Medical Library Association: Benchmarking Network

BENCHMARKING DATA WORKSHEET

Print this worksheet to organize your responses before entering them on the live Web questionnaires. (DO NOT submit this form to MLA; it is for your use only.) The JavaScript pop-up data definitions feature is not available on this worksheet, but you may read or print definitions from the definitions page.

Depending on your institution type and the availability of data in your institution, this worksheet MAY require several hours of work to complete. Once you have the data available, however, you should be able to enter the information into the live data questionnaires very quickly. Availability of the live questionnaires will be announced to members on MLANET and in MLA-FOCUS.

INSTRUCTIONS

Questions have been identified either as PROFILE questions (P- in front of each question) or CORE questions (C- in front of each question).

If you did NOT participate in the 2004/05 benchmarking survey, fill in all items for your institution type.

 

Institutional Profile and General Data
ALL LIBRARIES ANSWER

Location

C-GD01. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
P- GD02a. Indicate the state/province in which your institution is located:
preloaded from database
state/province:
P-GD02b. Provide your institution (not library) name: new; preloaded from user table. Only used in aggregate reports. ________________________
P-GD02c: Provide your institution's library name: new; preloaded from user table  
P-GD02d: Provide your institution's city: new; preloaded from user table  
P-GD02e. Indicate the COUNTRY in which your institution is located: new; preloaded from user table ___ United States or US Terr.
___ Canada
___ Other international
P-GD02f. Person filling out this survey: new; preloaded from user table. Will not be used in reporting  
P-GD03. Indicate the MLA chapter area in which your institution is located: preloaded from benchmark database if 2004 data participant chapter:
C-GD04. REMOVED Depending on your reply to GD05-08, your data time period will be designated CALENDAR (for January-December years) or FISCAL (for all other time spans).

Time Period

C-GD05-08. Indicate the 12-month time period for which you are reporting ALL the data for this benchmarking survey (should be 2006 or 2007 data ONLY): From
month: _________
year: ___________
to
month: _________
year: ___________

Institution Type

P-GD09. Indicate your institution type:
Please ignore numbers in parentheses; for database use only.
___ hospital, not in a system (08)
___ hospital, part of a health system (09)
___ health association (10)
___ research institution (05)

___ AHEC library, in a non-system hospital (18)
___ AHEC library, in a system hospital (19)
___ AHEC that does not serve primarily as a hospital library (11)

___ college/university, do not report AAHSL statistics (12)
___ consumer health information service, separate facility (13)
___ corporate (14)
___ dental (15)
___ mental health (03)
___ public health (16)
___ veterinary (17)
___ other (07) (please list: _____________________________)

INSTITUTIONAL PROFILE DATA

FOR ALL HOSPITAL LIBRARIES
(OTHER LIBRARY TYPES, SEE BELOW)

PR00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
P-PR01a-b. Indicate your institution's OWNERSHIP status:
___ government institution—federal
___ government institution—Dept. of Defense
___ government institution—Dept. of Veterans Affairs
___ government institution—state or province
___ government institution—city or county
___ government institution—other
___ investor-owned
___ nongovernment nonprofit 501 (c) 3
___ nongovernment nonprofit 501 (c) 6
___ other type (please list): _______________
P-PR02. Indicate whether your institution is: ___ medical-school affiliated teaching hospital [01]
___ independent teaching hospital [03]
___ non-teaching hospital [02]
P-PR03a-b. Indicate your institution's care category (choose ONLY one):
please ignore numbers in parentheses
___ cancer (8)
___ general medical and surgical (1)
___ osteopathic (9)
___ pediatric (6)
___ psychiatric or mental health (3)
___ tertiary care (2)
___ rehabilitation or chronic disease (4)
___ multiple categories (10)
___ other (7) (please list): _______________
C-PR04c. Total number of physicians in the hospital (please include both full-time physicians employed or appointed by the hospital and any affiliated community physicians): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data _____________
C-PR05. Total number of institution (not library) full time equivalents (FTEs) (exact as known, OR according to the most recent AHA Guide): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data _____________
C-PR06. Total number of hospital outpatient visits annually (exact as known, OR according to the most recent AHA Guide): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data _____________
P-PR07. Total bed count in the hospital (exact as known, OR as defined by the most recent AHA Guide): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data _____________
C-PR08. Total number of admissions in your institution annually (exact as known, OR according to the most recent AHA Guide): answers to this question will be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data _____________
C-PR09a. What are the total annual operating EXPENSES of your institution (as reported in your annual report or in the AHA Guide)? answers to this question MAY be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data [formerly PR09] _____________
C-PR09b. What is the total annual INCOME of your institution (as reported in your annual report or in the AHA Guide)? [formerly PR10] _____________
C-PR10. Indicate your institution's primary HOSPITAL or HEALTHCARE SERVICE-AREA POPULATION: Answers to this question MAY be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data - NEW _____________
C-PR10a. Does your hospital have Magnet Status [for the 12 month period for which you are reporting benchmark data] Answers to this question MAY be used in the interactive report site as an optional criteria for selecting equivalent institutions with which to compare data - NEW ____ yes, for the 12 month period
____ yes, for part of the 12 month period
____ in process
____ no
C-PR10b. Does/did your hospital or system participate in the Institute for Healthcare Improvement's (IHI) "100,000 Lives Campaign" and/or IHI's "5 Million Lives from Harm Campaign" for the 12 month period for which you reported data? NEW ____ Yes, for the 12 month period
____ Yes, for part of the 12 month period
____ In process
____ No

Add-on For Teaching Hospitals Only

C-PR11. How many postgraduate training position concurrent slots are available in the hospital annually (e.g., you may have 5 slots with 20 residents rotating through within a year)? _____________
P-PR12. How many medical school clerkship concurrent SLOTS (not students) are available in the institution annually? (e.g., there may be 25 slots, but 100 students that rotate through within a year): _____________
P-PR13. Does your library provide services to any School of Nursing students or faculty? ___ yes
___ no (if no, enter 0 in PR14)
P-PR14. If "yes," how many School of Nursing student slots are available annually in the institution(s) your library serves? _____________
P-PR15. Does your library provide services to any School of Allied Health students or faculty? ___ yes
___ no (if no, enter 0 in PR16)
P-PR16. If "yes," how many Allied Health student slots are available annually in the institution(s) your library serves? _____________

Add-on For System Hospitals Only

Are you a health system? READ THIS FIRST!

  Enter numbers below. DO NOT use commas. Use decimal points as needed.
SY00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
P-SY01. What is the corporate name of your health system? _____________
P-SY02. What is your system type? ___ Model A
___ Model B
___ Model C
P-SY03. How many hospitals are in the health system? _____________
C-SY04. Library services within the health system are...
formerly SY26
___ centralized
___ decentralized
___ some parts centralized
C-SY05. How many libraries are within the health system?
formerly SY27
_____________

FOR HEALTH ASSOCIATION LIBRARIES ONLY
(OTHER LIBRARY TYPES, SEE BELOW)

PR00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
P-PR01. Indicate your institution's tax status:
please ignore numbers in brackets
___ nongovernment nonprofit 501 (c) 3 [08]
___ nongovernment nonprofit 501 (c) 6 [09]
___ not tax exempt [11]
___ other, including multi-tax entity [10] (please list):_________________
P-PR03a-b. Indicate your association/society type (choose ONLY one): please ignore numbers in brackets

___ education [10]
___ hospital [11]
___ insurance [12]
___ medical equipment/supply [13]
___ pharmaceutical/drug [14]
___ physician/clinical [15]
___ public health [16]
___ other [09] (please list):____________

P-PR17. Geographic scope of the association/society:
please ignore numbers in brackets
___ international [01]
___ national [02]
___ state/provincial [03]
___ regional (intrastate or intraprovincial) [04]
___ regional (interstate or interprovincial) [05]
___ local [06]
P-PR18a-b. Indicate the membership type of your association or society: please ignore numbers in brackets ___ individual members only [01]
___ company or organization members only [02]
___ combination of individuals and companies [03]
___ other [04] (please list):____________
C-PR04a. Total number of COMPANY/INSTITUTIONAL members in the association or society (if you do not have company or institutional members, enter 0): _____________
C-PR04b. Total number of INDIVIDUAL members in the association or society (if you do not have individual members, enter 0): _____________
C-PR04c. Total number of members in the association or society: Automatically calculated as PR04a + PR04b
C-PR05. Total number of association/society employee (not library) full time equivalents (FTEs): _____________
C-PR09. What are the total annual operating EXPENSES of your association/society (as reported in your latest annual report)? _____________
C-PR10. What is the total annual INCOME of your association/society (as reported in your latest annual report)? _____________
P-PR19a-i. How are your services budgeted and accounted for? (check any that apply) ___ a) based on each department's usage from a prior period
___ b) based on the services requested
___ c) based on anticipated resources needed to handle designated dept. needs
___ d) based on each department's projected usage
___ e) negotiated individually with each department
___ f) based on each department's total headcount
___ g) as a ratio of each department's budget
___ h) other
i) (please list other): _____________
P-PR20a-i. How are your charge-backs calculated? (check any that apply) new ___ a) at cost per transaction
___ b) hourly/variable rate per transaction
___ c) fixed rate by service offering
___ d) variable rate per service offering
___ e) pre-negotiated projects
___ f) multi-tiered rates
___ g) annual retainer fee
___ h) other
i) (please list other): _____________
P-PR21a-c. What user populations do you serve? (check all that apply): new ___ a) association staff
___ b) association members
___ c) general public
P-PR22. Do you serve ONE user population with 60% or more of your activity? (check ONLY one) new ___ association staff
___ association members
___ general public
___ none with 60% or more

FOR LIBRARIES SERVING RESEARCH FACILITIES ONLY
(OTHER LIBRARY TYPES, SEE BELOW)

PR00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
P-PR01. Indicate your institution's OWNERSHIP status: formerly PA02, revised ___ government institution—federal [05]
___ government institution—Dept. of Defense [06]
___ government institution—Dept. of Veterans Affairs [07]
___ government institution—state or province [08]
___ government institution—city or county [09]
___ government institution—other [10]
___ investor-owned [02]
___ nongovernment nonprofit 501 (c) 3 [03]
___ nongovernment nonprofit 501 (c) 6 [11]
___ other type [04] (please list): _________________
C-PR04c. Total number of Ph.D./M.D. PRINCIPAL INVESTIGATORS or FACULTY in the institution (often available from office that keeps official appointment records): _____________
C-PR23. Total number of POSTDOCTORAL RESEARCHERS
(estimates are permitted):
_____________
C-PR05. Total number of institutional (not library) full time equivalents (FTEs) (usually available from human resources): _____________
C-PR09. What are the total annual operating EXPENSES of your institution (as reported in your annual report)? _____________
C-PR10. What is the total annual INCOME of your institution (as reported in your annual report)? _____________
C-PR24. How much FEDERAL GRANT REVENUE did your institution receive in the reporting year (as reported in the institution's annual report; may also be available from your institution's grant administration office)? _____________
C-PR25. How much OTHER GRANT REVENUE did your institution receive in the reporting year (as reported in the institution's annual report; may also be available from your institution's grant administration office)? _____________
C-PR26. What was the total NUMBER OF GRANTS active in the reporting year (data may be available from your institution's grant administration office)? _____________
C-PR27. What was the GRANT SUCCESS RATE during your reporting year (this figure is possibly available from your institution's grant administration office)? new _____________
C-PR28. TOTAL NUMBER OF peer-reviewed articles and papers published by institutional researchers in the reporting year (This data may be available from your institution's grant administration office, or you may be able to gather the data yourself via MEDLINE searches on research author names from your institution. It may also be available from an office that supervises researchers, or from an annual report.): _____________

FOR ALL OTHER LIBRARIES

PR00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
P-PR01. Indicate your institution's OWNERSHIP status: ___ government institution—federal [05]
___ government institution—Dept. of Defense [06]
___ government institution—Dept. of Veterans Affairs [07]
___ government institution—state or province [08]
___ government institution—city or county [09]
___ government institution—other [10]
___ investor-owned [02]
___ nongovernment nonprofit 501 (c) 3 [03]
___ nongovernment nonprofit 501 (c) 6 [11]
___ other type [04] (please list): _______________
C-PR04d-e. Describe your major category of professional staff for the institution (for future, more targeted benchmark data collection for your institution type): PR04e is new ___ faculty, health educators [01]
___ health professionals (if this is a single profession, please specify below) [02]
___ other [03](please list):
___________________ [PR04e]
C-PR04c. Total number of this type of staff in your institution: _____________
C-PR05. Total number of institution (not library) full time equivalents (FTEs) [usually available through your human resources department]: _____________*****
C-PR09. What are the total annual operating EXPENSES of your institution (as reported in your annual report or other source)? _____________*****
C-PR10. What is the total annual INCOME of your institution (as reported in your annual report or other source)? _____________****
C-PR29a-b. What is the main numeric criteria by which you compare or would compare your institution with others of your type (please be brief but explicit)? [Examples include number of professional staff and number of physicians; or you might choose number of students, institutional expense budget, institution's FTEs, etc.] options are new; previous data imported into field PR29b ___ # of faculty/educators [01]
___ # of institutional FTEs [02]
___ # of patrons/patients/customers/visitors [03]
___ # of professional staff [04]
___ # of students [05]
___ institutional budget/expenses [06]
___ other [07] _________________ [PR29b]
C-PR30. Using the main numeric criteria you noted above, the total number in your institution (this MAY be the same number you entered in PR04c or PR10): _____________
C-PR31a-b. What is a second numeric criteria by which you compare or would compare your institution with others of your type (please be brief but explicit)? [Examples include number of professional staff and number of physicians; or you might choose number of students, institutional expense budget, institution's FTEs, etc.] options are new; previous data imported into field PR31b ___ # of faculty/educators [01]
___ # of institutional FTEs [02]
___ # of patrons/patients/customers/visitors [03]
___ # of professional staff [04]
___ # of students [05]
___ institutional budget/expenses [06]
___ other [07] _________________ [PR31b]
C-PR32. Using the numeric criteria you noted in PR31, the total number in your institution: _____________ (if PR31 is blank, leave blank)
C-PR33a-b. What is a third numeric criteria by which you compare or would compare your institution with others of your type (please be brief but explicit)? [Examples include number of professional staff and number of physicians; or you might choose number of students, institutional expense budget, institution's FTEs, etc.] options are new; previous data imported into field PR33b ___ # of faculty/educators [01]
___ # of institutional FTEs [02]
___ # of patrons/patients/customers/visitors [03]
___ # of professional staff [04]
___ # of students [05]
___ institutional budget/expenses [06]
___ other [07] _________________[PR33b]
C-PR34. Using the numeric criteria you noted in PR33, the total number in your institution: _____________ (if PR33 is blank, leave blank)
C-PR35a-b. What is a fourth numeric criteria by which you compare or would compare your institution with others of your type (please be brief but explicit)? [Examples include number of professional staff and number of physicians; or you might choose number of students, institutional expense budget, institution's FTEs, etc.] options are new; previous data imported into field PR35b ___ # of faculty/educators [01]
___ # of institutional FTEs [02]
___ # of patrons/patients/customers/visitors [03]
___ # of professional staff [04]
___ # of students [05]
___ institutional budget/expenses [06]
___ other [07] _________________ [PR35b]
C-PR36. Using the main numeric criteria you noted in PR35, the total number in your institution: _____________ (if PR35 is blank, leave blank)

Administrative Services Measures
ALL LIBRARIES ANSWER

General Library Information

P-AD00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
P-AD01. Does your library have a branch location? ___ yes
___ no
P-AD02. If yes, will your data for this benchmarking survey (all questionnaires) INCLUDE branch location data? ___ yes
___ no
___ not applicable
C-AD03. What is the total AREA of your library, in square feet? _____________
C-AD04. Of the figure in AD03, how many square feet are used for a consumer health information service (estimates permitted; if not applicable, enter 0)? _____________
P-AD05. How many hours per 7-day week is the library open for service? [Include only those hours the library is staffed and provides all normal services.] _____________
P-AD06. Does your library provide 24-hour physical or electronic access to any user population? ___ yes
___ no

Library Personnel

  Enter numbers below. DO NOT use commas. Use decimal points as needed.
P-AD07. A full-time employee in my institution works: _______ hours per week
C-AD08a. Indicate the TOTAL number of FTE PROFESSIONAL STAFF in the library (includes librarians, archivists, network staff, library circuit riders, etc.) If no professional staff work in the library, enter 0: _____________
C-AD08b. Indicate the number of FTE PROFESSIONAL STAFF in the library that are circuit riders If no professional staff are circuit riders, enter 0: _____________
C-AD09. Indicate the total number of FTE SUPPORT STAFF in the library (DO NOT include student assistants to be counted in question AD17) If no support staff work in the library, enter 0: _____________
AD10. The full-time equivalents (FTEs) of all employees in your library: [calculated field] Automatically calculated as AD08 plus AD09. Number not correct? Change a figure in AD08 or AD09.
AD11. Total hours worked by FTE PROFESSIONAL STAFF:
[calculated field]
Automatically calculated as PAD07 multiplied by AD08
AD12. Total hours worked by FTE SUPPORT STAFF:
[calculated field]
Automatically calculated as PAD07 multiplied by AD09
AD13. Total hours worked by ALL STAFF: [calculated field] Automatically calculated as AD10 multiplied by PAD07. NUMBER SHOULD MATCH AD11 + AD12
AD14. Percentage of library FTE PROFESSIONAL STAFF (of all staff): [calculated field] Automatically calculated as AD08 divided by AD10
AD15. Percentage of library FTE SUPPORT STAFF (of all staff): [calculated field] Automatically calculated as AD09 divided by AD10
C-AD16. Indicate the total volunteer hours of all volunteers who work in your library; report as hours per month: if none, enter "0" _____________
C-AD17. Indicate the total student assistant hours of all student assistants who work in your library; report as hours per month: if none, enter "0" _____________
C-AD18. In the institution's organization chart, is the library considered a separate department with a distinct budget? ___ yes
___ no
C-AD19a-b. In the institution's organization chart, to which area or department does the library report? ___ administration (main) [07]
___ institutional/corporate education [01]
___ finance and accounting [08]
___ human resources [09]
___ information systems (IS/IT) [02]
___ marketing or public relations [10]
___ medical education [03]
___ medical records [04]
___ medical staff/medical director/medical affairs [05]
___ nursing services / clinical support services / clinical affairs / patient care services [11]
___ performance improvement/quality management [12]

___ other [06] (please list): _______________ [PAD19b]
P-AD20. What is the title of the person to whom the director of the library reports? _____________
P-AD21. Does the library director/manager have department head status? ___ yes
___ no
P-AD22. Does the library director/manager report to "senior management" (see definitions page for this term)? ___ yes
___ no
P-AD23. Does your institution maintain a library committee? ___ yes
___ no
P-AD24-25. Collection specialty: Which specialty subject does your library cover, such that 60% OF TOTAL LIBRARY ACTIVITY is devoted to that subject? Choose ONE from list, or specify: ___ NONE at 60% (your library does not have a single specialty area) [15]

___ cancer [01]
___ consumer health [18]
___ dental [03]
___ health care administration [04]
___ internal medicine / surgery [17]
___ mental health / psychiatry / psychology [05]
___ nursing and allied health resources [06]
___ orthopedics [02]
___ pediatric [07]
___ pharmacology/drug information[08]
___ primary care (formerly family practice) [09]
___ public health [10]
___ rehabilitation or chronic disease [11]
___ veterinary medicine [12]
___ vision science [13]
___ women's health [14]
___ other [16] (please list):
__________________ [AD25]

Library Operating Expenditures

C-AD26. Please indicate how you would like MLA to handle your financial data (choose ONLY one): [option 1, can individually report data, removed - no data carry-over] ___ I can enter data, and MLA can report it in aggregate or within preselected ranges (with other members' data). OR
___ I can't report any financial data. (please answer questions AD37, AD39, and AD41)


NOTE: DO NOT include one-time or capital purchases, such as security systems, in your operating expense figures.

• US and non-Canadian participants: enter all data rounded to the nearest whole US$.
• Canadian participants: enter data rounded to the nearest whole CAN$.
Enter financial data below. DO NOT include commas, dollar signs, or decimals.
C-AD27. Total expenditures for salaries and wages (exclude fringe benefits): $ _____________
C-AD28. Total expenditures for staff development and professional travel: $ _____________
We understand that you may aggregate all print and electronic purchases. If this is the case, for the following questions C-AD29a-C-AD32a please provide your best estimate of the division between print and electronic resources. The calculated fields will adjust as you modify each individual item.
C-AD29a. Total expenditures for PRINT monographs: if you no longer purchase print monographs, enter 0 [formerly AD29] $ _____________
C-AD29b. Total expenditures for electronic monographs: includes individual monographs as well as aggregate sources [formerly AD32c] $ _____________
C-AD30a. Total expenditures for PRINT serials: if you no longer purchase print serials, enter 0 $ _____________
C-AD30b. Total expenditures for electronic serials: includes individual titles as well as aggregate sources [formerly AD32b] $ _____________
C-AD31. Total expenditures for audiovisual/media resources: $ _____________
C-AD32a. Total expenditures for electronic databases: use a broad interpretation of databases (e.g., MicroMedex, Up-to-Date, etc.) $ _____________
AD32d. Total expenditures for ALL electronic information resources: Automatically calculated as AD29b + AD30b + AD32a
AD32e. Total expenditures for ALL monographs: new Automatically calculated as AD29a + AD29b
AD32f. Total expenditures for ALL serials: new Automatically calculated as AD30a + AD30b
C-AD33. Total expenditures for document delivery services: include ILL as well as any commercial document delivery purchases $ _____________
C-AD34. Total expenditures for computer/network equipment (approximate, if institution centralizes): $ _____________
C-AD35. Report any other operating expenses not listed above: $ _____________
AD36. Total operating expenses: Automatically calculated as AD27 + AD28 + AD29a + =AD29b + AD30a + AD30b + AD31 + AD32a + AD33 + AD34 + AD35

Library Annual Income

C-AD37. Does your library receive any annual financial support (NOT IN-KIND DONATIONS) from the staff in the institution (e.g., medical staff)? ___ yes
___ no (if no, answer 0 in AD38)
C-AD38. How much financial support from institutional staff for the reporting year (round to the nearest whole dollar amount)? 3 $ _____________
C-AD39. Does your library receive any income from fee-based services? ___ yes
___ no (if no, answer 0 in AD40)
C-AD40. How much income from FEE-BASED SERVICES for the reporting year (round to the nearest whole dollar amount)? $ _____________
C-AD41. Does your library have access to OTHER sources of annual funding? Include any other sources of income EXCEPT institutional allocation: ___ yes
___ no (if no, answer 0 in AD42)
C-AD42. How much income from other sources of funding for the reporting year (round to the nearest whole dollar amount)? $ _____________
C-AD43. TOTAL income the library receives from all sources: Automatically calculated as AD38 + AD40 + AD42

Public Services Measures
ALL LIBRARIES ANSWER

Information Services

  Enter numbers below. DO NOT use commas or decimals. Use whole numbers only.
PS00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
C-PS01. Indicate the total NUMBER of substantive reference questions received annually: _____________ (if not applicable, enter 0)
C-PS02. Of the number given in PS01, how many were consumer health reference questions (for professional staff, patients/families, or the general public)? _____________ (if PS01 is 0, leave blank)
C-PS03. Indicate the total NUMBER of mediated searches performed in your library annually: formerly PS02 _____________ (if not applicable, enter 0)
C-PS04. Of the number given in PS03, how many mediated searches were for use in a consumer health information service (estimates permitted)? new _____________ (if PS03 is 0, leave blank)
C-PS05. Of the number given in PS03, how many mediated searches were directly related to patient care (estimates permitted)? _____________ (if not applicable, enter 0)
C-PS06. Indicate the total NUMBER of educational program sessions offered by your library annually for institutional/staff participants: revised _____________ (if not applicable, enter 0)
C-PS07. Indicate the total NUMBER of educational program sessions offered by your library annually for consumer participants:revised _____________ (if not applicable, enter 0)
C-PS08a-b. Indicate the total number of participants annually in educational program sessions offered by your library: With the advent of hospital "Community Benefit Reports," this data may be particularly useful for hospitals. Expanded to separate institutional vs. consumer health sessions ________ # institutional/staff participants
________ # consumer participants
C-PS09a-b. The average number of participants per educational program session: With the advent of hospital "Community Benefit Reports," this data may be particularly useful for hospitals. Expanded to separate institutional vs. consumer health sessions a) Automatically calculated as PS08a divided by PS06a
ab) Automatically calculated as PS0ba divided by PS06b
C- PS10. Total number of monographs circulated from your library annually: _____________
C-PS11. Interlibrary loaning/borrowing: indicate whether or not your library is a member of a reciprocal ILL network, e.g., DOCLINE new ___ yes
___ no
P-PS12. Interlibrary loaning/borrowing: indicate whether or not your library is an official LOANSOME DOC provider. formerly PS11 ___ yes
___ no (answer "no" to PS13, PS14)
P-PS13. Do you provide LOANSOME DOC services to unaffiliated health professionals outside the institution (either ad hoc or on a contractual basis)? ___ yes
___ no
P-PS14. Do you provide LOANSOME DOC services to health consumers or the general public? ___ yes
___ no
C-PS15. Indicate the approximate GRAND TOTAL (# of items) OF ALL TYPES your library borrows or receives from outside sources annually (include ILL AND commercial document delivery services): _____________
C-PS16. Indicate the approximate GRAND TOTAL (# of items) OF ALL TYPES your library loans or sends to outside sources annually: _____________
PS17. The TOTAL document delivery activity: Automatically calculated as PS15 + PS16

Special Services Measures
ALL LIBRARIES ANSWER

SP00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
P-SP01. Indicate whether or not your library provides mediated photocopying services (library staff performs the service): ___ yes
___ no
P-SP02. Indicate whether or not your library provides self-serve photocopying services (library provides the equipment for end-users to copy materials): ___ yes
___ no
C-SP03. Does your institution and/or library provide the services of an "informationist", or health information expert in context (e.g., maintain a clinical medical librarian program)? ___ yes
___ no (if no, answer 0 in SP04)
___ not applicable (if n/a, answer 0 in SP04)
C-SP04. If yes, how many FTEs are dedicated to this program? _____________ [2 decimals allowed]
P-SP05. Does your library maintain your institution's archives? ___ yes
___ no
P-SP06. Is your library responsible for a multimedia center/learning center or institutional audiovisual services? ___ yes
___ no
C-SP07. Does the LIBRARY support personal digital assistant (PDA) users in your institution (e.g., with PDA software purchases through the library, docking stations, etc.)? ___ yes
___ no
C-SP08. Do any library staff members regularly use a PDA for work use or for testing PDA software prior to purchase? ___ yes
___ no
C-SP09. Does the LIBRARY have a wireless local area network (sometimes referred to as WLAN or Wi-Fi) in the library? new ___ yes
___ no
C-SP10. Does the library support an official Area Health Education Center (AHEC)? ___ yes
___ no / not applicable
C-SP11. Does your library provide a basic library Website for end-users / clients? ___ yes, on the Internet
___ yes, but only on institution intranet
___ no
C-SP12. Does your library provide a Web-based interface access to bibliographic databases for end-users / clients? ___ yes, on the Internet
___ yes, but only on institution intranet
___ no
C-SP13. Does your library provide a Web-based online public access catalog (OPAC) for end-users / clients? ___ yes, on the Internet
___ yes, but only on institution intranet
___ no
C-SP14. Does your library provide Web-based specific services (e.g., library forms, electronic reference or ILL) for end-users / clients? ___ yes, on the Internet
___ yes, but only on institution intranet
___ no
C-SP15. Does your library provide computer workstation(s) for end-user Web access? ___ yes
___ no
C-SP16. How many Web-accessible computer workstations do you have in your library available to end-users? _____________
C-SP17. Does your library collect [or have access to] Web statistics for the library's Website or Web pages? ___ yes
___ no (leave SP18 and SP19 blank)
___ not applicable (leave SP18 and SP19 blank)
C-SP18. If you answered "yes" to SP17, how many PAGE VIEWS (IMPRESSIONS) did your library Website receive for the reporting year? DO NOT USE "hits," which record the retrieval of all individual files associated with a single Web page (e.g., 1 page with 30 images would generate 31 "hits") _____________
C-SP19. If you answered "yes" to SP17, how many UNIQUE VISITORS did your library Website receive for the reporting year?? _____________
C-SP20a. Does your library provide support for institution-wide intranet or Internet development? ___ yes
___ no
C-SP20b. Does your library provide support for Website/Web page design to any library users? Formerly SP21 ___ yes
___ no
C-SP21a-. Does your library use any of the following "Web 2.0" technologies to provide library services to clients or for collaboration within the library? Include services hosted within the institution as well as any externally hosted services used by the library.

NEW
[please check all that apply]
a) ___ blog(s)
b) ___ instant messaging (IM)
c) ___ podcasts
d) ___ library has an RSS feed
e) ___ virtual reference services
f) ___ wiki(s)
P-SP22. Do you allocate a portion of the library's budget to purchase materials that directly relate to the professional education of your institution's staff (e.g., continuing medical education [CME], nursing education, etc.)? ___ yes
___ no
P-SP23. Does your library regularly schedule CME or other educational sessions (not including library educational sessions) for physicians or other professional staff in your institution? ___ yes
___ no
P-SP24. Does your library record and maintain any of your institutions' professional education (e.g., CME) records? ___ yes
___ no
P-SP25. Does your library maintain any consumer health information services (CHIS) in order to provide services and information to health professionals? ___ yes
___ no
___ not applicable in my institution
P-SP26. Does your library maintain any consumer health information services (CHIS) in order to provide services and information to patients and families? ___ yes
___ no
___ not applicable in my institution
P-SP27. Does your library maintain any consumer health information services (CHIS) in order to provide provide services and information to the general public? ___ yes
___ no
___ not applicable in my institution
P-SP28. Indicate whether or not your library maintains a separate consumer health information facility or patient reference center either within or outside the library: ___ yes
___ no
___ not applicable in my institution
P-SP29. Does your library offer self-service photocopying (e.g., coin-operated machine) as a revenue-producing service (if you offer this service without a fee, check "no")? ___ yes
___ no
P-SP30. Does your library offer mediated photocopying as a revenue-producing service (if you offer this service without a fee, check "no")? ___ yes
___ no
P-SP31. Does your library offer mediated searching as a revenue-producing service (if you offer this service without a fee, check "no")? ___ yes
___ no
P-SP32. Does your library offer ILL services as a revenue-producing service (if you offer this service without a fee, check "no")? ___ yes
___ no
P-SP33. Does your library offer computer or AV equipment circulation as a revenue-producing service (if you offer this service without a fee, check "no")? ___ yes
___ no
C-SP34. Does your library maintain a specific emergency preparedness or disaster-recovery plan for the library, OR does the library have a roll in an institution-wide recovery plan? NEW ___ yes
___ no
C-SP35. Has your library created or participated in any library- or institutional initiative on health information literacy? May include translation services, instruction services to consumers, providing materials to health information professionals, etc. --

NEW
___ yes
___ no
C-SP36. Does your library or institution participate in any evidence-based practice or patient safety initiative (e.g., evidence-based medicine or nursing practice)? NEW ___ yes
___ no

Technical Services Measures
ALL LIBRARIES ANSWER

When entering numbers below, DO NOT use commas or decimals. Use whole numbers only.
TS00. Your MLA or CHLA/ABSC ID# (carried over from login screen):  
C-TS01. Indicate the TOTAL NUMBER of print monograph titles in your library's collection: _____________
C-TS02a. Of the number listed in TS01, how many are for use in a consumer health information service (CHIS)? _____________ (if not applicable, enter 0)
C-TS02b. Approximately how many print books did you purchase in the reporting year? new _____________ (if not applicable, enter 0)
C-TS03. Indicate the TOTAL NUMBER of current PRINT serials titles, specifically selected and stored, received by purchase, gift, or exchange, with or without electronic access: _____________
C-TS04. Indicate the TOTAL NUMBER of UNIQUE ELECTRONIC full-text serials titles, NOT received in print format, that you specifically select and purchase. EXCLUDE all titles you also receive in print format. INCLUDE titles you purchase in aggregate from vendors, BUT EXCLUDE titles that are outside the subject scope of your collection: _____________
TS05. Grand total of unique serials titles in your library, all formats, that you specifically select and purchase: Automatically calculated as TS03 + TS04
C-TS06. Indicate the TOTAL NUMBER of OVERLAP electronic full-text serials titles, that is, electronic titles that are ALSO received in print format: _____________
TS07. Grand total of electronic full-text serials titles in your library, all formats: Automatically calculated as TS04 + TS06
C-TS08. Indicate the TOTAL NUMBER of electronic full-text serials titles accessible in your library that are available only through affiliations with medical schools, consortia, or state networks, OR that you purchased in aggregate through vendors. These may include some titles noted in TS04 as well as additional out-of-scope titles or free titles received as part of a larger package (estimates permitted): _____________
C-TS09. Of the grand total listed in TS05 (unique serials titles), how many are for use in a consumer health information service (CHIS)? _____________ (if not applicable, please leave blank)
C-TS10. Of the grand total listed in TS07 (electronic full-text serials titles), how many are for use in a consumer health information service (CHIS)? _____________ (if not applicable, please leave blank)
C-TS11. Of the number listed in TS08 (electronic full-text serials titles available, either purchased or free through affiliation, or purchased in aggregate), how many are for use in a consumer health information service (CHIS)? (estimates permitted) REMOVED; DO NOT ANSWER
C-TS12. Indicate the total NUMBER of electronic full-text monographs accessible from your library, including those in aggregate packages; i.e., count each individual unique title: _____________ (if not applicable, enter 0)
C-TS13. Report the NUMBER of externally-produced bibliographic databases for which you have PURCHASED access for your users, including purchase through consortial contracts: _____________ (if not applicable, enter 0)
C-TS14. Of the number listed in TS13, how many databases are purchased for use in a consumer health information service (CHIS)? _____________ (if not applicable, please leave blank) )

Comments and Questions

CQ00. Your MLA or CHLA/ABSC ID# (carried over from login screen): n/a
CQ01. If you are in a specialty library and would be interested in developing specific measures for your library/institution type, please check here: _____________
CQ02. Considering the effort you have made to collect data for this benchmarking survey, how often would you be willing to collect this (or similar) data for future benchmarking surveys? ___ every year
___ every two years
___ every three years
___ every five years
___ I never want to do this again
CQ03. Use this space to provide comments, to ask non-urgent questions, or to suggest additional questions for future benchmark data collection. If you have an urgent query about any question or definition in this survey, contact Kate Corcoran, corcoran@mlahq.org, 312.419.9094 x12. _____________

FINAL INSTRUCTIONS

When you as a participant have finished answering all your questions, you will be required to do a final submission of data (e.g., by pressing an "I'm done!" button). This will send an email to the data editors, who will get back to you if there are any questions about your data, or to answer any questions you may have posed in the comments section.

Once you submit, data will no longer be editable—so please make sure you are done before sending!

Thank you for participating!