MLA Distance Education
Now's the Time: Understanding the Electronic Health Record Maze and Health
Sciences Librarians' Roles
MLA's Educational Webcast
Originally held Wednesday, March 24, 2010, 1:00 p.m.3:00 p.m., central
Margaret M. Bandy, AHIP
Margaret M. Bandy, AHIP is the manager of library and media services at Exempla
Saint Joseph Hospital in Denver, CO. Bandy has been the head medical librarian
at Exempla Saint Joseph Hospital since 1979. She served on the MLA Board of
Directors from 20052008 and was board liaison to the Task Force on Vital
Pathways for Hospital Librarians during that time and contributed to the final
report of the committee. As chair of the Hospital Libraries Section Standards
Committee, she led the work on the 2007 update of the Medical Library Association
Standards for Hospital Libraries. Other activities include MLA liaison to the
Joint Commission 20032005 and MLA Nominating Committee member 20002001.
She is past chair of the Consumer and Patient Health Information Section of
MLA and served on the Task Force on the Role of the Librarian in Consumer Health
that developed a policy statement for MLA. Bandy has been a member of the Midcontinental
Chapter of the Medical Library Association since 1979 and was chair 19871988.
She was president of the Colorado Council of Medical Librarians (CCML) in 1983
and 2003, and created the CCML Advocacy Committee in 2003 to respond to the
crisis facing hospital libraries in Colorado. The CCML Advocacy Committee developed
the "Myths and Truths about Library Services" materials that are on
the MLA Vital Pathways website. Recently, she worked with Melody Allison to
produce a collaboration proposal from MLA to the Magnet Recognition Program.
With Rosalind F. Dudden, AHIP, FMLA, she has begun work on the second edition
on the Medical Library Association Guide to Managing Health Care Libraries,
which is scheduled for publication in early 2011.
Bandy has been involved in integrating point of care products into the EMR
(Epic). The three-hospital system recently completed a review of 5 products:
DynaMed, Clin-eguide, BMJ Point of Care, UpToDate, and First Consult to select
one to link from the physicians' problem list to a reference resource. Exempla
librarians put together a table to help clinicians with evaluation of products,
and feedback was solicited from clinicians at the three hospitals by their CMO's.
She is also supporting development of order sets for the EMR by providing links
to evidence-based resources and will be involved with similar work for the nursing
Janice H. Willis
Janice Willis is the Unified Medical Language System (UMLS) support coordinator
in the MEDLARS Management Section (MMS) at the National Library of Medicine
(NLM), Bethesda, MD. The UMLS integrates and distributes key terminology, classification,
and coding standards to promote the creation of more effective and interoperable
biomedical information systems and services, including electronic health records.
She is proud of her thirty years of service at NLM, which began in the serial
records section and continued in MMS, where she helped to maintain MEDLINE and
related databases. After retirement of the legacy ELHILL retrieval system, she
joined the effort to transition the UMLS from research and development into
production and to improve and expand UMLS quality assurance, documentation,
training, and user support. She is coauthor of the MLA accredited continuing
education course, "Unified Medical Language System (UMLS) Basics."
Willis participates in a variety of NLM terminology efforts and currently serves
as a US representative to the Member Forum of the International Health Terminology
Standards Data Organization (IHTSDO). She has a master of library science degree
from the University of Maryland, College of Library and Information Services,
College Park, MD in 1976.
Sara Pimental, AHIP
Sara Pimental is a senior consultant for Kaiser Permanente's national clinical
website for staff, Clinical Library. She is responsible for most contracts for
third-party resources, training clinicians on use of the site and marketing.
In addition, she works on various interoperability projects linking Kaiser's
electronic heath record (EHR), HealthConnect, and content on Clinical Library.
She is currently investigating the feasibility of linking third-party content
to the EHR. Pimental has worked for Kaiser since 1989. She received her master
in library and information science degree from the University of CaliforniaBerkeley
and has completed the National Library of Medicine medical informatics fellowship
program. She is a distinguished member of the Academy of Health Information
David Sweet has been director of library services for the American
Health Information Association (AHIMA) for the past eleven years. AHIMA
is the professional community of 56,000 members that improves health care by
advancing best practices and standards for health information management and
is the trusted source for education, research, and professional credentialing.
AHIMA has taken a leadership role in developing interoperable standards for
electronic health records and personal health records. While at AHIMA, Sweet
was responsible for the creation and oversight of AHIMA's online Body of Knowledge
(BoK), the premier health information management knowledge management (KM) system.
The BoK contains e-HIM practice guidance reports, guidelines and white papers
covering a variety of health care information topics, leadership models, and
toolkits. Sweet's previous experience includes resource center manager for the
Chicago office of Ernst & Young, which specialized in health care research.
Elaine Alligood has worked at the National Library of Medicine (NLM), Johns
Hopkins, the University of Virginia, Elsevier, Harvard, and the Department of
Veterans Affairs (VA). Currently, Alligood is an informationista at the VA Technology
Assessment Program (TAP), a Boston-based national VA program reporting to the
VA Patient Care Services director. TAP carries out systematic reviews and effectiveness
research on current and emerging health care technologies. A past chair of the
Information Resources Group, a special interest group in the Health Technology
Assessment International society (HTAi), she has planned the IRG's annual meeting
program and workshops for the '04 Krakow and '05 Rome meetings. Alligood delivered
search engine updates at recent IRG meetings, the most recent a virtual presentation
for the 2009 Singapore IRG workshop on searching soft science topics on lesser
known search engines. For HTAi, she developed a Google custom search engine;
the HTAi Vortal searches over 300 HTA related websites. Keenly interested in
clinical applications of computer and web search technologies for decision support,
Alligood is a Fellow of the Woods Hole Biomedical Informatics Workshop. While
serving on a national VA workgroup for clinical decision support, she developed
a VA Intranet clinical evidence portal with Google Custom Search applications;
a link to this portal sits on the VA EHR tools menus. In October 2009, she presented
with Lorri Zipperer, Linda Williams, and Barbara Jones at the Diagnostic Error
in Medicine Conference on the role librarians play in the prevention and assessment
of diagnostic errors. At the moment, she's planning the annual meeting program
for the Massachusetts Health Science Libraries Network (MAHSLIN) in May: "Be
Kelly Near is the outreach librarian for the Claude Moore Health Sciences Library
at the University of Virginia (UVa). She is also a certified women's health
care nurse practitioner. In her current position, Near is involved in teaching
students, faculty, and staff in the university as well as off-campus preceptors
about evidence-based medicine, medical database searching, and information management.
She holds an adjunct faculty appointment in the department of public health
sciences where she teaches students in the master's of public health (MPH) program.
She works closely with the UVa program manager for patient and family education
at the health system and currently serves on the patient and family education
subcommittee. In addition, she also is a member of the UVa Health System's Patient
Safety Committee of the Quality Council. Recently, Near has been working as
a member of the design and workflow validation teams for MyChart, which is the
patients' portal to UVa's new electronic medical record system.
Since coming to UVa in 2001, Near has been the principal investigator for a
variety of projects intended to help special populations use technology to find
reliable health information. Her interests include patient education and health
literacy, and her projects include work with seniors, lay migrant health workers,
parish nurses, and adult education providers in the community.
Annette Williams is associate director, Vanderbilt University's Knowledge Management
and Eskind Biomedical Library where she works closely with assistant vice-chancellor
for knowledge management and director of the Eskind Biomedical Library, Nunzia
B. Giuse, AHIP, FMLA. In her role, Williams actively participates in the establishment
of an informatics approach to the delivery of best evidence and currently is
responsible for resource allocation for evidence requests via the Evidence Dispatcher,
an online system designed to map complex clinical questions to the information
specialist best suited in skills and expertise to provide the evidence. Formally
trained as a cataloger, Williams adapted her expertise in metadata structuring
and data organizing into helping establish knowledge management practices for
a multitude of projects currently overseen by the knowledge management team.
The knowledge management team is responsible for integrating librarian-filtered
evidence into informatics tools such as (1) StarPanel, Vanderbilt's electronic
medical record (EMR) system via provision of patient-specific synthesized evidence
packets; (2) the institution's computer physician order entry (CPOE) system
via provision of orderset support; and (3) MyHealthAtVanderbilt, the institution's
patient portal via provision of patient-specific consumer-level information.
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