Hospital compliance with new copyright law.
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The American Hospital Association has long evinced its interest in and concern for health science libraries and library service in hospitals. The Association's purpose, history, organizational structure, and functions are reviewed. Examples of library-oriented programs, publications, and projects from 1905 to the present time are cited.
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In the 1994 Accreditation Manual for Hospitals, the Joint Commission on Accreditation of Healthcare Organizations published ten standards relating to the management of information. Using Andrew Abbott's systems theory of professions, the article compares the views of information management that were prevalent in hospitals before the publication of the standards with the view of information management represented by the new standards. Five characteristics of the standards are discussed: conceptual view of information management, tension between the unity and diversity of information management activity, lack of specificity about who performs information management activities, separation of professional qualifications from functions, and privileging of information systems concepts and vocabulary. The unfamiliarity of the standards and their inherent ambiquities will give rise to many attempts to interpret their meaning and intent. Five interpretive themes that may arise from the characteristics of the standards are identified: unified diversity in information management, unity in information management, diversity in information management, monotheistic view of information, and information management czar. The future of information management in hospitals will be affected by the jockeying over the interpretation and implementation of the Joint Commission's standards.
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By viewing the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO) standards in the context of current accreditation practice, hospital librarians can understand and clarify their role in realizing their organization's mission, goals, and objectives. By broadening their view of the information function as described in the accreditation standards, health sciences librarians can enhance their position in the hospital's management team, improve health information practice, and contribute to the overall performance of the health care organization. The role of the librarian and the library throughout the entire set of standards and interrelationships with other professionals and units are described. Examples of ways to demonstrate conformity to the standards are provide. Special emphasis is placed on Standard 9, Management of Information, to provide guidance to the librarian undergoing JCAHO accreditation.