Strategic Plan

Strategic Planning Process

What is WikiDoc?

WikiDoc is a free, open source, web-based living textbook 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.

Whom is WikiDoc striving to serve?

WikiDoc is intended to be a shared resource for;

• Attending physicians, independent and group practitioners providing primary and specialty care - to share and improve upon their fund of general medical knowledge, to prepare for their sub-specialty boards, to help in teaching rotating residents and medical students and as a means of earning free CME credits.

• Fellows - in preparation for conferences, for teaching on the hospital wards and as preparation for specialty board exams.

• Housestaff - in preparation for morning report, and as a quick reference while on the hospital wards.

• Nursing and ancillary staff - to look up medical information, as well as to research management, medications, and dosing specific to their patients.

• Medical students - in preparation for morning rounds and for presentations, as well as to read about conditions seen in their patients. Also, to prepare for their USMLE examinations using board review.

• Pre-medical students - to learn more about medicine in general, and about the various specialties within medicine.

• Patients - to learn more about their condition or the conditions of their family members through the WikiPatient pages.

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. In this sense it is a "living" textbook.
• Serves as an essential resource for practitioners worldwide.
• Assists clinicians at the point of care (ie. Intern survival guides, as well as free and easy accessibility to medical information through hand-held devices.
• Permits user cohorts to filter clinical approaches (e.g., by geography, practice type, practice location, specialty, etc.).

Strategic Planning Components

Vision

WikiDoc, a living textbook of medicine, 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 th broadest base of medical knowledge with the latest breaking clinical updates. It provides not only a source of medical knowledge, but an interactive interface for physicians to share what they know with others.

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

What concepts are missing?

• "healthcare is enriched when medical knowledge flows freely?"

• free?

• copyleft?

• neutral and objective coverage of medicine?
• statement of targeted or intended audiences?

• clinical areas of coverage?

• 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:

• Open access (i.e., healthcare is enriched when medical knowledge flows freely)

• Open source (i.e., open source facilitates collaborative authoring)

• "Copyright is out, copyleft is in"
• Moderated wisdom of the crowd (i.e., content development via crowd-sourcing-meets-content-experts)

• 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: while this needs to be re-written in the form of a statement, 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 1: Double the number of site contributors by August, 2013 while maintaining the highest standards for site content quality
  • Strategy 1: Permit clinicians to earn CME and CEU credits as they use WikiDoc to research clinical issues and questions.
    • Tactic 1: Develop site capabilities necessary to permit the awarding of educational credits to editors / contributors
    • Tactic 2: Consider WikiDoc developing its own CME capabilities, including its becoming separately accredited by the ACCME
  • Strategy 2: Pursue collaborations with internships and residency programs worldwide
    • Tactic 1: Establish and pursue short-list of priority US based programs
    • Tactic 2: Establish and pursue key academic programs overseas
  • Strategy 3: Achieve greater search prominence and results with the leading search engines
    • Tactic 1: Pursue search engine optimization programs by ... with ...
    • Tactic 2: ...

• 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: Provide equal emphasis and balance between hospital-based and independent or group practitioner-related content and care
  • Strategy 4: Offer an editing process that guarantees delivery of vetted content that is valid, independent and based upon the latest medical knowledge
  • Strategy 5: Establish a world class board of clinician-educators to represent the key areas of medicine

• Objective 3: Assist clinicians at the point of care

• 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:
    • ...

• Other
  • Board review related course content

Discussion: do these represent the results that we need or wish to achieve in the medium or longer term? What's missing? 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?