Anatomy and Physiology of a Tweet Chat - IHI Presentation December 2021 by Helen Bevan, Hugh McCaughey, Leigh Kendall

2. Disclosure
The presenters have no relevant financial or relevant nonfinancial relationships to disclose.

3. Hugh McCaughey
National Director
for Improvement,
England
@HughMcCaughey
Helen Bevan,
Chief Transformation Officer,
NHS Horizons, England
@HelenBevanTweet
Leigh Kendall,
Programme Lead (Social Influence),
NHS Horizons, England
@LeighAKendall
Our team for this session
#IHIForum @HelenBevantweet @LeighAKendall @HughMcCaughey @HorizonsNHS

4. What we’re going to do in the session
• What’s a tweet chat – and why do them?
• Why informal networks and connections matter
• Overview of the #Improve4Patients tweet chats
#IHIForum @HelenBevanTweet @LeighAKendall @HughMcCaughey @HorizonsNHS

5. NHS England and NHS Improvement
The link will now be shared in the chat box, if you’re unable to click on
the link please use the instructions below to access it.
1.Go to menti.com
2.Use the code 6264 6765 to access the poll
3. Alternatively, use the QR code below to access the poll

6. 1.Go to menti.com
2.Use the code 6264 6765 to access the poll
3. Alternatively, use the QR code below to access the poll
You are taking part in a session about tweet chats.
How would you describe what a tweet chat is?
If you are new to tweet chats, take a guess

7. 1.Go to menti.com
2.Use the code 6264 6765 to access the poll
3. Alternatively, use the QR code below to access the poll
What is your tweet chat confidence level?

8. What is a tweet chat?
• A specified time, usually an hour, when people come
together to have a conversation on Twitter
• You choose a topic and a hashtag that everyone can follow
• You identify some key questions that will create a good
discussion
• You get someone to be the moderator who will post the
questions and oversee the tweet chat
• You encourage lots of people to take part and promote the
tweet chat: use the 3% rule
#IHIForum @HelenBevanTweet @LeighAKendall @HughMcCaughey @HorizonsNHS

9. What do we mean by ‘anatomy and physiology’
of a tweet chat?
Anatomy: The structure of a
tweet chat; how we set them up
and the “mechanics” of how they
work
Physiology: the flow or “life
blood” of a tweet chat; how we
engage people and build the
energy of the tweetchat

10. Don’t underestimate the power and potential of Twitter
With 400 million active users, Twitter is one of the world’s most popular social
networks
Twitter users are also super engaged—46% of them use the platform every day
Many people in health and care use Twitter as their major source of information and
connection
Service users and patients trust social media; people living with long term conditions
and with cancer are some of the most engaged and active audiences on Twitter
Tweet chats can be one of the most effective ways to harness the power of social
media for health and care improvement
#IHIForum @HelenBevantweet @LeighAKendall @HughMcCaughey @HorizonsNHS

11. Nurses on the Nursing and Midwifery Board at Nottingham University Hospital
did a survey. They found that ‘Twitter enabled’ nurses were almost twice as
likely to recall successes and information from organisational leaders than
those who were not on Twitter.
Source: Rebecca Barrett
@RebeccaBNurse
Don’t underestimate the power and potential of Twitter
Our data shows that people in our workforce have ten times more connections than
corporate social accounts: they are the voice and credibility of our organisations
#IHIForum @HelenBevantweet @LeighAKendall @HughMcCaughey @HorizonsNHS

12. Use the 3% rule of Twitter influence to help
get participants
Source: research by Graham MacKenzie using NodeXL
In health and
healthcare globally,
tweets by 3.3% of
tweeters accounted
for 85% of retweets
#IHIForum @HelenBevantweet @LeighAKendall @HughMcCaughey @HorizonsNHS

13. The superconnectors become even more important at times
of ambiguity and uncertainty, such as a pandemic
@davemorgan_NEAS
@trishgreenhalgh
@doctor_oxford
If you can get people who are 3% “superconnectors” to support
your tweet chat, you will reach a very big audience
#IHIForum @HelenBevantweet @LeighAKendall @HughMcCaughey @HorizonsNHS

14. #IHIForum

15. Recent research by Warwick Business School showed that the level
of social connections was the key factor in performance differences
in NHS organisations in a large scale improvement initiative
Source: Nicola Burgess, Warwick Business School, evaluation of the partnership between the NHS and Virginia Mason Institute
#IHIForum @HelenBevantweet @LeighAKendall @HughMcCaughey @HorizonsNHS

16. #Improve4Patients tweet chats
Three tweet chats to understand the improvement work going on across England.
Hundreds of people working in improvement across health and care in England sent thousands of tweets to let Hugh know
about the improvement work they were doing, and their ideas for the future.
An effective tool to quickly get an overview of improvement across health and care in England, as well as make connections
with the people working to make things happen.
#IHIForum @HelenBevantweet @LeighAKendall @HughMcCaughey @HorizonsNHS

17. Aims of the #Improve4Patients
tweet chats
 At least 500 people participating over the
course of the three tweet chats
 A personal engagement rate for Hugh of at
least 1.6% (which is ‘super-connector’ level)
 Hugh to gain 500 more followers on Twitter
during the period of the tweet chats
 A reach of more than a million (reach is the
number of unique accounts who saw content
generated through the tweet chats)
 More than 100 ideas/suggestions harvested
as a result of the tweet chats
Outcomes of the
#Improve4Patients tweet chats
• There were 1,867 participants across the three
tweet chats
• Hugh achieved a 1.7% engagement rate –
‘super connector’ level!
• Hugh gained 513 new Twitter followers (4738 to
5251)
• 4.9 million reach across the three tweet chats
• 3,768 tweets were sent during the three tweet
chats. Well in excess of 100 ideas and
suggestions were harvested, as well as
hundreds of useful insights
#IHIForum @HelenBevanTweet @LeighAKendall @HughMcCaughey @HorizonsNHS

18. More improvement tweet chats are
happening!

19. Hashtag
#IHIForum
We are running a LIVE tweetchat as part of our (virtual) session at the IHI National
Forum, USA on Wednesday afternoon. Our aim is to get a whole army of
improvers in health and care tweetchatting for the first time. We would love
others to join in and support them. Just follow the hashtag #IHIForum

20. NHS England and NHS Improvement
The link will now be shared in the chat box, if you’re unable to click on
the link please use the instructions below to access it.
1.Go to menti.com
2.Use the code 6264 6765 to access the poll
3. Alternatively, use the QR code below to access the poll

21. 21 |
1.Go to menti.com
2.Use the code 6264 6765 to access the poll
3. Alternatively, use the QR code below to access the poll
As a result of this session, where are you
now on the tweetchat confidence scale?

22. 1.Go to menti.com
2.Use the code 6264 6765 to access the poll
3. Alternatively, use the QR code below to access the poll
Do you see yourself running a tweetchat for
improvement in the future?

23. This data from NODEXL,
shows how the tweet
chats connected up
people from different
communities who don’t
normally talk to each
other
We call this “breaking out
from the echo chambers”
#IHIForum @HelenBevantweet @LeighAKendall @HughMcCaughey @HorizonsNHS