A research project which has as its objective the design, implementing and evaluation of educational programs for the purpose of upgrading hospital library practice is described. As a necessary preliminary to the formulation of educational objectives and the design of appropriate courses, a survey was made of hospital library facilities, resources, services, user groups, budgets and manpower in Ohio. The relationships between the library and the basic hospital functions of the patient care, education and research were also investigated. Results are presented which indicate, in general, that Ohio hospital libraries are under-staffed and that collections, budgets and user services are minimal. Of a total of 227 libraries, 154 (67%) were classified as functional. Minimal services appears to generate small demands on libraries which in turn perpetuate minimal service. To upgrade existing manpower, and to train new library personnel, a series of courses, the first being in Inter-Library Loan Procedures, is being designed and tested. For the purpose of gaining further insight into the attitudes and expectations of key hospital personnel such as Administrators, Directors of Medical Education, Chiefs of Medical Staff, Directors of Nursing Education, several hundred interviews are presently being conducted in hospitals in the Northeast Ohio Regional Medical Program. (Author)