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Background: Health sciences libraries are being closed or are under threat of closure, but little is published that looks at context and causes or alternative library service delivery models such as affiliations or consolidations. There is also very little research about the effect of these changes on health care provider satisfaction, patient care, or hospital quality indicators. Preventing library closures is not always possible, but understanding some of the circumstances leading to the decision and implementation of a closure or consolidation could inform best practice management.Case Presentations: At a recent Medical Library Association joint chapter meeting, a panel of six librarians presented their cases of navigating a library closure or reorganization. Background information was given to highlight reasons that the decisions to reorganize or close were made. Following the case presentations, participants took part in discussion with audience members. Cases and discussion points were recorded for further research, publication, and advocacy.Conclusions: Several points from the cases are highlighted in the discussion section of the paper. An accurate reporting of US health sciences libraries and librarian staffing is needed. More needs to be written about new library service models and best practices for centralizing and maintaining library services. After a consolidation, remaining librarians will be expected to manage the effects of staff loss and site closures and so should be involved in planning and implementing these decisions. It remains to be determined how hospitals with librarians compare in patient care and other quality indicators against hospitals without librarians.

Objective: Limited empirical research is available to guide hospital librarians through a healthcare system merger or acquisition. To address this knowledge gap, an e-Delphi research study was used to develop recommended tasks that librarians should consider when consolidating the delivery of library services to a newly merged, geographically distributed healthcare system. Methods: This e-Delphi study was conducted and reported according to the Guidance on Conducting and REporting DElphi Studies (CREDES). The expert panel, composed of 29 hospital librarians, responded to four rounds of questionnaires during April to December 2022. In Round 1, the panelists’ qualitative responses were collected and analyzed via thematic analysis to identify potential recommended tasks. In Rounds 2 through 4, tasks were eliminated or prioritized based upon the panelists’ rating of each task using a seven-point Likert scale. Those tasks rated as 5, 6, or 7 by ≥75% of the panelists were included in the final consensus statement. Results: The consensus statement identifies 330 recommended tasks. Highly prioritized tasks involve cultivating beneficial relationships with others throughout the merger, particularly newly blended library teams, finance and administrative leadership, information technology/services, and vendors. Marketing and outreach activities and physical library space management tasks were not prioritized. The panelists emphasized understanding organizational context and culture throughout any merger. Conclusions: The recommended tasks can be used by hospital librarians to create an action plan for consolidating and delivering library services in the event of a healthcare system merger or acquisition. Future research on the utility of the recommendations is anticipated.

Background: Our health system library fields thousands of requests for literature searches each year in support of research, policy, evidence-based practice projects, and care for individual patients. With fewer library staff than comparable institutions and an engaged, multidisciplinary clinical workforce, we face ongoing pressures to do more with less and to demonstrate our value. Case Presentation: A 2021 article in the Journal of Hospital Librarianship offered an existing survey and basic project design that we used to assess our impacts. We adapted, with permission, the survey and methods of “Analysis of a Hospital Librarian Mediated Literature Search Service at a Regional Health Service in Australia,” a quality improvement project authored by Siemensma et al. (2021) [1]. Throughout 2023 we sent the adapted survey to all employees and affiliated clinicians who requested literature searches. The survey included five multiple choice questions as well as a free text box for comments.  Respondents were asked to provide simple demographic information and consider the impact and quality of results they received from the librarian. Conclusions: Our survey-based evaluation of our literature search service underscores the importance of librarian-mediated literature searches for clinical practice, policy development, and patient care. Demonstrating hospital library impacts is increasingly important and increasingly challenging for understaffed teams. Assessments using previously published surveys are feasible for non-academic libraries and serve as compelling cases for the continued and expanded integration of library resources into clinical practice and decision-making.

The Hospital Library Caucus of the Medical Library Association (MLA) follows the practice established in 1953 of developing quality indicators and best practices in the newly developing and fast-changing world of hospital libraries. As these libraries increased in number and prominence, the Joint Commission on the Accreditation of Hospitals (JCAHO) included in 1978 a hospital library standard developed in collaboration with MLA. Subsequent changes in JCAHO, then The Joint Commission (TJC) knowledge management criteria as well as technological changes in the curation and delivery of evidence-based resources influenced standards changes over the years. The 2022 standards mark the most recent edition, replacing the 2007 standards.

Objectives: Information prescriptions consist in making specific health care information available to patients on their disease from accredited sources, in order to help them understand and manage their disease, stimulating informed participation in health care. In the literature, a few studies have investigated the real effectiveness of prescribing information on the health management of oncological diseases. The scope of our pilot study was to investigate the effectiveness of information prescription, evaluating both patient satisfaction and perception, but also its possible impact on adherence to follow-up programs. Methods: Prospective pilot study enrolling patients with thyroid cancer. They received informative scientific material on thyroid cancer, dispensed by clinical librarians of the Institute's Library. Results: 101 patients were enrolled (81% were women with a total mean age of 49.39 years). 26% of patients accessed the institute’s library receiving patient information materials. Comparing data of people who completed the project with those who did not, no differences in sex, age and tumour characteristics were found. We found no statistical differences in terms of adherence to follow-up visits between the two groups of patients, but health information was able to effectively respond to the requests or needs of most patients. Participating patients have improved awareness and knowledge of their disease, patient-doctor relationships, adherence to treatment and communication with family members regarding their disease status, with a final positive impact on one’s psychological well-being and global satisfaction obtained in 65% of people. Conclusions: This is the first Italian study carried out in the field of oncological endocrinology, demonstrating the positive role health information has on patients’ psychological health and thyroid cancer knowledge.

Background: During the beginning of the COVID-19 pandemic, many consumer health libraries were forced to close their doors to patrons. At the Health Information Center in Knoxville, Tennessee, the physical space closed, while health information services continued to be provided via phone and email. To examine the impact of lack of access to a physical library for consumer health information, researchers analyzed the number of health information requests pre-COVID-19 pandemic compared to during the initial phase of the pandemic. Case Presentation: Data from an internal database was collected and analyzed. Researchers divided the data into three time periods: March 2018 to February 2019 (Phase 1), March 2019 to February 2020 (Phase 2), and March 2020 to February 2021 (Phase 3). Data was de-identified and duplicate entries were removed. The type of interaction and request topics were reviewed in each phase. Conclusion: In Phase 1, there were 535 walk-ins to request health information and 555 walk-ins in Phase 2. In Phase 3, there were 40 walk-ins. The number of requests through phone and email varied but remained steady. There was a 61.56% decrease in requests between Phase 1 and Phase 3 while there was a 66.27% decrease between Phase 2 and Phase 3 due to the lack of walk-in requests. The number of phone and email requests did not increase despite the closure of the physical library space to the public. Access to the physical space plays a significant role in providing health information requests to patients and family members.

Objective: The purposes of this survey were to determine the nature and extent of collaboration between health sciences libraries and their information technology (IT) departments, to identify strengths and issues connected to this relationship, and to provide examples demonstrating exceptional collaborative success.Methods: A fourteen-question survey was sent to a broad selection of health care and academic libraries through a variety of email discussion lists and was limited to one response per institution. Convenience sampling was used to collect the responses.Results: An overwhelming majority of libraries described the relationship with their IT departments as good or excellent, and there were a variety of creative joint initiatives underway. Opportunities exist for continued and expanded library/IT collaboration.Conclusions: Good quality relationships between libraries and their IT departments are essential due to the interconnected nature of their services, and fortunately, this appears to be the norm at a variety of institutions. Mutual respect, open communication, realization of each department’s mission, and responsiveness to each other’s needs are part of what makes these relationships successful, which in turn leads to successful collaborative ventures that bode well for the future of both services.

Background: Hospital libraries must often demonstrate value to users who are not aware of their services. Zuckerberg San Francisco General Hospital (ZSFG) Library aimed to increase patient and staff awareness using innovative outreach methods through our involvement in a Summerfest health fair and a National Medical Librarians Month event.Case Presentation: At 2 hospital events, ZSFG Library staff and volunteers used a gameshow-style approach involving active learning to teach attendees about library resources and services. Across events, there were 300 attendees and 167 in-depth discussions of library resources with the librarian (i.e., meaningful interactions), including 54 demonstrations. After implementing these new outreach efforts, the number of attendees increased by over 240% and meaningful interactions increased by 1,300% from the previous year’s event. Our value analysis indicates an overall positive effect with 14 minutes of total library staff time spent per meaningful interaction.Conclusions: The use of a spinnable wheel for asking participants library-related questions and a television monitor to demonstrate library resources greatly increased the number of attendees and fostered new staff connections, resulting in several in-service trainings and search requests. Future recommendations for outreach events include enlisting the help of volunteers to record attendance data, creating materials in multiple languages, and integrating library involvement into existing hospital events. These recommendations may decrease the amount of library staff time spent in return for each meaningful interaction, creating increased value for less time.

Background: Cedars-Sinai Medical Center is a nonprofit community hospital based in Los Angeles. Its history spans over 100 years, and its growth and development from the merging of 2 Jewish hospitals, Mount Sinai and Cedars of Lebanon, is also part of the history of Los Angeles. The medical library collects and maintains the hospital’s photographic archive, to which retiring physicians, nurses, and an active Community Relations Department have donated photographs over the years. The collection was growing rapidly, it was impossible to display all the materials, and much of the collection was inaccessible to patrons.Case Presentation: The authors decided to make the photographic collection more accessible to medical staff and researchers by purchasing a web-based digital archival package, Omeka. We decided what material should be digitized by analyzing archival reference requests and considering the institution’s plan to create a Timeline Wall documenting and celebrating the history of Cedars-Sinai.Conclusion: Within 8 months, we digitized and indexed over 500 photographs. The digital archive now allows patrons and researchers to access the history of the hospital and enables the library to process archival references more efficiently.

Background: In 2014, the Preston Medical Library underwent a radical change, moving from an academic office building to the main floor of a regional medical center. While the library had previously served the public, health information requests have substantially increased in volume due to the new location. Researchers analyzed request data to see if the service’s reach has expanded to counties that previously had not used the service, to see which counties have requested the most health information, and to ascertain whether more requests are from counties with higher poverty rates.Case Presentation: Each health information request is logged with the subject nature and patron contact information. Consumer health request data were downloaded from the library database. Names and other identifying data were removed. Request forms were sorted and reviewed by zip code and county, comparing number of requests as well as poverty levels. Tableau was utilized to create maps, visually showing patron concentrations and poverty levels.Conclusions: There were 3,141 health information requests from September 21, 2014, to May 31, 2019. The majority of requests were from local counties. Requests were also received from counties that had not been previously reached and counties with elevated poverty levels. Collecting data on patron interactions is not only critical for institutional reporting, but also for community outreach. Understanding that data require taking additional steps to filter the information, assess local demographics, and customize library services. Researchers anticipate being able to better tailor services to the community based on the results.