Strategic Plan

Strategic Planning Process

What is WikiDoc?

WikiDoc is an open source, web-based textbook or encyclopedia of medicine co-created by an international community of healthcare professionals. As a result of its worldwide base of authors, WikiDoc is able to combine the broadest base of clinical knowledge with the latest breaking medical updates.

Discussion: is WikiDoc a textbook or encyclopedia or other?

Wikipedia definitions:

• textbook: a manual of instruction in any branch of study. Textbooks are produced according to the demands of educational institutions. Although most textbooks are only published in printed form, many are now available as online electronic books and increasingly, although illegally, in scanned format on filesharing networks.
• encyclopedia: is a type of reference work - a compendium holding a summary of information from either all branches of knowledge or a particular branch of knowledge. Encyclopedias are divided into articles or entries, which are usually accessed alphabetically by article name ... encyclopedia articles focus on factual information to cover the thing or concept for which the article name stands.

• other: a "living textbook" of medicine?; a definitive resource for medical knowledge?; clinical knowledge resource?; etc.

Whom is WikiDoc striving to serve?

WikiDoc is intended to be a shared resource for -

• Housestaff (in preparation for morning report);

• Medical students (in preparation for morning rounds);

• Fellows (in preparation for conferences); and

• Nurses and attending physicians (to share and improve upon their fund of general medical knowledge);

• Pre-medical students sudying for the USMLE boards

• Additionally, WikiDoc is intended to provide medical content catering to patients as well by way of its WikiPatient resources.

Discussion: does WikiDoc provide equal emphasis and value for both hospital-based and independent or group practitioners and care?

How does WikiDoc succeed?

WikiDoc succeeds as it -

• captures the broadest possible community of contributors and users
• offers an editing process that delivers vetted content that is valid, independent and based upon the latest medical knowledge
• serves as an essential resource for practitioners worldwide
• assists clinicians at the point of care
• permits user cohorts to filter clinical approaches (e.g., by geography, practice type, practice location, specialty, etc.)

Strategic Planning Components

Vision

WikiDoc is the definitive resource for medical knowledge and care, providing the latest findings and insights from its global community of healthcare contributors.

Discussion: does this provide a long-term view on what WikiDoc intends to be in the future? Will this serve as a source of inspiration for editors, contributors, users, collaborators, etc?

What concepts, if any, are missing?

• statement of content quality & validity

• point of care?

• patient level resources?

• evidence based medicine?

• situation specific information and insights?

• decision support resource?

• indispensable part of clinical workflows?

• other?

Mission

As an open source, web-based clinical resource developed by and for the global medical and patient communities, WikiDoc combines the broadest base of medical knowledge with the latest breaking clinical updates.

Discussion: does this define WikiDoc's fundamental purpose and outline why it exists and how it goes about achieving its vision?

What's missing? Relevance and importance of-

• open access to information?

• open source to facilitate collaborative authoring?

• copyleft?

• neutral and objective coverage of medicine?

• other?

A Couple of Mission Statement Examples:

• The Chubb Corporation: "We are dedicated to providing excellent underwriting and loss control advice up front, and to ensuring superior customer service through the life of the policy. Our knowledgable loss prevention experts can help commercial customers reduce losses in the workplace. Our personal appraisers are invaluable in determining accurate replacement value, which is more likely to provide you with the right amount of coverage for your valuable property."

• Federal Express: "FedEx will produce superior financial returns for shareowners by providing high value-added supply chain, transportation, business and related information services through focused operating companies. Customer requirements will be met in the highest quality manner appropriate to each market segment served. FedEx will strive to develop mutually rewarding relationships with its employees, partners and suppliers. Safety will be the first consideration in all operations. Corporate activities will be conducted to the highest ethical and professional standards."]

Values

Examples for WikiDoc:

• Innovation increases as open access to information increases

• Open source facilitates collaborative authoring

• "Copyright is out, copyleft is in"

• Censorship and 'control of message' by or in favor of any group, opinion or perspective is not supported and, when offered by a contributor, erodes with further input. Coverage of medicine must be neutral and objective.

Discussion: do these reflect the beliefs that are shared among the WikiDoc contributors? If accurate, these ultimately should drive the group's culture and priorities and provide a framework within which decisions will be made. What other beliefs, if any, are missing?

Objectives, Strategies and Tactics

Potential Objectives for WikiDoc:

• Objective !: Capture the broadest possible community of contributors and users
  • Strategy 1: By October 2013, increase by __x the number and broaden the representation of site contributors while maintaining the highest standards for content quality
    • Tactic 1: Offer free access with no registration requirements to view site
    • Tactic 2: Pursue search engine optimization programs by ... with ...
  • Strategy 2: Permit clinicians to earn CME and CEU credits as they use WikiDoc to research clinical issues and questions.
    • Tactic 1: Develop site capabilities required to permit the awarding of educational credits
    • Tactic 2: ...
  • Strategy 3: Pursue collaborations with internships and residency programs worldwide
    • Tactic 1: Establish short-list of priority US based programs
    • Tactic 2: Pursue key academic programs overseas

• Objective 2: Serve as an essential resource for practitioners worldwide
  • Strategy 1: Achieve preeminence and leadership in the fine-tuning of current and emerging clinical guidelines
    • Tactic 1: offer users opportunities for polling and suggested edits to guidelines
    • Tactic 2: present finding at relevant national society meetings
  • Strategy 2: Provide a breadth of resources not present in current published resources
    • Tactic 1: Aggressively pursue video and audio content for integration into WikiDoc, including thousands of free, downloadable "copyleft" images
    • Tactic 2:
  • Strategy 3: Offer an editing process that delivers vetted content that is valid, independent and based upon the latest medical knowledge
    • Tactic 1:
    • Tactic 2:
  • Strategy 4: Establish a world class board of clinician-educators to represent the key areas of medicine
    • Tactic 1:
    • Tactic 2:

• Objective 3: Assist clinicians at the point of care
  • Strategy 1:
    • Tactic 1:
    • Tactic 2:
  • Strategy 2:
    • Tactic 1:
    • Tactic 2:
  • Strategy 3:
    • Tactic 1:
    • Tactic 2:

• Objective 4: Offer patient level information and resources linked to professional WikiDoc sections and pages
  • Strategy 1: Make certain that information is accessible to the broad patient audience
    • Tactic 1: Construct information so that it is comprehensible at an 8th grade or lower level.
    • Tactic 2: Make extensive use of images and video.
  • Strategy 2:
    • Tactic 1:
    • Tactic 2:
  • Strategy 3:
    • Tactic 1:
    • Tactic 2:

Discussion: do these represent the results that we need or wish to achieve in the medium or longer term? Objectives should relate to the broader expectations and requirements of and the underlying reasons for running the site. What other objectives are missing? Second, do the stated strategies adequately represent the higher level approaches to achieving the stated objectives? And third, do the listed Tactics represent the key steps required to fulfill upon the strategies and achieve the stated objectives?