1. RESEARCH POSTER PRESENTATION DESIGN © 2011
www.PosterPresentations.com
MYWIKICARE – A WEB 2.0 CONCEPT PLATFORM
HELPING TO MOVE EVIDENCE INTO PRACTICE
Pressure continues to mount to move evidence to end users more
rapidly to meet aggressive goals aimed at improving effectiveness,
quality, and safety of healthcare, like the one set in 2009 by IOM’s
Roundtable on Evidence Based Medicine aiming for 90% of all clinical
decisions to be supported by the best available evidence by 2020.1
BACKGROUND
OBJECTIVES
Getting Started
– Late 2013, received a $50K grant from Edwards Lifesciences to help underwrite concept testing of the site
– Used a Wikispaces wiki platform to concept test the site during the grant period
– Hosted a luncheon to invite interested Integrated Care Leadership Network (ICLN) members to help support the launch of the project
– Worked with two University of San Francisco (USF) Masters of Science of Nursing, Clinical Nurse Leader student interns to support
outreach
– Developed targeted collateral and content to help support outreach efforts, including video, a Prezi, flyers, and postcards
IMPLEMENTATION
PROCESS
The project team measured success of the project across multiple measures.
These included:
RESULTS
CONCLUSIONS
The concept test conducted through the capstone project provides
evidence that a community-driven, online resource to support
knowledge exchange amongst healthcare professionals involved in
improvement work may provide a unique and valued resource.
REFERENCES
1. Institute of Medicine (US) Roundtable on Evidence-Based Medicine; Yong PL, Saunders RS,
Olsen LA, editors. The Healthcare Imperative: Lowering Costs and Improving Outcomes:
Workshop Series Summary. Washington (DC): National Academies Press (US); 2010.
2. Schillinger D. In: An Introduction to Effectiveness, Dissemination and Implementation
Research. Fleisher P, Goldstein E, editors. San Francisco: Community Engagem. Progr., Clin.
Transl. Sci. Inst., Univ. Calif; 2010. http://ctsi.ucsf.edu/files/CE/edi_introguide.pdf.
3. Yuan CT, Nembhard IM, Stern AF, Brush JE Jr, Krumholz HM, Bradley EH. Blueprint for the
dissemination of evidence-based practices in health care. Issue Brief (Commonw Fund).
2010 May;86:1-16. PubMed PMID: 20469542.
4. O’Reilly, T. (2005). What is Web 2.0? Design patterns and business models for the next
generation of software. O’Reilly Website. http://www.oreilly.com/pub/a/web2/archive/
what-is-web-20.htmlRetrieved November 4, 2014
5. Bernhardt JM, Mays D, Kreuter MW. Dissemination 2.0: closing the gap between knowledge
and practice with new media and marketing. J Health Commun. 2011;16 Suppl 1:32-44.
6. Eysenbach G. Medicine 2.0: social networking, collaboration, participation, apomediation,
and openness. J Med Internet Res. 2008 Aug 25;10(3):e22. doi: 10.2196/jmir.1030.
7. Kothari A, Rudman D, Dobbins M, Rouse M, Sibbald S, Edwards N. The use of tacit and
explicit knowledge in public health: a qualitative study. Implement Sci. 2012 Mar 20;7:20.
8. McWilliam CL, Kothari A, Leipert B, Ward-Griffin C, Forbes D, King ML, Kloseck M, Ferguson
K, Oudshoorn A. Accelerating client-driven care: pilot study for a social interaction
approach to knowledge translation. Can J Nurs Res. 2008 Jun;40(2):58-74.
9. McWilliam CL, Kothari A, Ward-Griffin C, Forbes D, Leipert B; South West Community Care
Access Centre Home Care Collaboration (SW-CCAC). Evolving the theory and praxis of
knowledge translation through social interaction: a social phenomenological study.
Implement Sci. 2009 May 14;4:26.
CONTACT
&
ACKNOWLEDGEMENTS
This project was funded, in part, by Edwards Lifesciences Fund.
Laura Sheckler, MS(c) partnered with Jackie Lebihan, MS(c) to plan,
implement, and evaluate the capstone project.
Contact Information: Jackie Lebihan, MS(c)
jackie.lebihan@ucsf.edu
415-246-1498
Laura Sheckler, MS(c)
Laura.sheckler@ucsf.edu
510-289-6460
Healthcare
Administra.on
&
Interprofessional
Leadership
UC
San
Francisco,
San
Francisco,
CA
Jackie
Lebihan
MS(c)
Moving evidence into routine practice takes much longer than it
should.1,2
Achieve Edwards Lifesciences Fund
grant outcomes by capturing 50
cardiovascular care submissions on
MyWikiCare by June 2014
Concept test a
low-cost Web
2.0 platform
for capturing,
curating, and
synthesizing
evidence
based practice
(EBP)
Establish proof of concept and
generate lessons learned to inform
future iterations of the platform to
expand the platform’s social
interaction capabilities
2
1
3
Big Vision
To help move evidence into practice faster to help close the
knowledge to practice gap to accelerate the pace of healthcare
improvement
Initial Steps
Principle Outreach Strategies
To satisfy grant outcomes, performed extensive outreach from March 2013-June 2014 to capture 50 cardiovascular submissions on the MyWikiCare
site. Principle outreach strategies included:
– Sourced published work online by contacting the author to invite the author to publish on MyWikiCare
– Leveraged contacts in the ICLN network to invite contacts to publish work on MyWikiCare
– Developed partnerships with third parties such as universities, professional associations, and evidence based practice committees
– Incentivized authors to publish their work on MyWikiCare with a small gift card
– Ran targeted Google AdWords demo campaigns to experiment with driving targeted traffic to the site
Translating & Curating Submissions
– Performed 30-60 minute semi-structured intake interviews with each author submitting work to MyWikiCare to capture important
tacit knowledge 5 that informed the success of the implementation of their evidence based project
– Created a synthesized page for each submission that reflected the content of the originally published work and the findings from the
interview
– Curated submissions using ‘tags’ and by the creation of curated pages by project and by submitting organization
– Granted open access to authors and members of the MyWikiCare site to add new findings and insight to each page
– Opened a discussion ‘widget’ on each submission to promote social interaction between knowledge producer and knowledge users
– Began synthesizing like submissions into a meta-analysis page that reflected the collective findings of each individual submission
5 Number of partnerships formed
5Site Traffic Analytics
$40,000
New grant funding secured
Health Professions represented
Further development of the
site’s functionality is needed
to fully test the hypothesis
that a full-featured Web 2.0
based solution5 holds
promise for improving
dissemination and knowledge
exchange of evidence based
practice through enhanced
opportunity for social
interaction7-9 between
knowledge producers and
knowledge users as a means
of closing the knowledge to
practice gap.1-3
Figure
3.0
ParJcipatory
AcJon
Knowledge
TranslaJon
Model
7,8
Figure 1.0 MyWikiCare Homepage
Figure 2.0 Google Analytics for MyWikiCare
48
Number of submissions
secured during the
project period
2 Yuan et al. (2010)