 11% OtherNoresponse

336

15%3%

TOTALresponses(morethanoneresponsepossible) 589 269%

Workforce&EducationResearch2009-11

o  DevelopedinitialHLACompetencies(basedonMLA’s,2007)o  Futurerequirementformoretechnology-relatedcompetencieso  Employerswantedmoreproactivehealthlibrarians,hadbigger

visionfortheprofession->competency-basededucationandPD(e.g.researchdata

management,advancedsearching,systematicreviews)->HealthLibrarianshipEssentialsonlinecourse(withQUT)->DigitalHealthInformationServicescourse(2019UniMelbto

host,+digital/ehealth/datamanagementcontent)

CompetenciesReview•  Objectives•  Methods

•  Results

Objectives1.  ToupdatetheHLAcompetenciesinlinewiththe

changinghealthservicesenvironment2.  Tolearnfromandincorporatetheexperiencesof

colleaguesinprofessionalassociations(e.g.USAandUK)regardingcompetenciesandevolvingrolesforhealthlibraryandinformationprofessionals

3.  Toinformstrategicworkforceplanning,post-graduateeducationandprofessionaldevelopmentfortheprofession

Methods1.  Environmentalscan–Australia’sNationalDigital

HealthStrategy20182.  ComparisonwithMLA’s2017revisionsand

CILIP/HLG’s2014ProfessionalKnowledge&SkillsBase

3.  Rollingre-draftsandfeedbackfrompeers4.  Consultationswitheducators

HLACompetencyArea12010Understandthehealthsciencesandhealthcareenvironmentandthepolicies,issuesandtrendsthatimpactonthatenvironment.

2018

THEHEALTHENVIRONMENT:Thehealthsciences,andthehealthandsocialcareenvironments,andthepolicies,issuesandtrendsthatimpactonthoseenvironments.

*Redtextindicateschangesfrom2010

HLACompetencyArea22010

Understandtheprinciplesandpracticesrelatedtoprovidinginformationservicestomeetusers’needs.

2018

REFERENCE&RESEARCHSERVICES:

Referenceandresearchservicesanddeliveringbestpracticeinformationservices.

HLACompetencyArea32010

Understandthemanagementofhealthinformationresourcesinabroadrangeofformats.

2018

RESOURCES:

Themanagementofhealthknowledgeandinformationresourcesinavarietyofformats.

HLACompetencyArea42010

Knowandunderstandtheapplicationofleadership,finance,communication,andmanagementtheoryandtechniques.

2018

LEADERSHIP&MANAGEMENT:

Leadershipandmanagementtheoryandpractice.

HLACompetencyArea52010

Understandandusetechnologyandsystemstomanageallformsofinformation.

2018

DIGITAL,EHEALTH&TECHNOLOGY:

Thedigitalandehealthcontext,andthetechnologyandsystemsusedtomanagedata,informationandknowledgeresourcesinthedeliveryoflibraryandinformationservices.

HLACompetencyArea62010

Understandcurriculardesignandinstruction,andhavetheabilitytoteachwaystoaccess,organiseanduseinformation.

2018

HEALTHLITERACY&TEACHING:

Healthliteracy,curriculardesignandinstruction,andteachingtheinformationskillsassociatedwithevidence-basedpractice.

HLACompetencyArea72010

Understandscientificresearchmethodsandhavetheabilitytocriticallyexamineandfilterresearchliteraturefrommanyrelateddisciplines.

2018

HEALTHRESEARCH:

Healthresearchandtheapplicationofhealthresearchmethodologies.

HLACompetencyArea82010

Maintaincurrencyofprofessionalknowledgeandpractice.

2018

PROFESSIONALISM:

Healthinformationprofessionalism.

HLACompetencyAreasandDescriptionshttps://www.alia.org.au/sites/default/files/Revised%20HLA%20Competencies%202018%20%28002%29.pdf

Comments•  anambitioussetofcompetencies(LisaKruesi,UniversityofMelbourne)•  indeedabigpieceofwork(MicheleGaca,HelenBaxter,AustinHospital)•  IhadtousethisdocumentrecentlyasIwasauditedbytheALIAPDscheme(LauraFoley,ANZCA)

•  Rethefuture:–  Onethingthatdoesspringtomindispersonalisedmedicinesosomegeneticstypeskillsetc?…Theotherarea

ismachinelearning/AIbothinhealthcareitselfbutalsoperhapssomeoftheonlineresources(RobPenfold,BarwonHealth)

–  OnlythingI’mbeginningtoseeonthehorizonthatisdifferentislibrariesaspublishers.(CherylHamill,FionaStanleyHospital)

•  Reoverlapwithhealthinformatics:–  Ibelieveourworldswillcollide….Yesitisaplausiblefuturethatwearemoreengagedinthisspaceaswe

haveinformationmanagement,workflowanalysis,usability(websitedesignetc)skills….Theyknowwehaveauniqueskillbasewhichwillplugtheirgap.(MicheleGaca,AustinHospital)

–  Therearemanylibrarianswhoarealreadyvalue-addingtotheirlibraryservices,andwhohaveprojectrolesthatoverlapwithHIMandmanyotherareasofknowledgemanagementandinformationbrokerage…thecompetenciesareintendedtoexpressthebroadestscopeofhealthlibrarianship,becausenarrowingthescoperemovesrecognitionofvalue-addedservicesandprojectcollaborations.(GinaVelli,PrincessAlexandraHospital)

Primaryresponsibility*ofhealthlibrarians

Aligningwiththebusinesspurposeoftheorganisationi.e.

"  Patientcare–individuals,families,carers"  Populationhealth–communities,geographiccatchments

and/orgroupse.g.children,women,disabledetc

"  Education,research,policy,andprogramstoinfluencehealthservicedelivery

*Thestateofbeingresponsible,accountable,oranswerable.Aduty,obligationorliabilityforwhichsomeoneisheldaccountable.

CompetenciesforfuturerolesMa,J.,Stahl,L.,&Knotts,E.(2018).Emergingrolesofhealthinformationprofessionalsforlibraryandinformationsciencecurriculumdevelopment:ascopingreview.JournaloftheMedicalLibraryAssociation:JMLA,106(4),432-444

Method:268peer-reviewedarticles

Results:HIPs,whogenerallyserveas“embeddedlibrarians,”aretakingonmoreactiverolesascollaborators,researchexperts,andliaisons,replacingmorepassiveandexclusiverolesasinformationprovidersandoutreachagentsorresearchassistants.

Conclusions:Linkingrolestocompetencies…“AbetterunderstandingofHIPdemandsandexpectationswillenhancethecapacityoflibraryprogramstopreparestudentsinHIPspecializations.”

“..currentmaster’s...programsinNorthAmericaofferinsufficientacademicpreparationforstudentswhowishtoworkinhealthinformationfields[Aken,2010]…outdatedcurriculaandnonspecificlearningoutcomesoftenneglectcurrentemergingdemandsandchallengesthathealthscienceslibrariesface[Albert,2010;Alcock,2017]…(LIS)educatorsmightfailtoequipthosestudentswithsufficientunderstandingofevidence-basedmedicine(EBM)practiceandupdatedHIPactivitiesthroughtheirlibrarysciencecourselearning[Aken,2010;Akers,2017]...thedisconnectbetweenthegeneralknowledgebaseoflibrarianshipandthespecializedcompetencyrequirementsforHIPscompoundstheproblemofinadequateguidanceandinstructionalsupportforlibrarystudentswhoarepursuingacareerasanHIPandlatertransitioningtocontinuingprofessionaldevelopment[Aldrich,2014].”

Ma,2018Scopingreview

Resultsofscopingreview:Inapproximateorder*offrequencyinorprimacyofreviewedarticles(n=268),theforemostrolesemergedas9distinctcategories:

1)  Clinicalandmedicalinformationprovision

2)  Instruction,reference,andmedicaleducation

3)  Informaticscollaboration4)  Librarymanagement5)  Liaison,outreach,andinclusion

6)  Researchandscholarlypublishing7)  Patientsupportandadvocacy8) Webpresenceandscholarly

communication9)  Datamanagement

1)  Competency2.Reference&researchservices

2)  Competency6.Healthliteracy&teaching3)  Competency5.Digital,ehealth&

technology4)  Competency4.Leadership&management5)  Competency2.Reference&research

services6)  Competency7.Healthresearch7)  Competency6.Healthliteracy&teaching8)  Competency7.Healthresearch9)  Competency3.Resources;Competency5.

Digital,ehealth&technology*Mydisclaimer–votecountingintroducesbiastotherankings

CompetenciesforfuturerolesEdirippuligeS,etal.2018.It’simportant,butnotimportantenough:eHealthasacurriculumpriorityinmedicaleducationinAustralia.JournalofTelemedicineandTelecareVol.24(10)697–702.

“AseHealthcontinuestointegrateintoroutinehealthcare,practitionersmayrequirenewknowledge,skillsandcompetenciestomakebestuseofit,andtobeabletocommunicatewithanincreasinglydigitally-enabledconsumer.”

HealthInformationWorkforceAlliance•  HLA/ALIAisafoundingmember(withHIMAA,HISA,ACHI,

ACHSM)

•  Mappingcompetencysetswithotherhealthinformationprofessionsisunderway

•  Thesewillbeusedtodevelopoureducationofferings,workforceplanningandadvocacywithemployersandpolicy-makers

•  Seekingjointrecognitionasaregisteredhealthprofession

ChallengesTheCensusshowed

o  10%jobvacancyrate(cfnationalrate1.2%)o  imminentshortageofhealthlibrariansenteringandprogressingtomanagementand

leadershippositions(2:1ratio–thosewhowillretirein<5yrsvsnewrecruits)

NationalDigitalHealthStrategyhighlightso  Consumerhealthliteracy&digitalinclusiono  Traininghealthprofessionalsanddigitaltechnologyskills

Scopingreviewsuggestsa“..disconnectbetweenthegeneralknowledgebaseoflibrarianshipandthespecializedcompetencyrequirementsforHIPs”

WehaveupdatedourHLACompetencieshowareweeducatinghealthlibrarianstobepractitioners,managersandleadersforthe

future?

References&AcknowledgementsAkenSN.Healthinformaticsformedicallibrarians[review].JMedLibrAssoc.2010Apr;98(2):184–6.DOI:

http://dx.doi.org/10.3163/1536-5050.98.2.016.AlbertKM.Integratingknowledge-basedresourcesintotheelectronichealthrecord:history,currentstatus,androleoflibrarians.MedRef

ServQ.2007Fall;26(3):1–19.AlcockL.Lowlevelevidencesuggeststhatlibrarian-ledinstructioninevidencebasedpracticeiseffectiveregardlessofinstructionalmodel.

EvidBasedLibrInfPractice.2017;12(2):163–5.AldrichAM,SchulteSJ.Establishinganewclinicalinformationistroleinanacademichealthsciencescenter.MedRefServQ.2014;33(2):136–

46.AustralianDigitalHealthAgency.2018.Frameworkforaction:Australia’sNationalDigitalHealthStrategy.CommonwealthofAustralia,ACT.

https://www.digitalhealth.gov.auAustralianLibraryandInformationAssociation.HealthLibrarianshipWorkforceandEducation:ResearchtoPlantheFuture.FinalReport.May

2011.GillianHallam(PrincipalResearcher),AnnRitchie(ProjectLeader).ProjectSteeringGroup:CherylHamill,SuzanneLewis,PatrickO’Connor,MelanieKammermann,CatherineClark&CarolNewton-Smith.https://www.alia.org.au/sites/default/files/documents/our-communities/Healthlibrarianshipworkforcereport.pdf

EdirippuligeS,BrooksP,CaratiC,WadeVA,SmithAC,WickramasingheS,andNRArmfield.2018.It’simportant,butnotimportantenough:eHealthasacurriculumpriorityinmedicaleducationinAustralia.JournalofTelemedicineandTelecareVol.24(10)697–702.

Ma,J.,Stahl,L.,&Knotts,E.(2018).Emergingrolesofhealthinformationprofessionalsforlibraryandinformationsciencecurriculumdevelopment:ascopingreview.JournaloftheMedicalLibraryAssociation:JMLA,106(4),432-444

MedicalLibraryAssociation.(2007)CompetenciesforLifelongLearningandProfessionalSuccess.TheEducationalPolicyStatementoftheMedicalLibraryAssociation.FinalReport.http://www.mlanet.org/page/test-competencies

MedicalLibraryAssociation.(2017)TaskForcetoReviewMLA’sCompetenciesforLifelongLearningandProfessionalSuccess.FinalReport,May2017.http://www.mlanet.org/page/test-competencies

ProfessionalKnowledgeandSkillsBaseforHealth(PKSB)forhealth.(2014)NHSHealthEducationEnglandandCILIP.[brochure]AccessedJuly2018.https://archive.cilip.org.uk/careers/professional-knowledge-skills-base/pksb-health

ThankstoALIA/HLAforfundingtheproject,andtoallrespondentswhogavefeedbackonthedrafts.

Questions?