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Social media has become a fundamental way that people communicate. Doctors and hospitals have increasingly adopted social media tools to connect with patients and share information. The document discusses the evolution and rise of popular social media platforms like Facebook, Twitter, YouTube and LinkedIn. It provides statistics on their growing usage and how professionals in healthcare fields are utilizing social media for medical education, collaboration and networking.

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Social Media in the NICU 2011 New England Association of Neonatologists/Griffin Symposium Marlboro, MA September 23, 2011 CLARA SONG, MD, FAAP Assistant Professor of Pediatrics Neonatal-Perinatal Medicine The Children’s Hospital at OU Medical Center The University of Oklahoma Health Sciences Center
DISCLOSURE • SPEAKER: Clara Song, MD • I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CME activity. • I do not intend to discuss an unapproved or investigative use of commercial products or devices.
OBJECTIVES • Understand the evolution of social media and its impact on healthcare • Classify the current available web-based tools in an effort to facilitate collaboration between health professionals • Identify and prevent negative consequences associated with social media use
100,489 fans + 324 fan photos
Social media has taken over… … porn as the #1 activity on the web. Source: Social Media Revolution from Socialnomics.net
Years to Reach 50 Million Users….. RADIO: 38 TELEVISION: 13 INTERNET: 4 IPOD: 3 Source: Social Media Revolution by Socialnomics.net
Years to add 50 million Facebook accounts? Facebook added 200 million users in less than 1 year! Source: Social Media Revolution 2 by Socialnomics.net
Everyday….. … approximately 2 Billion Google searches occur. Source: Social Media Revolution by Socialnomics.net
Interestingly….. Facebook TOPS Google for weekly traffic in the U.S.! Source: Social Media Revolution 2 from Socialnomics.net
In 2010, Generation Y outnumber baby boomers Over 50% of the world’s population is under 30 years old One in five Americans uses a social media 96% join a social networking service. network (Pew Internet & American Life Project) Source: Social Media Revolution by Socialnomics.net, Beyond.com Poll
Saying it simply… Many people are on the web… AND on the web to utilize social media tools.
“Social media is NOT a fad… “…it’s a fundamental shift in the way we communicate.” Source: solcomhouse.com
Web 1.0 Source: www.jeffc.me/web-10-and-web-20-visual-differences
Web 2.0 Source: www.jeffc.me/ web-10-and-web20-visual-differences
• Social media is a “group of Internet-based Social applications…that build on the Media foundations of Web 2.0, and that allow the creation and exchange user-generated content.” • Social media uses Internet and web-based 1. Concept technologies to transform broadcast media monologues (one to many) into social 2. Media media dialogues (many to many). It supports the democratization of 3. Social knowledge and information, transforming interface people from content consumers into content producers. Source: http://en.wikipedia.org/wiki/Social_media
Blogs WEB 2.0 Photos Videos Audio Social Networks Event Networks Interest Networks Wikis Microblogs Source: blog.milestoneinternet.com
Social Media is about…. Reaching out and having a conversation. Source: www.telegraph.co.uk
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/
SOCIAL MEDIA Unveiling the truth behind the mystery Source: pjvoice.com
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
Hospitals in the United States 2009 441 use social media 241 have Facebook pages 323 have Twitter accounts 213 have YouTube channels Source: Found In Cache, Social Media resources for healthcare professionals from Ed Bennett.
Hospitals in the United States 2011 906 use social media 719 have Facebook pages 674 have Twitter accounts 448 have YouTube channels Source: Found In Cache, Social Media resources for healthcare professionals from Ed Bennett.
HealthCare.gov • “Take healthcare into your own hands…. Your healthcare explained.” • A federal government website managed by the US Department of Health & Human Services • “Stay Connected” email updates, twitter, Facebook, YouTube, RSS
We are e-Patients • “equipped, electronic, enabled, educated, empowered, engaged, equals, emancipated…… expert??” • Seek online guidance for their own conditions or for their loved ones • 2 effects “better health information and services and different (but not always better) relationships with their doctors” Source: http://enwikipedia.org/wiki/E-Patient
SmartBlog on 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
“If our patients are Health 2.0 patients, then we have to be Health 2.0 docs.” Dr. Gwenn Schurgrin O’Keefe, MD, FAAP Source: Schurgrin O’Keefe. MDNGnetguide 2009, bitstrategist.files.wordpress.com
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, eloquent, encouraging,…..expert” Source: pharma2blog.com/2008/07/03/taking-the-pulse of-the-physician
HITECH • $27 billion over 10 years in incentive payments Act for supporting the adoption and use of EHRs Security of Health IT • December 18, 2009: $60 million available to Patient-Centered support the development of Strategic Health IT Cognitive Support Advanced Research Projects (SHARP). Healthcare Application • Feb 8, 2010: $375.2 million for 32 regional extension and Network Platform centers (REC). Architecture Secondary Use of • April 6, 2010: $267.6 million for 28 additional RECs to complete network of 60 centers Electronic Health Record (EHR) Data Source: http://healthit.hhs.gov
“Early Innovator” Grants • February 16, 2011: The U.S. Department of Health & Human Services announced the awarding of $241 million to help seven states design and implement the IT infrastructure needed to launch state health insurance exchanges. • Kansas: Kansas Insurance Department, $31,537,465 • Maryland: Maryland Department of Health and Mental Hygiene, $6,227,454 • Multi-State Consortia: University of Massachusetts Medical School, $35,591,333 • New York: New York Department of Health, $27,431,432 • Oklahoma: Oklahoma Health Care Authority, $54,582,269 • Oregon: Oregon Health Authority, $48,096,307 • Wisconsin: Wisconsin Department of Health Services, $37,757,266 Source: healthcare.gov
Electronic Health Primary Physician Record (EHR) Initiated and Specialist Patient Network maintained by an EMR institution System In an ideal world, Laboratory/ Pharmacy an national EHR= Radiology PHR (Personal Health Record)
PHR Use Motivates Consumers • 1 in 14 uses a PHR • 56% learned more about their health • 32% took specific action to improve their health • 60% of low income & 40% of chronically ill felt more connected to their physician • 40% asked a question they otherwise wouldn’t have • 58% would use PHR from PMD, 50% from insurer, 25% from private tech company • Increased interest in PHR use if their physician uses EHR (50% vs 41%) • 68% concerned about privacy Source: www.chcf.org/media
myPHR.com The American Health Personal Health Record: Information initiated and maintained by Management Association the patient Downloadable PHR forms in What is a PHR? English and Spanish Why should you keep a PHR? Authorization Forms How to create a PHR? Emergency PHR Forms Choose a PHR? Links, Tools, Resources
Personal Health Records (PHR) Google Health Microsoft Health Vault My Doclopedia PHR MediCompass Medic Alert Medsfile.com WebMD Images: microsoftfeed.com, doclopedia.com, medfiles.eu, medicalert.co.za
Information: resources Health 2.0 and sharing Medical education Collaboration and practice Disease management Research & data sharing Professional Development & Networking Source: health20.org/wiki/ Health_2.0_Definition
Bookmark, Share & Save Source: tootf.com
Source: geekestateblog.com
There are over 300 ways to bookmark and share information! Source: Social Media Revolution from Socialnomics.net
Diigo 2collab CiteULike Connotea Reddit Technorati Google Chrome: AddThis SlashDot StumbleUpon Social Bookmarking Digg and News Aggregates Source: doublejdesign.co.uk
MEDIA & SLIDE SHARING You Tube rrripple Flickr Daily Motion Vimeo Google Video Yahoo Video Slide Share Google Docs Scribd 280 Slides “Try not. Do or do not. There is no try.” -Yoda SlideRocket Slide Source: sethpickens.files.wordpress.com/2009/02/luke-yoda
YouTube: the world’s 2 nd largest search engine As of October 2009, YouTube reached one billion views per day. Source: youtube-global.blogspot.com/2009/10/y000000000utube.html
EVERY minute on YouTube…. 20 hours of video are uploaded…. Source: youtube.com/t/fact_sheet
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 RSS= “Really Simple into one place.” Syndication” Source: http://en.wikipedia.org/wiki/Rss
READER Google Reader NewsGator My Yahoo! FeedDemon NetNewsWire Source: rssboard.org
Trends, Tags, and Alerts in Medicine • Google Alerts (Google Scholar) • PubMed Save Search function • PubMed Reader • PeRSSonalized Medicine from Webicinia.com • BioWizard • AllTop • WatchThatPage • DailyMe • TweepBeep Source:
Overheard…. “We no longer search for news, the news finds us.”
Social Networking Sites Facebook MySpace Friendster LinkedIn Ning Hi5 Bebo MocoSpace MyLife Source: emarketer.com, June 2009
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 • Most popular site to share photos (comScore 2009) • More than 100 million photos uploaded each day • 3rd most popular site to view online video (Nielson VideoCensus, Nov 2009) Source: www.facebook.com/press/info.php?statistics
FACEBOOK Fun, casual Meet old friends, make new friends Join interest groups, communities Learn Share stories Make professional connections It’s a party! Source: facebook.com
But, not this kind of party… Source: glamourvanity.com
Neonatologists on Facebook  Public pages/groups  Neonatology page  Neonatology group  Neonatology UK  Neonatology Review  AAP Perinatal FB Page  Private groups  AAP Perinatal FB Group  AAP Perinatal Trainees FB Group
If Facebook was a country…. … it would be the 3rd largest in population. Source: Social Media Revolution 2 from Socialnomics.net
Image Source: flagspot.net, cia.gov, toddpaynefortennessee.com
2010
LinkedIn • Global network with over 85 million experienced professional in 150 industries in over 200 countries • 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
LinkedIn: Business Lunch • Neonatologists on LinkedIn – Neonatal-Perinatal Medicine Group
Twitter is a service for friends, family, and co- “Share and discover what’s happening workers to communicate and stay connected through the exchange of quick frequent answers right now, anywhere in the world.” to one simple question: What are you doing? Source: twitter.com
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 January 2011, 175 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/, denverpost.com/business/
Tweets are short and sweet….. Casual conversation, like at the water cooler or coffee house No one stays too long or says too much If you don’t stop by, you’ll miss it Image Source: nydailynews.com
Tweeter Search: official search page Twopular Tweet Scan Twitterment TwitScoop Tweetmeme: Social bookmarking site Twemes: hashtags, keywords TweetVolume Tweet Congress Source: twittertweettweet.com
TwtSurvey TwtPoll Twtvite TwtAway TwtFAQ TwtBizCard TwtJobs TwtTRIP Image source: igorhelpsyousucceed.com
Does your organization/hospital have a social media policy? 68% (17 votes) Yes, and active social media 4% users 4% 8% (2 votes) No, and active social media 16% users 16% (4 votes) Working on it, and active social 8% media users 4% (1 vote) Yes, but not 68% made it into the social world 4% (1 vote) No, but not make it into the social world Source: @reedsmith, Twtpoll Oct 2010
• February 2009 • Surgeons at Henry Ford Hospital, Detroit, Michigan for REAL- • “To let people know that a tumor can be removed TIME without taking out the entire kidney,” said Craig Rogers, Updates MD, lead surgeon, to CNN.
• Tissue recruitment • Epidemiological survey • Disaster alerting and response • Supportive care for patients and family members • Diabetes management • Alarming silent codes (security incidents) • Augmenting telemedicine • Amber alerts
• Healthcare professionals • Harvard Med, Harvard • AAP, Healthy Children, Health, HarvardNeo AAP News, PediaLink, AAP • HealthSocMed NCE • HHS gov, AIDS gov, NIH • AMA Library • MDchat • Red Cross • RNchat • CDC, NIH • NICUchat
• Iran Election • Swine Flu • Gaza • Iran • Tehran Source: http://mashable.com/2009/12/15/twitter-reveals-most-discussed-topics-of-2009/
• Gulf Oil Spill • Haiti Earthquake • Pakistan Floods • Chilean Miners Rescue • Chavez Tas Ponchao
• Lady Gaga • Justin Bieber • Britney Spears • Barack Obama • Kim Kardashian Source: www.blog.newwave.net.au/?p=76
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. Source: www.healthday.com/Article.asp?AID=637674
• “No one physician is as knowledgeable as physicians working together.” • Largest online physician community • Over 110,000 community members • 68 specialties, 50 states • Free to practicing physicians • Free of advertising • Facebook, Twitter and monthly Sermo Blog Source: www.sermo.com/node/11/
sermo: a Conference
Social: Physician-specific • Sermo • NICU-Net • DoctorsHangout • MD Link • StudentDoctor.net • Medscape Physician • Healtheva Connect • DoctorNetworking • eMedicine • RelaxDoc • MedicSpeak • SocialMD • iMedExchange: • ClinicalVillage practicing MD only • Ozmosis • FacebookGroups • 99nicu.org
AAP in • Website • Discussion Board Social – YP Connection – AAP Perinatal Trainees Media • Twitter – AAPperinatal – AAP news – NCE – Pedialink Section on • Facebook groups – AAP Perinatal – AAP Perinatal Trainees Perinatal • Facebook pages o AAP Perinatal o NeoReviews Pediatrics o AAP Pediatrics • Blog by AAP President, Judith Palfrey • 12/15/09 AAP SmartBrief
“Be who you are and say what you feel …..... because those who matter don’t mind and who mind don’t matter.” Dr. Seuss
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.
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 before you post. (Think, pause, then post.) Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
Social Do’s and Don’t • 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 – Think, pause, then post. • 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
80% of SUCCESS is showing up. WOODY ALLEN
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
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
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
Social Media Policies Source: socialmediagovernance.com
Evolution of the Internet Source: radarnetworks.com
2011: Web 3.0?? Source: ahi.cl/blog/category/ uncategorized/2009/10/ socialmediacampaign1
Use web tools with confidence to streamline Effective communication More “expert- generated” content alongside user content Ethical considerations? Why bother???
“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.”
“If you ask me anything I don’t clara-song@ouhsc.edu know……. I’m not going to answer.” - Yogi Berra

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Griffin.2011

  • 1.
    Social Media inthe NICU 2011 New England Association of Neonatologists/Griffin Symposium Marlboro, MA September 23, 2011 CLARA SONG, MD, FAAP Assistant Professor of Pediatrics Neonatal-Perinatal Medicine The Children’s Hospital at OU Medical Center The University of Oklahoma Health Sciences Center
  • 2.
    DISCLOSURE • SPEAKER: ClaraSong, MD • I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CME activity. • I do not intend to discuss an unapproved or investigative use of commercial products or devices.
  • 3.
    OBJECTIVES • Understand theevolution of social media and its impact on healthcare • Classify the current available web-based tools in an effort to facilitate collaboration between health professionals • Identify and prevent negative consequences associated with social media use
  • 4.
    100,489 fans +324 fan photos
  • 5.
    Social media has taken over… … porn as the #1 activity on the web. Source: Social Media Revolution from Socialnomics.net
  • 6.
    Years to Reach50 Million Users….. RADIO: 38 TELEVISION: 13 INTERNET: 4 IPOD: 3 Source: Social Media Revolution by Socialnomics.net
  • 7.
    Years to add50 million Facebook accounts? Facebook added 200 million users in less than 1 year! Source: Social Media Revolution 2 by Socialnomics.net
  • 8.
    Everyday….. … approximately 2 Billion Google searches occur. Source: Social Media Revolution by Socialnomics.net
  • 9.
    Interestingly….. Facebook TOPS Google for weekly traffic in the U.S.! Source: Social Media Revolution 2 from Socialnomics.net
  • 10.
    In 2010, Generation Youtnumber baby boomers Over 50% of the world’s population is under 30 years old One in five Americans uses a social media 96% join a social networking service. network (Pew Internet & American Life Project) Source: Social Media Revolution by Socialnomics.net, Beyond.com Poll
  • 11.
    Saying it simply… Manypeople are on the web… AND on the web to utilize social media tools.
  • 12.
    “Social media isNOT a fad… “…it’s a fundamental shift in the way we communicate.” Source: solcomhouse.com
  • 13.
  • 14.
    Web 2.0 Source: www.jeffc.me/web-10-and-web20-visual-differences
  • 15.
    • Social media is a “group of Internet-based Social applications…that build on the Media foundations of Web 2.0, and that allow the creation and exchange user-generated content.” • Social media uses Internet and web-based 1. Concept technologies to transform broadcast media monologues (one to many) into social 2. Media media dialogues (many to many). It supports the democratization of 3. Social knowledge and information, transforming interface people from content consumers into content producers. Source: http://en.wikipedia.org/wiki/Social_media
  • 16.
    Blogs WEB 2.0 Photos Videos Audio Social Networks EventNetworks Interest Networks Wikis Microblogs Source: blog.milestoneinternet.com
  • 17.
    Social Media isabout…. Reaching out and having a conversation. Source: www.telegraph.co.uk
  • 18.
    Social Media isChanging 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/
  • 19.
  • 20.
    Health 2.0 Information: resources and sharing Medicaleducation 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
  • 21.
    Hospitals in theUnited States 2009 441 use social media 241 have Facebook pages 323 have Twitter accounts 213 have YouTube channels Source: Found In Cache, Social Media resources for healthcare professionals from Ed Bennett.
  • 22.
    Hospitals in theUnited States 2011 906 use social media 719 have Facebook pages 674 have Twitter accounts 448 have YouTube channels Source: Found In Cache, Social Media resources for healthcare professionals from Ed Bennett.
  • 23.
    HealthCare.gov • “Take healthcareinto your own hands…. Your healthcare explained.” • A federal government website managed by the US Department of Health & Human Services • “Stay Connected” email updates, twitter, Facebook, YouTube, RSS
  • 24.
    We are e-Patients •“equipped, electronic, enabled, educated, empowered, engaged, equals, emancipated…… expert??” • Seek online guidance for their own conditions or for their loved ones • 2 effects “better health information and services and different (but not always better) relationships with their doctors” Source: http://enwikipedia.org/wiki/E-Patient
  • 25.
    SmartBlog on SocialMedia • 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
  • 26.
    “If our patients areHealth 2.0 patients, then we have to be Health 2.0 docs.” Dr. Gwenn Schurgrin O’Keefe, MD, FAAP Source: Schurgrin O’Keefe. MDNGnetguide 2009, bitstrategist.files.wordpress.com
  • 27.
    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, eloquent, encouraging,…..expert” Source: pharma2blog.com/2008/07/03/taking-the-pulse of-the-physician
  • 28.
    HITECH • $27 billion over 10 years in incentive payments Act for supporting the adoption and use of EHRs Security of Health IT • December 18, 2009: $60 million available to Patient-Centered support the development of Strategic Health IT Cognitive Support Advanced Research Projects (SHARP). Healthcare Application • Feb 8, 2010: $375.2 million for 32 regional extension and Network Platform centers (REC). Architecture Secondary Use of • April 6, 2010: $267.6 million for 28 additional RECs to complete network of 60 centers Electronic Health Record (EHR) Data Source: http://healthit.hhs.gov
  • 29.
    “Early Innovator” Grants • February 16, 2011: The U.S. Department of Health & Human Services announced the awarding of $241 million to help seven states design and implement the IT infrastructure needed to launch state health insurance exchanges. • Kansas: Kansas Insurance Department, $31,537,465 • Maryland: Maryland Department of Health and Mental Hygiene, $6,227,454 • Multi-State Consortia: University of Massachusetts Medical School, $35,591,333 • New York: New York Department of Health, $27,431,432 • Oklahoma: Oklahoma Health Care Authority, $54,582,269 • Oregon: Oregon Health Authority, $48,096,307 • Wisconsin: Wisconsin Department of Health Services, $37,757,266 Source: healthcare.gov
  • 30.
    Electronic Health Primary Physician Record (EHR) Initiated and Specialist Patient Network maintained by an EMR institution System In an ideal world, Laboratory/ Pharmacy an national EHR= Radiology PHR (Personal Health Record)
  • 31.
    PHR Use MotivatesConsumers • 1 in 14 uses a PHR • 56% learned more about their health • 32% took specific action to improve their health • 60% of low income & 40% of chronically ill felt more connected to their physician • 40% asked a question they otherwise wouldn’t have • 58% would use PHR from PMD, 50% from insurer, 25% from private tech company • Increased interest in PHR use if their physician uses EHR (50% vs 41%) • 68% concerned about privacy Source: www.chcf.org/media
  • 32.
    myPHR.com The American Health Personal Health Record: Information initiated and maintained by Management Association the patient Downloadable PHR forms in What is a PHR? English and Spanish Why should you keep a PHR? Authorization Forms How to create a PHR? Emergency PHR Forms Choose a PHR? Links, Tools, Resources
  • 33.
    Personal Health Records (PHR) GoogleHealth Microsoft Health Vault My Doclopedia PHR MediCompass Medic Alert Medsfile.com WebMD Images: microsoftfeed.com, doclopedia.com, medfiles.eu, medicalert.co.za
  • 34.
    Information: resources Health 2.0 and sharing Medical education Collaboration and practice Disease management Research & data sharing Professional Development & Networking Source: health20.org/wiki/ Health_2.0_Definition
  • 35.
    Bookmark, Share &Save Source: tootf.com
  • 36.
  • 37.
    There are over300 ways to bookmark and share information! Source: Social Media Revolution from Socialnomics.net
  • 38.
    Diigo 2collab CiteULike Connotea Reddit Technorati Google Chrome: AddThis SlashDot StumbleUpon Social Bookmarking Digg and News Aggregates Source: doublejdesign.co.uk
  • 39.
    MEDIA & SLIDESHARING You Tube rrripple Flickr Daily Motion Vimeo Google Video Yahoo Video Slide Share Google Docs Scribd 280 Slides “Try not. Do or do not. There is no try.” -Yoda SlideRocket Slide Source: sethpickens.files.wordpress.com/2009/02/luke-yoda
  • 40.
    YouTube: the world’s 2 nd largest search engine As of October 2009, YouTube reached one billion views per day. Source: youtube-global.blogspot.com/2009/10/y000000000utube.html
  • 41.
    EVERY minute on YouTube…. 20 hours of video are uploaded…. Source: youtube.com/t/fact_sheet
  • 42.
    RSS is “afamily 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 RSS= “Really Simple into one place.” Syndication” Source: http://en.wikipedia.org/wiki/Rss
  • 43.
    READER Google Reader NewsGator My Yahoo! FeedDemon NetNewsWire Source: rssboard.org
  • 44.
    Trends, Tags, andAlerts in Medicine • Google Alerts (Google Scholar) • PubMed Save Search function • PubMed Reader • PeRSSonalized Medicine from Webicinia.com • BioWizard • AllTop • WatchThatPage • DailyMe • TweepBeep Source:
  • 45.
    Overheard…. “We no longersearch for news, the news finds us.”
  • 46.
  • 47.
    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 • Most popular site to share photos (comScore 2009) • More than 100 million photos uploaded each day • 3rd most popular site to view online video (Nielson VideoCensus, Nov 2009) Source: www.facebook.com/press/info.php?statistics
  • 48.
    FACEBOOK Fun, casual Meet oldfriends, make new friends Join interest groups, communities Learn Share stories Make professional connections It’s a party! Source: facebook.com
  • 49.
    But, not thiskind of party… Source: glamourvanity.com
  • 50.
    Neonatologists on Facebook Public pages/groups  Neonatology page  Neonatology group  Neonatology UK  Neonatology Review  AAP Perinatal FB Page  Private groups  AAP Perinatal FB Group  AAP Perinatal Trainees FB Group
  • 51.
    If Facebook wasa country…. … it would be the 3rd largest in population. Source: Social Media Revolution 2 from Socialnomics.net
  • 52.
    Image Source: flagspot.net,cia.gov, toddpaynefortennessee.com
  • 53.
  • 54.
    LinkedIn • Global network with over 85 million experienced professional in 150 industries in over 200 countries • 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
  • 55.
    LinkedIn: Business Lunch • Neonatologists on LinkedIn – Neonatal-Perinatal Medicine Group
  • 56.
    Twitter is aservice for friends, family, and co- “Share and discover what’s happening workers to communicate and stay connected through the exchange of quick frequent answers right now, anywhere in the world.” to one simple question: What are you doing? Source: twitter.com
  • 57.
    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 January 2011, 175 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/, denverpost.com/business/
  • 58.
    Tweets are shortand sweet….. Casual conversation, like at the water cooler or coffee house No one stays too long or says too much If you don’t stop by, you’ll miss it Image Source: nydailynews.com
  • 59.
    Tweeter Search: official searchpage Twopular Tweet Scan Twitterment TwitScoop Tweetmeme: Social bookmarking site Twemes: hashtags, keywords TweetVolume Tweet Congress Source: twittertweettweet.com
  • 60.
  • 61.
    Does your organization/hospitalhave a social media policy? 68% (17 votes) Yes, and active social media 4% users 4% 8% (2 votes) No, and active social media 16% users 16% (4 votes) Working on it, and active social 8% media users 4% (1 vote) Yes, but not 68% made it into the social world 4% (1 vote) No, but not make it into the social world Source: @reedsmith, Twtpoll Oct 2010
  • 62.
    • February 2009 • Surgeons at Henry Ford Hospital, Detroit, Michigan for REAL- • “To let people know that a tumor can be removed TIME without taking out the entire kidney,” said Craig Rogers, Updates MD, lead surgeon, to CNN.
  • 63.
    • Tissue recruitment •Epidemiological survey • Disaster alerting and response • Supportive care for patients and family members • Diabetes management • Alarming silent codes (security incidents) • Augmenting telemedicine • Amber alerts
  • 64.
    • Healthcare professionals • Harvard Med, Harvard • AAP, Healthy Children, Health, HarvardNeo AAP News, PediaLink, AAP • HealthSocMed NCE • HHS gov, AIDS gov, NIH • AMA Library • MDchat • Red Cross • RNchat • CDC, NIH • NICUchat
  • 65.
    • Iran Election •Swine Flu • Gaza • Iran • Tehran Source: http://mashable.com/2009/12/15/twitter-reveals-most-discussed-topics-of-2009/
  • 66.
    • Gulf OilSpill • Haiti Earthquake • Pakistan Floods • Chilean Miners Rescue • Chavez Tas Ponchao
  • 67.
    • Lady Gaga • Justin Bieber • Britney Spears • Barack Obama • Kim Kardashian Source: www.blog.newwave.net.au/?p=76
  • 68.
    Friday, April 2,2010: ColumbiaUniversity 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. Source: www.healthday.com/Article.asp?AID=637674
  • 69.
    • “No onephysician is as knowledgeable as physicians working together.” • Largest online physician community • Over 110,000 community members • 68 specialties, 50 states • Free to practicing physicians • Free of advertising • Facebook, Twitter and monthly Sermo Blog Source: www.sermo.com/node/11/
  • 70.
  • 71.
    Social: Physician-specific • Sermo • NICU-Net • DoctorsHangout • MD Link • StudentDoctor.net • Medscape Physician • Healtheva Connect • DoctorNetworking • eMedicine • RelaxDoc • MedicSpeak • SocialMD • iMedExchange: • ClinicalVillage practicing MD only • Ozmosis • FacebookGroups • 99nicu.org
  • 72.
    AAP in • Website • Discussion Board Social – YP Connection – AAP Perinatal Trainees Media • Twitter – AAPperinatal – AAP news – NCE – Pedialink Section on • Facebook groups – AAP Perinatal – AAP Perinatal Trainees Perinatal • Facebook pages o AAP Perinatal o NeoReviews Pediatrics o AAP Pediatrics • Blog by AAP President, Judith Palfrey • 12/15/09 AAP SmartBrief
  • 73.
    “Be who youare and say what you feel …..... because those who matter don’t mind and who mind don’t matter.” Dr. Seuss
  • 74.
    Potential Risks • Socialnetworking 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.
  • 75.
    Minimize Risks • Usecommon 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 before you post. (Think, pause, then post.) Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
  • 76.
    Social Do’s andDon’t • 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 – Think, pause, then post. • 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
  • 77.
    80% of SUCCESSis showing up. WOODY ALLEN
  • 78.
    AMA Policy: Professionalismin 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
  • 79.
    Ohio State Medical Association Social Networking andthe Medical Practice: Guidelines for Physicians, Office Staff and Patients “It is only a right to write.” Source: osma.org
  • 80.
    Philosophy: Individuals have theright 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
  • 81.
    Social Media Policies Source: socialmediagovernance.com
  • 82.
    Evolution of theInternet Source: radarnetworks.com
  • 83.
    2011: Web 3.0?? Source:ahi.cl/blog/category/ uncategorized/2009/10/ socialmediacampaign1
  • 84.
    Use web toolswith confidence to streamline Effective communication More “expert- generated” content alongside user content Ethical considerations? Why bother???
  • 85.
    “Social media islike voting… You may not like the system, but unless you vote, you don’t have a right to complain about the outcome.”
  • 86.
    “If you ask meanything I don’t clara-song@ouhsc.edu know……. I’m not going to answer.” - Yogi Berra