Healthcare has become a rapidly changing field. With the introduction of value-based purchasing to determine reimbursement of Medicare providers based on the quality of care in addition to outcomes in treatment, the environment is becoming ever more competitive. Saint Philip's Hospital is among the largest non-profit hospitals in the nation…

This study reports on the results of a mail questionnaire administered to 25 tribal community college libraries in 1999, 6 years after "Pathways to Excellence: A Report on Improving Library and Information Services for Native American Peoples" was released. Data obtained from nine respondents, representing 36% of those surveyed, provided…