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DESIGNING AND IMPLEMENTING A COMPREHENSIVE KNOWLEDGE MANAGEMENT SYSTEM IN AN ACADEMIC FEDERALLY QUALIFIED HEALTH CENTER IN THE BRONX, NY
Journal of General Internal Medicine ; 37:S566-S567, 2022.
Article in English | EMBASE | ID: covidwho-1995816
ABSTRACT
STATEMENT OF PROBLEM/QUESTION Effective knowledge management systems (KMS) - interactive technologies to reliably catalogue and communicate a group's most updated collective knowledge - have been underutilized and uncoordinated in healthcare, particularly in health systems that could benefit most due to limited resources and high staff turnover (e.g. medical residency clinics in underserved areas). This project assessed if a cloud- based comprehensive knowledge management system could be developed for, implemented in, and uniformly adopted by a Federally Qualified Health Center in the Bronx that serves as the ambulatory site for Montefiore's Primary Care Social Internal Medicine residents and faculty. DESCRIPTION OF PROGRAM/INTERVENTION This project surveyed physicians, nurses, and other support staff to identify opportunities to catalogue all clinic work-flow knowledge. One medical resident worked closely with physician, nurse, and administrative leadership to identify clinic workflow content that previously was not independently accessible in any standardized approach (i.e. other than asking colleagues verbally or through individual emails). After evaluation of numerous KMS products, we chose to use the no-cost open-source Google Sites platform to catalogue all possible information into a KMS in the form of a wiki. Nurse leadership was enlisted to implement change management strategies to incorporate use of this new wiki into physician and nurse workflows. MEASURES OF SUCCESS Google Forms was integrated into the wiki to solicit real-time contributions for expeditious updating and to solicit user experience feedback. Google Analytics was used to track adoption and usage metrics. FINDINGS TO DATE A fully functioning open-source private clinic KMS in the form of an adaptive wiki has been fully implemented at Montefiore's Comprehensive Health Care Center for six months. The wiki relies on realtime staff contributions to update content as it changes, including daily announcements, daily room assignments, workflow updates, COVID protocol updates, and resource sharing. Google Analytics tracking showed 14,000 page views in six months. 93% of staff surveyed have incorporated the wiki into their standard workflows. 70% have adopted the virtual workflow communication strategy rolled out to improve efficiency. 87% reported that it made their job easier. 61% reported that it directly improved job satisfaction. KEY LESSONS FOR DISSEMINATION This project demonstrates the value and possibility of introducing high- quality, highly utilized, scalable health technology with zero-product-cost to improve the quality of care provided in a Federally Qualified Health Center that was prior unaware of these technology applications. The authors hope this pilot serves as inspiration for other clinics in underserved areas to invest in health technology and healthcare management innovations as transformative tools to advance healthcare equity.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of General Internal Medicine Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of General Internal Medicine Year: 2022 Document Type: Article