Supporting Evidence-based Medicine Training and Implementation in Haiti

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Due to both a long-standing presence and geographic proximity, the University of Miami clinicians were some of the first responders in Haiti following the January 2010 earthquake. To support the immediate and varied needs of these responders, the Calder librarians created a website gathering both freely available and commercially licensed material most relevant to the first responders and donated two boxes of core medical textbooks. The Calder Library then received an Express Disaster Recovery Award from the National Network of Libraries of Medicine (NN/LM), Southeastern/Atlantic Regional Library, to bring laptops and other technical support to the University of Miami medical tent and the long-standing training of Haitian physicians and nurses. This award led to an invitation to join a University of Miami field visit to Haiti to observe firsthand the work there and implement a needs assessment of the University of Miami affiliates onsite as well as the Haitian medical students and nurses in training. This presentation will also discuss the Emergency Access Initiative and its first implementation in Haiti, in addition to the planning process, necessary troubleshooting, and the challenges of working in both a disaster setting and a developing country.

Health & Medicine Education

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http://eai.nlm.nih.gov

http://scholarlyrepository.miami.edu/health_informatics_research/3/

http://nnlm.gov/ep/2009/07/10/one-shelf-disaster-library/

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Title: Collaborating with Public Librarians to Promote Emergency Preparedness and Safety Awareness Objective: To promote awareness of emergency preparedness and family safety resources from the National Library of Medicine (NLM) and the local community among public librarians and their patrons by partnering with the public library system to host fairs and training. Methods: The Louis Calder Memorial Library received an Express Community Day Award from the National Network of Libraries of Medicine (NN/LM) to partner with the Miami Dade County Public Library librarians to promote emergency preparedness and safety awareness. Named "Safety Fair: Keep Your Family Safe: Emergency Preparedness at Home and Away," the events improved the public librarians’ knowledge of NLM resources, such as TOXNET, MedlinePlus, ToxTown, ToxMystery, and WISER, as well as university-created resources, such as the Family Disaster Plan Guidebook in English and Spanish and a coloring book for the many children attending the summer fairs. A train-the-trainer program was also implemented for the public librarians. Class participants were asked to fill out a brief questionnaire after the training sessions. Results: Over 1,000 participants, mostly from underserved populations, attended the three safety fairs. In addition to a quick demonstration of NLM resources, more than 400 Family Disaster Plan Guides and hurricane preparedness coloring books were distributed to the attendees. Calder librarians also held 3 train-the-trainer sessions for the public librarians and branch managers. Forty-four train-the-trainer questionnaires were collected. Although a few trainees noted that it may have been beneficial to have longer training sessions, all 44 responders rated the training sessions as “Helpful” or “Very Helpful.” Most (72%-85%) claimed to already know of MedlinePlus and TOXNET. Trainers reported that they were more likely to obtain home safety information that came from print resources than from other experts. Conclusion: The fairs were well attended, allowing librarians to deliver useful home safety information to a large underserved audience. Based on this experience, partnerships with public librarians have developed and new opportunities have emerged. Authors: Gediminas (Geddy) Paulaitis, AHIP, Director, Access Services and Biomedical Communications; Emily Vardell, Director, Reference, Education, and Community Engagement, Louis Calder Memorial Library, Miller School of Medicine, University of Miami, Miami, FL; Jennifer Shipley, Manager; Business and Science Department; Miami Dade Public Library System, Miami, FL

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Objectives: This paper will present an overview of health insurance literacy research. As information professionals providing a host of services, it is essential to serve as credible sources of Affordable Care Act and health insurance information, particularly in discussions with professionals, funding sources, and decision makers. The presented strategies will be supplemented with real-life examples of librarians serving in these evidence-based roles. Methods: A review of health insurance literacy research was conducted in core databases (i.e., PubMed, Web of Science, etc.). The literature was summarized according to librarian role and/or outreach strategy. Semi-structured interviews were conducted with librarians who provide Affordable Care Act and/or health insurance information services to identify best practice profiles of evidence-based librarianship. Results: A review of the health insurance literature suggests that librarians can play a role in supporting health insurance information needs by locating and advocating for easy-to-understand information, linking to helpful insurance resources (e.g., healthcare.gov, Medicare & You, etc.), and offering live presentations of pertinent health insurance information. The best practice profiles identified in the semi-structured interviews include information mediator, programming host, research support, presentation support, embedded clinical support, and librarian advocate. These roles support the evidence-based strategies identified through the literature review and offer concrete examples of current effort in this area. Conclusion: The evidence-based strategies and best practice profiles offer examples of the kinds of services librarians are providing in this arena and are presented as potential springboards for librarians seeking to enrich their information resources and services regarding the Affordable Care Act. Many of these ideas can be implemented in a wide variety of settings building on the kinds of work already being done in the library. The concrete and practical suggestions offered by the evidence presented demonstrate the relevance of librarians to health insurance literacy research and interventions.

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This study sought to explore how the fundamentals of improv comedy could be used to discuss and practice the soft skills necessary for successful reference service interactions. Feedback was collected from a pilot study where students were asked to engage with selected improv comedy activities and then discuss bridges between improv and reference skills. The results presented in this paper support the continued exploration of the efficacy of using the principles of improv comedy to explore effective reference services provision.

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The role of librarians in helping patrons with their health insurance needs rose in significance following former United States President Barack Obama’s speech at the annual conference of the American Library Association in 2013. He requested help from librarians in assisting the public with navigating the Affordable Care Act (ACA) and the Health Insurance Marketplace. Few studies have explored how librarians connect with their communities to improve access to health care. This session will discuss the results from semi-structured interviews with librarians who undertook outreach efforts to promote enrollment in the health insurance marketplace and provide information about the options their patrons have for obtaining affordable health insurance coverage. The examples shared will provide concrete strategies for undertaking health insurance outreach efforts. This session will highlight vetted information resources and tried-and-true approaches to connecting patrons to health insurance coverage.

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When students begin a new class, they are often given a list of classroom guidelines outlining how the classroom environment should look. This paper presents a novel way of creating classroom guidelines by asking the students themselves to construct them. The themes that arose from the student-identified desires included respect for others, a safe environment, clear course structure, hands-on activities, course rigor, open food policy, clear explanations, opportunity for movement, and congenial group work. The suggestions offered in this paper can assist instructors in tailoring learning environments to students and creating a safe and inviting classroom culture from day one.

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Health insurance literacy, “the extent to which consumers can make informed purchase and use decisions” (Kim, Braun, & Williams, 2013, p. 3), has recently become an area of research focus, and much of the research conducted in this area employs an economics perspective, focusing on individual’s decision-making behavior among a set of choices. This study sought to apply the principles of information behavior to an understudied context.

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Today many adults have difficulty knowing how to find a physician, fill a prescription, use and pay for medications, and use health information to make informed decisions about their health. Libraries are prominent places in communities making libraries and librarians excellent resources for advancing health information literacy. For example, librarians can address the unmet information needs that leave many unable to make appropriate health insurance choices. For those with lower levels of health insurance literacy, the ability to procure appropriate levels of health insurance coverage may be limited, which can have dire effects on individuals’ health statuses. Addressing this critical information need, Emily Vardell, Ph.D., will present Health Insurance Information Needs: How Librarians Can Help. All MPLA/KLA conference attendees are invited.

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Objectives: It is a widely perceived but poorly documented problem that many individuals lack clear understanding of health insurance. Librarians can address the unmet information needs that leave many unable to make appropriate health insurance choices. For those with lower levels of health insurance literacy, the ability to procure appropriate levels of health insurance coverage may be limited, which can have dire effects on individuals’ health statuses. Methods: This study employed semi-structured interviews to explore how newly hired employees at a large university in the southeastern United States understand health insurance concepts and make health insurance purchase decisions. This paper will offer examples of the information needs they described and an analysis of the trends across individuals. Results: Participants divulged a lack of understanding of insurance-related terminology (e.g., coinsurance). Their confidence in navigating the health insurance system decreased as education levels increased (i.e., those with a doctoral degree reported the lowest level of confidence in navigating health insurance enrollment). Participants also expressed difficulty in locating insurance information resources that were unbiased. These findings underscore an important role that librarians can play in providing access to unbiased, authoritative definitions of health insurance terms. Conclusion: The collected data form the foundation for the construction of a model of the health insurance decision-making process and offer insight to the library and information science community on how to support health insurance information needs. The proposed model and discussion demonstrate continued difficulty with understanding health insurance concepts and the factors which impact health insurance literacy and decision-making.

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Vardell Emporia State Presentation

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Objectives Following the implementation of the Affordable Care Act (ACA) in 2013, many librarians were called upon to answer questions about health insurance and provide access to quality information about both insurance and the ACA law in general. This presentation will share original research conducted to explore the services librarians are providing to support ACA information needs. These best practice profiles offer examples of the kinds of services librarians are providing in this arena and are presented as potential springboards for librarians seeking to become unbiased ACA information activists. Methods This two-part, mixed methods study began with a survey administered to health sciences librarians to capture the variety of ways librarians addressed health insurance information needs. These results paint a picture of large scale trends in the types of ACA services librarians are providing. The study then focused on specific examples of current best practices obtained through semi-structured interviews. Results: The nationwide trends identifed through the survey demonstrate what librarians are currently doing and bring attention to areas where librarians could be doing more (e.g., obtaining ACA-related training, proactively market services, etc.). The best practice profiles identified through the semi-structured interviews provide clear examples of the kind of ACA information services librarians are providing. These profiles include information mediator, programming host, research support, presentation support, embedded clinical support, and librarian advocate. Conclusions Each of the profiles will be presented to demonstrate how librarians can become ACA information activists in their institutions. These specific, real-life examples demonstrate how librarians are taking on ACA information activism within their job responsibilities and may provide concrete strategies for how other librarians can undertake new projects and initiatives in ACA and health insurance information services.

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