A primary information source for many patients and caregivers is an organization's website. This study analyzes 17 of the top hospitals in the U.S. to determine how they are communicating about the role of the hospitalist in the care of patients. Beginning with a review of the evolution and implantation of the hospitalist in the hospital setting, this paper then goes on to outline the information gathered and analyzed from the websites used in this study. The findings indicate that hospital systems need to improve the types and kinds of communication that it posts on their websites to assist patients with their information needs.

Hospitals have encountered significant changes since implementing the hospitalist model. The changes have been most prevalent in the communication between patients, primary care physicians, specialists, and hospitalists. This comparative case study examines hospitalists’ and patients’ perceptions of communication challenges. During interviews, hospitalists reported that most of their communication challenges related to patients and their families. But during group sessions, hospitalists reported that less than one third of their communication challenges related to patients and their families. A comparison of patients’ and hospitalists’ perceptions demonstrates that there are critical gaps in patient education that affect patients’ care and their trust in their caregivers.

To build upon user-centered design methods, we used a collaborative and multi-modal approach to involve users early in the design process for a website. This article presents our methods and results and addresses the benefits and limitations of the Collaborative Prototype Design Process (CPDP), including ways in which this new method can be implemented. The CPDP is an innovative approach to user-centered website design that emphasizes collaboration, iterative testing, and data-driven design. The CPDP balances the power and needs of users with those of designers and, thus, enables design teams to test more tasks and involve more users. We divided our initial team into three independent design teams to separately profile users, test usability of low-fidelity paper prototypes, and then create and test usability of resulting wireframes. After completing the user-centered design and usability testing, the three teams merged to analyze their diverse findings and create a final prototype.