Print this worksheet to organize your responses before entering them on the
live Web questionnaires. (DO NOT submit this form to MLA; it is for your use
only.) The JavaScript pop-up data definitions feature is not available on this
worksheet, but you may read or print definitions from the definitions
page.
Depending on your institution type and the availability of data in your institution,
this worksheet MAY require several hours of work to complete. Once you have
the data available, however, you should be able to enter the information into
the live data questionnaires very quickly. Availability of the live questionnaires
will be announced to members on MLANET and in MLA-FOCUS.
Questions have been identified either as PROFILE questions (P- in front of each question) or CORE questions (C- in front of each question).
If you did NOT participate in the 2004/05 benchmarking survey, fill in all items for your institution type.
| PR00. Your MLA or CHLA/ABSC ID#
(carried over from login screen): |
|
P-PR01a-b. Indicate your institution's OWNERSHIP status:
|
___ government institution—federal
___ government institution—Dept. of Defense
___ government institution—Dept. of Veterans Affairs
___ government institution—state or province
___ government institution—city or county
___ government institution—other
___ investor-owned
___ nongovernment nonprofit 501 (c) 3
___ nongovernment nonprofit 501 (c) 6
___ other type (please list): _______________ |
| P-PR02.
Indicate whether your institution is: |
___ medical-school affiliated teaching hospital [01]
___ independent teaching hospital [03]
___
non-teaching hospital [02] |
P-PR03a-b. Indicate
your institution's care category (choose ONLY one):
please ignore numbers in parentheses
|
___ cancer (8)
___ general medical and surgical (1)
___ osteopathic (9)
___ pediatric (6)
___ psychiatric or mental health (3)
___ tertiary care (2)
___ rehabilitation or chronic disease (4)
___ multiple categories (10)
___ other (7) (please list): _______________
|
| C-PR04c.
Total number of physicians in the hospital (please include both full-time
physicians employed or appointed by the hospital and any affiliated community
physicians): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data |
_____________ |
| C-PR05.
Total number of institution (not library) full time equivalents
(FTEs) (exact as known, OR according to the most recent AHA Guide): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data |
_____________ |
| C-PR06.
Total number of hospital outpatient visits annually (exact
as known, OR according to the most recent AHA Guide): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data |
_____________ |
| P-PR07.
Total bed count in the hospital (exact as known, OR as
defined by the most recent AHA Guide): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data |
_____________ |
| C-PR08. Total
number of admissions in your institution annually (exact as known, OR according
to the most recent AHA Guide): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data |
_____________ |
| C-PR09a. What are the total annual operating EXPENSES of your institution (as reported
in your annual report or in the AHA Guide)? answers to this question MAY be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data [formerly PR09] |
_____________ |
| C-PR09b. What is the total annual INCOME of your institution (as reported in your annual report or in the AHA Guide)? [formerly PR10] |
_____________ |
| C-PR10. Indicate your institution's primary HOSPITAL or HEALTHCARE SERVICE-AREA POPULATION: Answers to this question MAY be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data - NEW |
_____________ |
| C-PR10a. Does your hospital have Magnet Status [for the 12 month period for which
you are reporting benchmark data] Answers to this question MAY be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data - NEW |
____ yes, for the 12 month period
____ yes, for part of the 12 month period
____ in process
____ no |
| C-PR10b. Does/did your hospital or system participate in the Institute for Healthcare Improvement's (IHI) "100,000 Lives Campaign" and/or IHI's "5 Million Lives from Harm Campaign" for the 12 month period for which you reported data? NEW |
____ Yes, for the 12 month period
____ Yes, for part of the 12 month period
____ In process
____ No |
| PR00. Your MLA or CHLA/ABSC ID#
(carried over from login screen): |
|
P-PR01.
Indicate your institution's tax status:
please ignore numbers in brackets |
___ nongovernment
nonprofit 501 (c) 3 [08]
___ nongovernment nonprofit 501 (c) 6 [09]
___ not tax exempt [11]
___ other, including multi-tax entity [10] (please
list):_________________ |
| P-PR03a-b. Indicate
your association/society type (choose ONLY one): please ignore numbers in brackets |
___ education [10]
___ hospital [11]
___ insurance [12]
___ medical equipment/supply [13]
___ pharmaceutical/drug [14]
___ physician/clinical [15]
___ public health [16]
___ other [09] (please list):____________
|
P-PR17. Geographic scope of the association/society:
please ignore numbers in brackets |
___ international [01]
___ national [02]
___ state/provincial [03]
___ regional (intrastate or intraprovincial) [04]
___ regional (interstate or interprovincial) [05]
___ local [06] |
| P-PR18a-b.
Indicate the membership type of your association or society: please ignore numbers in brackets |
___ individual
members only [01]
___ company or organization members only [02]
___ combination of individuals and companies [03]
___ other [04] (please list):____________ |
| C-PR04a.
Total number of COMPANY/INSTITUTIONAL members in the association or society
(if you do not have company or institutional members, enter 0):
|
_____________ |
| C-PR04b.
Total number of INDIVIDUAL members in the association or society (if you
do not have individual members, enter 0):
|
_____________ |
| C-PR04c.
Total number of members in the association or society: |
Automatically calculated
as PR04a + PR04b |
| C-PR05.
Total number of association/society employee (not library)
full time equivalents (FTEs): |
_____________ |
| C-PR09.
What are the total annual operating EXPENSES of your association/society
(as reported in your latest annual report)? |
_____________ |
| C-PR10.
What is the total annual INCOME of your association/society
(as reported in your latest annual report)? |
_____________ |
| P-PR19a-i. How
are your services budgeted and accounted for? (check any that apply)
|
___ a) based on
each department's usage from a prior period
___ b) based on the services requested
___ c) based on anticipated resources needed to handle designated dept.
needs
___ d) based on each department's projected usage
___ e) negotiated individually with each department
___ f) based on each department's total headcount
___ g) as a ratio of each department's budget
___ h) other
i) (please list other): _____________ |
| P-PR20a-i. How are your
charge-backs calculated? (check any that apply) new |
___ a) at cost per transaction
___ b) hourly/variable rate per transaction
___ c) fixed rate by service offering
___ d) variable rate per service offering
___ e) pre-negotiated projects
___ f) multi-tiered rates
___ g) annual retainer fee
___ h) other
i) (please list other): _____________ |
| P-PR21a-c. What user populations do you serve? (check all
that apply): new |
___ a) association staff
___ b) association members
___ c) general public |
| P-PR22. Do you serve ONE user population with 60% or more of your activity?
(check ONLY one) new |
___ association staff
___ association members
___ general public
___ none with 60% or more |
| PR00. Your MLA or CHLA/ABSC ID#
(carried over from login screen): |
|
| P-PR01. Indicate your institution's OWNERSHIP status: formerly
PA02, revised |
___ government institution—federal [05]
___ government institution—Dept. of Defense [06]
___ government institution—Dept. of Veterans Affairs [07]
___ government institution—state or province [08]
___ government institution—city or county [09]
___ government institution—other [10]
___ investor-owned [02]
___ nongovernment nonprofit 501 (c) 3 [03]
___ nongovernment nonprofit 501 (c) 6 [11]
___ other type [04] (please list): _________________ |
| C-PR04c.
Total number of Ph.D./M.D. PRINCIPAL INVESTIGATORS or FACULTY in the institution
(often available from office that keeps official appointment records): |
_____________ |
C-PR23.
Total number of POSTDOCTORAL RESEARCHERS
(estimates are permitted): |
_____________ |
| C-PR05.
Total number of institutional (not library) full time equivalents
(FTEs) (usually available from human resources): |
_____________ |
| C-PR09.
What are the total annual operating EXPENSES of your institution
(as reported in your annual report)? |
_____________ |
| C-PR10.
What is the total annual INCOME of your institution (as
reported in your annual report)? |
_____________ |
| C-PR24. How much FEDERAL
GRANT REVENUE did your institution receive in the reporting year (as reported
in the institution's annual report; may also be available from your institution's
grant administration office)? |
_____________ |
| C-PR25. How much OTHER GRANT
REVENUE did your institution receive in the reporting year (as reported
in the institution's annual report; may also be available from your institution's
grant administration office)? |
_____________ |
| C-PR26. What was the total NUMBER OF GRANTS active in the reporting year (data may
be available from your institution's grant administration office)? |
_____________ |
| C-PR27. What was the GRANT SUCCESS RATE during your reporting year (this figure
is possibly available from your institution's grant administration office)?
new |
_____________ |
| C-PR28. TOTAL NUMBER OF peer-reviewed articles and papers published by institutional
researchers in the reporting year (This data may be available from your
institution's grant administration office, or you may be able to gather
the data yourself via MEDLINE searches on research author names from your
institution. It may also be available from an office that supervises researchers,
or from an annual report.): |
_____________ |
| PR00. Your MLA or CHLA/ABSC ID#
(carried over from login screen): |
|
| P-PR01. Indicate your institution's OWNERSHIP status: |
___ government institution—federal [05]
___ government institution—Dept. of Defense [06]
___ government institution—Dept. of Veterans Affairs [07]
___ government institution—state or province [08]
___ government institution—city or county [09]
___ government institution—other [10]
___ investor-owned [02]
___ nongovernment nonprofit 501 (c) 3 [03]
___ nongovernment nonprofit 501 (c) 6 [11]
___ other type [04] (please list): _______________ |
| C-PR04d-e. Describe your major
category of professional staff for the institution (for future, more targeted
benchmark data collection for your institution type): PR04e is new |
___ faculty, health educators [01]
___ health professionals (if this is a single profession, please specify below) [02]
___ other [03](please list):
___________________ [PR04e] |
| C-PR04c.
Total number of this type of staff in your institution: |
_____________ |
| C-PR05. Total
number of institution (not library) full time equivalents (FTEs) [usually
available through your human resources department]: |
_____________***** |
| C-PR09. What are the total annual operating EXPENSES of your institution (as reported
in your annual report or other source)? |
_____________***** |
| C-PR10. What is the total annual INCOME of your institution (as reported in your
annual report or other source)? |
_____________**** |
| C-PR29a-b. What is the main
numeric criteria by which you compare or would compare your institution
with others of your type (please be brief but explicit)? [Examples include
number of professional staff and number of physicians; or you might choose
number of students, institutional expense budget, institution's FTEs, etc.]
options are new; previous data imported into field PR29b |
___ # of faculty/educators [01]
___ # of institutional FTEs [02]
___ # of patrons/patients/customers/visitors [03]
___ # of professional staff [04]
___ # of students [05]
___ institutional budget/expenses [06]
___ other
[07] _________________ [PR29b] |
| C-PR30. Using the main numeric
criteria you noted above, the total number in your institution (this MAY
be the same number you entered in PR04c or PR10): |
_____________ |
| C-PR31a-b. What is a second
numeric criteria by which you compare or would compare your institution
with others of your type (please be brief but explicit)? [Examples include
number of professional staff and number of physicians; or you might choose
number of students, institutional expense budget, institution's FTEs, etc.]
options are new; previous data imported into field PR31b |
___ # of faculty/educators [01]
___ # of institutional FTEs [02]
___ # of patrons/patients/customers/visitors [03]
___ # of professional staff [04]
___ # of students [05]
___ institutional budget/expenses [06]
___ other [07] _________________ [PR31b] |
| C-PR32. Using the numeric
criteria you noted in PR31, the total number in your institution: |
_____________ (if PR31
is blank, leave blank) |
| C-PR33a-b. What is a third
numeric criteria by which you compare or would compare your institution
with others of your type (please be brief but explicit)? [Examples include
number of professional staff and number of physicians; or you might choose
number of students, institutional expense budget, institution's FTEs, etc.]
options are new; previous data imported into field PR33b |
___ # of faculty/educators [01]
___ # of institutional FTEs [02]
___ # of patrons/patients/customers/visitors [03]
___ # of professional staff [04]
___ # of students [05]
___ institutional budget/expenses [06]
___ other [07] _________________[PR33b] |
| C-PR34. Using the numeric
criteria you noted in PR33, the total number in your institution: |
_____________ (if PR33
is blank, leave blank) |
| C-PR35a-b. What is a fourth
numeric criteria by which you compare or would compare your institution
with others of your type (please be brief but explicit)? [Examples include
number of professional staff and number of physicians; or you might choose
number of students, institutional expense budget, institution's FTEs, etc.]
options are new; previous data imported into field PR35b |
___ # of faculty/educators [01]
___ # of institutional FTEs [02]
___ # of patrons/patients/customers/visitors [03]
___ # of professional staff [04]
___ # of students [05]
___ institutional budget/expenses [06]
___ other [07] _________________ [PR35b] |
| C-PR36. Using the main numeric
criteria you noted in PR35, the total number in your institution: |
_____________ (if PR35
is blank, leave blank) |
| |
Enter numbers below. DO NOT use commas.
Use decimal points as needed. |
| P-AD07. A full-time employee in my institution works: |
_______ hours per week |
| C-AD08a. Indicate the TOTAL
number of FTE PROFESSIONAL STAFF in the library (includes librarians, archivists,
network staff, library circuit riders, etc.) If no professional staff work in the library, enter 0: |
_____________ |
| C-AD08b. Indicate the number of FTE PROFESSIONAL STAFF in the library that are circuit riders If no professional staff are circuit riders, enter 0: |
_____________ |
| C-AD09. Indicate the total
number of FTE SUPPORT STAFF in the library (DO NOT include student assistants
to be counted in question AD17) If no support staff work in the library, enter 0: |
_____________ |
| AD10. The full-time equivalents
(FTEs) of all employees in your library: [calculated field] |
Automatically calculated
as AD08 plus AD09. Number not correct? Change a figure in AD08 or AD09. |
AD11. Total hours worked
by FTE PROFESSIONAL STAFF:
[calculated field] |
Automatically calculated
as PAD07 multiplied by AD08 |
AD12. Total hours worked
by FTE SUPPORT STAFF:
[calculated field] |
Automatically calculated
as PAD07 multiplied by AD09 |
| AD13. Total hours worked
by ALL STAFF: [calculated field] |
Automatically calculated
as AD10 multiplied by PAD07. NUMBER SHOULD MATCH AD11 + AD12 |
| AD14. Percentage of library
FTE PROFESSIONAL STAFF (of all staff): [calculated field]
|
Automatically calculated
as AD08 divided by AD10 |
| AD15. Percentage of library
FTE SUPPORT STAFF (of all staff): [calculated field] |
Automatically calculated
as AD09 divided by AD10 |
| C-AD16. Indicate the total
volunteer hours of all volunteers who work in your library; report as hours
per month: if none, enter "0" |
_____________ |
| C-AD17. Indicate the total
student assistant hours of all student assistants who work in your library;
report as hours per month: if none, enter "0" |
_____________ |
| C-AD18. In the institution's
organization chart, is the library considered a separate department with
a distinct budget? |
___ yes
___ no |
| C-AD19a-b.
In the institution's organization chart, to which area or department does
the library report? |
___ administration
(main) [07]
___ institutional/corporate education [01]
___ finance and accounting [08]
___ human resources [09]
___ information systems (IS/IT) [02]
___ marketing or public relations [10]
___ medical education [03]
___ medical records [04]
___ medical staff/medical director/medical affairs [05]
___ nursing services / clinical support services / clinical affairs / patient
care services [11]
___ performance improvement/quality management [12]
___ other [06] (please list): _______________ [PAD19b] |
| P-AD20. What is the title
of the person to whom the director of the library reports? |
_____________ |
| P-AD21. Does
the library director/manager have department head status? |
___ yes
___ no |
| P-AD22. Does
the library director/manager report to "senior management"
(see definitions page for this term)? |
___ yes
___ no |
| P-AD23. Does
your institution maintain a library committee? |
___ yes
___ no |
| P-AD24-25. Collection specialty: Which
specialty subject does your library cover, such that 60% OF TOTAL LIBRARY
ACTIVITY is devoted to that subject? Choose ONE from list, or specify: |
___ NONE at 60% (your library does not have a single specialty area) [15]
___ cancer [01]
___ consumer health [18]
___ dental [03]
___ health care administration [04]
___ internal medicine / surgery [17]
___ mental health / psychiatry / psychology [05]
___ nursing and allied health resources [06]
___ orthopedics [02]
___ pediatric [07]
___ pharmacology/drug information[08]
___ primary care (formerly family practice) [09]
___ public health [10]
___ rehabilitation or chronic disease [11]
___ veterinary medicine [12]
___ vision science [13]
___ women's health [14]
___ other [16] (please list):
__________________ [AD25] |
NOTE: DO NOT include
one-time or capital purchases, such as security systems, in your operating
expense figures.
• US and non-Canadian participants: enter all data rounded to the nearest whole US$.
• Canadian participants: enter data rounded to the nearest whole CAN$. |
Enter financial
data below. DO NOT include commas, dollar signs, or decimals. |
| C-AD27. Total expenditures
for salaries and wages (exclude fringe benefits): |
$ _____________ |
| C-AD28. Total expenditures
for staff development and professional travel: |
$ _____________ |
| We understand that you may aggregate all print and electronic purchases. If this is the case, for the following questions C-AD29a-C-AD32a please provide your best estimate of the division between print and electronic resources. The calculated fields will adjust as you modify each individual item. |
| C-AD29a. Total expenditures
for PRINT monographs: if you no longer purchase print monographs, enter 0 [formerly AD29] |
$ _____________ |
| C-AD29b. Total expenditures for electronic monographs: includes individual monographs as well as aggregate sources [formerly AD32c] |
$ _____________ |
| C-AD30a. Total expenditures
for PRINT serials: if you no longer purchase print serials, enter 0 |
$ _____________ |
| C-AD30b. Total expenditures for electronic serials: includes individual titles as well as aggregate sources [formerly AD32b] |
$ _____________ |
| C-AD31. Total expenditures
for audiovisual/media resources: |
$ _____________ |
| C-AD32a. Total expenditures
for electronic databases: use a broad interpretation of databases (e.g., MicroMedex, Up-to-Date, etc.) |
$ _____________ |
| AD32d. Total expenditures
for ALL electronic information resources: |
Automatically calculated
as AD29b + AD30b + AD32a |
| AD32e. Total expenditures for ALL monographs: new |
Automatically calculated as AD29a + AD29b |
| AD32f. Total expenditures for ALL serials: new |
Automatically calculated as AD30a + AD30b |
| C-AD33. Total expenditures
for document delivery services: include ILL as well as any commercial document delivery purchases
|
$ _____________ |
| C-AD34. Total expenditures
for computer/network equipment (approximate, if institution centralizes): |
$ _____________ |
| C-AD35. Report any other
operating expenses not listed above: |
$ _____________ |
| AD36. Total
operating expenses: |
Automatically calculated
as AD27 + AD28 + AD29a + =AD29b + AD30a + AD30b + AD31 + AD32a + AD33 + AD34 + AD35 |
| |
Enter numbers below. DO NOT use commas
or decimals. Use whole numbers only. |
| PS00. Your MLA or CHLA/ABSC ID#
(carried over from login screen): |
|
| C-PS01. Indicate the total
NUMBER of substantive reference questions received annually: |
_____________ (if not
applicable, enter 0) |
| C-PS02.
Of the number given in PS01, how many were consumer health
reference questions (for professional staff, patients/families, or the general
public)? |
_____________ (if PS01 is 0, leave blank) |
| C-PS03. Indicate the total
NUMBER of mediated searches performed in your library annually: formerly
PS02 |
_____________ (if not
applicable, enter 0) |
| C-PS04. Of the number given
in PS03, how many mediated searches were for use in a consumer health information
service (estimates permitted)? new |
_____________ (if PS03 is 0, leave blank) |
| C-PS05. Of the number given
in PS03, how many mediated searches were directly related to patient care
(estimates permitted)? |
_____________ (if not
applicable, enter 0) |
| C-PS06. Indicate the total
NUMBER of educational program sessions offered by your library annually for institutional/staff participants: revised
|
_____________ (if not applicable, enter 0) |
| C-PS07. Indicate the total
NUMBER of educational program sessions offered by your library annually for consumer participants:revised |
_____________ (if not applicable,
enter 0) |
| C-PS08a-b.
Indicate the total number of participants annually in educational program
sessions offered by your library: With the advent of hospital "Community Benefit Reports," this data may be particularly useful for hospitals. Expanded to separate institutional vs. consumer health sessions |
________ # institutional/staff participants
________ # consumer participants |
| C-PS09a-b.
The average number of participants per educational program session: With the advent of hospital "Community Benefit Reports," this data may be particularly useful for hospitals. Expanded to separate institutional vs. consumer health sessions |
a) Automatically calculated
as PS08a divided by PS06a
ab) Automatically calculated as PS0ba divided by PS06b |
| C- PS10.
Total number of monographs circulated from your library annually: |
_____________ |
| C-PS11. Interlibrary loaning/borrowing: indicate whether or not your library is a member of a reciprocal ILL network, e.g., DOCLINE new |
___ yes
___ no |
| P-PS12.
Interlibrary loaning/borrowing: indicate whether or not your library is
an official LOANSOME DOC provider. formerly
PS11 |
___ yes
___ no (answer "no" to PS13, PS14) |
| P-PS13.
Do you provide LOANSOME DOC services to unaffiliated health professionals
outside the institution (either ad hoc or on a contractual basis)? |
___ yes
___ no |
| P-PS14.
Do you provide LOANSOME DOC services to health consumers or the general
public? |
___ yes
___ no |
| C-PS15.
Indicate the approximate GRAND TOTAL (# of items) OF ALL TYPES your library borrows
or receives from outside sources annually (include ILL AND commercial
document delivery services): |
_____________ |
| C-PS16.
Indicate the approximate GRAND TOTAL (# of items) OF ALL TYPES your library loans
or sends to outside sources annually: |
_____________ |
| PS17.
The TOTAL document delivery activity:
|
Automatically calculated as
PS15 + PS16 |
| SP00. Your MLA or CHLA/ABSC ID#
(carried over from login screen): |
|
| P-SP01. Indicate whether or not your library provides mediated photocopying services
(library staff performs the service): |
___ yes
___ no |
| P-SP02. Indicate
whether or not your library provides self-serve photocopying services (library
provides the equipment for end-users to copy materials): |
___ yes
___ no |
| C-SP03. Does your institution and/or library provide the services of an "informationist", or health
information expert in context (e.g., maintain a clinical medical librarian
program)? |
___ yes
___ no (if no, answer 0 in SP04)
___ not applicable (if n/a, answer 0 in SP04) |
| C-SP04. If yes,
how many FTEs are dedicated to this program? |
_____________ [2 decimals allowed] |
| P-SP05.
Does your library maintain your institution's archives? |
___ yes
___ no |
| P-SP06. Is
your library responsible for a multimedia center/learning center or institutional
audiovisual services? |
___ yes
___ no |
| C-SP07. Does
the LIBRARY support personal digital assistant (PDA) users in your institution
(e.g., with PDA software purchases through the library, docking stations,
etc.)? |
___ yes
___ no |
| C-SP08. Do
any library staff members regularly use a PDA for work use or for testing
PDA software prior to purchase? |
___ yes
___ no |
| C-SP09. Does
the LIBRARY have a wireless local area network (sometimes referred to as
WLAN or Wi-Fi) in the library? new
|
___ yes
___ no |
| C-SP10. Does
the library support an official Area Health Education Center (AHEC)? |
___ yes
___ no / not applicable |
| C-SP11.
Does your library provide a basic library Website for end-users / clients? |
___ yes, on the Internet
___ yes, but only on institution intranet
___ no |
| C-SP12.
Does your library provide a Web-based interface access to bibliographic
databases for end-users / clients? |
___ yes, on the Internet
___ yes, but only on institution intranet
___ no |
| C-SP13.
Does your library provide a Web-based online public access catalog (OPAC)
for end-users / clients? |
___ yes, on the Internet
___ yes, but only on institution intranet
___ no |
| C-SP14.
Does your library provide Web-based specific services (e.g., library forms,
electronic reference or ILL) for end-users / clients? |
___ yes, on the Internet
___ yes, but only on institution intranet
___ no |
| C-SP15.
Does your library provide computer workstation(s) for end-user Web access? |
___ yes
___ no |
| C-SP16.
How many Web-accessible computer workstations do you have in your library
available to end-users? |
_____________ |
| C-SP17. Does your
library collect [or have access to] Web statistics for the library's Website or Web pages? |
___ yes
___ no (leave SP18 and SP19 blank)
___ not applicable (leave SP18 and SP19 blank) |
| C-SP18. If you answered "yes" to SP17, how many PAGE VIEWS (IMPRESSIONS)
did your library Website receive for the reporting year? DO NOT USE "hits," which record the retrieval of all individual files associated with a single Web page (e.g., 1 page with 30 images would generate 31 "hits") |
_____________ |
| C-SP19. If you answered "yes" to SP17, how many UNIQUE VISITORS did your library Website receive for the reporting year?? |
_____________ |
| C-SP20a.
Does your library provide support for institution-wide intranet or Internet
development? |
___ yes
___ no |
| C-SP20b.
Does your library provide support for Website/Web page design to any library
users? Formerly SP21 |
___ yes
___ no |
C-SP21a-. Does your library use any of the following "Web 2.0" technologies to provide library services to clients or for collaboration within the library? Include services hosted within the institution as well as any externally hosted services used by the library.
NEW |
[please check all that apply]
a) ___ blog(s)
b) ___ instant messaging (IM)
c) ___ podcasts
d) ___ library has an RSS feed
e) ___ virtual reference services
f) ___ wiki(s) |
| P-SP22.
Do you allocate a portion of the library's budget to purchase materials
that directly relate to the professional education of your institution's
staff (e.g., continuing medical education [CME], nursing education, etc.)? |
___ yes
___ no |
| P-SP23.
Does your library regularly schedule CME or other educational sessions (not
including library educational sessions) for physicians or other professional
staff in your institution? |
___ yes
___ no |
| P-SP24.
Does your library record and maintain any of your institutions' professional
education (e.g., CME) records? |
___ yes
___ no |
| P-SP25.
Does your library maintain any consumer health information services (CHIS)
in order to provide services and information to health professionals? |
___ yes
___ no
___ not applicable in my institution |
| P-SP26.
Does your library maintain any consumer health information services (CHIS)
in order to provide services and information to patients and families? |
___ yes
___ no
___ not applicable in my institution |
| P-SP27.
Does your library maintain any consumer health information services (CHIS)
in order to provide provide services and information to the general public? |
___ yes
___ no
___ not applicable in my institution |
| P-SP28. Indicate whether or not your library maintains a separate consumer health
information facility or patient reference center either within or outside the library: |
___ yes
___ no
___ not applicable in my institution |
| P-SP29. Does
your library offer self-service photocopying (e.g., coin-operated machine)
as a revenue-producing service (if you offer this service without
a fee, check "no")? |
___ yes
___ no |
| P-SP30. Does
your library offer mediated photocopying as a revenue-producing service (if you offer this service without a fee, check "no")? |
___ yes
___ no |
| P-SP31. Does
your library offer mediated searching as a revenue-producing service (if you offer this service without a fee, check "no")? |
___ yes
___ no |
| P-SP32. Does
your library offer ILL services as a revenue-producing service (if you offer this service without a fee, check "no")? |
___ yes
___ no |
| P-SP33. Does your library offer computer or AV equipment circulation as a revenue-producing
service (if you offer this service without
a fee, check "no")? |
___ yes
___ no |
| C-SP34. Does your library maintain a specific emergency preparedness or disaster-recovery plan for the library, OR does the library have a roll in an institution-wide recovery plan? NEW |
___ yes
___ no |
C-SP35. Has your library created or participated in any library- or institutional initiative on health information literacy? May include translation services, instruction services to consumers, providing materials to health information professionals, etc. --
NEW |
___ yes
___ no |
| C-SP36. Does your library or institution participate in any evidence-based practice or patient safety initiative (e.g., evidence-based medicine or nursing practice)? NEW |
___ yes
___ no |
| When entering numbers below, DO
NOT use commas or decimals. Use whole numbers only. |
| TS00. Your MLA or CHLA/ABSC ID#
(carried over from login screen): |
|
| C-TS01.
Indicate the TOTAL NUMBER of print monograph titles in your library's collection: |
_____________ |
| C-TS02a.
Of the number listed in TS01, how many are for use in a consumer health
information service (CHIS)? |
_____________
(if not applicable, enter 0) |
| C-TS02b.
Approximately how many print books did you purchase in the reporting year?
new |
_____________
(if not applicable, enter 0) |
| C-TS03.
Indicate the TOTAL NUMBER of current PRINT serials titles, specifically
selected and stored, received by purchase, gift, or exchange, with or without
electronic access: |
_____________ |
| C-TS04. Indicate the TOTAL NUMBER of UNIQUE ELECTRONIC full-text serials titles,
NOT received in print format, that you specifically select and purchase.
EXCLUDE all titles you also receive in print format. INCLUDE titles you
purchase in aggregate from vendors, BUT EXCLUDE titles that are outside
the subject scope of your collection: |
_____________ |
| TS05.
Grand total of unique serials titles in your library,
all formats, that you specifically select and purchase: |
Automatically
calculated as TS03 + TS04 |
| C-TS06.
Indicate the TOTAL NUMBER of OVERLAP electronic full-text
serials titles, that is, electronic titles that are ALSO received in print format: |
_____________ |
| TS07.
Grand total of electronic full-text serials titles in
your library, all formats: |
Automatically
calculated as TS04 + TS06 |
| C-TS08.
Indicate the TOTAL NUMBER of electronic full-text serials
titles accessible in your library that are available only through affiliations
with medical schools, consortia, or state networks, OR that you purchased
in aggregate through vendors. These may include some titles noted in TS04
as well as additional out-of-scope titles or free titles received as part of a larger package (estimates permitted): |
_____________ |
| C-TS09.
Of the grand total listed in TS05 (unique serials titles), how
many are for use in a consumer health information service (CHIS)? |
_____________
(if not applicable, please leave blank) |
| C-TS10.
Of the grand total listed in TS07 (electronic full-text serials
titles), how many are for use in a consumer health information service (CHIS)?
|
_____________
(if not applicable, please leave blank) |
| C-TS11. Of
the number listed in TS08 (electronic full-text serials titles available, either purchased or free
through affiliation, or purchased in aggregate), how many are for use in
a consumer health information service (CHIS)? (estimates permitted) |
REMOVED; DO NOT ANSWER |
| C-TS12.
Indicate the total NUMBER of electronic full-text monographs accessible from your library, including those in aggregate packages;
i.e., count each individual unique title: |
_____________
(if not applicable, enter 0) |
| C-TS13.
Report the NUMBER of externally-produced bibliographic
databases for which you have PURCHASED access for your users, including
purchase through consortial contracts: |
_____________
(if not applicable, enter 0) |
| C-TS14. Of
the number listed in TS13, how many databases are purchased for use in a consumer
health information service (CHIS)? |
_____________
(if not applicable, please leave blank) ) |
When you as a participant have finished answering all your questions, you will be required to do a final submission of data (e.g., by pressing an "I'm done!" button). This will send an email to the data editors, who will get back to you if there are any questions about your data, or to answer any questions you may have posed in the comments section.
Once you submit, data will no longer be editable—so please make sure you are done before sending!