Understanding and utilizing basic social media tools for the healthcare provider, an abbreviated presentation from an SSPR Workshop in 2011

1. Understanding and Using Social Media Tools in Healthcare Southern Regional Meeting New Orleans, Louisiana February 17-19, 2011 CLARA SONG, MD, FAAP Assistant Professor of Pediatrics Neonatal-Perinatal Medicine Jay Malone, M.D. Resident Physician Department of Pediatrics The Children’s Hospital at OU Medical Center The University of Oklahoma Health Sciences Center

2. Disclosure Clara Song, M.D. and Jay Malone, M.D. have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services to disclose. Clara Song, M.D. and Jay Malone, M.D. do not intend to discuss an unapproved or investigative use of commercial products or devices.

3. OBJECTIVES Understand the evolution of social media and its impact Navigate the various interactive resources on the web Implement the use of social media tools to enhance daily practice

4. 100,489 fans + 324 fan photos

5. Social Media Social media is a “group of Internet-based applications…that build on the foundations of Web 2.0, and that allow the creation and exchange user-generated content.” Social media uses Internet and web-based technologies to transform broadcast media monologues (one to many) into social media dialogues (many to many). It supports the democratization of knowledge and information, transforming people from content consumers into content producers. Concept Media Social interface Source: http://en.wikipedia.org/wiki/Social_media

6. Social Media is Changing Our Lives Shift in communication to focus on honesty and transparency. Social media sites, like Facebook and Twitter, are becoming trusted sources of information and communication. New relationships are being created and old ones maintained. Average citizens have the opportunity to influence public opinion and policies. New possibilities have been opened for those launching and/or promoting a business. Source: mashable.com/2009/10/16/social-media-changing-lives/

7. Blogs Microblogs Photos Videos Audio Slides Social Networks Event Networks Interest Networks WEB 2.0 Source: blog.milestoneinternet.com

8. Health 2.0 Information: resources and sharing Medical education Collaboration and practice Disease management Research & data sharing Professional Development & Networking Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png

10. Seek online guidance for their own conditions or for their loved ones

11. 2 effects “better health information and services, and different (but not always better) relationships with their doctors”Source: http://enwikipedia.org/wiki/E-Patient

12. SmartBlogon Social Media November, 12, 2010: Patients and their families benefit from the community support by connecting through social media before, during and after a hospital stay Source: sbne.ws/r/68Vj

13. We are e-Doctors 99% of U.S. physicians are online 85% of offices have broadband 83% consider the Internet essential to their practice 91% use Google for medical and pharmaceutical queries The web and Blackberrys are replacing textbooks, drug references and conferences. ….“e-Doctor”… all the “e’s” and then some (empathetic, encouraging, eloquent,…..expert” Source: pharma2blog.com/2008/07/03/taking-the-pulse of-the-physician

14. Facebook More than 550 million active users 50% of active users are logged on in any given day Fastest growing demographic is age 35 and older; second is 55-65 year olds (Fastest growing segment is 55-65 year old females) Median user age: 33 Average user has 130 friends, creates 90 pieces of content/month Worldwide, more than 8 billion minutes a day spent on Facebook, yielding over 60 million status updates each day More than 30 billion pieces of content shared every month #1 popular site to share photos(comScore 2009) 3rd most popular site to view online video (Nielson VideoCensus, Nov 2009) Source: www.facebook.com/press/info.php?statistics

15. Social= Share: Facebook Sign-up Tips “Show my FULL birthday in my profile.” is the default. Connecting on Facebook: default is Everyone! Platform applications and websites ON is default Instant personalization “is allowed” is default Privacy settings: Photos you post, photos post and “tag”, personal info…

16. LinkedIn Global network with over 25 million experienced professional in 150 industries Average age is 41 years Over 50% users have income >$100,000 Over-representation of those who attended graduate school, compared to all internet users 64% male 34% own a Smartphone/PDA 95% of companies use LinkedIn as their primary tool to find new employees (80% of companies use social media for recruitment) Searchable by Google Source: www.linkedstrategies.com/blog/tag/linkedin-statistics

17. Twitter Twitter is a service for friends, family, and co-workers to communicate and stay connected through the exchange of quick frequent answers to one simple question: What are you doing? “Share and discover what’s happening right now, anywhere in the world.” Source: twitter.com

18. Twitter unique visitors increased by 1,382% in a year 475,000 in Feb 2008  7 million in Feb 2009 As of Feb 2010, largest Twitter group 35-44 year olds, 64% aged 35 or older, & the median user age: 39 Twitter.com primarily visited from work 62% assess from work only 35% assess from home only As of April 2010, 180 million unique visitors every month and 105 million registered users 55 millions tweets a day 600 million search queries a day via Twitter’s search engine 37% of active users are mobile Source: http://blog.nielson.com/nielsonwire/online_mobile/twitters-tweet-smell-of-success/, royal.pingdom.com/2010/02/16/study-ages-of-social-network-users/

19. Coffee Talk Tweets are short and sweet (140 character limit) No one stays too long or says too much Casual conversation, like at the water cooler or coffee house If you’re away too long, you’ll miss the conversation Image source: flickr.com

21. Surgeons at Henry Ford Hospital, Detroit, Michigan

22. “To let people know that a tumor can be removed without taking out the entire kidney,”said Craig Rogers, MD, lead surgeon, to CNN.for REAL-TIME Updates

24. Epidemiological survey

25. Disaster alerting and response

26. Supportive care for patients and family members

27. Diabetes management

28. Alarming silent codes (security incidents)

29. Augmenting telemedicine

30. Amber alertsBY PHIL BAUMANN, “Health is Social”

31. Top Twitter Topics of 2009 Iran Election Swine Flu Gaza Iran Tehran Source: http://mashable.com/2009/12/15/twitter-reveals-most-discussed-topics-of-2009/

32. Top Twitter Topics of 2010 Gulf Oil Spill Haiti Earthquake Pakistan Floods Chilean Miners Rescue Chavez Tas Ponchao

33. Friday, April 2,2010: Columbia University and MixedInk in New York identified 52,000 Tweets mentioning antibiotics during a 4 ½ month period in 2009. Approximately 700 of those tweets included incorrect information. Twitter is not always reliable Source: www.healthday.com/Article.asp?AID=637674

34. Twitter Search: Official search page WeFollow Twellow Just Tweet It Twibs: businesses Tweeter tags Twitter Fan Wiki GovTwit Twubble: find people Twitterectory Twitter Directories Source: tugagames.com

35. TwtSurvey TwtPoll Twtvite TwtAway TwtFAQ TwtBizCard TwtJobs TwtTRIP “The Only Twitter Applications List”Squidoo.com/twitterapps Image source: igorhelpsyousucceed.com

36. Does your organization/hospital have a social media policy? Source: @reedsmith, Twtpoll Oct 2010

37. Twitter 101 What I’m doing… I’m thinking… Share information Join the conversation! (@songMD______) “Let others find me by email address” Tweet Location Tweet Media setting Twitter Privacy setting

38. Twitter AP Share images/photos via Twitpic, Yfrog, GDZILA Share music via Tinysong Share videos via Twitvid Find information (#hashtag, www.search.twitter.com, www.foxepractice.com/healthcare-hashtags) Update your all your social networks (ping.fm) Update all your social networks with media (pikchur) What’s going on in Twitter in a particular area (Twitte Local) TweetDeck for your desktop to organize and streamline

39. 80% of SUCCESS is showing up. WOODY ALLEN

40. There are over 300ways to bookmark and share information! Source: Social Media Revolution from Socialnomics.net

41. Media Sharing You Tube rrripple Flickr Daily Motion Vimeo Google Video Yahoo Video Source: www.freesocialicons.com

42. CiteULike Connotea Reddit Technorati Google Chrome: AddThis SlashDot StumbleUpon Digg 2collab Diigo Social Bookmarking and News Aggregates Source: doublejdesign.co.uk

43. Social bookmarking steps Choose a site Register Add button (optional, but recommended) Find references (websites, articles, etc.) “Add to …” with one-click Add “tags” Socialize and share

44. SlideShare Google Docs SlideBoom SlideServe Scribd 280 Slides SlideRocket Zoho Show Slide SLIDE SHARING “Try not. Do or do not. There is no try.” -Yoda Source: sethpickens.files.wordpress.com/2009/02/luke-yoda

45. RSS is “a family of web feed formats used to publish frequently updated works- such as blog entries, news headlines, audio, and video- in a standardized format.” RSS feeds “benefit readers who want to subscribe to timely updates from favored websites or to aggregate feeds from many sites into one place.” RSS= “Really Simple Syndication” Source: http://en.wikipedia.org/wiki/Rss

46. READER Google Reader NewsGator My Yahoo! FeedDemon NetNewsWire Source: rssboard.org

47. RSS Feeds Sign up for your RSS feed Reader of choice (Google, my Yahoo!, Shrook, etc.). Connect our websites to your Reader by finding icons (RSS). “Subscribe now” or copy URL to add subscriptions/feed onto your Reader. Watch out because here they’ll come!!

48. Trends, Tags, and Alerts in Medicine PubMed Save Search function PubMed Reader PeRSSonalized Medicine from Webicinia.com BioWizard Google Alerts (Google Scholar) REEmeme AllTop WatchThatPage DailyMe TweepBeep Source: www.webicinia.com/journals_and_sites/step_1_tools_that_help_you_keep_yourself_up_to_date_trend_trackers_84/

49. “Be who you are and say what you feel …..... because those who matter don’t mind and who mind don’t matter.” Dr. Seuss

50. No good deed goes unpunished. Elphaba Thropp, The Wicked Witch of the West

51. Potential Risks Social networking is online= Public domain, no longer private Posting online is permanent; can be deleted, but may be archived Professional liability risks (violations of medical code of ethics, HIPAA, employer or medical staff policy) Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.

52. Minimize Risks Use common sense. “The least common thing in the world is common sense.” – overheard from Istvan Seri Review the terms of service of the online communities. Review your professional liability policy. Review your employment agreement. Be aware that you may not remain anonymous. Include a disclaimer. Review your posting before you post. As you would think before you speak….. Think, then pause before you post. Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.

53. Social Do’s and Don’t DON’T: Mix your pleasure at your business (i.e Don’t use for personal reasons during work time) Post personal identifiable OR protected health information Use or post profane, defamatory, illegal language or material DO: Identify yourself with yourself employer if appropriate, but emphasize that you do not represent your employer’s views Engage in discussion with your peers and colleagues Again, Think, then pause before you post.

54. AMA Policy: Professionalism in the Use of Social Media Standards of patient privacy and confidentiality Privacy settings Appropriate boundaries of patient-physician relationship Professional boundaries Ethical responsibility to report unprofessionalism Possibility of negative consequences

55. Ohio State Medical Association Social Networking and the Medical Practice: Guidelines for Physicians, Office Staff and Patients “It is only a right to write.” Source: osma.org

56. Philosophy: Individuals have the right and responsibility to advocate for their own health, and that is our responsibility to help them use social media tools to get the best information, connect… and inspire….We intend to lead the health care community… to spread knowledge and encourage collaboration… improving healthcare everywhere. Mission of the Center: Lead the social media revolution in health care, contributing to health and well being for people everywhere. Vision for the Center: Mayo Clinic will be the authentic voice for patients and health care professional, building relationships through the revolutionary power of social media. Source: socialmedia.mayoclinic.org

57. Social Media Policies Source: socialmediagovernance.com

58. Use web tools with confidence to streamline Effective communication More “expert-generated” content alongside user content Ethical considerations? Why bother???

59. “Social media is like voting… You may not like the system, but unless you vote, you don’t have a right to complain about the outcome.”

60. Life is what happens while you’re busy making other plans JOHN LENNON

61. “If you ask me anything I don’t know……. I’m not going to answer.”- Yogi Berra clara-song@ouhsc.edu

62. We Are Here For You… Theresa Green greeninok@aol.com Casey Hester casey-hester@ouhsc.edu Jay Malone jay-malone@ouhse.edu Clara Song clara-song@ouhsc.edu http://bit.ly/OUmediamatters Slideshare.net SSPR.2011

63. … and We Are Social! Facebook LinkedIn Twitter