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Bringing the Social Media Revolution
to Health Care
Lee Aase
Mayo Clinic Center for Social Media
December 4, 2012
#GAHealthIT
The book on social media in health care...

                   ā€¢ Thought Leader Essays
                   ā€¢ The ā€œWhy?ā€ of health
                       care social media
                   ā€¢   Available on Amazon
                   ā€¢   MCCSM Bulk discounts
                   ā€¢   http://mayocl.in/OGvNCx
                   ā€¢   Net proceeds will fund
                       patient scholarships
  #MCCSMbook
Agenda
ā€¢ Education on social media
   ā€¢ Mayo Clinic social media history and examples
   ā€¢ The historical import of social media
ā€¢ Information and learning resources
ā€¢ Inspiration on how social tools can help you
  accomplish your goals
ā€¢ Provocation of thought and discussion
Health Disclaimer:
  With 139 slides in 45 minutes
(one every 19.4 seconds) it may
seem like a strobe light is in use
The Hidden Agenda
ā€¢ You will see the transformational power of
  social media
ā€¢ You will want to join the Social Media
  Revolution
ā€¢ You will have arguments you can use to make
  the case for engagement in your organization
ā€¢ You will believe that using social media tools is
  worthwhile and that you can do it
Two Heroes

 Six Magic Words
Four Reasons Why
Theyā€™re True for You
ā€œIā€™ll bet I
could do
  that!ā€
About Lee Aase (@LeeAase)
ā€¢ B.S. Political Science, Chemistry minor
ā€¢ 14 years in politics and government at local,
  state, national levels
ā€¢ Mayo Clinic since April 2000
  ā€¢ Media relations consultant
  ā€¢ Public Affairs Manager (2003-2010)
  ā€¢ Director, Center for Social Media since July
    2010
2010 Brand Preference Summary
Health Care Decision-Makers Aged 25+
                                                                   Total
           Mayo Clinic                12.5           6.1
                                                                  18.6%
               AMC 1        4.1       3.5                          7.6%

               AMC 2        3.6     2.5                            6.1%

               AMC 3      2.3 1.1                                  3.4%

               AMC 4     1.60.9                                    2.5%

               AMC 5     1.0
                           0.8
                                                                   1.8%

                                                                   1.6%
               AMC 6     0.9
                           0.7

                                                                   1.3%
               AMC 7     0.6
                          0.7

                         1st Mention         Add'l Mention


                2010 US Consumer Brand Monitor, decision-makers 25+, n=5,279

                                                                      Ā©2011 MFMER | slide-17
The Essential Role of Analogies




                                  Ā©2011 MFMER | slide-40
"If you canā€™t explain it to a six-year-
old, you donā€™t understand it yourself."
Spot the analogy...




http://leeaase.me/WhatIsTheInternetAnyway
When we donā€™t understand something, we
instinctively look for analogies

ā€¢ ā€œWhat...do you write to it, like mail?ā€
ā€¢ Humans always try to explain the unknown in
  familiar categories
ā€¢ Therefore to build support for your social media
  applications
   ā€¢ You need to create comfortable analogies so
     your stakeholders donā€™t invent scary ones
   ā€¢ Good analogies can overcome prejudice and
     misperception
To use analogies to support applying
social media in a medical/scientific context
ā€¢ Develop deep knowledge of social media tools
  and their capabilities
ā€¢ Learn to think like a scientist
ā€¢ Understand your organizationā€™s culture/DNA to
  explain social media in terms that resonate
Think like this guy...
The Greatness of MacGyver
ā€¢ Heā€™s from Minnesota
ā€¢ Lack of resources wasnā€™t an insurmountable
  barrier to getting the job done
ā€¢ He saw potential in everyday situations*
A Brief History of Social Media
at Mayo Clinic
Answering the burning question...
It all started with a tornado...
Ā©2011 MFMER | 3139261-
Mayo Clinicā€™s First Social Networkers
Dr. Henry Plummer: Inventor of the PMR
Mayo Clinic Medical Edge
Syndicated News Media Resources
First Foray in ā€œNewā€ Media




ā€¢ Existing Medical Edge radio mp3s
ā€¢ Launched Sept. ā€˜05; 8,217% download increase
Reasons for Reluctance about Blogging
ā€¢ Keeping the content fresh
ā€¢ Wise use of resources
  ā€¢ Physician/Researcher
  ā€¢ Public Affairs
ā€¢ Authenticity - didnā€™t want to ā€œghost blogā€
My First Blog Post - 7/30/06
Lines from Lee
Beyond the Hypochondriac Feed
Mayo Clinic Medical Edge TV
Sample Sound Bite
Recovering 99.41% for the 1-2%

  ā€¢ Required almost no incremental MD effort
  ā€¢ Process change - microphone on physician
    and interviewer
  ā€¢ 90 minutes of editing per interview
  ā€¢ More than 60,000 ā€œhitsā€ and 62 comments on
    Dr. Fischerā€™s podcast
Involuntary Social Networking Presence:
http://myspace.com/mayoclinic
Facebook: 11/7/07
A Pivotal Presentation
Comparing Stanford vs. SMUG
                     Stanford       SMUG

     Tuition          $52,341        $0

 % of Applicants       7.1%         100%
    Admitted
  Mean Student        $80,677        $0
   Loan Debt

  Distinguished    1 President, 5
     Alumni          Justices, 6    TBD
                      Senators

 Graduation Rate       95%           0
YouTube: Feb. ā€™08
Joining The Blog Council
ā€¢ Membership organization of blogging
  ā€œcompaniesā€
ā€¢ Typically Fortune 500 members
   ā€¢ Coca-Cola, P&G, Wells Fargo, etc.
   ā€¢ Mayo Clinic, Kaiser Permanente, U.S. Navy
    among ā€œnon-traditionalā€ members
ā€¢ Now SocialMedia.org
Transforming YouTube Channel
@MayoClinic on Twitter: 4/29/08
The $4-a-month online newsroom
Letā€™s Talk ā€œsiteā€ - May 2008
Sharing Mayo Clinic - Jan. 2009
http://connect.mayoclinic.org/
http://network.socialmedia.mayoclinic.org/
Yammer - Feb. 2012
A Broader Historical Perspective...
Thesis #1: Air was the original
social medium
Patient Word of Mouth
ā€¢ 91% said ā€œgood thingsā€ about Mayo Clinic
 after visits
  ā€¢ Average of 43 heard ā€œgood thingsā€
ā€¢ 86% recommended Mayo Clinic
   ā€¢ Average of 24 advised to come
   ā€¢ Average of 6 actually came



                            2009 Patient Brand Monitor, n=900

                                                       Ā©2011 MFMER | slide-18
Sources Influencing Preference
for Mayo Clinic
     Word of mouth                                                             82
       News stories                                              62
    Hospital ratings                                   48
            Internet                         33
MD recommendation                         29
Personal experience                     26
        Advertising                    25
         Direct mail           13
       Social media       5
                                                            2010 study (n=119)
     Insurance plan       5



                       Consumer Brand Monitor, Base: Respondents who prefer Mayo Clinic;
                                                        *differs significantly from Q2-2010
                                                                                     Ā©2011 MFMER | slide-20
#2: Electronic tools merely
facilitate broader, more efficient
transmission by overcoming
inertia and friction
#4: Social media are the third
millenniumā€™s defining
communications trend
Gutenberg: Global Mass Literacy
Zuckerberg: Global Mass Publishing
#7: Hand-wringing about merits
and dangers of social media is
as productive as debating
gravity
For those who think blocking is a viable long-
term option...
As Uncle Ben would say...
Not that Uncle Ben. This Uncle Ben
Key Elements
ā€¢ All policies apply in social media, too
  ā€¢ Privacy
  ā€¢ Mutual Respect
  ā€¢ Computer use
ā€¢ Generally donā€™t ā€œfriendā€ patients
ā€¢ Remember the ā€œfront pageā€ rule
A Balanced Approach to Professionalism
ā€¢ Avoiding faux pas is important but cannot be
  the only standard for judging professionalism
  in social media
ā€¢ Professionalism is more than the absence of
  unprofessional conduct
ā€¢ Professionals have a moral obligation to use
  available tools effectively on behalf of those
  they serve
#9: Mass media will remain
powerful levers that move --
and are moved by -- social
media buzz
The Octogenarian Idol Story
ā€¢ Alerted to interesting video of elderly couple
  playing piano in Gonda atrium
ā€¢ Video shot by another patient and uploaded to
  YouTube by her daughter
ā€¢ Video had been seen 1,005 times in six
  preceding months since upload
ā€¢ Embedded in Sharing Mayo Clinic, posted to
  Facebook, Tweeted on 4/7/09
The next day...
Six days later...
April 22
Sunday, May 3
May 4
May 10
May 11
May 12
May 15
Early Morning May 26
May 26, 2009: Live in Studio
Good Morning America
Results to Date
ā€¢   More than 8.1 million views on YouTube
ā€¢   >1.5 million views on Sharing Mayo Clinic
ā€¢   From 200 views/month to 5,000 views/hour
ā€¢   National TV coverage in U.S. and Japan
#26: Your mileage may vary,
but youā€™ll go a lot further if you
get a car
#11: Social media strategies
can help make a product,
service or experience better
Dr. Sreenivas Koka
#13: Social media tools offer
unprecedented opportunity for
transformational change and
productivity
Too soon old...too late smart
ROI Calculation
ā€¢   Time allotted for recruitment calls: 30 min
ā€¢   Time to create video: 60 min
ā€¢   Time saved per call: 10 min
ā€¢   Calls made April-Nov 2011: 90
ā€¢   Total time saved: 900 minutes (and rising)
ā€¢   ROI: > 1,400%
#17: Social media are free in
any ordinary sense of the word
(or at least ridiculously
inexpensive)
Total Cost for Mayo Clinic Facebook,
YouTube and Twitter




    $0.00
In the European
Union, based on
current exchange
rates:


ā‚¬0,00
#18: As I approaches zero,
ROI approaches infinity
Unique Myelofibrosis Patients
                MCF           MCA

   400

   300

   200

   100

     0
         2008   2009   2010         2011
#35: Social technologies will
transform healthcare



                                Ā©2011 MFMER | 3139261-
The 37th Thesis


Applying social media in health care isnā€™t
just inevitable: itā€™s the right thing to do in
the interest of patients.
Mayo Clinic Center for Social Media
ā€¢ Our Raison dā€™etre: The Mayo Clinic Center for
  Social Media exists to improve health globally by
  accelerating effective application of social media
  tools throughout Mayo Clinic and spurring
  broader and deeper engagement in social media
  by hospitals, medical professionals and patients.
ā€¢ Our Mission: Lead the social media revolution in
  health care, contributing to health and well being
  for people everywhere.



                                                Ā©2011 MFMER | 3139261-
A Catalyst for Social Media




                              Ā©2011 MFMER | slide-40
Social Media Health Network
ā€¢ Membership group associated with Mayo Clinic
  Center for Social Media
ā€¢ For organizations wanting to use social media to
  promote health, fight disease and improve
  health care
ā€¢ Dues based on organization revenues
ā€¢ Industry members eligible to join, but not
  accepting industry grant funding
ā€¢ >140 member organizations
Mayo Clinic CEO Dr. John Noseworthy at
Mayo Clinic Social Media Summit - Oct. 2011
Mayo Clinic CEO Dr. John Noseworthy at
Mayo Clinic Social Media Summit - Oct. 2011
The book on social media in health care...

                   ā€¢ Thought Leader Essays
                   ā€¢ The ā€œWhy?ā€ of health
                       care social media
                   ā€¢   Available on Amazon
                   ā€¢   MCCSM Bulk discounts
                   ā€¢   http://mayocl.in/OGvNCx
                   ā€¢   Net proceeds will fund
                       patient scholarships
  #MCCSMbook
For Further Interaction:
ā€¢   Google Lee Aase or SMUG U
ā€¢   aase.lee@mayo.edu
ā€¢   @LeeAase
ā€¢   http://socialmedia.mayoclinic.org

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Georgia HIT Summit Keynote

  • 1. Bringing the Social Media Revolution to Health Care Lee Aase Mayo Clinic Center for Social Media December 4, 2012 #GAHealthIT
  • 2. The book on social media in health care... ā€¢ Thought Leader Essays ā€¢ The ā€œWhy?ā€ of health care social media ā€¢ Available on Amazon ā€¢ MCCSM Bulk discounts ā€¢ http://mayocl.in/OGvNCx ā€¢ Net proceeds will fund patient scholarships #MCCSMbook
  • 3. Agenda ā€¢ Education on social media ā€¢ Mayo Clinic social media history and examples ā€¢ The historical import of social media ā€¢ Information and learning resources ā€¢ Inspiration on how social tools can help you accomplish your goals ā€¢ Provocation of thought and discussion
  • 4. Health Disclaimer: With 139 slides in 45 minutes (one every 19.4 seconds) it may seem like a strobe light is in use
  • 5. The Hidden Agenda ā€¢ You will see the transformational power of social media ā€¢ You will want to join the Social Media Revolution ā€¢ You will have arguments you can use to make the case for engagement in your organization ā€¢ You will believe that using social media tools is worthwhile and that you can do it
  • 6. Two Heroes Six Magic Words Four Reasons Why Theyā€™re True for You
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  • 11. About Lee Aase (@LeeAase) ā€¢ B.S. Political Science, Chemistry minor ā€¢ 14 years in politics and government at local, state, national levels ā€¢ Mayo Clinic since April 2000 ā€¢ Media relations consultant ā€¢ Public Affairs Manager (2003-2010) ā€¢ Director, Center for Social Media since July 2010
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  • 16. 2010 Brand Preference Summary Health Care Decision-Makers Aged 25+ Total Mayo Clinic 12.5 6.1 18.6% AMC 1 4.1 3.5 7.6% AMC 2 3.6 2.5 6.1% AMC 3 2.3 1.1 3.4% AMC 4 1.60.9 2.5% AMC 5 1.0 0.8 1.8% 1.6% AMC 6 0.9 0.7 1.3% AMC 7 0.6 0.7 1st Mention Add'l Mention 2010 US Consumer Brand Monitor, decision-makers 25+, n=5,279 Ā©2011 MFMER | slide-17
  • 17. The Essential Role of Analogies Ā©2011 MFMER | slide-40
  • 18. "If you canā€™t explain it to a six-year- old, you donā€™t understand it yourself."
  • 20. When we donā€™t understand something, we instinctively look for analogies ā€¢ ā€œWhat...do you write to it, like mail?ā€ ā€¢ Humans always try to explain the unknown in familiar categories ā€¢ Therefore to build support for your social media applications ā€¢ You need to create comfortable analogies so your stakeholders donā€™t invent scary ones ā€¢ Good analogies can overcome prejudice and misperception
  • 21. To use analogies to support applying social media in a medical/scientific context ā€¢ Develop deep knowledge of social media tools and their capabilities ā€¢ Learn to think like a scientist ā€¢ Understand your organizationā€™s culture/DNA to explain social media in terms that resonate
  • 22. Think like this guy...
  • 23. The Greatness of MacGyver ā€¢ Heā€™s from Minnesota ā€¢ Lack of resources wasnā€™t an insurmountable barrier to getting the job done ā€¢ He saw potential in everyday situations*
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  • 25. A Brief History of Social Media at Mayo Clinic
  • 26. Answering the burning question...
  • 27. It all started with a tornado...
  • 28. Ā©2011 MFMER | 3139261-
  • 29. Mayo Clinicā€™s First Social Networkers
  • 30. Dr. Henry Plummer: Inventor of the PMR
  • 31. Mayo Clinic Medical Edge Syndicated News Media Resources
  • 32. First Foray in ā€œNewā€ Media ā€¢ Existing Medical Edge radio mp3s ā€¢ Launched Sept. ā€˜05; 8,217% download increase
  • 33. Reasons for Reluctance about Blogging ā€¢ Keeping the content fresh ā€¢ Wise use of resources ā€¢ Physician/Researcher ā€¢ Public Affairs ā€¢ Authenticity - didnā€™t want to ā€œghost blogā€
  • 34. My First Blog Post - 7/30/06 Lines from Lee
  • 36. Mayo Clinic Medical Edge TV Sample Sound Bite
  • 37. Recovering 99.41% for the 1-2% ā€¢ Required almost no incremental MD effort ā€¢ Process change - microphone on physician and interviewer ā€¢ 90 minutes of editing per interview ā€¢ More than 60,000 ā€œhitsā€ and 62 comments on Dr. Fischerā€™s podcast
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  • 39. Involuntary Social Networking Presence: http://myspace.com/mayoclinic
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  • 51. Comparing Stanford vs. SMUG Stanford SMUG Tuition $52,341 $0 % of Applicants 7.1% 100% Admitted Mean Student $80,677 $0 Loan Debt Distinguished 1 President, 5 Alumni Justices, 6 TBD Senators Graduation Rate 95% 0
  • 53. Joining The Blog Council ā€¢ Membership organization of blogging ā€œcompaniesā€ ā€¢ Typically Fortune 500 members ā€¢ Coca-Cola, P&G, Wells Fargo, etc. ā€¢ Mayo Clinic, Kaiser Permanente, U.S. Navy among ā€œnon-traditionalā€ members ā€¢ Now SocialMedia.org
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  • 61. Sharing Mayo Clinic - Jan. 2009
  • 64. A Broader Historical Perspective...
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  • 69. Thesis #1: Air was the original social medium
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  • 71. Patient Word of Mouth ā€¢ 91% said ā€œgood thingsā€ about Mayo Clinic after visits ā€¢ Average of 43 heard ā€œgood thingsā€ ā€¢ 86% recommended Mayo Clinic ā€¢ Average of 24 advised to come ā€¢ Average of 6 actually came 2009 Patient Brand Monitor, n=900 Ā©2011 MFMER | slide-18
  • 72. Sources Influencing Preference for Mayo Clinic Word of mouth 82 News stories 62 Hospital ratings 48 Internet 33 MD recommendation 29 Personal experience 26 Advertising 25 Direct mail 13 Social media 5 2010 study (n=119) Insurance plan 5 Consumer Brand Monitor, Base: Respondents who prefer Mayo Clinic; *differs significantly from Q2-2010 Ā©2011 MFMER | slide-20
  • 73. #2: Electronic tools merely facilitate broader, more efficient transmission by overcoming inertia and friction
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  • 75. #4: Social media are the third millenniumā€™s defining communications trend
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  • 77. Gutenberg: Global Mass Literacy Zuckerberg: Global Mass Publishing
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  • 79. #7: Hand-wringing about merits and dangers of social media is as productive as debating gravity
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  • 81. For those who think blocking is a viable long- term option...
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  • 83. As Uncle Ben would say...
  • 84. Not that Uncle Ben. This Uncle Ben
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  • 86. Key Elements ā€¢ All policies apply in social media, too ā€¢ Privacy ā€¢ Mutual Respect ā€¢ Computer use ā€¢ Generally donā€™t ā€œfriendā€ patients ā€¢ Remember the ā€œfront pageā€ rule
  • 87. A Balanced Approach to Professionalism ā€¢ Avoiding faux pas is important but cannot be the only standard for judging professionalism in social media ā€¢ Professionalism is more than the absence of unprofessional conduct ā€¢ Professionals have a moral obligation to use available tools effectively on behalf of those they serve
  • 88. #9: Mass media will remain powerful levers that move -- and are moved by -- social media buzz
  • 89. The Octogenarian Idol Story ā€¢ Alerted to interesting video of elderly couple playing piano in Gonda atrium ā€¢ Video shot by another patient and uploaded to YouTube by her daughter ā€¢ Video had been seen 1,005 times in six preceding months since upload ā€¢ Embedded in Sharing Mayo Clinic, posted to Facebook, Tweeted on 4/7/09
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  • 103. May 26, 2009: Live in Studio Good Morning America
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  • 106. Results to Date ā€¢ More than 8.1 million views on YouTube ā€¢ >1.5 million views on Sharing Mayo Clinic ā€¢ From 200 views/month to 5,000 views/hour ā€¢ National TV coverage in U.S. and Japan
  • 107. #26: Your mileage may vary, but youā€™ll go a lot further if you get a car
  • 108. #11: Social media strategies can help make a product, service or experience better
  • 110. #13: Social media tools offer unprecedented opportunity for transformational change and productivity
  • 111. Too soon old...too late smart
  • 112. ROI Calculation ā€¢ Time allotted for recruitment calls: 30 min ā€¢ Time to create video: 60 min ā€¢ Time saved per call: 10 min ā€¢ Calls made April-Nov 2011: 90 ā€¢ Total time saved: 900 minutes (and rising) ā€¢ ROI: > 1,400%
  • 113. #17: Social media are free in any ordinary sense of the word (or at least ridiculously inexpensive)
  • 114. Total Cost for Mayo Clinic Facebook, YouTube and Twitter $0.00
  • 115. In the European Union, based on current exchange rates: ā‚¬0,00
  • 116. #18: As I approaches zero, ROI approaches infinity
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  • 119. Unique Myelofibrosis Patients MCF MCA 400 300 200 100 0 2008 2009 2010 2011
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  • 122. #35: Social technologies will transform healthcare Ā©2011 MFMER | 3139261-
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  • 131. The 37th Thesis Applying social media in health care isnā€™t just inevitable: itā€™s the right thing to do in the interest of patients.
  • 132. Mayo Clinic Center for Social Media ā€¢ Our Raison dā€™etre: The Mayo Clinic Center for Social Media exists to improve health globally by accelerating effective application of social media tools throughout Mayo Clinic and spurring broader and deeper engagement in social media by hospitals, medical professionals and patients. ā€¢ Our Mission: Lead the social media revolution in health care, contributing to health and well being for people everywhere. Ā©2011 MFMER | 3139261-
  • 133. A Catalyst for Social Media Ā©2011 MFMER | slide-40
  • 134. Social Media Health Network ā€¢ Membership group associated with Mayo Clinic Center for Social Media ā€¢ For organizations wanting to use social media to promote health, fight disease and improve health care ā€¢ Dues based on organization revenues ā€¢ Industry members eligible to join, but not accepting industry grant funding ā€¢ >140 member organizations
  • 135. Mayo Clinic CEO Dr. John Noseworthy at Mayo Clinic Social Media Summit - Oct. 2011
  • 136. Mayo Clinic CEO Dr. John Noseworthy at Mayo Clinic Social Media Summit - Oct. 2011
  • 137. The book on social media in health care... ā€¢ Thought Leader Essays ā€¢ The ā€œWhy?ā€ of health care social media ā€¢ Available on Amazon ā€¢ MCCSM Bulk discounts ā€¢ http://mayocl.in/OGvNCx ā€¢ Net proceeds will fund patient scholarships #MCCSMbook
  • 138. For Further Interaction: ā€¢ Google Lee Aase or SMUG U ā€¢ aase.lee@mayo.edu ā€¢ @LeeAase ā€¢ http://socialmedia.mayoclinic.org