My name is Jennifer Peterson and I'm excited to be here today and supported by Kendra Morgan and I'm going to introduce you to Liz morris who is leading us into this webinar today. 
Welcome, Liz. 
>> Thank you very much, Jennifer and welcome to all of you who are joining us for this conversation. 
As Jennifer mentioned, my name is liz morris, I'm the project coordinator for health happens in libraries and I'm really excited to have this conversation today and see so many attendees interested in the topic of health education at libraries. 
As a bit of context, our health happens in libraries project began in July of 2013 and launched with the primary goal of supporting libraries and patrons with access to reliable information about the healthy insurance marketplaces established as part of the affordable care act. 
Since that time, we've received a lot of great input about other health-related topics that public libraries and their patrons are interested in. 
We know that people are very eager to learn more about ethics and privacy as it relate to consumer health information, and that health literacy and building local partnerships and supportive community health are priority areas, as well. 
So in response to that, and in addition to today's webinar, we are creating resource guides related to these topics. 
These pathways will be available as digital PDF files at the health happens in libraries project page and provide key concepts to guide your library practice. 
They include resources and reflection question that you can use to think more intentionally about incorporating health education as part of your library services, and for facilitating conversations with other staff members or partners about this topic. 
We will be posting these pathways to our project resource page and distributing them to our project e-mail list over the next month. 
We'll post links throughout the conversation today about how you can access those resources and we are releasing the first pathway today, focused on supporting healthy communities through partnership. 
So we strongly encourage you to check that out and keep your eyes peeled for future pathways as they're released. 
We've allotted time throughout the webinar today to take questions from chat and discuss ideas and thoughts that you have related to these service areas so please do take advantage of that feature. 
Briefly, we'll mention some of the partners that we've worked with through this project. 
Our work has been supported by the institute of museum and library services and we've also benefited from great partnership with zero divide, the national network of libraries of medicine, and the centers for Medicare and Medicaid services. 
So with that, I am pleased to introduce our presenter today, Francisca Goldsmith is a library services trainer with extensive experience in public and academic library service as well as library staff development. 
She is the author of a new book from ALA editions called libraries and the affordable care act, helping the community understand healthcare options and she has provided great consultation to the development of our project and our pathway resources. 
So Francisca, thank you so much for joining us. 
I will turn it over to you and look forward to touching in on questions or comments throughout the presentation. 
>> Thank you, Liz, and thank you very much to web junction and OCLC. 
I'm delighted to be with all of you today. 
I've been looking through the list of people who are attending and I'm looking forward to hearing some of your ideas as we move along through today's webinar. 
I come to you having been involved in community development as well as library services for oh, probably about 87 years or so. 
I've done quite a bit of work with health information in public libraries, mainly in a rural context, although I usually typically work myself in urban libraries. 
So as we go through today, I will try to emphasize the resources that are available, even if you find that you are in a very isolated area as I know several of you are. 
So without further ado, let's move on. 
Our agenda today has three basic areas that we're going to cover. 
Each of them is further addressed in the pathways that Liz described and mentioned. 
So you'll be able to dig much more deeply into them in the pathways than just this introduction. 
We'll be talking about the use of professional ethics as our guides are behavior, ways to address community health literacy, and also ways of expanding the services that you can provide at the library through community partnerships that you can fairly more readily than some of us imagined possible before the Internet, create even now, going forward. 
You can expect to learn during the course of this hour some best practices related to ethics and information practice, especially where health is the issue. 
We'll be talking about plain language resources that can help you reach members of your community who may not have excellent literacy. 
And we'll be also looking at other health literacy support resources that aren't even in print. 
Finally, we'll also be talking about how to find and start to build local partnerships to help you reach areas of the community who may not already have the library on the radar. 
Ethics in any profession whether we're talking about real estate developers or library staff or physicians are those guidelines that help people engage others in the professional work that they do. 
They're kind of the rules of what's okay to do and what is something that might want to give you pause before you moved ahead and did it. 
So Liz, do you want to explain this? 
>> Yes, thank you very much Francisca. 
So we have an opportunity for all of you to provide some input on our next slide. 
Using annotation tools that are available on your screen. 
So Francisca will present the question and you can use the checkmark tool to mark your response. 
These tools are located in a row on the left-hand side of your screen and to use the checkmark, just select the square icon and use the dropdown menu to choose the checkmark. 
They will be visible shortly. 
First, you may need to click on the small marker at the top to open the annotation window. 
>> A new Web ex update. 
>> Click on the mark, and then identify the square on the left-hand side and click that to select the checkmark and thank you for introducing the question. 
>> Sure. 
And if you go ahead and make your checkmarks now, we just have a minute to do this, great and it looks like we've got a lot of very confident people! 
That's excellent, that means there will be a lot of chat during this. 
So we have people who feel very confident about maintaining confidentiality when assisting community members with health information concerns. 
That's great. 
And then we have some people who aren't so confident. 
And that's fine, too. 
So some of the key ethical standards to keep in mind as we move into providing health information in a public library setting are to distinguish between our own personal beliefs and what people need to know from us. 
We have a commitment to enhance our knowledge so that we aren't standing in front of people going you know that's a really good question but I'm afraid I don't know the answer. 
To help us with those, we have a couple of sets of ethics guidelines. 
The first is the guidelines provided by the American Library Association's reference and user services association for medical, legal and business responses from the reference desk. 
And the second is just the bare bones Code of Ethics of the American Library Association in full. 
Those guidelines for medical, legal and business responses are quite lengthy. 
What they do is they tell us how we should be behaving when we engage with the public at the information desk or when we're doing information desk outside the building. 
They give us very clear what to dos and what not to dos and they're available for free and here's an example of a link that we've included in the slides that will be pushed forward to you in the chat. 
There are two points among many others in these guidelines that I want to pause a little bit to reflect on. 
The first is that one of the reasons that we have these guidelines is because people out in the general world, not people who work in libraries, of course, sometimes have great difficulty distinguishing between authoritative information and what's being presented as information, which is, in fact, an advertisement or solicitation for service. 
And part of our jobs as information providers is to help folks differentiate between authoritative information and what is presented as information but in point of fact is in search of their dollars. 
Secondly, and of extreme urgence when we're talking about medical reference work is that we don't make recommendations. 
We provide information. 
Referrals are different from recommendations. 
A referral is go to this other place. 
They have more complete information than we have, they're the experts. 
A recommendation, on the other hand, is saying use this doctor or take this medicine. 
Recommendations we don't make, however, referrals we can and should do, especially since none of us is working in a library that has absolutely everything that a health researcher could possibly want. 
The other principles I've pulled out on this particular slide are the ones that relate in that very long set of medical legal and business guidelines to medical reference work in particular. 
So when you have the opportunity, you can go back and look at all of the guidelines or you can just contemplate these seven or so that I've pulled out. 
The Code of Ethics of the American Library Association, no matter what kind of work you're doing in a library, whether you're a shelfer or working in a cataloging department govern all your work. 
They inform how you do the work so it is of benefit to those for whom you are working rather than being simply an exercise in what you think is important. 
They are practical and they are without any sort of reference to a particular topic or to a particular audience so they apply to whether you're working with kids or working with senior citizens. 
They apply whether you are working with health information or, once again, real estate information. 
And what I really like about the American Library Association's Code of Ethics is it only has eight points in it. 
So if you think of it as an all in one tool that you can fit into your pocket, just like that, this code is brief, it's flexible, and it also belongs in your work pocket. 
Of the eight points that it covers, two of the principles I think deserve our attention in particular here, because they're of high relevance to any sort of health information work that we do in a public library setting. 
And this includes our behavioral standards, such as how we interact with somebody who's standing in front of us, but they also relate to how we select our collection and how we maintain our collection. 
So let's focus on them. 
In the first case, what we see is that we provide the highest level of service to all library users. 
And that would include people of any age group, people of any ability, both intellectual ability and physical ability, and people regardless of age or standing in the community. 
When this particular principle mentions equitable access, equitable means it's just, that if I can find out information at the library, then someone who has less in the way of skills for ferreting out information should also be able to find the information that they need. 
The access also needs to be equitable. 
So if I can't read, the information needs to be available to me in a manner that doesn't mean that I have to walk away without it. 
It needs to be accurate, and unbiased, and it needs to be presented to me in a courteous way. 
Unbiased is an interesting word and I want to pause for just a moment here to talk about bias. 
Everything that we know, everything that we do, everything that we communicate to people is biased. 
Bias itself is not a bad thing. 
Unbiased simply means that it isn't related to our own personal beliefs. 
So it may be something that makes people unhappy, it may be something that makes people angry. 
That isn't a part of being unbiased. 
However, it needs to be accurate, and it needs to be fair and it needs to be courteously provided. 
The second principle that's of particular import when we're doing health information work is protecting people's privacy and confidentiality. 
And this was an issue that we just talked about in the poll, and people felt pretty confident about that. 
One thing that I would like you to think about for a minute is the kind of privacy and confidentiality that you provide for people who don't speak the same language that you do, when they're asking health reference questions. 
And if you find yourself saying well, what I do is I just make sure that I talk to the person who's come in as their child or if I know somebody else in the library happens to speak Russian and that patron is in that day, I call him over and ask him if he'll help me out and I would suggest to you that neither one of those behaviors holds on to that person's privacy or confidentiality, and there's very good reason for making sure that you're enlisting the services of a professional interpreter. 
In the pathways, you'll find a lot of information about how to make sure that you have professional interpreters on hand for any of 150 languages and that should cover most of your needs. 
So where can we go next with this? 
Well, I would like to hear from you because you've all been remarkably quiet so if you will please add to the chat here, my original two ideas. 
One of them is that you want to make sure -- we all want to make sure where our library's own policies are and whether or not and probably they do subscribe to ALA's code of ethics and we want to make sure that the other people we work with understand value-neutral information, that they understand that we don't have to agree with the answer that is the accurate and full answer. 
On a personal basis. 
We just need to answer the question. 
So do we have other ideas here, too? 
I would love to see some in the chat. 
You got a quiet bunch today! 
>> Well, Francisca, this is Liz. 
While folks are ruminating and sharing in chat about their ideas for maintaining or supporting confidentiality or ethics in their library services, I wanted to touch base with you on something that we discussed previously. 
One of the resources we've shared through this project is the really excellent finding heath and wellness at the library toolkit, which has a lot of practical guidance for ethical communications on health topics and some of those tips really focused on creating physical environments that feel safe for having sensitive conversations about health information with guidance related to being mindful of your body language or being mindful of where in the library you may be talking to a patron about these topics. 
Can you please talk about how to create physical environments that feel safe related to these topics? 
>> Well, I bet people out there have an idea of the kind of place in a library that they would like to be interviewed if the question that they have in hand is venereal disease and it probably wouldn't be right out in front of the reference desk. 
So I would like I guess to ask more focusedly, where do you take people who have very sensitive questions, when you realize that the question is sensitive? 
Do you continue to answer it in a very public space, or have you managed to carve out somewhere, okay I see someone takes them to the office. 
Where else might you take them? 
Might not want to be closed up with them. 
But usually, you can find a quiet corner, and that kind of quiet corner also helps people understand that they have your full attention. 
Study rooms, all of these are great ideas. 
So if you could keep those ideas coming, that would be fantastic. 
And while you do, we're going to move on, because we're on a schedule here! 
So we're going to turn now and you'll be able to see people's answers in the chat archives, I understand. 
So now, we're going to move on to health literacy and health literacy is the degree to which any one of us can obtain, communicate, make sense of, and truly understand the basic information that we need to preserve and restore our own health, whether it's through the services of other professionals or through home care for ourselves. 
And the definition that is here on the screen comes to you from the centers for disease control and prevention. 
And what health literacy encompasses is a whole bunch of different tools. 
So before we go into that, once again, you have the opportunity to pitch in here and even though you're a little bit quiet when we wanted you to chat, you're really good at marking up the screen! 
So is everybody ready for the next question? 
>> And this is Liz, this is a reminder for the annotation tools, click on the marker in the upper left-hand side of your screen, then towards the bottom of that list of icons, you'll see a square that you can click on and select the checkmark, and then we can move on to the question and please feel free to check your response on the continuum. 
>> And here we go. 
>> Francisca, we can give a lot of people -- we can give a minute or so for everybody to get their checkmarks. 
>> So how useful would it be to your patrons to have access to health information that's not necessarily in print or maybe isn't in English? 
Whoa, there's a lot of emphasis there! 
Okay. 
We've got a whole lot of emphasis at the end that would be very useful. 
Got a lot in the middle and we've got a fair amount even not particularly useful to my community. 
Lucky you guys, wow. 
So let's talk about some of the things that we can do. 
Health literacy is actually composed of about four different individual slots. 
One is information literacy. 
So can we read and write in languages that other people share around us? 
Do we recognize when we need to ask somebody else for help and who that somebody else might be who would have the best guidance? 
It's also an awareness that there's a whole ton of information out there that maybe the best information for us that is online and just because it's only doesn't mean that we have to be able to get at it ourselves. 
We don't all have to be experts at researching things online. 
Of course, those of us who work in libraries should pull in our expertise but we shouldn't make that demand necessarily of everyone who uses our library. 
We should, however, coverage people to understand that they can come to us and ask for help, knowing that there are resources that they might not be able to see for themselves or ferret out for themselves. 
Two other types of literacy that are extremely important when it comes to health literacy are visual literacy and computational literacy. 
If you've been diagnosed with high blood pressure and you've been told to acquire a home blood pressure checking kit, in order to be able to read the chart that explains how to use the kit appropriately, where to put it on your anatomy, you're going to have to have pretty good visual literacy. 
In terms of computational literacy, there are a couple of major health components that come up. 
One is that when you're given a prescription, you have to understand how to take the prescription properly. 
So what does it mean when some of that label is written in Latin? 
What does it mean when it says three times a day at eight-hour intervals? 
What does it mean when it says take for 10 days? 
Not until you feel better, but for all 10 days. 
Another kind of computational literacy that's really important, especially now with the affordable care act is being able to do your family budget to a degree that you will understand what the best option is for you in terms of health insurance. 
Is it something with a high copay and a low premium or is it something that's better with a high premium and a low copay? 
Those are the types of questions that you have to feel fairly comfortable with numbers in order to decide wisely. 
So what shall we do about it? 
Well, plain language is a law that was enacted in 2001 at the federal level and what Plain Language does is require that government documents have to be written in a way that's fairly free of jargon and any jargon that is used has to be defined within the same line as the jargon word itself. 
It's actually a pretty interesting project in which people who write for a wide number of government offices, all of whom have to communicate with the public, worked together to refine the Plain Language guidelines. 
So someone from the department of transportation may be helping somebody who works for Social Security department to refine those guidelines and apply them to Social Security documentation. 
So it's a great example of collaboration, and it's one that you can look back to and the third part of this webinar today when we start talking about partnerships and collaboration, we have a fine role model right here. 
When people are stressed and even if you're very highly educated or I'm very highly educated and under stress, we don't understand as readily as we do when we're relaxed. 
So Plain Language can also help those members of your community who may be well educated and yet they've just been given the diagnosis of a very critical disease or they may have received news that a loved one has such a diagnosis. 
It's much easier for us when we're under stress to read and understand things that are written simply and straightforwardly. 
And what Plain Language does is allows us to figure out for ourselves what we need, to understand that we have found the answer to what we need and what to do next with that information. 
So find what you need, understand what you find, and use what you find to meet your needs. 
And this screenshot here shows you the law that was enacted in 2001 of Plain Language. 
The Plain Language website is kind of a joy to use. 
It has a lot of resources in it and this is another link that you will be sent in chat. 
It has a lot of resources that apply generally and beyond that, it has resources that are specific to health literacy. 
So you'll find guidelines here that you can follow when creating your own health literacy materials or any other materials that you might want to create in plain language. 
So once again, the materials you'll find on this site in the health literacy mod will help you to speak directly and help write directly for the web or for paper, but web is highlighted, to help people in your community who may be stressed, even if their usual literacy rate is fairly high in finding the health information that they need when they need it, how they need it, be able to understand it and be able to know what their next step is. 
And happily, the two most accessible and equitable health information resources that we have are free! 
Which is I mean, how many things are free anymore? 
They are both federal government sites. 
One is www.healthfinder.gov and the other is med line plus. 
A database allows you to look at a field of information from many, many different points of view. 
It's having a large number of resources into which you have multiple entry points. 
Health finder is specifically designed using plain language. 
So it's an excellent example of plain language at work. 
The full site is available in both English and Spanish. 
The citations that are -- the experts -- the people who write for it are expert and the citations make it very clear why that information was included specifically. 
And it provides information about what a condition is and also what to do about it. 
We'll talk about that a little bit more. 
Medline plus is used by -- it has tons of access points, some of which will be very useful to nonspecialists and some of which will be way over any of our heads, unless there happens to be a physician in the house. 
So once again, the full site for medline plus is also available in English and Spanish. 
There are other resources that are in some other languages, too, although that's fairly spotty and one of its great strengths is the huge number of non-print sources available through it. 
So first, let's look at www.healthfinder.gov and this is what the index page of health topics looks like and you can see you can approach it either alphabetically or thematically. 
You might want to look for information about families in which case you're not going into the alphabet or as is pulled out on the right-hand side of the slide, a particular condition, for instance, hepatitis. 
If you were to dive deeply into the hepatitis part here, it actually wouldn't be that deep, it would be swimming in fairly shallow water. 
You would feel safe. 
You would find that you have two different sets of information. 
You have a very plain language description of what hepatitis is, how it operates on the body, and so forth, and then under a separate tab, you could find what to do about it. 
First how to protect yourself against it, and then if you do suffer from it, what steps you need to take. 
Med line plus covers a huge panoply of topical areas. 
You can find information about clinical trials, you can find information that is presented as a medical encyclopedia. 
There's no reason for you to have an outdated encyclopedia in your collection since you have this at your disposal. 
It's updated frequently, more than once a day. 
if you do find an error, she sent off an e-mail to the link that said if you find an error, send us an e-mail. 
She received a reply within the same work shop time period in which she discovered the error. 
So you do get pretty instant gratification here. 
As you can see on the left, two of the areas that are particularly useful for those of us who are working with people whose literacy skills aren't at their optimal either due to stress or other conditions, are a huge range of videos and also tutorials that you can use in a programmatic sense or on a case-by-case basis. 
The next slide shows us how we can search for either one of these. 
They are arranged either by part of the anatomy or by procedures. 
So there, for instance, is a video in here that you can show to a small child who's facing a certain type of surgery. 
One of several types of surgery. 
One of the other things to keep in mind is that the videos are all closed captioned, which means that if you are working with somebody who sort of understands English but is way more comfortable in creole, they have the opportunity to view the video, listen to it in English, and see a closed captioning in creole or whatever their language choice is. 
They're getting input three different ways. 
They're getting it through a video, they're getting it through listening in English and reading in a language in which they feel more comfortable reading. 
So that's an extra added bonus that makes this even more useful. 
So one of the things that I suggest that you do is make sure that those links to health finder and to med line plus are on your library's front page. 
The Los Angeles public library, for instance, has them right on the front page, not buried somewhere under databases or resources. 
There's no reason for anybody who walks up to any computer at the Los Angeles public library to have to go further than one click in order to be instantly in them. 
Plain language as a writing guideline, no matter what kind of library work you're engaged in, does amazing things for clarity. 
And I say that to you as someone who writes in German. 
So I need my plain language doses all the time. 
Also including screencasts and infographics is a way to make sure you're reaching out and touching people for whom visual or auditory information is much more accessible than literary information. 
And I see some other ideas coming in there. 
At Mayo clinic, it can be a wonderful website to use because it is not from the government. 
Had we can depend on it until we can't depend on it. 
So yes use it now, and just make sure that you have the federal government ones in your back pocket in case Mayo decides to start charging us. 
There are some that are a little iffier. 
Certainly, web MD gets a lot of advertising and it's a case where if we go back to the beginning of the webinar when we talked about ethics and differentiating between advertising and authoritative information, web MD is an excellent example of the advertising being so deeply embedded that it's difficult for people to distinguish between the advertiser's message and the actual authority's message. 
So what other steps might you take here? 
>> Francisca, this is Liz. 
Thank you so much for introducing the concept of health literacy and some of the actions that people can take to support it. 
We've seen comments earlier in chat about keeping health information visible and I think we see those steps reiterated here so that people who may not be confident or comfortable asking for that information can see whether through visible signage or sites on the library webpage whether the health information resources are. 
We also had some questions and comments come up in chat related to the issue of translation and acknowledging that some smaller or rural library communities may not have access to professional interpretation services. 
And I think this potentially presents a good transition to a conversation about community partnerships and where in the community individuals and smaller communities might find that kind of translation or other health information support. 
>> And actually before we plunge into that, I want to back up for just a minute and note that because of the affordable care act, we all, no matter where we are in the United States, have access to language line. 
And language line is an entity that provides professional interpreters in 150 languages via the telephone. 
The reason that we all have access to it is because it's actually part of the affordable care act that anyone who is more comfortable in one of those languages than in English has access via the telephone to it. 
You probably even if you're in a rural county, it is likely that the county offices of some sort already have a subscription to language line. 
So one of the first places you might want to look into a collaboration is simply by finding out who in your community does have access to language line. 
But there are a lot of other things that are part of supporting health and communities through partnerships and none of us has everything. 
Gosh, wouldn't it be nice? 
But even the richest library around doesn't have all of the resources both human and material that it needs to reach every member of the community. 
So what we do is we expand our reach by collaboration, through collaboration. 
And we've got another -- this time we've got something a little bit different. 
Liz, do you want to explain this? 
>> Yeah, so we have one more final opportunity for you all to share your feedback using the annotation tools on the screen. 
Please select the marker in the upper left-hand side of the screen to get a row of tools that you can use. 
If you select the square box, and click the dropdown menu to choose the checkmark, you'll then be able to indicate your response to the question on the following screen. 
>> And here we go. 
So how comfortable do you feel that your library is already partnering with local agencies in a way that related to health information or services. 
Wow, we've got enthusiasm. 
It looks like we've got an even spread with more people doing some than people who don't think they're doing as much as they want to. 
Someone is feeling happy about it and is somewhere between doing some and wanting to do it more frequently. 
So let's see how we can be more frequent. 
This is a really, really busy slide. 
It's one of those slides that you put in there knowing that people can't possibly look at it until they get home. 
However, it's an important one because what it shows is how community agencies are actually a unified field. 
So community involvement can include as it does all sorts of collaborators of whom you might not think immediately. 
For instance, in many parts of California, there is an agency called healthy cities, which actually got its start in Los Angeles, that trains teens to use technology and with that technology to go out and map the assets and health needs of their communities. 
So we've got a three-step process going on here. 
We've got youth service. 
We have technology education, and then we have the unburying of sometimes hidden information about the needs and assets in a community related to health. 
Another example is that in almost every community, there are people who are secretly in charge. 
And if you think about the community that you feel yourself to be a member of, you'll probably have an idea of what I mean. 
These are not elected officials and they aren't appointed officials. 
They are instead the woman who lives on the corner who knows absolutely what everybody is up to. 
Or the gentleman everybody at church turns to to find out what the latest is about whether or not they should vote for so and so. 
So these people are actually fairly powerful and by making connections with different community agencies, you're going to uncover who those people are and how well are those people acquainted with really authoritative health information. 
Are they available to learn more? 
Are they available to help you reach out to elements in the community with whom the library currently has very little or no connection? 
Because as it is, collaboration builds strength. 
And what you have as library people are quality health resources. 
You've got at least health finder and med line plus. 
And I know you have a whole lot more. 
What a lot of agencies have that we don't necessarily have is a cultural competency that lies beyond information service. 
So the ability to speak a small language, a language that isn't very popular, or the ability to provide numerical literacy training to adults who have had no formal education or to reach teenagers who are out of school and non-working. 
And the reason to be a collaborator, of course, is that both you and that other agency serve the same community and by collaborating, you make that community stronger. 
So let's talk about it. 
In your existing partnerships, what essential skills or resources do your partners bring to the table? 
And they don't have to be health related. 
Just let's hear it in the chat. 
What are some things that your partners bring to the table? 
They bring experience, they bring programming. 
What else? 
Cultural skills. 
Licensed skills. 
That's a great one. 
Health screenings, absolutely. 
Trust in the community, that's a big one. 
And knowledge of the community. 
Okay, you've got a ton of stuff there, you've got a really good list going. 
How many of you already know about 2-1-1.org? 
It is a service of the united way and it is now very active in almost every community in the United States. 
If your library has been contacted to enter its own information in 2-1-1.org, you probably had the opportunity to look to see what else was happening in your community but maybe your library wasn't contacted, and maybe you look and see that the library's listed there but nobody's gone in and even shown everything that you do. 
Because you're in the information and referral business, maybe take that on as your own responsibility. 
So we'll be talking about 2-1-1. 
Also almost every small community has some sort of local family support services to reach out to people in need of either monetary, health, or other owlish services. 
There are public health clinics, there are congregations of all sorts. 
There are a lot of community agencies providing English-language learning, including congregations and who else do you find? 
Okay. 
When you are collaborating, be sure that you ask rather than tell. 
And this is a difficult one for those of us who love information. 
We like telling people how great the library is. 
But when we're talking to potential partners, our starting point should probably be what do you see? 
And what seems important to you? 
Find out where the information gaps are in the community that you're serving and how you can entrust your partners or entrust the library to your partners so that it really is that they've identified how you can bridge the gap rather than you imagining that you know without their information how to bridge the gap. 
It's definitely a two-way street. 
You'll get better community health information access because you'll both be working towards a common goal and at the same time, you'll make far better use of your collaborative partner if you're really clear on their strengths as well as your own. 
So 2-1-1 is available anywhere. 
And I decided with this one I would show quite how well it works even in the most isolated of areas. 
So I plugged in the ZIP code for a community that is on the Oregon-California border but on the eastern side of the state. 
So this really is a community that is in the middle of nowhere and lo and behold, they do have access to 2-1-1. 
They've got a lot of listings, too. 
And on this next slide, what I did was provide kind of a drill-down through what's on offer here. 
This would be the first screen that I came to. 
And it allowed me to choose an area that I was interested in delving into. 
Over here I was able to bring up some local agencies that provide that, and then finally actually look at one of those local agencies. 
So I'm able to walk away with the names and office hours of people with whom I might want to collaborate as a librarian. 
So what steps can you take locally? 
Ideas are welcome. 
You can look to local agencies, some of whom have really good data, some of whom want our data. 
You can introduce health resources in library programs that might not occur to you at first as being the first kind of program to go, such as your story times. 
And then there are health initiatives in many communities and priorities in many communities. 
You could also use the supporting healthy communities pathway that web junction has put together. 
What else can you do? 
Partnering with a local health coalition that meets monthly. 
So you're constantly checking back in. 
And a possibility fair, that sounds wonderful. 
I want a possibility fair. 
What other ideas do we have? 
Senior health information series. 
Classes that are taught in the library and senior center both. 
So people become accustomed to going to both places. 
Great ideas. 
So now, we've got about five minutes for questions and I'm going to let Liz tell me what I need to be thinking about. 
>> Excellent. 
Great. 
Thank you so much Francisca and I really appreciate seeing the examples that folks are sharing through the chat box about the partnerships that they've engaged around community health. 
I know one of the things that we've heard frequently from people is that an asset that community partners bring is increased marketing and outreach support. 
One of the things that we learned in working with affordable care act information services specifically was that organizations like neighborhood bloggers or neighborhood investigations or community newspapers were great, great ways to get the word out about library services and partnerships. 
So great to see those examples coming through. 
We did have some clarifying questions related to language line. 
Specifically some people were wondering if it is a free or subscription based service and if the interpretation is related only to medical information or to other topics, as well. 
>> Language line has actually been around for well over 30 years. 
So it deals in any kind of information. 
It is subscription based and many larger libraries or other city governments, county governments, already have for years and years had a subscription. 
However, because the federal government and because the state marketplaces, health insurance marketplaces, also by law use language line, you can dial into language line without a subscription for interpretation help. 
That is, you are using the subscription that the government, the federal government has already arranged. 
You wouldn't be able to do that for other informational areas unless your local government also had a language line subscription. 
You'll be surprised, however,, almost all large counties have one. 
Some large school districts or school districts in areas that have many different languages represented have it, as well. 
The interpreters that are used are professional interpreters. 
They're licensed. 
If they are requested in a language that's relatively popular like Spanish or mandarin or French, then there's no wait time. 
However, if you need an interpreter who speaks Gucharati or Ukrainian, you may have to wait until the interpreter calls you back. 
It's typically anywhere from five minutes to half an hour before you get that return phone call. 
So and even though this is phone based, you can actually work with the telephone, if a person is standing in front of you, you just pass the phone back and forth. 
If the person is calling on the telephone, then it becomes a three way call. 
>> Okay great thank you. 
It sounds like that's a really great resource and what we can do is pull together some additional information about language line specifically that we can post to our webinar archives page and share back with the archive. 
I think we have time for about one more very brief question before closing. 
What are some good data sources that you might recommend if people are interested in looking at community data? 
Related to health? 
>> Related to health. 
First, I would call my public health department and if that is a county health department, I would do that. 
If there isn't a county one, I would call the state and ask them for their most recent reports. 
Secondly, always using the U.S. census is a good idea because even though the census is only done every 10 years, special reports come out all the time and often they're related to demographics rather than to commerce. 
And thirdly, I will look to see who else in the area seems like a potential for gathering the data. 
And so if you have teaching hospitals, I would contact a teaching hospital. 
If you don't have teaching hospitals but you do have health clinics that are involved in a particular health condition, for instance, asthma or diabetes, I would contact them to get their suggestions about what in this particular local area is used as the straight edge so to speak. 
>> Excellent. 
Thank you so much, Francisca. 
We are approaching the end of the hour. 
Jennifer has just posted the updated link to the supporting healthy communities pathway. 
Francisca, thank you so much for sharing your expertise with us today. 
We really appreciate it and thank you for all of you for joining us and sharing your feedback in chat. 
As a reminder to all of you please feel free to share the supporting healthy communities pathway and sign up for resource updates at our project page. 
For information about when future pathways are released. 
You will be receiving a very brief follow-up survey about this webinar and we appreciate you taking the time to provide your feedback and we'll also provide notification as soon as the archive is made available. 
So thanks again for joining us today. 
Thank you, Francisca. 
We hope you all have a great week.