Uploaded byClara Song
Ou grand rounds.08.2011
This document provides an overview of social media and its impact on healthcare. It discusses how social media has evolved from early platforms like blogs and photos to now include major sites like Facebook, Twitter, and LinkedIn. The document outlines how social media is used in various aspects of healthcare such as medical education, collaboration, research, and professional networking. It also addresses both the benefits and risks of using social media in healthcare contexts.
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Ou grand rounds.08.2011
- 1. Social Media ForOur Health: More than Facebook CLARA SONG, MD, FAAPAssistant Professor of PediatricsSection of Neonatal-Perinatal Medicine
- 2. DisclosureSPEAKER: Clara Song,MDI 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. The Truth andNothing but…I am not a social media expert.There are no social media experts. There are only social media users.
- 4. OBJECTIVESUnderstand the evolutionof social media and its impact on healthcareClassify the current available web-based tools to facilitate collaboration between healthcare professionalsIdentify and prevent negative consequences associated with social media use
- 5. Social Media AnxietyDisorder“Social Media” = Facebook and TwitterRumor mill of unprofessional conduct on Facebook and Twitter Unaware of closed Facebook account and protected tweets Unaware of RSS, feed readers and other useful applications of social media Metha, N. "How physicians can overcome social media anxiety on Twitter." Technology in (Medical) Education, blog. Aug 14, 2011.
- 6. Social media hastaken over…… porn as the #1 activity on the web.Source: Social Media Revolution from Socialnomics.net
- 7. Everyday…..… approximately 2BillionGoogle searches occur.Source: Social Media Revolution by Socialnomics.net
- 8. Interestingly….. Facebook TOPSGoogle for weekly traffic in the U.S.!Source: Social Media Revolution 2 from Socialnomics.net
- 9. In 2010, socialmedia use increased… Baby Boomers (46-65 yr): 54 76%Gen X (32-45 yr): 70 85%Millennials/Gen Y (13-31 yr): 84 91%Source: PR Newswire, Nov 2010; Beyond.com Poll
- 10. Saying it simply…Manypeople are on the web… AND on the web to utilize social media tools.
- 11. Social media impactsour lives Facebook Kawasaki diagnosis storyPresident Obama’s townhall forum on Facebook liveTweets from Egypt
- 12. $20 million for>1000 ideas2,640,026 lives positively affectedFacebook: >5.5 million fansTwitter: >120,000 followersYouTube: > 17 million uploads & 2.4 million views82 million votes
- 13. 120,000 ideas“Social mediais NOT a fad…“…it’s a fundamental shift in the way we communicate.”Source: solcomhouse.com
- 14. Source: radarnetworks.comEvolution ofthe Internet
- 15. Social Media….transforms broadcastmedia monologues (one to many) into social media dialogues (many to many). ConceptMediaSocial interfaceSource: http://en.wikipedia.org/wiki/Social_media
- 16.
- 17. Social Media isabout….Reaching out and having a conversation.Source: www.telegraph.co.uk
- 18. Health 2.0Information: resources& sharingMedical educationCollaboration and practiceDisease managementResearch & data sharingProfessional Development & NetworkingSource: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
- 19. Health 2.0Information: resources& sharingMedical educationCollaboration and practiceDisease managementResearch & data sharingProfessional Development & NetworkingSource: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
- 20. 3rd most prevalentactivity Pew Research Center’s Internet & American Life Project Feb 2011 reportSurvey of 3,001 American adults8 in 10 Internet users search for health information ONLINESource: pewinternet.org/Reports/2011/HealthTopics.aspx
- 21. Social Media forHealth Information94% use Facebook32% use YouTube18% use MySpace or TwitterNational Research Corporation Survey23,000 Americans41% use social media Average age: 41 yrSource: CNN Health, thechart.blogs..cnn.com,3/4/2011
- 22. We are e-PatientsSeekonline guidance for their own conditions or for loved ones“equipped, electronic, enabled, educated, empowered, engaged, equals, emancipated……”2 effects “better health information/services and differentrelationships with their doctors”Source: http://enwikipedia.org/wiki/E-Patient
- 23. Hospitals in theUnited States 2011Source: Found In Cache, Social Media resources for healthcare professionals from Ed Bennett.
- 25. Twitterand Facebook (Farmville)was used to raise $1 million for the new children’s hospital.Source: Modern Healthcare, March 14, 2011
- 26. Twitter: OU MedicineHaroldHamm Oklahoma Diabetes CenterYouTube:OU MedicineTips on Living HealthierFacebook: OU Medical Center OU Cancer InstituteOU Breast InstituteOU College of Medicine AdmissionsHarold Hamm Oklahoma Diabetes CenterOU Medical Center Edmond
- 27. We are e-Doctors99%of U.S. physicians are online83% consider the Internet essential to their practice91% use Google for medical/pharmaceutical queriesTextbooks, conferences web, iPhones, Blackberrys….“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. Health 2.0Information: resources& sharingMedical educationCollaboration & practiceDisease managementResearch & data sharingProfessional Development & NetworkingSource: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
- 29. How do youcurrently save your references and articles?Print and fileDrag and drop onto a USB driveSave and file into folders in Documents onto My ComputerBookmark reference onto a web account
- 30. Bookmark, Share &SaveSource: tootf.com
- 31.
- 32. DiigoConnoteaCiteULikeGoogle Chrome: AddThisDeliciousTechnoratiRedditStumbleUponDiggSocialBookmarking and News AggregatesSource: doublejdesign.co.uk
- 34. READERGoogle ReaderNewsGatorMy Yahoo!FeedDemonNetNewswireSource: rssboard.org
- 35. RSS provides “timelyupdates from favored websites… and aggregates feeds from many sites into one place.”RSS= “Really Simple Syndication”Source: http://en.wikipedia.org/wiki/Rss
- 36. Slide ShareGoogle DocsSlideBoomSlideServeScribd280SlidesSlideRocketSlideSLIDE SHARING“Try not. Do or do not. There is no try.”-YodaSource: sethpickens.files.wordpress.com/2009/02/luke-yoda
- 37. Health 2.0Information: resources&sharingMedical educationCollaboration and practiceDisease managementResearch & data sharingProfessional Development & NetworkingSource: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
- 38.
- 39. FacebookMore than 750million active users50% of active users are logged on in any given dayFastest growing demographic is age 35 and older; second is 55-65 year olds (Fastest growing segment is 55-65 year old females)More than 30 billion content pieces shared each monthMost popular site to share photos3rd most popular site to view online video Source: www.facebook.com/press/info.php?statistics, comScore 2009
- 40. If Facebook wasa country….… it would be the 3rd largest in population.Source: Social Media Revolution 2 from Socialnomics.net
- 41. Image Source: flagspot.net,cia.gov,toddpaynefortennessee.com
- 42. FACEBOOKFun, casualMeet oldfriends, make new friendsJoin interest groups, communitiesLearnShare storiesMake professional connectionsIt’s a party! Source: facebook.com
- 43. LinkedIn> 120 millionprofessionals in 150 industries in over 200 countriesAverage age is 41 yearsOver 50% users have income >$100,000Over-representation of graduate school-educated users64% male95% of companies use LinkedIn as their primary tool to find new employees Searchable by GoogleSource: www.linkedstrategies.com/blog/tag/linkedin-statistics, press.linkedin.com
- 44. LinkedIn: Business LunchNeonatologistson LinkedInNeonatal-Perinatal Medicine Group
- 45. Health 2.0Information: resources&sharingMedical educationCollaboration and practiceDisease managementResearch & data sharingProfessional Development & NetworkingSource: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
- 46. “No one physicianis as knowledgeable as physicians working together.”Largest online physician communityOver 130,000 community members68 specialties, 50 statesFree to practicing physiciansFree of advertisingFacebook, Twitter and monthly Sermo BlogSource: www.sermo.com
- 47.
- 48. Health 2.0Information: resources&sharingMedical educationCollaboration and practiceDisease managementResearch & data sharingProfessional Development & NetworkingSource: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png
- 49. TwitterTwitter is aservice for friends, family, and co-workers to communicate and stay connected through the exchange of quick frequent answers to one simple question: What are you doing?“Share and discover what’s happening right now, anywhere in the world.”Source: twitter.com
- 51. Twitter175 million registeredusers, as of January 2011200 million tweets a day, as of June 2011Largest Twitter group 35-44 year olds, 64% >35 yrThe median user age: 39600 million search queries/day 37% of active users are mobileSource: http://blog.nielson.com/nielsonwire/online_mobile/twitters-tweet-smell-of-success/, denverpost.com/business, marketinggum.com June 2011
- 52. Coffee TalkTweets areshort and sweet….. Casual conversation, like at the water cooler or coffee houseNo one stays too long or says too muchIf you don’t stop by, you’ll miss it Image Source: nydailynews.com
- 53. 140 HEALTHCARE USESFOR TWITTER Tissue recruitmentDisaster alerting/ responseAmber alertsTracking patient/disease trendsLive-tweets: surgical procedures, medical conferencesPublishing health-related newsClinical education coordinationBY PHIL BAUMANN, “Health is Social”
- 54. Does your institutionhave policy on employees’ use of social media? Yes, absolutely.Yes, kind of, an unwritten expectation.No, not really.
- 55. Does your institutionhave policy on employees’ use of social media? Yes, absolutely.Yes, kind of, an unwritten expectation.No, not really.
- 56. Potential RisksSocial networkingis online= Public domain, no longer privatePosting online is permanent; can be deleted, but may be archivedProfessional liability risks (violations of medical code of ethics, HIPAA, employer or medical staff policy)Anonymity cannot by guaranteed; privacy can be violatedSource: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
- 57. Minimize RisksUse commonsense.“The least common thing in the world is common sense.”Review the terms of service of the online communities.Review your professional liability policy.Review your employer’s social media policy.Include a disclaimer. Remember- anonymity cannot be guaranteed.Review before you post. (Think, pause, then post.)Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.
- 58. Future doctors sharetoo much on FacebookSource: news.ufl.edu/2008/07/10/facebook/
- 59. Social Do’s andDon’tDO: Identify yourself with yourself employer if appropriate, but emphasize that you do not represent your employer’s viewsEngage in discussion with your peers and colleaguesThink, pause, then post.DON’T:Use for personal reasons during work timePost personal identifiable OR protected health informationUse or post profane, defamatory, illegal language or material
- 60. To Friend orNot to Friend“Please Don’t ‘Friend’ Your Patients”Violation of HIPAA by jeopardizing the protection of individually identifiable health information (IIHI)Source: MDNews.com, 3/19/2011
- 61. Ignore…..84% would NOTuse social media to communicate with their physician72% would call nurse help line~50% prefer email communication with physician, online appointment setting, online access to medical records , online bill paymentSource: HealthcareITnews.com, 3/24/2011
- 62. AMA Policy: Professionalismin the Use of Social MediaStandards of patient privacy and confidentialityPrivacy settingsAppropriate boundaries of patient-physician relationshipProfessional boundariesEthical responsibility to report unprofessionalismPossibility of negative consequences
- 63. Use web toolswith confidence to streamlineMore “expert-generated” content alongside user –generated contentEffective communicationEnhanced educationEthical considerations?Why bother??
- 64. “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.”
- 65.
- 66. clara-song@ouhsc.edu“If you askme anything I don’t know…….I’m not going to answer.”- Yogi Berra
Editor's Notes
- #6 Director of Education at Case Western Reserve University
- #7 As of 2009, the overall #1 activity on the web….
- #8 …. This indicates that people are searching for information. With social media applications, they are now sharing information more efficiently and effectively.
- #9 Facebook has now topped Google as the #1 most popular site on the internet. So, people are also on the web trying to connect with each other as well as search for information. FB is avenue where we can find and share information quickly, then communicate our thought all on one platform. Facebook is quickly becoming the new search engine on the block….
- #10 Baby boomer 1946-64Gen X 1965-83Gen Y 1984-2002
- #11 Many people are on the internet and- basically, they are on Facebook!
- #12 July 2011- 4 yo, strep neg, puffy face photo at ped’s officeApril 2011- Obama used Facebook as a platform for a public town hall, This was live-streamed via multiple venues on the web, including the White House FB page. The focus of the town hall was the national budget.On an international level, in Jan 2011- The turmoil in Egypt was chronicled in real-time and disseminated by Twitter, FB and YouTube. Social Media can impact our daily lives in seemingly insignificant as well as profound ways- Iran political rallies, Egypt inside stories, Oklahoma Senator tweets State of the Union Address
- #13 Initially started last year in 2010 with the seed $ that should have bought Super bowl commercial time. Great idea to make a positive impact on the world- promote it and get people to vote for it!Is campaign primarily driven by social media 82 million votes- that is more than the last non-presidential federal election in 2006., which had the best voter turn out. The only thing that more Americans will come together to vote for (other than the Pepsi Refresh ideas) is the President.
- #14 Social media is not a fad… it’s here to stay…. Like rock & roll- it’s not going anywhere. We don’t necessarily have to like it, but we may as well get to know what it’s all about.
- #15 So, how did we get to this point?? Web 1.0 is a term to define the internet as we understood it as its inception, which became commonplace in the 90’s. The internet at that time was used primarily for email and as a source of information. Web 1.0 users visited internet site and extracted information as if it were a digital library. Webmasters generated the information, and users viewed the information as they needed. Web 2.0, the internet as it has evolved this past decade, is no longer only a source of content for passive viewing, but has become an interactive, dynamic arena for idea and information exchange. Now this exchange of ideas occurs, in many applications, in real-time.
- #16 Social media is a “group of Internet-based applications…that build on the foundations of Web 2.0, and that allow the creation and exchange user-generated content.” One of the most important concept of social media is “democratization” of ideas, which means that it allows its participants to become producers of information as well as users. What makes social media “social” is the interaction of all its participants.
- #17 Social media encompasses many different Internet-based applications, allowing for the creation and exchange user-generated content. Ultimately, at the center of it all- are conversations,
- #18 Social media is about reaching out and having a conversation…. enabling people to find a common ground so that we can COMMUNICATE. This allows for the creation of relationships between users.It’s about keeping people informed, engaged, and ensuring dynamic dialogue.
- #19 How is affecting our world in healthcare and as clinicians? I’d like to talk now about the concept of Health 2.0- which is the use of Web 2.0 tools byclinicians, administrators, researchers as well as patients and their families in order to collaborate and personalize healthcare, and promote health education…..The idea is to utilize these tools to strengthen the relationships and communication between communities in the healthcare system and within those communities. (clinicians, researchers, administrators, patients)
- #20 Information sharing among the health communities currently, it is the patient community that has biggest voice and presence on the web.
- #21 A report issued on February 1, 2011 of 3001 American Adults stated that 8 in 10 internet users search online for health information…. Making this activity the 3rd most prevalent activity among American web users. (1. Exchanging email 2. Utilizing search engines 3.Seeking health information)
- #22 In March 2011- Survey of 23,000 Americans revealed that social media sites have become very popular for searching for heath information- with Facebook the clear winner. 1 in 4 responded that what they learned on these sites was “very likely” OR “likely” to impact their future health decisionsMost responded that they also consulted with a physician This addressed a recurring concern that patients are using the internet to self-diagnose and self-medicate w/o reference to health professionals. This survey may- somewhat- relieve us of the notion that social media replaces the professional consultation, and introduce the thought that it may, in fact, encourage it.
- #23 What do we call this proactive community of patients?- we call them equipped, empowered, engaged, equal partners in their health decision making…
- #24 As of June, 2011. ….AND, at least, 913 foursquare accounts, 458LinkedIn accounts. 137 blogs. For at total of 3,952 hospital social networking sites. Over 50% increase in use of twitter accounts and YouTube and social media overall.
- #25 In roughly 2 years- the # of hospitals with Twitter and YouTube accounts have almost doubled.
- #26 Patient education, promoting their facility and services.
- #27 We are an e-hospital.
- #28 I’d like to argue that… we are all e-doctors, whether, we want to admit or not. The e-doctor- all the “e’s” plus empathetic…e-providers, e-nurses, e-social workers, e-case mangers. And as we can see this growing number of e-patients, it may be a good idea to familiarize ourselves with the workings of Social media can help to keep open the lines of conversation- between patient and provider… instead of allowing that conversation to be replaced.
- #29 Let’s see what tools we can use to enhance info gathering and sharing, education, collaboration, and research.
- #33 Bookmarking sites to create a digital library of all your articles (journals, websites, blogs)- to replace the “print/pack” “drag and drop- USB” or “save/file-docs” that locks down one library to one computer or drive. Social bookmarked libraries can be shared with others, and searched by others.
- #34 Choose a site.Register.Add button (optional, but recommended).Find references (websites, articles, etc.).“Add to …” with one-click.Add “tags”.Socialize and share your library of marked websites/articles. Tags allow you to Create your own Dewey Decimal System. Helpful for education and teaching, research.
- #35 Going to Blockbuster vs NetflixSign up for Reader (Google Reader, Bloglines, Newsgator, my Yahoo!)Connect your websites to your Reader by finding icons (RSS)“Subscribe now” or copy URL to add subscriptions/feed onto your Reader.
- #36 Busy lives, busy people… trying to search for information takes time- how can we make this system work for us. One way is by utilizing a useful application called RSS feeds. Blockbuster vs. Netflix, personal 24/7 paperboy- reader is lawn
- #37 A great deal of Academic education and training is presented in the form of PPT and slides, Create then upload online to share. Create online, then share. Create with others online. Browse libraries of thousands of presentations on a number of subjects. Huge amount of expertise is being shared on these sites.
- #39 Dec 15, 2010- Mark Zuckerberg was named TIME magazine’s Person of the Year for his creation of a social network that brings together one out of every dozen people on the planet and 75 languages. Membership is currently growing at a rate of about 700,00 people a day.Started February 2004 as a 19 year old sophomore at Harvard.
- #40 Let’s talk about Facebook since it is currently the most popular social networking site, 2011- taken over Google as #1 most visited site.
- #41 Last year it was- 1. China 2. India 3. USA 4. FacebookNow, it’s- 1. China 2. India 3. Facebook
- #44 #2 social network in US…. as of August 2011. Executives from all Fortune 500 companies are LinkedIn members. Like going to a high-powered lunch business meeting Public profile- can be turned OFF, but needs to be done manually. Launched 2003.
- #45 Meeting of the minds.. With iPhones and Blackberrys. New and growing… over 90 members
- #48 Sermo >130,000 physicians, iPhone/iPad only, iConsult released this month- 5,000 physicians already signed up. Availability for Droid expected by end of this year.
- #49 Next tool has greatest flexibility in applications and highest potential to be useful- but also, has the steepest learning curve. So, I feel it’s met the most resistance among healthcare professionals.
- #51 This year- new homepage to emphasize usefulness of Twitter as real-time search engine.
- #52 Founded in 2006. The numbers of continued growthreflect that people on a global level are taking advantage of this free tool to search for the latest, up-to-date information.
- #53 Like going to the water cooler work and getting the latest news of the day- But, if you are away too long, you’ll miss the conversation. It’s also like everyone having their very own talk show- given people their own personal soapbox- you can listen or not…
- #54 Created in 2009
- #58 However, we can be prepared to minimize the damage…. First and foremost, the most important thing is to use common sense. I like to think that, essentially, the virtual world onthe web respected as the real world- the same rules apply…. So, as you would act in the this world, you would act in the virtual world.
- #59 Socialv.s. Professional lives…. New FB privacy settings (released this week Aug 24, 2011), google + help address.
- #60 Again Virtual World= respect it like the real World. Remember that- Anything you post should be treated as if it can show up the next day on the front page of the NY Times.
- #61 There is often the question of whether it is appropriate for health professionals to “friend” patients and families. The general consensus of “finding”= initiating or accepting formal social, virtual connections may have the potential to violate HIPAA. I emphasize, treat the Virtual world like the real world. Some solutions- separate FB profiles, FB pages, versus profiles now Google + offers circles that can separate the groups of people we interact with on a daily
- #62 Well, the good news is….our patients don’t want to “friend” us anyway…. So this really isn’t an issue.Capstrat-Public Policy Polling survey, Feb 2011, 843 Americans:
- #63 So even if our patients don’t want to be our Facebook friends, it still might be nice to agree on how we should maintain ourselves on the web. So, the AMA has released an official Policy regarding Professionalism in the Use of Social Media. Essentially, again, asking us to respect the virtual world on the web as we would the real world- the same rules apply….It reminds us to maintain patient confidentiality in all environments. Privacy settings are not absolute or permanent- so monitor all information and postings routinely. Keep professional boundaries with patients and other professionals. Consider separating personal and professional content online as you would in other areas of life. Don’t ignore inappropriate behavior of colleagues. Remember that every action has a reaction- can be good or bad. So, it is best, again, to review, think, pause, before you post.
- #64 In conclusion, I would like to give you my 2 cents on why we should even bother investing anytime on learning all this. I think it would be fantastic if we were familiar with what is available to us on the web and use it with confidence, so that it can help streamline our lives and the information available on the web. It has become an the most current, effective way of communication and information-sharing. I would like to see more expert-generated content alongside user-generated content.I wonder if we as a medical community actually have an ethical responsibility to create more of a voice and presence in this ocean of chatter that clearly desires knowledge ??? should we as the experts managing the messages to the public? Since someone else is already there, so why not us?…….