1.
“PHPartners Meeting”
NER NN/LM PHIA Update
October 2, 2013
Elaine Martin, MSLS, DA., NN/NER Director
Karen H. Dahlen, MLS, Project Coordinator

2.
PHIA Topics
 PHIA Goal
 Who’s Involved in Project/Study
 Relationship to National Initiatives
 Resources (Subscribed/National)
◦ Use of Selected Resources
◦ Changes Related to Document Delivery
 View of Digital Libraries
 Training
 Evaluation Plan

3.
PHIA Goal: To identify trusted library resources that are core,
useful, and evidence based to improve public health practice.
 Trusted library
resources are made
available directly
through a digital library
interface.
 Resources are identified
through use metrics,
benchmarking, and
input from the Public
Health Workforce.
 Resources not directly
available are subsidized
through participating
National Library of
Medicine Network
Members.
Digital
Library
PHD Site
Direct
Article
Delivery
via
Libraries
Timely
Information in
Support of
Evidence-
Based/Improved
Public Health
Practice

4.
Public Health Department Partners
 Boston Public Health Commission (BPHC)
 Colorado Dept of Public Health and
Environment (CDPHE)
 Connecticut Dept of Public Health (CDPH)
 Maine Center for Disease Control and
Prevention (Maine CDC)
 Massachusetts Dept of Public Health
(MPHD)
 New Hampshire Department of Health
Human Services (New Hampshire DHHS)
 Rhode Island Dept Health (RIDH)
 Vermont Dept Health (VDH)
 Kentucky Department for Health (KYDH)
 Arkansas Department of Health (ADH)
 Wisconsin Division of Health Services
(WDHS)
 Maryland Department of Health & Mental
Hygiene
 Alaska Department of Health (AKDH)
 Hawaii Department of Health
 Indiana State Department of Health
 Florida Department of Health
 West Virginia Bureau of Public
 Utah Department of Health
 Washington Department of Health
 Virginia Department of Health
 Tennessee Department of Health
 Delaware Division of Public Health
New PHDs Interest
PHDS Currently In the Study

5.
PHIA Public Health Partners With Library Partners
State Public Heath Department Library Partners
AK Alaska Division of Public Health (AKDH) Univ of Alaska (Anchorage) Medical
Library
AR Arkansas Department of Health (ADH) Univ of Alabama Medical Sciences
Library
CO Colorado Department of Health &
Environment
Poudre Valley Health System Library
CT Connecticut Public Health Department University of Conn Maynard Stowe
Library
HI Hawaii Department of Health University of Hawaii Medical Library
IN Indiana State Department of Health Ruth Lily Medical Library, Indiana
University
KY Kentucky Department for Health University of Kentucky Medical Library
ME Maine CDC Maine Medical Center Library
MA Boston Public Health Commission* Univ of Massachusetts Soutter Library
MA Massachusetts Dept of Health Lemuel Shattuck Hospital Library
MD Maryland Dept of Health & Mental Hygiene University of Maryland HS Library
NH New Hampshire DHHS New Hampshire DHHS Library
RI Rhode Island Department of Health Rhode Island Hospital/Lifespan
VT Vermont Department of Health UVM Dana Medical Library
WI Wisconsin Dept of Health Services Ebling Library of the Health Sciences

6.
Digital Library Resources Available: Databases
PubMed
◦ PubMed Central
◦ TOXNET
◦ Clinical Trials
Global Health
◦ Enhanced Content
◦ Conference Proceedings
◦ Grey Literature
CLIS Database
◦ Clinical Laboratory Standards
Cochrane Library
◦ Systematic Reviews
Stat!Ref—E Books
◦ Coding & Classification
◦ Connectivity to CDC
◦ Joint Commission Resources/ Trusted E-Texts (ASM Books)
ASABE –Health Reports & Journals Linked to Agriculture
The National Agricultural Library (Information Centers)
CDC Resources Related to Literature Review

7.
Resources Available Through Digital Library:
Full-Text Access to Journal Articles
Single Titles (14) – Societies +
 Health Affairs
 American Journal of Tropical Medicine &
Hygiene
 Journal of Agricultural Safety
 Journal of Exposure Science &
Environmental Epidemiology
 Journal of Food Protection
 Journal of Public Health Policy
 Journal of Studies on Alcohol & Drugs
 Journal of Wildlife Diseases
 International Journal of Tuberculosis
 New England Journal of Medicine
 Pediatrics (American Academy of Pediatrics)
 Public Health Reports
 Scandinavian Journal of Work,
Government Produced Journals (5)
 Emerging Infectious Disease
 Environmental Health Perspectives
 Journal of Agricultural Health & Safety
 Morbidity & Mortality Weekly Report
(MMWR)
 Preventing Chronic Disease
E-Journal Packages (110)
 Annual Reviews (9)
+Archive access to AR Public Health
 American Society of Nursing (3)
 BJM Journals (6)
 Oxford University Press (20)
 Ovid --Wolters Kluwer (2)
 Mary Ann Liebert (12)
 Maney Publishing (3)
 Ovid (LWW) Titles (6)
 Sage (11)
 Springer (18) + 4 (trial)
 University of Chicago Press (6)
 American Society of Microbiology (12)

8.
Functionality
--Search web for full-text–
symbol: paperclip
--Create Groups, e.g., just vaccines
--Ability to Search multiple databases,
e.g., and e-books
--Cite While you Write Feature With Word
--Drag/Drop article into record
--Input records manually or electronically
--Records can be ordered by clicking on
the field, e.g., year
18 copies provided as incentive
to improve skills; save time;
comply with national
competency objectives.

9.
National Resources Related to
Evidence-Based Resources
NLM’s PubMed, PubMed Central, Toxnet +
NAL’s Information Centers
 Food and Nutrition Information Center (FNIC)
 Food Safety Information Center (FSIC)
 National Invasive Species Information Center (NISIC)
 Water Quality Information Center (WQIC)
CDC Resources Related to Literature Review
 Community Guide to Preventive Services
 CDC Journals: MMWR, EID, PCD (alpha inclusion in journal list)
 Science Clips
 CDC Stacks
 Data & Statistics by Topic (NCHS; FastStats; Interview Surveys)

10.
Hawaii Access to PubMed
(Improved Functionality)
 Filters: Review and
Systematic Reviews filters
allow focused retrieval.
 Linkout button: provides
direct access to
subscribed journals.
 Free full text articles are
available via PubMed
Central are highlighted.
 Send to box: allows
seamless transfer to
citation mgt software.

11.
Contains Global Information
(1937-2012)
Archive Database back to
1912 – (not subscribed)
Easy to use filters and tools
Alert capability
Meeting and Conference
Summaries; Abstracts in
English
NATO Conference: Vaccines:
new generation,
Immunological adjuvants.,
1995, pp viii + 192.
Access to some full text

12.
ESSENTIAL SERVICES OF PUBLIC
HEALTH: SELECTING E-BOOK
LITERATURE USING STAT!REF
Red Book: 2012 Report of the Committee
on Infectious Diseases –29th Ed (2012)
Bright Futures: Guidelines for Health
Supervision of Infants, Children, and
Adolescents, 2008
AM:STAR Adolescent Medicine: State of
the Art Reviews, American Academy of
Pediatrics, 2012
Diabetes Public Health: From Data to
Policy (2011)
Novick & Morrow’s Public Health
Administration: Principles for Population-
Based Management – 3rd Ed. (2014)
Kozier & Erb’s: Fundamentals of
Nursing: Concepts, Process, and
Practice, 9th Ed., (2012)
The Joint Commission: The Source (2013-
2003)
ACP PIER®, Journal Club & AHFS DI®
Essentials™

13.
Content Related to Best Practices
Chapter 39. The Postpartum Family at Risk
In: OLDS' MATERNAL-NEWBORN NURSING &
WOMEN'S HEALTH ACROSS THE LIFESPAN - 9th
Ed. (2012) (30)
Chapter 3. Joint Commission International's Infection
Prevention and Control Standards and Requirements: A
Detailed Study. In: BEST PRACTICES IN INFECTION
PREVENTION AND CONTROL: AN INTERNATIONAL
PERSPECTIVE - 2nd Ed. (2012) (9)
Adolescent Smoking Cessation: Promising
Strategies and Evidence-based Recommendations
In: ADOLESCENT MEDICINE: STATE OF THE
ART REVIEWS (AM:STARs) » Advances in Health
Promotion for Adolescents and Young Adults (26)

14.
Content: Related to Workforce Competencies
NOVICK & MORROW'S PUBLIC HEALTH
ADMINISTRATION: PRINCIPLES FOR
POPULATION-BASED MANAGEMENT - 3rd Ed.
(2014) 17 Leadership
In: OXFORD TEXTBOOK OF PUBLIC HEALTH - 5th
Ed. (2009) » Part 3 - The Practice of Public Health »
Section 12 - Public health functions relates to the
body of knowledge that underpins the field…but there
is growing agreement about the core competencies
required of all members of the specialist public health
workforce (Council on Linkages between Academia
and Public Health Practice 2006; Joint Task Group on
Public Health Human Resources 2005….
Accreditation + (13)

15.
High-Use
STAT!Ref Titles &
Services
STAT!Ref: Most Used Titles
July 2012 – July 2013
STAT!Ref: Most Used Services
July 2012 – July 2013
Service # Uses
Thomson Reuters News Alerts 410
Evidence Alerts 98
Stedman's Medical Dictionary -
28th Ed. (2006) 82
AAFP Conditions A to Z (2013) 76
Alert Set UP
E-Books Uses
ACP PIER, Journal Club & AHFS DI Essentials 410
ICD-9-CM - Volumes 1, 2 & 3 (2013) 315
Manual of Clinical Microbiology - 10th Ed. (2011) 236
AHFS Drug Information (2013) 220
Clinical Infectious Disease (2008) 219
Oxford Textbook of Public Health - 5th Ed. (2009) 169
Oxford Textbook of Medicine - 5th Ed. (2010) 169
Red Book: 2012 Report of the Committee on Infectious
Diseases - 29th Ed. (2012) 168
ACP Medicine 154
Emerging Infections Series 132
Occupational and Environmental Health: Recognizing and
Preventing Disease and Injury - 6th Ed. (2011) 105
INFECTIOUS DISEASES: The Clinician's Guide to Diagnosis,
Treatment, and Prevention 103
Merck Manual Of Diagnosis and Therapy, The - 19th Ed. (2011) 96
Textbook of Modern Toxicology, A - 4th Ed. (2010) 90
Adolescent Medicine: State of the Art Reviews (AM:STARs) -
April 2013 (Subspecialty Update) 89
Joint Commission, The: The Source (2013-2003) 81
Human Virology - 4th Ed. (2011) 70
CPT with RVUs Data File, INGENIX (2013) 70

16.
Resources for Public Health Labs
CLSI Documents June 2013
866
572
403
378
376
311
137
Total 3043 Downloads
QMS02-A6 Quality Management System: Development and Management of Laboratory Documents; Approved
Guideline—Sixth Edition
EP09-A2-IR Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline -- Second Edition
(Interim Revision)
GP34-A Validation and Verification of Tubes for Venous and Capillary Blood Specimen Collection; Approved Guideline
MM06-A2 Quantitative Molecular Methods for Infectious Diseases; Approved Guideline-Second Edition
C51-A Expression of Measurement Uncertainty in Laboratory Medicine; Approved Guideline
C50-A Mass Spectrometry in the Clinical Laboratory: General Principles and Guidance
MM14-A2 Design of Molecular Proficiency Testing/External Quality Assessment; Approved Guideline—Second Edition

17.
Sample Digital Library Pages
Customized at Site
Arkansas Digital Library Indiana State DH Digital Library

18.
Sample Digital Library Pages
Hawaii DH Digital Library Vermont DH Digital Library

19.
NEJM Comparative Use:
Contract Year/ Current Year
Public Health
Department
May 2011-
Apr 2012
Jan 2013-
July 2013
VDH 1179 792
Maine CDC 715 406
BPHC 371 337
NH DHHS 553 316
CDPHE 754 223
MPHD 7078 3112
RIDH 731 415
CT PHD 1713 1603
KY DPH 79 665
ADH 0 239
WI DHS 0 954
ISDH 0 178
Maryland
DHMH 0 520
HI DPH 0 63
AK DPHS 0 0
Total 13173 9823
0
2000
4000
6000
8000
10000
12000
NEJM Use by 15 PHDs
Jan-Jul 2013;
N=9823
May 2011-Apr
2012; N=13,173

20.
Oxford University Press Journal Title Use
July 2012-June 2013; N=9944
Total Use by PHD Use of Selected OUP Titles
PHDs Total
MDPH 1830
CT DPH 1256
KY DPH 1066
ADH 1006
MDHMH 741
Maine CDC 736
VDH 660
WI DPH 656
RIDH 572
AK DPH 514
CDPHE 486
NH DHHS 184
BPHC 178
Hawaii DPH 59
Indiana (ISDH) 0
Journal Title Total
Clinical Infectious Diseases 1412
American Journal of Epidemiology 513
Schizophrenia Bulletin 393
JNCI: Journal of the National
Cancer Institute 343
ICES Journal of Marine Science 269
The Journal of Infectious Diseases 259
International Journal of
Epidemiology 184
Journal of Antimicrobial
Chemotherapy 156
Nephrology Dialysis
Transplantation 151
Journal of Analytical Toxicology 128
Annals of Oncology 100
Toxicological Sciences 98
Journal of Pediatric Psychiatry 95

21.
E-Journal Use: Mary Ann Liebert Titles
Identifying Core/Useful Trusted Resources
0 500 1000
AIDS Research and…
Population Health…
The Journal of…
Cyberpsychology,…
Election Law Journal:…
Journal of Palliative…
Thyroid
Biosecurity and…
AIDS Patient Care and…
Foodborne Pathogens…
Telemedicine and e-Health
Vector-Borne and…
Gaming Law Review and…
Journal of Women's Health
Childhood Obesity
Breastfeeding Medicine
Jan-Dec 2012
Total=1621
0 50 100 150 200 250
Thyroid
Games for Health Journal
Sustainability: The…
The Journal of…
LGBT Health
Population Health…
Gaming Law Review…
Journal of Palliative…
Biosecurity and…
Vector-Borne and…
Childhood Obesity
Telemedicine and e-…
AIDS Patient Care and…
Journal of Women's…
Foodborne Pathogens…
Breastfeeding Medicine
Jan-Aug 2013
Total=1124

22.
Total Use : Mary Ann Liebert Journals 1124
Breastfeeding Medicine 243
Foodborne Pathogens and Disease 145
Journal of Women's Health 126
AIDS Patient Care and STDs 76
Childhood Obesity 71
Vector-Borne and Zoonotic Diseases 67
Biosecurity and Bioterrorism: Biodefense
Strategy, Practice, and Science 55
Population Health Management 21
Thyroid 14
Viral Immunology 4
Journals Under Consideration
– Not in Subscription
Telemedicine and e-Health (74)
Journal of Palliative Medicine (43)
Gaming Law Review & Economics (23)
The Journal of Alternative &
Complementary Medicine (21)
LGBT Health (21)
Games for Health Journal (18)
Cyberpsychology, Behavior, and Social
Networking (13)
Journal of Caffeine Research (11)
Mary Ann Liebert
-- Titles In Subscription
-- New Titles Under Consideration

23.
Article Delivery Costs
May 2011 – April 2012; Cost=$18,384 May 2012 --- April 2013; Cost=$12,241
STATE ILL DD Total
Connecticut 0 83 83
Maine 560 364 924
Massachusetts
(BPHC) 8 3 11
Massachusetts
(MDPH) 1 1 2
New Hampshire 0 0 0
Rhode Island 47 36 83
Vermont 21 191 212
Colorado 323 156 479
Total 960 834 1794
STATE ILL DD Total
Connecticut 2 20 22
Maine 154 90 244
Massachusetts
(BPHC) 9 10 19
Massachusetts
(MDPH) 7 6 13
New Hampshire 0 0 0
Rhode Island 82 79 161
Vermont 54 243 297
Colorado 112 40 152
Arkansas 32 73 105
Kentucky 8 3 11
Wisconsin 0 0 0
Total 462 593 1055

24.
Key to Resource Access:
Enterprise Licensing (The 10% Rule)
Factors Influencing 10%
Rule (Collective Data)
 Number Attending Training
 Number Responding to Journal
Survey Monkey
 Identification of Divisions and
Program Areas Utilizing
Information
 10 % of Total
11,355 FTE = 1,135
% Users No Users State PHD FTE
10% 139 ADH 2781/1390
10% 55 AKDPH 525
33% 38 BPHC* 1100/110
10% 120 CDPHE 1200
10% 40 CT DPH 800/400
10% 75 Hawaii DPH 1500/750
10% 75 ISDH 780
10% 40 Kentucky 400
10% 75 MDHMH 780
10% 40 Maine CDC 395
35% 150 MDPH 3000/1500
15% 40 NH DHHS 279
10% 40 RIDH 400
15% 45 VDH 300
15% 45 WDPHS 400

25.
Pediatrics (Use by 15 PHDs)
1580
1465
1337
728 690
490
435
295
229
166 127 124 118
62
0
0
200
400
600
800
1000
1200
1400
1600
1800
Pediatrics (15 PHDs)
June 2012-July 2013
Total Use=7846

26.
Training Incorporates
National & State Public Health Topics
Maryland DHMH Health Initiatives
 Health Disparities(sexual minorities)
 Preventive Services ACA*
Routine HIV screening
 Immigrant Health
Undocumented individuals under
ACA
 Drug Resistant Disease
Impact on TB, STI (plus others)
 Health Care Reform and
Interpersonal Violence/Domestic
Violence Screening/Identification
 Infectious Diseases
Hepatitis C Virus (HCV)
HIV Infections
--HIV and HCV Co-Infection
*ACA –Affordable Care Act

27.
Total of 7.0 Hours Training
Two Days: Back to Back
Training Topics – Day 1 Training Topics – Day 2
 Welcome & Overview
Public Health Leadership
 Project Introduction
 Why Evidence-Based Public
Health*
 NLM’s PubMed Database
 Introduction to EndNote 7
 Practicum Computer Lab
Assignment
 Review of Digital Library Page**
 Introduction to Cochrane Library
& Systematic Reviews
 Alternative Article Delivery
Service
 Introduction to Global Health
 Introduction to STAT!Ref
 Brief Info about NIH RePORTER
 Practicum Computer Lab
Assignment

28.
PHIA Trainings
STATE PHD # Trainings Attendance
RI RIDH 2 30
VT VDH 3 46
ME MAINE CDC* 3 52
MA BPHC* 4 58
MA MDPH* 3 32
NH NH DHHS 2 24
CO CDPHE* 5 100
CT CT DPH* 5 101
KY KDPH 2 46
AR ADH 2 31
WI WI DPH 2 33
AK AK DPH 2 50
HI HI DPH 2 68
IN ISDH 2 60
MD MDHMH 2 38
TOTAL 15 41 769

29.
PUBLIC HEALTH WORKFORCE:
DIVERSITY IN PARTICIPANT TRAINING
Maryland Indiana Hawaii BPHC
Nutrition Specialist (2) State Epidemiologist Education Coordinator (2) Project Mgr (ID)
Research Statistician Supervisor – Labs + (3) Asthma Coordinator/
Analyst (2)
Project Coordinator EH
Policy Analyst (2) Injury Prev Epidemiologist Legislative Liaison Research & Evaluation
Mgr
Program Manager (2) Staff Attorney Epidemiologist Project Dir (DVP)
Epidemiologist Microbiologist ( 2) Research Analyst (2) Oral Health Mgr
Medicare
Specialist/Advisor (2)
Regional Program Director Program Coordinator,
SAPB
Injury Prevent
Dir & Coord (2)
Policy Advisor (2) Director of Program Evaluation Epidemiologist (3) Asthma Prevent Dir
Psychiatric VT Director of Program Develop Genetic Counselor Policy Analyst (2)
Executive Ass’t Field Epi Director Tobacco Prevent Mgr ProjDirector/Chronic
Deputy Secretary Access Services Mgr Informatics Analyst Director MHL
Director VSA IT Supervisor Nutritionist Develop Sp (Grants)
Sample: By Title

30.
EVALUATION PROCESSES
Different Levels of Data Collection
 Journal SurveyMonkey (baseline data for PHIA and PHD)
 Enterprise Licensing (cost effectiveness over time)
 Vendor statistical reports (validates “use of resources”)
 Monthly reports from “library partners” (measures use and
identify resources to develop Digital Libraries).
 Ongoing capture of suggested e-books, journals, and
databases to enhance collection
 Pre-Post training links
◦ (data related to knowledge of resources)
 Feedback from hands-on training
 Interviews with leaders and workforce
 Focus group sessions (after one year; subsequently)
 Quarterly/Annual Reports (submitted to NLM)

31.
NACCHO Award Brings
Recognition to Project
 March 2012 and 2013, the PHIA PHD Digital Library
Project received a “promising practice award” from
NACCHO.
 Article has been accepted for presentation at APHA in
Boston in November 2013.
 Article has been submitted to AJPH; will publish in
December 2013.
 Presentations have been made at national public health
meetings, national and regional library meetings.

32.
Testimonial
“Great recognition for this very valuable
initiative. Kudos and thank you.”
Jewel Mullen, MD, MPH, MPA, Commissioner,
Connecticut Department of Public Health