Health Care Social Media in the Face of Continued FDA Regulatory Uncertainty for Medical Device Manufacturers, Presented at MassMEDIC conference 05 13 2011
Social media in health--what are the safety concerns for health consumers? Luis Fernandez Luque
Social media in health--what are the safety concerns for health consumers? by Lau AY, Gabarron E, Fernandez-Luque L, Armayones M. HIM J. 2012;41(2):30-5. https://www.ncbi.nlm.nih.gov/pubmed/23705132
Abstract: Recent literature has discussed the unintended consequences of clinical information technologies (IT) on patient safety, yet there has been little discussion about the safety concerns in the area of consumer health IT. This paper
presents a range of safety concerns for consumers in social media, with a case study on YouTube. We conducted a scan of abstracts on ‘quality criteria’ related to YouTube. Five areas regarding the safety of YouTube for consumers were identified: (a) harmful health material targeted at consumers (such as inappropriate marketing of tobacco or direct-to-consumer drug advertising); (b) public display of unhealthy behaviour (such as people displaying self-injury behaviours or hurting others); (c) tainted public health messages (i.e. the rise of negative voices against public health messages); (d) psychological impact from accessing inappropriate, offensive or biased social media content; and (e) using social media to distort policy and research funding agendas. The examples presented should contribute to a better understanding about how to promote a safe consumption and production of social
media for consumers, and an evidence-based approach to designing social media interventions for health. The
potential harm associated with the use of unsafe social media content on the Internet is a major concern. More empirical and theoretical studies are needed to examine how social media influences consumer health decisions, behaviours and outcomes, and devise ways to deter the dissemination of harmful influences in social media.
Social media in health--what are the safety concerns for health consumers? Luis Fernandez Luque
Social media in health--what are the safety concerns for health consumers? by Lau AY, Gabarron E, Fernandez-Luque L, Armayones M. HIM J. 2012;41(2):30-5. https://www.ncbi.nlm.nih.gov/pubmed/23705132
Abstract: Recent literature has discussed the unintended consequences of clinical information technologies (IT) on patient safety, yet there has been little discussion about the safety concerns in the area of consumer health IT. This paper
presents a range of safety concerns for consumers in social media, with a case study on YouTube. We conducted a scan of abstracts on ‘quality criteria’ related to YouTube. Five areas regarding the safety of YouTube for consumers were identified: (a) harmful health material targeted at consumers (such as inappropriate marketing of tobacco or direct-to-consumer drug advertising); (b) public display of unhealthy behaviour (such as people displaying self-injury behaviours or hurting others); (c) tainted public health messages (i.e. the rise of negative voices against public health messages); (d) psychological impact from accessing inappropriate, offensive or biased social media content; and (e) using social media to distort policy and research funding agendas. The examples presented should contribute to a better understanding about how to promote a safe consumption and production of social
media for consumers, and an evidence-based approach to designing social media interventions for health. The
potential harm associated with the use of unsafe social media content on the Internet is a major concern. More empirical and theoretical studies are needed to examine how social media influences consumer health decisions, behaviours and outcomes, and devise ways to deter the dissemination of harmful influences in social media.
Presented at the UP-PGH Section of Endocrinology Alumni Hour 25 Nov 2015 AND also at the plenary session of the annual convention of the Philippine Society of Otorhinolaryngology-Head & Neck Surgery 1 Dec 2015.
A basic introduction into evolution of web architecture, fragmented healthcare, rise of e-patients and a peek at how clinicians use of social media in healthcare
Top 7 Physicians Networks for you to Join as a Medical ProfessionalNet Pro Referral
As a medical professional or a medical specialist, there are numerous benefits of being engaged in physicians networks. Not only for being up to date with the developments on the field but also to be open to newer opportunities.
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & Philippine Lipid & Atherosclerosis Society 25 Feb 2017, Crowne Plaza Galleria Manila.
In this presentation we discuss social media definition, social media landscape, social media facts and statistics in 2013, professional use of social media, use of Social Media in research and strategies for putting social media in practice, and lastly challenges, guidelines & regulations. Prepared by Yazan Kherallah
Social media research in the health domain (tutorial) - [part 1]Luis Fernandez Luque
Tutorial about the use of social media in the health domain. The tutorial is designed for healthcare professionals interested in eHealth. It was done for Weill Cornell Medicine - Qatar.
See the part II of the tutorial here: https://www.slideshare.net/IngmarWeber/social-media-research-and-practice-in-the-health-domain-tutorial-part-ii
Learn more about social media for health here https://www.futurelearn.com/courses/social-media-in-healthcare
Social Media in Medical Education: Embracing a New MediumRyan Madanick
This talk was given at the University of North Carolina School of Medicine on October 27, 2011, as part of the UNC Academy of Educators Lecture Series.
#uncaoe
As an introduction, I gave a series of short lectures on the Use of Social Media on Healthcare among medical students of Cebu Doctors University College of Medicine. Most of the slides were borrowed with permission from Dr. Iris Thiele Isip-Tan's slideshare deck.
Presented at the UP-PGH Section of Endocrinology Alumni Hour 25 Nov 2015 AND also at the plenary session of the annual convention of the Philippine Society of Otorhinolaryngology-Head & Neck Surgery 1 Dec 2015.
A basic introduction into evolution of web architecture, fragmented healthcare, rise of e-patients and a peek at how clinicians use of social media in healthcare
Top 7 Physicians Networks for you to Join as a Medical ProfessionalNet Pro Referral
As a medical professional or a medical specialist, there are numerous benefits of being engaged in physicians networks. Not only for being up to date with the developments on the field but also to be open to newer opportunities.
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & Philippine Lipid & Atherosclerosis Society 25 Feb 2017, Crowne Plaza Galleria Manila.
In this presentation we discuss social media definition, social media landscape, social media facts and statistics in 2013, professional use of social media, use of Social Media in research and strategies for putting social media in practice, and lastly challenges, guidelines & regulations. Prepared by Yazan Kherallah
Social media research in the health domain (tutorial) - [part 1]Luis Fernandez Luque
Tutorial about the use of social media in the health domain. The tutorial is designed for healthcare professionals interested in eHealth. It was done for Weill Cornell Medicine - Qatar.
See the part II of the tutorial here: https://www.slideshare.net/IngmarWeber/social-media-research-and-practice-in-the-health-domain-tutorial-part-ii
Learn more about social media for health here https://www.futurelearn.com/courses/social-media-in-healthcare
Social Media in Medical Education: Embracing a New MediumRyan Madanick
This talk was given at the University of North Carolina School of Medicine on October 27, 2011, as part of the UNC Academy of Educators Lecture Series.
#uncaoe
As an introduction, I gave a series of short lectures on the Use of Social Media on Healthcare among medical students of Cebu Doctors University College of Medicine. Most of the slides were borrowed with permission from Dr. Iris Thiele Isip-Tan's slideshare deck.
Presentation of Leanne Wells, CEO, Consumers Health Forum of Australia, at the Health Care & Social Media Summit 2015 Plenary Session, "Who owns your Big Data?"
This is a high level view of aspects of sales and marketing for hospitals. There would be variations and details based on the actual hospital, specialties, service area demographic etc.
The slide is all about Healthcare Marketing. How you can develop marketing strategies in healthcare market.
Healthcare is booming industry & in accordance with marketing concepts it is very necessary to do marketing of services.
Health Care Social Media - An Introduction to Engaging Intelligently and LegallyDavid Harlow
Learn more about the value of social media tools, the range of issues they present, and some key strategies for using these tools effectively while steering clear of trouble by social media expert and charter member of the Advisory Board of the Mayo Clinic Center for Social Media, David Harlow.
Engage David Harlow as a keynote speaker or consultant to your organization: http://bit.ly/tgQhmU
One recent review: '@healthblawg is so good I just tend to listen vs tweet'
You may purchase the audio and a transcript of this webinar at http://bit.ly/uqBiBi
Doctors who use social media not only can spread the word about new medical updates, treatments or other relevant news, but also specific information about their practices. Dr. Howard Luks, an orthopedic surgeon, says: “Only the oil refinery business lags behind health care in digital media adoption.” For doctors, it is no longer practical not to have an online presence. While it might seem foolish to be updating a Facebook page or uploading YouTube videos, there are plenty of advantages.
Leveraging Social Media for Healthcare ProvidersGreenway Health
Eighty-one percent of Americans look for health information online- but from whom are they getting it? Social media gives providers the opportunity to influence the information their patients are reading online and to engage them in a meaningful conversation. Learn how to utilize these technologies to improve patient communication, outcomes and even your bottom line.
A guide to online professionalism for medical practitioners and medical studentsDr Neelesh Bhandari
One of the best guides to Healthcare Social Media for Doctors:
A joint initiative of the Australian Medical Association Council of Doctors-in-Training, the New Zealand Medical Association
Doctors-in-Training Council, the New Zealand Medical Students’ Association and the Australian Medical Students’ Association
COVID-19 & Personal BeliefsValuesThe COVID pandemic has had a tCruzIbarra161
COVID-19 & Personal Beliefs/Values
The COVID pandemic has had a tremendous effect on the worldview surrounding my current nursing work. While many of the realizations focus on the imperativeness of nursing it also exposed areas that could need improvement in the future. Therefore, the values I had placed before are now replaced by new ones and new avenues for progression are made clear. In this paper I will be exploring how COVID-19 influenced my values and personal beliefs while offering an example.
Personal Beliefs/Values
Due to the pandemic, more awareness is being brought to the crucial work that is done by nurses. This has highlighted certain aspects of the work we do as nurses and how we could further shape the way our care is delivered. While new information was being given surrounding the possible medical consequences of having COVID, I found a new-found value in relying on evidence-based information. Throughout this period, it was easy to fall into the pit of misinformation. However, we as nurses must use our critical thinking and examine the evidence to then apply it in our work. This would result in an inability to comprehend “the risk of being infected.” (Fernandez et al, 2020) Our patients rely on us to provide them with up-to-date information that is based on clinical evidence. This is how we can truly provide the highest standard of patient care. This newfound belief and important value have only been more pronounced ever since COVID had started. Importance can be greater appreciated when recognizing the need of the nursing staff to “meet the exponential increase” (Smith et al, 2022) laid by COVID.
Example
The case for establishing a strong reliance on evidence-based practice is most notable when having experience seeing the problem. Multiple instances at work I have seen my coworkers engaging in passing information that is not academically accurate. I had a fellow RN who could not answer COVID questions when asked of how the virus works within the body. Because of these moments I make sure to keep up to date with the latest from the CDC and academic sources.
Conclusion
In conclusion, the pandemic has opened my eyes to what values should be enhanced and where beliefs should be derived from. The need for nurses to educate themselves when a global disaster has been highlighted by countless instances where critical thinking is needed. Data that can be verified clinically is vital to continuing to provide better patient care and lead to better patient outcomes.
References
Fernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., & Ellwood, L. (2020). Implications for COVID-19: A systematic review of nurses' experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies, 111, 103637. https://doi.org/10.1016/j.ijnurstu.2020.103637 (Links to an external site.)
Smith, S. J., & Farra, S. L. (2022). The impact of covid-19 on the regulation of nursing p ...
Doctor - Patient Relation & Social MediaAnupam Das
In recent years, Social Media has made a significant impact on every aspects of everyone’s life, healthcare has not been excluded from this anyway.
This presentation is all about Doctor-Patient Relationship & impact of Social Media.
Social media: the way forward or a waste of time for physicians? - M DeCamp ...Giuseppe Fattori
Social media is everywhere; its use has grown exponentially over
recent years. The prevalence of these outlets for communication raises some
interesting and potentially risky issues for physicians. On the one hand, some
believe that physicians should have a strong social media presence and can
benefit greatly from access to a global community of peers and leaders through
blogs, online forums, Facebook, Twitter and other communication channels. Dr
Anne Marie Cunningham provides a strong case for the advantages of developing
networks and figuring out who and what to pay attention to online.
On the other hand however, others believe that the use of social media places
doctors at a professional and ethical risk and is essentially a waste of time for
the already time-pressured physician. Professor DeCamp argues that the risks of
social media outweigh their benefits.
Similar to Health Care Social Media for Medical Device Manufacturers - FDA - Presentation at MassMEDIC (20)
Telemedicine challenges and opportunities slidecastDavid Harlow
Slidecast of preso at http://www.slideshare.net/DavidHarlow/telemedicine-challenges-and-oppoertunities See slides at that link for live links to other resources.
Beyond HIPAA: Digital Health Opportunities & Regulatory Land MinesDavid Harlow
An overview of state and federal regulatory schemes that affect digital health - beyond HIPAA - together with a discussion of the opportunites presented and strategies for dealing with the regulatory environment
Health Data Privacy (and a little FDA mHealth) RegulationDavid Harlow
I spoke at the Cambridge, MA Health Innovators Meetup January 20-15 meeting, The overall theme of the meeting was Launching & Funding Healthcare Innovation: Legal & Business Considerations. I focused on health data privacy and security and the FDA guidance on determining when an mHealth app is a medical device. A good time was had by all.
Digital Health: Apps, Analytics & AgenciesDavid Harlow
Introduction to Digital Health presented at the Massachusetts Bar Association "Hot Topics in Healthcare" program on December 10, 2013. For more information, see related posts at HealthBlawg.com.
MCLE Health Law Basics Plus 2013 - Post-Acute CareDavid Harlow
My annual presentation at the Massachusetts Continuing Legal Education two-day extravaganza intro to health law.
See resources collected at http://j.mp/MCLEHealthLaw
Patient Consent to the Use of Data: Are We Asking the Wrong Question?David Harlow
In this presentation at #StrataRx 2013 I explore the notion of building big data analytics on top of a data store populated by health record information obtained as a result of patient requests. Why? Because doing it that way would bring the data out from under HIPAA and HITECH regulations. Patients could contribute as much or as little of the data as they wish, patients could be compensated for their contributions, and other pesky HIPAA restrictions would fall by the wayside. I used one company's newly-announced service as an example, but there are others in this space as well.
See livetweets of presentation at: http://www.healthblawg.com/2013/09/david-harlows-hipaa-and-hitech-presentation-at-stratarx.html
Press coverage of this presentation: Solving Healthcare's Big Data Analytics Security Conundrum - CIO.com – http://shrd.by/8qCxmo
Marketing and Branding Your Legal Practice Using Social MediaDavid Harlow
Social Media for Lawyers: How to Boost Your Practice and Avoid Pitfalls. Presentation by David Harlow at Plenary Session of Massachusetts Bar Association Annual Conference March 2010
Marketing and Branding Your Legal Practice Using Social Media - Mass Bar Assn...David Harlow
Practical tips on marketing and branding legal practices using social media, focusing on blogging and twitter, with information about Linked In and Facebook too. Presentation given as part of Mass. Bar Association - Law Practice Management section program at Western New England College 022610
Company Valuation webinar series - Tuesday, 4 June 2024FelixPerez547899
This session provided an update as to the latest valuation data in the UK and then delved into a discussion on the upcoming election and the impacts on valuation. We finished, as always with a Q&A
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
3.0 Project 2_ Developing My Brand Identity Kit.pptxtanyjahb
A personal brand exploration presentation summarizes an individual's unique qualities and goals, covering strengths, values, passions, and target audience. It helps individuals understand what makes them stand out, their desired image, and how they aim to achieve it.
Understanding User Needs and Satisfying ThemAggregage
https://www.productmanagementtoday.com/frs/26903918/understanding-user-needs-and-satisfying-them
We know we want to create products which our customers find to be valuable. Whether we label it as customer-centric or product-led depends on how long we've been doing product management. There are three challenges we face when doing this. The obvious challenge is figuring out what our users need; the non-obvious challenges are in creating a shared understanding of those needs and in sensing if what we're doing is meeting those needs.
In this webinar, we won't focus on the research methods for discovering user-needs. We will focus on synthesis of the needs we discover, communication and alignment tools, and how we operationalize addressing those needs.
Industry expert Scott Sehlhorst will:
• Introduce a taxonomy for user goals with real world examples
• Present the Onion Diagram, a tool for contextualizing task-level goals
• Illustrate how customer journey maps capture activity-level and task-level goals
• Demonstrate the best approach to selection and prioritization of user-goals to address
• Highlight the crucial benchmarks, observable changes, in ensuring fulfillment of customer needs
An introduction to the cryptocurrency investment platform Binance Savings.Any kyc Account
Learn how to use Binance Savings to expand your bitcoin holdings. Discover how to maximize your earnings on one of the most reliable cryptocurrency exchange platforms, as well as how to earn interest on your cryptocurrency holdings and the various savings choices available.
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
Organizational Change Leadership Agile Tour Geneve 2024
Health Care Social Media for Medical Device Manufacturers - FDA - Presentation at MassMEDIC
1. Health Care Social MediaIn the Face of Regulatory Uncertainty MassMEDIC May 13, 2011 David Harlow JD MPH The Harlow Group LLC blog • healthblawg.com twitter • @healthblawg
2. BREAKING: Pew Internet Project: The Social Life of Health Information 2011 @susannahfox e-patients.net pewinternet.org
3. “Why Do You Rob Banks?”Willie Sutton:“Because That’s Where the Money Is.”
4. Marcomm in the 21st century is radically different from the recent past
5. Facebook Nation is the third largest nation in the world global warming sex facebook
6. You can use social media effectively and stayon the right side of the law
8. The medical establishment is now getting wise to social media Monday, November 15 2010 AMA Policy: Professionalism in the Use of Social Media The Internet has created the ability for medical students and physicians to communicate and share information quickly and to reach millions of people easily. Participating in social networking and other similar Internet opportunities can support physicians’ personal expression, enable individual physicians to have a professional presence online, foster collegiality and camaraderie within the profession, provide opportunity to widely disseminate public health messages and other health communication. Social networks, blogs, and other forms of communication online also create new challenges to the patient-physician relationship. Physicians should weigh a number of considerations when maintaining a presence online: (a) Physicians should be cognizant of standards of patient privacy and confidentiality that must be maintained in all environments, including online, and must refrain from posting identifiable patient information online. (b) When using the Internet for social networking, physicians should use privacy settings to safeguard personal information and content to the extent possible, but should realize that privacy settings are not absolute and that once on the Internet, content is likely there permanently. Thus, physicians should routinely monitor their own Internet presence to ensure that the personal and professional information on their own sites and, to the extent possible, content posted about them by others, is accurate and appropriate. (c) If they interact with patients on the Internet, physicians must maintain appropriate boundaries of the patient-physician relationship in accordance with professional ethical guidelines just, as they would in any other context. (d) To maintain appropriate professional boundaries physicians should consider separating personal and professional content online. (e) When physicians see content posted by colleagues that appears unprofessional they have a responsibility to bring that content to the attention of the individual, so that he or she can remove it and/or take other appropriate actions. If the behavior significantly violates professional norms and the individual does not take appropriate action to resolve the situation, the physician should report the matter to appropriate authorities. (f) Physicians must recognize that actions online and content posted may negatively affect their reputations among patients and colleagues, may have consequences for their medical careers (particularly for physicians-in-training and medical students), and can undermine public trust in the medical profession.
9. Some day, the FDA will issue social media guidelines. Maybe.
10. Medical device manufacturers must plan effectively in order to communicate effectively <measure twice cut once kind of pic>
14. So how do we do this? Charlene Li and Josh Bernoff, Groundswell: Winning in a World Transformed by Social Technologies, April 2008 Monitor, rinse & repeat 14
30. Adopt a risk management mindset to understand risk and avoid liability Facebook, Twitter – With Links to Microsite Microsite links to RSS, Facebook, Twitter, YouTube
31. Adopt a risk management mindset to understand risk and avoid liability Contrast: Birmingham Hip, Smith&Nephew Only interactive option: “email a friend”
37. for contact info in an sms txt dharlow to 50500 harlowgroup.net healthblawg.com twitter.com/healthblawg david@harlowgroup.net Thank You David Harlow JD MPH The Harlow Group LLC
Editor's Notes
1 in 4 internet users have:watched an online video about healthtracked their weight, diet, exercise routine or other health indicator onlineconsulted online reviews of drugs or medical treatments (but very few post such reviews)The survey finds that, of the 74% of adults who use the internet:80% of internet users have looked online for information about any of 15 health topics such as a specific disease or treatment. This translates to 59% of all adults.34% of internet users, or 25% of adults, have read someone else’s commentary or experience about health or medical issues on an online news group, website, or blog.25% of internet users, or 19% of adults, have watched an online video about health or medical issues.24% of internet users, or 18% of adults, have consulted online reviews of particular drugs or medical treatments.18% of internet users, or 13% of adults, have gone online to find others who might have health concerns similar to theirs.16% of internet users, or 12% of adults, have consulted online rankings or reviews of doctors or other providers.15% of internet users, or 11% of adults, have consulted online rankings or reviews of hospitals or other medical facilities.Of those who use social network sites (62% of adult internet users, or 46% of all adults):23% of social network site users, or 11% of adults, have followed their friends’ personal health experiences or updates on the site.17% of social network site users, or 8% of adults, have used social networking sites to remember or memorialize other people who suffered from a certain health condition.15% of social network site users, or 7% of adults, have gotten any health information on the sites.
Why go on the internet – because where the people are
.. Or at least from the past that we know. Thru most of human history:We’ve shared info thru Word of Mouth19th-20th C. – Mass Media – Now On the waneHyperlocal, or hyperspecialized … & socialized – back to WOM
What are we going to do today? Learn some do’s and don’tsThink of social media as a power toolIf you don’t know how to use the tool properly, you could get hurt
How?You need to think clearly about your goalsYou need to figure out – very concretely – what you’re going to do to achieve those goalsYou need to focus on your goals and staying out of troubleThis requires advance planning
Yes! Why? Bcs: 2/3 of ppl look online for health infoOver ½ of ppl expect to get info fr HCPs on HC products & services, expect that HCPs will help the lead healthier lives===People are flocking online to find and share health information using a variety of tools, as illustrated by Brian Solis’ Conversation PrismWhat are they doing on line?2009 Pew research study - 61% of adults in the U.S. look on line for health information (66% in 2010)Runaway leader – ahead of health care professional, family, friends, print and broadcast media52% of all searches are on behalf of someone else42% of all adults say they or someone they know has been helped by health information found on the internet (up from 25% in 2006)Edelman Health engagement barometer 2010:56% expect health care providers to educate the public on health topics (products or services)53% expect health care providers to help employees and their families to lead healthier lives52% expect health care providers to support the health of local communities
In late 2010 -- The AMA adopted a “professionalism in the use of social media” policy that is refreshingly commonsensical for the most part.Most elements of the policy are commonsensical, and represent the extension of existing norms into the social media space:Don't post identifiable patient information online.Safeguard physician personal privacy online, understanding that anything posted may remain online indefinitely.Consider separating personal and professional profiles on line.*"What happens in Vegas doesn't stay in Vegas," or, Don't post material that may reflect poorly on the profession.At least one portion of the policy, though, could potentially impose significant obligations on individual physicians active in social media:When physicians see content posted by colleagues that appears unprofessional they have a responsibility to bring that content to the attention of the individual, so that he or she can remove it and/or take other appropriate actions. If the behavior significantly violates professional norms and the individual does not take appropriate action to resolve the situation, the physician should report the matter to appropriate authorities.
Listening session 18 mos ago, no sign of rules, recent announcement of study, 60 day comment pd, then who knows how long to conduct studies – and they’re very technology-specific in their design, so the information gleaned will not be very generalizable. http://j.mp/FDAstudy0411 Meanwhile FDA is ruling by warning letter ….
This Old House: Measure Twice, Cut Once
Docs? Leading Docs? Patients? Key influencers? Bloggers? Need to adjust tactics accordingly. Different rules apply depending on the target audience.
On the Internet, nobody knows you’re a dog. This cartoon is almost 20 yrs old and reflects an internet ethos of an earlier timeAnonymityToday - flamers &trolls aside - There is a decided preference for owning one’s online presence.. Particularly in the realm of SoMeThere are some anonymous bloggers, but for the most part, since authenticity is the name of the game, anonymity is out.
Sounds great, but …By developing the right consensus docuemnt, within the broader rules we have to live with, you can enable authentice interaction.Air force flow chart of policy on commenting on blog post …..There’s always the question of legal laibilityHCPs want authentic interactions with patients and prospectivce patents – who wouldn’t??Just need to go about it carfefully
In addition to privacy and other regulatoy concerns, social media, is of course open to criticism by traditional managers – even in less regulated industiries -- as being too open – folks live in fear of losing control of the message … but as we know, you have already lost control of your message.
Hardware, software, human capital, Policies and prrocedures developed thru an inclusive process(not just execs – incl SoMe users throguhgout org – folks who are excited about this stuff, and who can help communicate the rules informally once they’re adopted)
Sharpen your pencils, folks, put on the green eyeshade, and put yourself in the shoes of the most risk-averse folks you know within your organizations.Need to internalize that perspective in order to be able to identify , avoid and manage risks
A duty that one party has to another partyA breach of that dutyHarm to the second partyCausal link between the breach of the duty and the harmExample: A physician has a duty to provide services according to a standard of care; if she provides lesser services and her patient is injured as a result, that’s malpractice
A patient can release his or her own private information, protected health information, but nobody else can w/o consentIf you violate the letter of the law (or regulation), and disclose or use information in ways you should not . . . you are liable to the federal governmentFinesState AGs can file suit under HITECH ActUnder state law there may be liability to patients as well for violating confidentialityAnd remember, patient claims that go to court will be heard by a jury
Regulatory and compliance safeguardsSuccessful communities must embody organizational standards for handling HIPAA, off-label, adverse event, intellectual property rights, information security, and more – FDA sanctions can include fines and more.
Patients and potential patientsReferral sourcesRegulatory bodiesA jury of your peers?Think about what policies and procedures you want to have on the books and fully implemented before you end up on trial in front of a jury made up entirely of twentysomething Facebook users who expect everyone to live their lives online 24/7
Patient consent where relevantNotice of Privacy Practices (HIPAA NPP) should address social mediaHow it is usedDegree of privacy that may be expectedExpress notice not to use for emergencies; statement that channel is not monitored 24/7NPP and internal P&P should be consistentRemember: the fact that a patient-provider relationship exists is itself PHIEmployee training – clinical and non-clinicalGood judgmentDo not practice medicine on line . . .Unless the patient has given informed consent in advance (and even with consent, clinical interactions should not be in a public forum)Emergency exceptions? Similar to what we would do “IRL”Do not try to establish clinician-patient relationship online . . .Unless through a secure, private portal Clinician-patient communication should end up in HERRegulatory and compliance safeguardsSuccessful communities must embody organizational standards for handling HIPAA, off-label, adverse event, intellectual property rights, information security, and moreHave an established pathway for regulatory review of text of ads, etc., so that you have green-yellow-red zones identified. This will reduce the time it takes to get creative material out the door and on the web
Therefore . . .Must clearly define the roles and responsibilities of different groups: HCPs company reps, patients; “official” tweeters; social media usersTerms of ServicePolicies and Procedures Must be tailored to your organizationMust stay within the bounds of that relationshipShaltsShalt Nots
There are many informative examples of social media use gone awry in health care. Let’s look at a few and examine what went wrong – or – in some cases - what went right.
In the end, these cases are all about too much information – No matter what the platform, there will always be some folks who want to use it, and those who don’t – HCP examples: pol in on a Sunday, clinic staffed up, staffer fired for tweet.PHI – RI doc on FB – anonymous but still identifiable based on other public informationFlea – The doc who liveblogged his own malpractice trial a while back …Ppl posting photos fr ED on Fcbk w/ OTHER ppl in background“I’m CA-free 1 yr later” (on FB, website)
PLM: Nielsen scraping botAnti—terms of serrvice so easy for plm to ban Nielsen botEvent highlighted for some the fact that PLM does what Nielsen was trying to do ….Could’ve been a disaster if plm hadn’t been prepared with relevant material in its PnPGrpn, 4sq – own issues ….. Short form, fair balance, couponing???
Once in a while – the rules require MORE social media, not less ….Case in point – American Medical Response of Connecticut, Inc. and International Brotherhood of Teamsters, Local 443, Case No. 34-CA-12576 (NRLB - Region 34), involves a complaint filed against American Medical Response for firing an emergency medical technician for among other things violating the company's policy of negatively depicting the company on Facebook or other social media sites. American Medical Response had denied the labor board's allegations and claims that the employee was discharged on various other grounds. The complaint contains the full language of the employer social media policies involved in the matter.For those unfamiliar with the National Labor Relations Act, "protected concerted activity" is an employee right under the National Labor Relations Act that protects employees from employer retaliation for discussing working conditions. The National Labor Relations Act provides employees the right to associate together to improve working conditions, self organize, assist labor organizations and bargain collectively. The Act applies to activities by union and non-union employees.
The Cluetrain ManifestoBlogger summitsFacebook content – tips, interviews, videos – not about the device, about the condition and living with it
Some companies, using CRM tools and a plugged-in slaes force can quantifth e value, the ever-elusive ROI on a presence like this. For an AED mfr … [Cardiac Science] SoMe generated leads, almost 1/3 closed sales w/in 15 mos, generated $2-2.5m For a co. like Roche, likely talking much, much more.
Doesn’t cut it
Alt to DTC approach … inviting docs to the party, or paying to eavesdrop. PhRMA does this, MedDevice can too. – many of the issues present in DTC advertising go away …
Nicholas Christakis – “Connected” – MIT – now a startup co. -- talk to the nodes in the network. They’ll help you hit your targets faster, better, cheaper … different approach to social networking – can be online, can be in rela life … important to thinkabout both at the same time … since of course online social networking ultimatleydsdoesn’;t mean much in this business unless you take it offline, into the real world
On the health care provider side … We’re getting to the point where there are more & more external reasons to engage in health care social mediaPatient Engagement and Patient-centered care are part of the ACO statuteCan build something like Virgin Health Miles – health promotion , incentives, teams, wewigh loss diet exercise, all opt-Iin w disclosuresSimilarly On the device side … think about what kinds of conversations you want to create, and with whom
It’s a journey, not a destinationPolicies and procedures will be revisited and revised As you gain experienceAs your comfort level increasesAs technologies and their uses evolve
To sum up –You can join the vanguard by being smart:Plan what you want to do, understand why you’re doing it, and write the policies and procedures up front You can stay on the right side of the lawStick to your guns –Respect the lawRespect your constituenciesRespect the power of the tools you useThink about the framework and the case studies we’ve looked at todayPlan for the future – changes are coming, and it’s better to be ahead of the curve than to play catch-up
happy to entertain questions if we have some time-- Be careful out there … TY