USE OF AN INTERACTIVE WEBSITE TO IMPROVE COMMUNICATION

USE OF AN INTERACTIVE WEBSITE TO IMPROVE COMMUNICATION

USE OF AN INTERACTIVE WEBSITE TO IMPROVE COMMUNICATION
AND EDUCATION AT AN ACADEMIC HOSPITALIST PROGRAM
Kendall Rogers, MD; Anthony Worsham, MD; J Rush Pierce Jr, MD
Section of Hospital Medicine, University of New Mexico School of Medicine, Albuquerque

ABSTRACT

A commercial provider (PBWorks) was chosen to host the wiki. From Wikipedia, A
wiki is a website that allows the easy creation and editing of any number of interlinked
web pages via a web browser using a simplified markup language or a WYSIWYG text
editor. Wikis are typically powered by wiki software and are often used to create
collaborative wiki websites, to power community websites, for personal note taking, in
corporate intranets, and in knowledge management systems."Wiki"is a Hawaiian
word for "fast".
ADVANTAGES
Unrestricted viewing rights
No need to know HTML or other programming languages makes it easy for
anyone to edit without an administrator
Frequent updates
Free service
Improved communication
Off-campus accessibility
Little training needed
DISADVANTAGES
Inability to use HTML makes page layouts somewhat difficult
Security
Intra-hospital legal ramifications
Little technical support available
Poor selection of widgets
Difficulty discriminating importance of new information or edits
Site structure and format not uniform

Growth of wiki
Number of pages

Statement of Problem: The academic hospitalist section at UNM expanded by nearly
50% over just 12 months and was intimately involved with major changes in the
residency ward structure. Section members repeatedly cited the need for improved
communication about administrative and educational matters.
Innovation Objectives: To provide a readily available interactive website for use by
our hospitalist section to communicate about administrative and educational matters.
Program Description: We established an interactive website for use by our hospitalist
section through a commercial internet service. Section members were invited to
register, and were allowed to contribute comments, edit existing pages, add pages,
upload files, and provide links to other websites. Viewing rights to the website were
unrestricted. The initial website was begun with 6 pages.
Findings to Date: In the first month, 16/17 of our hospitalists and 2/3 of our mid-level
providers registered and subsequently make contributions to the website. In the first
90 days, 85 new pages were created and 132 files were uploaded to create a
website of 120 MB. Of the first 91 pages, 47 dealt with administrative issues (such
as schedules, committee meetings, minutes, credentialing, billing and coding); 27
involved specific information about the residency and new ward structure; 14
specifically addressed educational topics; and 4 addressed faculty development and
research efforts. At the end of one year, 289 pages and 330 files were added,
creating a website of 627 MB. Lectures by hospitalist are now recorded and
uploaded to the site. The website is now frequently viewed by residents and medical
students who cite the value of the educational pages and pages that deal with
residency issues. 80% of surveyed hospitalists found the site to be helpful or very
helpful. To date the size of the website has not exceeded the initial free service, and
the Section has incurred no direct cost related to this project.
Key Lessons Learned: Establishment of an interactive website resulted in
contributions by almost all hospitalists in our Section, has improved communication,
and proved to be of value to medical students and residents with regard to education.

RESULTS

METHOD

300
200
100
0
0

100

200

400

Days since site inception

Frequency of edits
1
11%

39%

8% 6%

12%
24%

2-3
4-5
6-10
11-20
50 or
more

Page Content by Category

Number of user edits
19%

0-10
10-20
20-100
100-600

37%

11%

33%

Hospitalist Satisfaction

15% 4%
33%

very satisfied

29%

SCREENSHOTS

300

289 text pages
132 uploaded files
664 MB used out of 2 GB
27 content editors
30 best practices

51%

adminisitration
education

residency
research

44%

satisfied
22%

neutral
0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

0.4

CONCLUSIONS

MOTIVATION

An interactive website was established to improve communication and establish a
place for section policy and educational materials. The site is a success based on:
Continued growth as measured in number of pages
Frequent material updates
Compendium of hospitalist policy
High hospitalist satisfaction
Collaboration between the Section, residency, nurses, and other groups
Support of educational efforts like best practices
Easy availability of administrative materials (schedules, committee minutes,
orientation materials, etc.)

Need to communicate group policy and changes given:
New ward structure implementation
Nearly 50% growth of hospitalist section in just 12 months
Frequent changes to policy
Multiple stakeholders (hospitalists, midlevels, residents, nurses, other
specialties)
Need to incorporate best practice and educational materials

Home Page

Slide from a Best
Practice

0.45

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