How Facebook and Twitter are Changing Healthcare

How and
are Changing Healthcare
Kevin A. Clauson, Pharm.D.
Associate Professor

Objectives
Define and differentiate between Web 1.0 and Web 2.0
Identify uses of Web 2.0 tools in healthcare
Explore pitfalls associated with the use of Web 2.0 applications

What Does Web 2.0 Mean to You?

Evolution of the Web
Web 1.0 (one-way Web)
Static, pull
Web 2.0 (two-way Web)
Dynamic, push
Collaborative, participatory
Web 3.0/3D/Semantic Web (TBD)

Web 2.0
Social Media
Blogs, Podcasts, Wikis, etc.
Social Networking

Why should you care about Web 2.0?

Reason #1Well…your tax dollars did just help to fund $27 MILLION worth of projects that hope to build ‘Facebook for Scientists’
www.nih.gov/news

Reason #2Your aunt, niece, daughter or granddaughter might be one of the 106,000 people getting information from the Gardasil page on Facebook

Reason #3Your colleagues of tomorrow are immersed in these tools TODAY
Acad Med 2009;84(11):1479-81.

Reason #4Web 2.0 tools are already being used by your patients to exchange information and help with smoking cessation, diabetes management, medication adherence, influenza alerts, etc.

http://socialnomics.net/2009/08/11/statistics-show-social-media-is-bigger-than-you-think/

HOW FACEBOOK IS CHANGING:Social Expectations

17% of all time spent onlinein 2009 was on social networking sites!
Nielsen – August 2009

Navigating Social Networking
Social Networking Buffet

What about the Dunbar Number?
What about the Dunbar Number?
Behavioral and Brain Sciences 1993; 16 (4):681-735.

When Generations Collide!
Karen is Mark’s Mom!

HOW FACEBOOK AND TWITTER ARE CHANGING:Business of Healthcare

Advertising Age – March 2009
Gaining one memberper second
Site visitors doubled since last year

45% of hiring managers use social networking sites to screen candidates
Harris Interactive/CareerBuilder Survey 2009

Background
Did NOT hire when profile indicated:
Provocative/inappropriate photographs or information (53%), alcohol or drug use (44%)
Shared sensitive information from previous employment (20%)

Did hirewhen profile indicated:
Good organizational fit (50%), candidate creativity (38%)

Three Things To Know About
and Stent Advert
$7500 investment for video
Generated over 160,000 views and almost 1000 comments
Increased the number of site hits for company by >180%
www.thespanner.com

YouTube Case Study
http://www.youtube.com/watch?v=W-jB9RDN-mE

FDA Hearing on Social Media
Why Should You Care?

HOW FACEBOOK AND TWITTER ARE CHANGING:Healthcare Models

Patient
ePatient
Passive role
Information is given to them
Top down delivery of healthcare
Paternalistic medicine
Active (engaged) role
They seek out information (Internet)
Partner in their healthcare
Participatory medicine

Participatory Medicine
Patient driven changes to healthcare system
Healthcare professionals scrambling to catch-up
May require education/retraining of workforce

What Type of Patient Is This?

“As opposed to the doctor-centric, curative model of the past, the future is going to be patient-centric and proactive.”
Elias A. Zerhouni, M.D.
Former Director of the National Institutes of Health (2002-2008)

HOW FACEBOOK IS CHANGING:Delivery of Healthcare

Hospitals and Web 2.0 Tools
410 Hospitals
297 Twitter
219 Facebook
202 YouTube
48 Blogs
Source: ebennett.org/hsnl

Take the Fact Check: HPV quiz to see how much you really know about Human Papillomavirus, a common sexually transmitted disease that can cause cancer and genital warts. Others will not know you’ve taken the quiz unless you want them to.

HOW FACEBOOK IS CHANGING:Biomedical Literature & Perceptions

Facebook Gone Wild!
44.5% of medical students and residents (n=813) at UF had a Facebook account
J Gen Intern Med 2008;23(7):954-7.

Facebook Study at UF - Groups
63% of Facebook users in study joined ‘groups’ including:
PIMP (Party of Important Male Physicians)
Physicians looking for trophy wives in training
J Gen Intern Med 2008;23(7):954-7.

Facebook Study at UF - Profiles
70% contained pictures of drinking
10-50% ‘excessive’
Findings driving changes in policy
J Gen Intern Med 2008;23(7):954-7.

Social Network Use by Pharmacy Students at NSU
82.7%
30.9%
1.5%
Proceedings of Medicine 2.0 – 2009

Facebook & Pharmacy Students
Study of 299 pharmacy students in three Colleges of Pharmacy
57% responded it was “unfair” for employers to use Facebook content
45% said College should not be able to use as evidence of students lacking professionalism
AJPE 2009;73(6):article 104.

Boston College Quit Issuing Email Accounts to Students in 2009
Chronicle of Higher Education
November 2008

Pitfalls with Facebook

How to Get Fired From an NFL Team in Two Easy Steps
by Dan Leone gate chief
Get upset about your employer cutting your favorite player (Dawkins)
Immediately post on Facebook:
"Dan is [expletive] devastated about Dawkins signing with Denver ... Dam Eagles R Retarted!!"
sports.espn.go.com/nfl/news

Two hospital staff were fired after a nurse appeared on Facebook in ‘a revealing pose’…the picture also showed a patient in the background!
NursingTimes.net February 2009

Beliefs & Social Media
53% of employee respondents said their social networking sites are “none of an employers’ business”
Compare to results of pharmacy students’ attitudes in study
Deloitte LLP 2009 Ethics & Workplace Survey

Eight Percent of Companies Have Fired Employees Due to Issues With Social Media Sites
www.proofpoint.comom

HOW TWITTER IS CHANGING:
Communication

Microblog
"a small-scale form of blogging, generally made up of short,
succinct messages, used…to share news, post status updates and carry on conversations".
- Mike Templeton
Science 2.0 for TEL workshop at ECTEL09

Individual
Institution
Customized news feed & analysis
Live Tweeting
Job leads
Social networking
Internal communications
Live Tweeting
Recruitment
Engagement

Twitter Usage
19% of all adults online use Twitter
Source: Pew Internet & American Life Project Survey 2009

HOW TWITTER IS CHANGING:Delivery of Healthcare

Twitter Mobile
TweetDeck
TwitterBerry
TwitterFon

140 Uses for Twitter in Healthcare
philbaumann.com

CDC & Twitter

Pandemics in the Age of Twitter: Content Analysis of “Tweets” During the H1N1 Outbreak
Proceedings of Medicine 2.0 - 2009

HOW TWITTER IS CHANGING:Coverage of Live Medical Events

Live Tweeting
Most commonly at conferences
Use of Hashtags
#USPasm, #Med2, #ASHPMCM?

Tweeting During Conference
Proceedings of EduMedia conference 2009;145-156.

Henry Ford Hospital
Live Tweeted Surgery
Livestream to conference attendees
Educational for residents/students
Remove mystery for future patients

Pitfalls with Twitter

Not Twitteriffic
HIPAA
Ethical breaches
Lack of formality

POSSIBLE TUI

Summary Points
Web 2.0 is changing the nature of communication and social networks
New healthcare models and opportunities are available via tools such as Facebook and Twitter
Pitfalls exist with these tools requiring creation of new guidelines and policies

Twittersphere & BlogosphereAcknowledgements
Lee Aase
Phil Baumann
Ed Bennett
Susannah Fox
Cisco Grajales III
ShwenGwee
Jen McCabe
BerciMesko
Erik Qualman
Darren Rowse

Recommended Resources
Lee Aase’s Social Media University Global (SMUG)
http://social-media-university-global.org/
Darren Rowse’s Twitter Tips for Beginners
http://www.twitip.com/twitter-tips-for-beginners-video/
Phil Baumann’s Leading on Twitter Primer
http://www.slideshare.net/philbaumann/priming-healthcare-for-twitter-an-introduction-to-leading-on-twitter?src=embed

Expanded slidedeck available at:www.slideshare.net

Images
http://socialnomics.net/2009/08/11/statistics-show-social-media-is-bigger-than-you-think/
http://www.facebook.com
http://www.myspace.com
http://www.ning.com
http://www.linkedin.com
http://www.hi5networks.com/blog/
http://malefis.u-strasbg.fr/site/images/homer-brain.jpg
http://www.geekologie.com/2009/09/dont_friend_your_mom_more_face.php
http://en.wikipedia.org/wiki/File:Elias_Zerhouni_close-up_official_photo.jpg

Images
http://www.cdc.gov/SocialMedia/
http://www.facebook.com/takeastepagainstcervicalcancer#/takeastepagainstcervicalcancer?v=box_3
http://www.facebook.com/pages/Orlando-FL/UCF-Student-Counseling-Center/52063513049
http://holydogwater.files.wordpress.com/2007/10/borat-greatsuccess.jpg
http://thenastyboys.files.wordpress.com/2008/01/huggybear.jpg
http://media.photobucket.com/image/drunk%20student/silverbeam/A%20CSM%20Blog/Drunk.jpg
http://www.bc.edu/bc_org/svp/st_org/mktacad/Images/511px-Boston_College_with_Boston_skyline.jpg
http://www.bc.edu/bc_org/svp/st_org/mktacad/Images/511px-Boston_College_with_Boston_skyline.jpg
http://media.photobucket.com/image/Pitfall%20video%20game/cliche_city2/pitfall.jpg

Images
http://www.twitip.com/twitter-tips-for-beginners-video/
http://z.about.com/d/politicalhumor/1/0/y/m/2/stop-or-tweet.gif
http://twitter.com/jensmccabe/status/3073739543
http://cache0.techcrunch.com/wp-content/uploads/2009/10/twitter_bird_logo_by_ipotion.jpg
http://twitter.com/poikonen
http://twitter.com/search/users?q=Walgreens&category=people&source=find_on_twitter
http://twitter.com/Walgreens
http://twitter.com/CVS_Cares
http://twitter.com/rankospharmacy
http://twitter.com/APhA_HCR

Images
http://www.ignitelabs.com/pharmatwitter/
http://www.telegraph.co.uk/telegraph/multimedia/archive/01369/twitter-pic_1369969c.jpg
http://www.flickr.com/photos/joeysplanting/2433679130/sizes/l/
http://www.ci.redwood-city.ca.us/fire/disaster/preparedness%20overvew_clip_image001.jpg
http://www.cdc.gov/socialmedia/campaigns/h1n1/#Microblogs
http://www.nasddds.org/PanFlu/H1N1.jpg
http://newmexicoindependent.com/wp-content/uploads/2008/12/twitter-art.jpg
http://www.flickr.com/photos/30211781@N04/3937067223/in/set-72157622279693151/
http://farm4.static.flickr.com/3365/3201878338_65aebe014d.jpg
http://twitter.com/CVS_pharm/status/2794096289

Images
http://thepcsecurity.com/wp-content/uploads/2009/08/twitter-risk-analysis.png
http://tweetphoto.com/671561
http://www.flickr.com/photos/dosik/118828513/
http://www.flickr.com/photos/the_brownhorse/2553314429/
If thumbnail/URL not present, image has been purchased/licensed
Expanded slidedeck images can be found under notes tab

Thank you for your time!
clauson@nova.edu @kevinclauson

http://scienceroll.com	581
http://laikaspoetnik.wordpress.com	311
http://www.highlighthealth.com	176
http://www.ivline.info	86
http://empreendersaude.com.br	65
http://www.slideshare.net	49
http://mywebcollection.blogspot.com	36
http://ikhwancyber.wordpress.com	32
http://edelmandigital.com	22
http://avera12.wikispaces.com	22
http://www.empreendersaude.com.br	21
http://rosebiose.blogspot.com	19
http://feeds.feedburner.com	17
http://globalelf.blogspot.com	12
http://paper.li	9
http://blog.e-healthgr.com	8
http://zgrahamblog.blogspot.com	6
http://saludpublica.rcm.upr.edu	6
http://socialhealthcarenews.com	5
http://1malaysiahealthcare.my	3
http://www.edelmandigital.com	3
http://translate.googleusercontent.com	3
http://rosebiose.blogspot.in	2
http://malaysiahealthcarecom.blogspot.com	2
http://bb.coursenligne.net	2
http://static.slideshare.net	2
http://ig.gmodules.com	2
http://paris20.psst.pro	2
http://mywebcollection.blogspot.de	1
http://www.rosebiose.blogspot.com	1
http://a0.twimg.com	1
http://campusib.fh-burgenland.at	1
http://rmu.blackboard.com	1
https://slchc.blackboard.com	1
http://f2009.texasangle.com	1
http://www.cfha.net	1
http://kevinclauson.posterous.com	1
http://rubitaa6.wordpress.com	1
http://www.lmodules.com	1
http://suffolku.blackboard.com	1
http://www.1malaysiahealthcare.my	1
http://static.slidesharecdn.com	1
http://172.16.40.18:15871	1
url_unknown	1
http://www.levidepoches.fr	1
http://ikastaroak.tknika.net	1

How Facebook and Twitter are Changing Healthcare

by Kevin Clauson on Nov 06, 2009

Accessibility

Categories

Tags

Upload Details

Usage Rights

46 Embeds 1,522

Statistics

How Facebook and Twitter are Changing Healthcare — Presentation Transcript