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Journal of the Medical Library Association : JMLA


Efficiency; Organizational; Humans; Information Storage and Retrieval; Libraries; Hospital; Libraries; Medical; Library Collection Development; Library Materials; Oregon; Organizational Innovation; Program Evaluation; Regional Medical Programs


After a reduction in full-time equivalents, 2 libraries in large teaching hospitals and 2 libraries in small community hospitals in a western US statewide health system saw opportunity for expansion through a regional reorganization. Despite a loss of 2/3 of the professional staff and a budgetary decrease of 27% over the previous 3 years, the libraries were able to grow business, usage, awareness, and collections through organizational innovation and improved efficiency. This paper describes the experience--including process, challenges, and lessons learned--of an organizational shift to regionalized services, collections, and staffing. Insights from this process may help similar organizations going through restructuring.


Library Science