“With the invention of the camera, everything changed, we could see things which were not there in front of us. Appearances could travel across the world.” -John Berger, Ways of Seeing

I came across this clip from a 1972 TV Series called Ways of Seeing with John Berger about “questioning assumptions of traditions” and how the invention of the camera drastically changed our perspectives and the way we view the world. I couldn’t help being fascinated with how this applies to the way social media is changing communication today.

What are your thoughts?

[tweetmeme]If you are new to Twitter, you may have heard some people talking about a Tweetchat. You also probably thought to yourself, “Isn’t Twitter really already like a chat room?” Well yes and no. One big problem with Twitter is the difficulty in arranging groups around a single subject if you are not following everyone.

Hashtags were one user proposed solution to easily find other people posting about the same subject which led to more coordinated chats.  Then came Tweetchat which allowed everyone to enter a virtual room by following a hashtag, but the slickest part of Tweetchat was the addition of the hashtag of the room to every Tweet thereby keeping all the Tweets  visible in the stream.

For a quick visual description I created this slidedeck which may help a bit.  I may create a screencast of a Tweetchat soon too with some added tips.

Here is the summary for Topic 5 (of 5) from the Health Care and Social Media chat on August 16th, 2009 on Twitter.

53 people joined the chat with 636 tweets about #HCSM (134 were Re-tweets)

@tstitt moderated this night’s chat and provided this pre-briefing.

Anything retweeted 2x or more gets a bold and italics treatment- Minimal editing done for clarity. The info for the whole chat is split into three posts by topic

Here are all the topics for the night. The other three topics are highlighted in the linked posts.

T1 From a provider perspective, which social media Tools, Messages and Services are important now, next year & why?

T2 From a patient perspective, which Social Media Tools, Messages and Services are important now, next year & why?

T3 From a physician perspective, which social media Tools, Messages and Services are important now, next year & why?

T4 From a payor perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

T5 From a pharma perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

Here are the best tweets (IMHO) for TOPIC 5 – From a pharma perspective, which social media Tools, Messages and Services are important now, next year & why?

cyberslate @stephaniethum @ahier: T5: reduce medication errors ‘Pillbox; http://bit.ly/I4WZd

healthblawg see summary of rountdable on the legal/regulatory piece of this I facilitated last month http://bit.ly/jJz1M

tstitt When you think “pharma and social media”, what company or product, if any, comes to mind first?

DaphneLeigh @tstitt Novo Nordisk

philbaumann A good follow in Pharma is @pfizer_news – personable, interactive, good content sharing.

ahier Txt messages, etc. to remind take meds – renew Rx via social media

nanarcr @ahier Not sure txt messages to take meds, etc., w/work without requiring a response

stephaniethum @nanarcr @ahier Cincinnati Children’s just did a study on texting medication adherence reminders.

stephaniethum @ctsinclair @ahier @cyberslate @nanarcr Article re: texting medication adherence at Cincinnati Children’s http://bit.ly/pMvJn

qeanmedical Retweets of a pharma tweet with an added off-label use comment, ugh.

ctsinclair RT @qeanmedical: T5 Retweets of a pharma tweet with an added off-label use comment, ugh. “Pharama exec nightmare or dream?”

philbaumann @ctsinclair Good point, but patients with little voice aren’t usually egged on by cunning lobbyists who know media manipulation.

hillarts @philbaumann I think SM is one of the best ways to clear away media manipulation

philbaumann @hillarts Totally agree! Given our times, it’s one of its most important features. Not w/o its problems, but helpful nonetheless

ctsinclair @philbaumann But those may not be quick to correct the mis-information that leads to increased med use for off-label

gravityten pharma has a negative persona. They(collectively) can & should use socmed to bring them back to a positive brand perception

mkmackey More communication with clinical trials and seeking patients is important for pharma

tstitt E.g., the @racewithinsulin graphics & initial rules of engagement could have been better. But the campaign opened doors & minds.

blausengroup The more medical education a chronic disease patient can get the better they will be able to participate in managing their care

MeredithGould My sense is that pharma always plays the regulatory card to justify lag in social media adoption.

RickenFlow pharma companies will soon move from tv commericals to social media but probably wont engage folks

arthurwlane medication adherence and generic switching programs

nanarcr @JOSullivan @danielg280 Chronic condition monitoring long distance by email w/specialist works great 4 me. Good model to follow

MeredithGould @mageier Right. I’m thinking that we might not see what we think we should see relative to social class variables.

philbaumann Pharma’s got big challenges. Poor blokes. A lot seem to have started mainlining Twitter tho. That’s good, right?

healthblawg FDA has been mostly silent on its view of SM which keeps most pharma from doing anything

AccessCR Until lawyers start tweeting and engageing, they probably won’t let their clients, eg pharma….

danielg280 Yes, lawyers are starting to see the value of SoMe. many states have restrictions about attorney advertising which complicates it tho

arthurwlane also depends on how we look at pharma – as a PBMs or as drug manufactures

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Join #hcsm on Tweetchat.com Sunday nights.

Here is the summary for Topic 4 (of 5) from the Health Care and Social Media chat on August 16th, 2009 on Twitter.

53 people joined the chat with 636 tweets about #HCSM (134 were Re-tweets)

@tstitt moderated this night’s chat and provided this pre-briefing.

Anything retweeted 2x or more gets a bold and italics treatment- Minimal editing done for clarity. The info for the whole chat is split into three posts by topic

Here are all the topics for the night. The other three topics are highlighted in the linked posts.

T1 From a provider perspective, which social media Tools, Messages and Services are important now, next year & why?

T2 From a patient perspective, which Social Media Tools, Messages and Services are important now, next year & why?

T3 From a physician perspective, which social media Tools, Messages and Services are important now, next year & why?

T4 From a payor perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

T5 From a pharma perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

Here are the best tweets (IMHO) for TOPIC 4 – From a payor perspective, which social media Tools, Messages and Services are important now, next year & why?

cyberslate VA and DoD already use SM/Web 2.0 4 provider commo, billing, pt. education, support – myHealtheVet, same with military (mostly dental) RTx2

philbaumann I’d like to see insurance companies see live video of and tweet with patients the patients they deny. RT x4

hillarts I think a payor following me related to a chronic issue could be really useful

stephaniethum @hillarts I agree it will help. Elaborate, please?

stales @hillarts i don’t think having payer/insurance “following” me would be helpful – there are too many nuances in each situation.

stales @hillarts better for basic health situation for payer/patient interaction. chronic might be too hard. I’m an 18 yr cancer survivor

hillarts @stales My Mom is a survivor also. I think getting support info, clinical trial info, would help, not fix, help

stales @hillarts okay, I understand that example much better. yes!! support info etc would be great… #hcsm !! (cheers to your mom too)

hillarts @stephaniethum So a payor follows me related to an issue like asthma or high blood pressure and points me to useful content

gocatallina They already do. RT @mageier: would you want a payor following you?

ecrh HIPAA? SM is so public. RT @hillarts:.So a payor follows me related to an issue like asthma …. points me to useful content.

qeanmedical @hillarts Not sure, payors rely on “no” so much.

arthurwlane in reality payer IMO do not want to make access easier for the patient

chimoose @arthurwlane Not sure you’re right about that. Think payors WANT patients to have easy JIT access to right info for care

healthblawg Spoke to a pediatrician this eve who has youtube vids up to replace speeches he gives to pts/parents at most common ofc visits

healthblawg payors shld love him: they don’t have to pay for unneeded ofc visits, he (& they) can focus on wellness/prevention

danielg280: Progressive payers are starting to see the value & efficiency of evisits, some are piloting payment mechanisms

tstitt RT @healthblawg: @DaphneLeigh @ahier evisits already reimbursed by some payors in some situations – incl CMS, also cf American Well

ronhekier @tstitt For payors, I think interactive & regularly scheduled online events will be most important for chronic health maintenance

AndyKetch SM offers payors a tremendous opportunity to educate, encourage, drive action, and improve the bottom line while improving health

chimoose 1) Patient communities of care. 2) Cust Svc on Twitter 3) Sales leads on Twitter/FB

nickdawsonhc @chimoose not sure how we’d change the business process, but I could see a lot of room for improved relations b/t payors & bus office

ahier ED could provide YouTube discharge instruction videos

ctsinclair RT @ahier: ED could provide YouTube discharge instruction videos “And get grant form payor to jumpstart

RickenFlow #hcsm online doctor visits could mean lower prices for patients because less travel to doctors office and less time waiting in rooms

philbaumann Seriously tho. Payors could realize internal gains from increased productivity & communications efficiencies.

cyberslate #hcsm patient services, feedback, education and even ER scheduling already here! http://www.inquickerwaterman.com/ question of adoption

otoole4info @AccessCR I’d luv 2 C the concept also make its way 2 Med Schools/Universities 2 do the same & share w/others when is comes 2 health

DrRobH Healthcare system broken. Lots of different models of care out there. Includes telemedicine, “home medicine”. SM can play role

tstitt RT @chimoose: @nickdawsonhc I want to see my (insurance) company use SocMed to collaborate better with docs/hospitals

ahier Payors should be part of National Health Information Network w/ interface to PHR/EHR #hcsm soc med tools eventually built in to EHR

stephaniethum If we do pursue the payor angle on another chat, we have to try to get Brandon from @pediatricinc & Dr. L from @macobgyn to join in.

Here is the summary for Topic 3 (of 5) from the Health Care and Social Media chat on August 16th, 2009 on Twitter.

53 people joined the chat with 636 tweets about #HCSM (134 were Re-tweets)

@tstitt moderated this night’s chat and provided this pre-briefing.

Anything retweeted 2x or more gets a bold and italics treatment- Minimal editing done for clarity. The info for the whole chat is split into three posts by topic

Here are all the topics for the night. The other three topics are highlighted in the linked posts.

T1 From a provider perspective, which social media Tools, Messages and Services are important now, next year & why?

T2 From a patient perspective, which Social Media Tools, Messages and Services are important now, next year & why?

T3 From a physician perspective, which social media Tools, Messages and Services are important now, next year & why?

T4 From a payor perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

T5 From a pharma perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

Here are the best tweets (IMHO) for TOPIC 3 – From a physician perspective, which social media Tools, Messages and Services are important now, next year & why?

MeredithGould: RNs are critical, key players. As are PAs, NPs….not just docs, folks. RTx5

ahier: When providers begin being compensated for eVisits it will have a dramatic impact RTx2

AccessCR @ahier How would you envision Drs are compensated for e-activities? By tweet/email/blog post, etc, or time?

chimoose: T3 subquestion: Will the docs who engage in SocMed see a leap in the value of their practices? Patients health outcomes?

nickdawsonhc @chimoose interesting, in thinking about outcomes, wonder if docs could share “9 out of 10 of my pts benefit from…” would it work?

healthblawg @tstitt @chimoose Medical Home model contemplates closer comm w pt; if SM appropriate for pt pop, then yes

stephaniethum @tstitt @chimoose Really good subquestion in the context of determining patient loyalty, practice development.

ronhekier @chimoose In our bariatric surgery practice we believe SM (via our blog and email list) helps outcomes. No data though….

ctsinclair Docs should embrace soc media as a way to deliver educational content in ways in which pts would access

ctsinclair Would be room for a company to create videos, slidesets, tweetsets of HC info that docs and hospitals could buy & brand RTx1

AccessCR @ctsinclair Re info to be re-branded: how would you remove potential for conflicts in sources of info?

tstitt @ctsinclair To be honest, lots of undifferentiated patient “education” content providers today.

ctsinclair @tstitt But coming from the local trusted staff?

MeredithGould @ctsinclair Trusted local staff would/should refer consumer/pts to education resources, yes?

DaphneLeigh Seems like docs use SM in different ways/different purposes, though

mkmackey Physicians who use social media are also those who are early adopters and will always be at the forefront of their peers

ahier Recommend: Healthcare Providers Plug Into Facebook, Twitter, YouTube by @MitchWagner http://bit.ly/gtDMJ

healthblawg Svcs incl gated communities, incl a new 1 to educate fam prac docs re med home; blogged abt it http://bit.ly/1e5dna

ctsinclair connecting with your peer group of MD’s since doc to doc communication has eroded to just the medical chart over the years.

tstitt Will there be a (virtual) doctor in my mouse/house within the next year via social media?

RickenFlow @tstitt alrdy virtual hospitals & doctors in Second Life

hillarts I think some docs will engage, but what will they say and how committed will they be is my concern

hillarts takes a significant effort to build a following and docs are already overworked

DaphneLeigh Problem w/docs, other clinicians seems to be time, according to ones I’ve asked

philbaumann @DaphneLeigh makes a good point. Time is a big issue. Kinda hard to blog when you’re doing real work

lizasisler IMHO collaboration on diagnosis especially in uncommon symptoms WILL lead to better outcomes & must be part of future state.

stephaniethum @MeredithGould Some already do, no? Doctors have their own social networks. Maybe it’s a matter of growing? Time?

hillarts I’m waiting for a medical group or staff that gets it and can make it work for a practice or group

hillarts I think there is a real opportunity in SM for urgent care centers and large practices

RickenFlow a way to verify doctors credentials in social and virtual media

hillarts: I think there is a real opportunity in SM for urgent care centers and large practices

healthblawg SM is important component of medical home; see graphic rep of 1model: http://bit.ly/PCMHchart $$ to support non-pt-face-time key

tstitt @ctsinclair Personalized, localized, interactive patient ed content w/ comprehension measurement-that would be cool

RickenFlow having doctors be social is a step towards having patients trust their judgment using social media and enhance that

2healthguru @ctsinclair Have you seen ‘FreeMD?’: #hcsm >>http://bit.ly/xpxlm<<

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Look at all this good stuff!  Join us for Sunday night Tweetchats or comment below

Here is the summary for Topic 2 (of 5) from the Health Care and Social Media chat on August 16th, 2009 on Twitter.

53 people joined the chat with 636 tweets about #HCSM (134 were Re-tweets)

@tstitt moderated this night’s chat and provided this pre-briefing.

Anything retweeted 2x or more gets a bold and italics treatment- Minimal editing done for clarity. The info for the whole chat is split into three posts by topic

Here are all the topics for the night. The other three topics are highlighted in the linked posts.

T1 From a provider perspective, which social media Tools, Messages and Services are important now, next year & why?

T2 From a patient perspective, which Social Media Tools, Messages and Services are important now, next year & why?

T3 From a physician perspective, which social media Tools, Messages and Services are important now, next year & why?

T4 From a payor perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

T5 From a pharma perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

Here are the best tweets (IMHO) for TOPIC 2 – From a patient perspective, which Social Media Tools, Messages and Services are important now, next year & why?

DaphneLeigh: I want to be able to use the tools I want to use, when I want to use them and where I want to use them. RTx5

hillarts: From my perspective the issue is valuable content and programs, not tools RTx2

hillarts Put good content out there. You’ll be surprised how many people are out there RTx3

stales i’d like to see more focus on preventative care addresses by hospitals via groups/communities for wellness/health RTx3

myhealthsocial: SM tools that allow patients to socialize around health is important in terms of providing & seeking help RTx3

stephaniethum I really think the emerging, valued SM tool from patient’s perspective will be attached to EMR/EHRs. RTx4

nickdawsonhc @stephaniethum but will it be social? if so how?

AccessCR Not sure I agree

ctsinclair would love to see SM in EMR’s

danielg280: @accesscr electronic access to their own emr info does not violate hipaa (its what hipaa was enacted to do)

AccessCR @ctsinclair I agree re EMRs and providers. However discussed last night with husband, and he was horrified about potential for misuse

ahier Social media provides great opportunity from patient perspective for community building RTx1

healthblawg Tools include gated communities, incl a new one to educate fam prac docs re med home; blogged abt this last wk

chimoose I think that patients are going to be doing more and more private, condition-based networks to help each other out (eg Ning) http://bit.ly/1e5dna RTx3

RickenFlow #hcsm being a patient myself networking is important not being stuck on using just one source is important

AccessCR For me as a pt, SM gives option to get more info from drs/community I wouldn’t normally get access to

RickenFlow #hcsm using the right app for the right communication Second Life for me is the most important immersive global education and support

cyberslate @RickenFlow Second Life already in testing for online therapy – for behavioral sciences, social media/online access reduces stigma

AccessCR Online forums I think currently most useful. Blogs still too one way in many cases, & twitter noisy. Never used Second Life.

MeredithGould @RickenFlow Glad you mentioned Second Life. Lots of possibilities there.

ctsinclair RT @MeredithGould: @RickenFlow Second Life. Lots of possibilities there. “Really. I am an early adopter, but SL I don’t get.”

chimoose Also see more games (esp. mobile) powered by biometrics – aka games for health – as “big” for patients (aka “normal ppl”)

mkmackey I have seen more mobile applications directed to wellness and education recently

qeanmedical Curious what people think – do providers and practitioners feel threatened by the lack of control in SM?

ctsinclair RT @qeanmedical: T2: do providers and practitioners feel threatened by the lack of control in SM? “A strong yes”

marciamarcia @ctsinclair @qeanmedical The sad fact is their control before SM is only mythical.

stephaniethum @chimoose You hit on an important component that we sometimes overlook–mobile.

cyberslate online support groups – both consumer-driven and provider driven. good for underserved pops – see

cyberslate providers, like patients, have different relationships with technology – some embrace it – see http://t2health.org/http://www.hystersisters.com/

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Feel free to comment or blog about these tweets or join us in Tweetchat on Sunday nights.

Here is the summary for Topic 1 (of 5) from the Health Care and Social Media chat on August 16th, 2009 on Twitter.

53 people joined the chat with 636 tweets about #HCSM (134 were Re-tweets)

@tstitt moderated this night’s chat and provided this pre-briefing.

Anything retweeted 2x or more gets a bold and italics treatment- Minimal editing done for clarity. The info for the whole chat is split into three posts by topic

Here are all the topics for the night. The other three topics are highlighted in the linked posts.

T1 From a provider perspective, which social media Tools, Messages and Services are important now, next year & why?

T2 From a patient perspective, which Social Media Tools, Messages and Services are important now, next year & why?

T3 From a physician perspective, which social media Tools, Messages and Services are important now, next year & why?

T4 From a payor perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

T5 From a pharma perspective, which which Social Media Tools, Messages and Services are important now, next year & why?

Here are the best tweets (IMHO) for TOPIC 1 – From a provider perspective, which social media Tools, Messages and Services are important now, next year & why?

HealthSocMed T1 Examples: Tool = Twitter, Online Events Message = hospital press release, Online Service = Healthgrades

hillarts I think mobile is the next big platform though RTx3

jacquebrown: Health researchers are one of the next big audiences – using SM to analyze and prevent diseases RTx3

hillarts: Im also seeing more understanding of the development of an eco-system that integrates all media RTx2

MeredithGould @hillarts Define “eco-system” in this context, please

marciamarcia @chimoose We’re not seeing an organizational push toward “unified systems” for social media ecosystems. Tech just changes too fast.

stephaniethum Listening is the priority action, above sending a message. Although listening sends a message, too, of course.

MeredithGould @stephaniethum Do you think social media demonstrates listening?

stephaniethum @MeredithGould SM doesn’t demonstrate listening. One look at all the PR feeds on hospital Twitter accounts w/no follow-backs=evidence.

marciamarcia @MeredithGould @stephaniethum SM may not demonstrate listening, but it can facilitate it.

ctsinclair T1: As a MD, I really think any tool to develop trusted knowledge networks is key, regardless of platform, but I favor blogs as hubs

cybersibesk @ctsinclair I have the most trouble gaining acceptance of blogging…don’t understand it!

ctsinclair @cybersibesk I need to write a blog post about why blogging is still important (irony intended)

MeredithGould @ctsinclair @PhilBaumann just did!

ctsinclair RT @MeredithGould: @ctsinclair @PhilBaumann just did! “It has been deliciously tagged in my to read pile”

DaphneLeigh Not sure providers get what’s important now or next year…or next 10 years. RT x1

RickenFlow twttr 4 getting the wrd out quickly, Virtual worlds 4 providing access 4 those that cant attend in person & still B immersive

ronhekier Email lists may be most effective communication tool for providers to communicate with patients

ctsinclair @ronhekier But email lists are generally inefficient and poorly archived. Hard to tune out if emails fly fast.

AccessCR @ctsinclair @ronhekier #hcsm Add this this the challenge of ensuring email lists up to date…

tully3000 Younger people are already not really using email very much anymore.

stephaniethum RT @tully3000: Younger people are already not really using email very much anymore. <True. Spending more time in social networks.>

broadcrawford @tully3000 what data do you have to support that email claim? Would love to see it!!!

ronhekier @tully3000 I would imagine email usage is an order of magnitude higher among patients than Twitter, FB.

DaphneLeigh Re: SM tools, they still need to answer for themselves, “what’s in it for me?” IMO

stephaniethum @MeredithGould SM doesn’t demonstrate listening. One look at all the PR feeds on hospital Twitter accounts w/no follow-backs=evidence.

stephaniethum FB for children’s hospitals gets my vote 4 most important SM tool. One look at FB demographics explains the why. RTx1

qeanmedical @stephaniethum Could you elaborate on the hospital differentiation angle?

ctsinclair @stephaniethum Should also remember beyond the hospital. Like @macobgyn. Lots of doc offices too.

EdBennett @ctsinclair Childrens hospitals are very popular on Facebook, people want to support sick kids.

stephaniethum @edbennett @ctsinclair Facebook’s demographics mesh with children’s hospitals’ target audiences.

nickdawsonhc orgs doing it right are tool-agnostic, its intrinsic in their culture to establish relationships, solicit feedback and grow from it

philbaumann From a providers perspective: whatever’s easiest. That’s not ideal, but they need a gateway drug.

cybersibesk What’s next? Maybe we stop being scared of the tools and start using them to connect with people and learn from them!

danielg280 tools that practice to be more efficient, i.e. replacing inefficient, costly face 2 face w/ cheaper online interaction

ahier FriendFeed is another tool that works very well – excellent search and archive

philbaumann @ahier Amen. But 1) FB just acquired & 2) providers may have a hard time with the interface. But the platform is the future.http://ff.im/6HNJo

Feature | Blockhillarts I hope that what’s next is acceptance and the elimination of the notion that social media is anything more than another media outlet

nickdawsonhc @hillarts I would agree from a marketing standpoint, but from a culture standpoint its worlds apart, its not media at all

hillarts @nickdawsonhc I guess what I mean is SM is another outlet, like PR, marketing etc. Another channel to speak through

Join us on Sunady nights at 8p Central US time using #hcsm on www.Tweetchat.com

Here is the summary for Topic  4 (of 4)  from the Health Care and Social Media chat on August 9th, 2009 on Twitter.

56 people joined the chat with 508 tweets about #HCSM (115 were Re-tweets)

@ctsinclair had the most tweets with 47 (vociferous was I  tonight!) followed by @hjluks with 40 and @meredithgould with 37.

@tstitt moderated this night’s chat.

Anything retweeted 2x or more gets a bold and italics treatment- Minimal editing done for clarity.  The info for the whole chat is split into three posts by topic

Here are all the topics for the night.  The other three topics are highlighted in the linked posts.

TOPIC 1 -  You are the new ProjectZeroDelay trial social media exec at FDA or @astrazenecaUS or @mdandersonnews. What’s your SoMe plan?

TOPIC 2 –You are the new social media czar for The Joint Commision. What are your new proposed social media hospital accreditation requirements? You have a broad mandate and considerable clout at TJC. Your recommendations are likely to be adopted.

TOPIC 3 – You’re appointed chief US health care reform social media advocate. What tactics & tools do you deploy in September 2009? Note: Assume you agree with high-level health care reform objectives. Not trying to start a debate on HC reform legislation.

TOPIC 4 – Twitter had a major outage this week. Some called it “social media meltdown”. Was healthcare adoption of Twitter affected?

Here are the best tweets (IMHO) for TOPIC 4 – Twitter had a major outage this week. Some called it “social media meltdown”. Was healthcare adoption of Twitter affected?

gerohelper One outage ain’t gonna kill a movement (wow bad English much?). Health Care is destined to evolve with Web 2.0.

stephaniethum Twitter outage: much ado about nothing. Outages happen. <shrug.> Some people got the shakes, that’s too bad.

hjluks @HealthSocMed 3 years from now, the answer might have been yes… at this stage, very unlikely.

philbaumann Outages are going to be an ongoing part of life. DoS’s will probably get worse. Will have to build that into our plans.

2healthguru @HealthSocMed a blip on radar screen; horses are running… RTx1

stephaniethum I’ve been running a social community 4 military wives for 4 years. We have outages every now and then. It’s just 1 of those things.

ahier I was planning to introduce social media to some hospital executives the day of the MELTDOWN!

ahier Between the ‘meltdown’ & some foul language in the tweet stream, had difficult time singing the praises of socmed for hc that day

10sGuy Not sure there was any long term effect, but I’m sure I’ll have to explain DDOS in 10 meetings next week.

philbaumann Enterprise peeps will get whigged out by the outages – reinforces general fears of digital participation. RTx1

AccessCR I missed the Twitter meltdown. When was it? Perhaps I was sleeping in the southern hemisphere…

philbaumann @AccessCR That means you have a life.

saltzberg I know ppl internally had the “I told you so!” mentality. Didn’t change my views, though. Most just worried bout security.

ctsinclair The Twitter outage was possibly about a cyber attack on one person which demonstrates the importance of soc med. (a la Iran)

ctsinclair And the Twitter DOS attack impacting so many people that it was broadcast media news underscores wider adoption

xcen > it

xcen > it

Here is the summary for Topic  3 (of 4)  from the Health Care and Social Media chat on August 9th, 2009 on Twitter.

56 people joined the chat with 508 tweets about #HCSM (115 were Re-tweets)

@ctsinclair had the most tweets with 47 (vociferous was I  tonight!) followed by @hjluks with 40 and @meredithgould with 37.

@tstitt moderated this night’s chat.

Anything retweeted 2x or more gets a bold and italics treatment- Minimal editing done for clarity.  The info for the whole chat is split into three posts by topic

Here are all the topics for the night.  The other three topics are highlighted in the linked posts.

TOPIC 1 -  You are the new ProjectZeroDelay trial social media exec at FDA or @astrazenecaUS or @mdandersonnews. What’s your SoMe plan?

TOPIC 2 –You are the new social media czar for The Joint Commision. What are your new proposed social media hospital accreditation requirements? You have a broad mandate and considerable clout at TJC. Your recommendations are likely to be adopted.

TOPIC 3 – You’re appointed chief US health care reform social media advocate. What tactics & tools do you deploy in September 2009? Note: Assume you agree with high-level health care reform objectives. Not trying to start a debate on HC reform legislation.

TOPIC 4 – Twitter had a major outage this week. Some called it “social media meltdown”. Was healthcare adoption of Twitter affected?

Here are the best tweets (IMHO) for TOPIC 3 - You’re appointed chief US health care reform social media advocate. What tactics & tools do you deploy in September 2009? Note: Assume you agree with high-level health care reform objectives. Not trying to start a debate on HC reform legislation.

philbaumann Offer a repository of all sides of the debate. Foster opposing sides to appreciate others’ viewpoint. RTx4

ctsinclair @philbaumann Would also consider comprehensive site that compares/contrasts different nations approaches to health care RTx2

philbaumann Use SoMe (video) of members of other h/c systems to share their experiences – what would they change?

AccessCR @tstitt Site should not only compare national healthcare systems, but SM and IT use

ctsinclair Make FB quizzes that highlight people’s preconceived ideas about HC reform (i.e. Medicare is gov’t sponsored) RT x3

ctsinclair US #HCReform socmed ideas: make badges/widgets to put on people’s websites, FB pages, start a 12 sec “I support…” video campaign

stephaniethum Hm. Noodling on FB quiz idea. Is that a true, viable tactic? B/c they seem more like happy hour fodder, not for serious convos.

leonpalmer @stephaniethum because happy hour fodder is about all the technology has been used for to date. Opportunities are there.

ctsinclair @stephaniethum I would help with a FB quiz…debugging and testing etc…

stephaniethum Eliminate medical vernacular from talking points. Create conversations that prevent people’s eyes from glazing over. RTx1

bacigalupe:  would start by getting rid of acronyms no one understand and phrases that dont make sense to voters RTx3

nickdawsonhc @stephaniethum but if they eliminate the industry terms then people will never buy into it b/c they’ll be able to understand it

RickenFlow translate the reform bill into plain english be prepared that even though you do people are still going to misinterpret

philbaumann: Set up phony Twitter accts. Firehose random & incoherent msgs into healthcare reform hashtags RTx2

tstitt @philbaumann: truth in jest?

DaphneLeigh I think WH has demonstrated SM savvy. That’s not the issue..issue is bigger than tactics and tools.

healthblawg @DaphneLeigh I think WH has used the tools, but has been somewhat scattershot

MeredithGould a Blackberry or iPhone in every home, plus chicken soup.

stephaniethum Assure a firm partnership with co-workers in charge of IRL interactions with community stakeholders. Assure harmony in messaging.

DaphneLeigh No tactics/tools until they get their messages straight and freaking clearly stated! RTx2

hjluks Own the issues, inform and educate… details will entice followers. Scare tactics will backfire.

stephaniethum Create partnerships with local advocates/organizations that can/will reverberate consistent messages.

mkmackey Comb carefully through the data to see where the communication breakdown may be

philbaumann Seriously. I’d identify the primary camps (don’t spread out too far). Tie real-time messages w/main content.

HITshrink Use links to point consumers to resources.

hjluks @HealthSocMed a real debate on specific hc issues… no rhetoric, no scare tactics, as little BS as possible

HealthSocMed Wonder if @barackobama and team were listening to any of the T3 #hcsm tweets. Some great ideas, observations. One more topic…

xcen > it

Here is the summary for Topic  2 (of 4)  from the Health Care and Social Media chat on August 9th, 2009 on Twitter.

56 people joined the chat with 508 tweets about #HCSM (115 were Re-tweets)

@ctsinclair had the most tweets with 47 (vociferous was I  tonight!) followed by @hjluks with 40 and @meredithgould with 37.

@tstitt moderated this night’s chat.

Anything retweeted 2x or more gets a bold and italics treatment- Minimal editing done for clarity.  The info for the whole chat is split into three posts by topic

Here are all the topics for the night.  The other three topics are highlighted in the linked posts.

TOPIC 1 -  You are the new ProjectZeroDelay trial social media exec at FDA or @astrazenecaUS or @mdandersonnews. What’s your SoMe plan?

TOPIC 2 –You are the new social media czar for The Joint Commision. What are your new proposed social media hospital accreditation requirements? You have a broad mandate and considerable clout at TJC. Your recommendations are likely to be adopted.

TOPIC 3 – You’re appointed chief US health care reform social media advocate. What tactics & tools do you deploy in September 2009? Note: Assume you agree with high-level health care reform objectives. Not trying to start a debate on HC reform legislation.

TOPIC 4 – Twitter had a major outage this week. Some called it “social media meltdown”. Was healthcare adoption of Twitter affected?

Here are the best tweets (IMHO) for TOPIC 2 - You are the new social media czar for The Joint Commision. What are your new proposed social media hospital accreditation requirements? You have a broad mandate and considerable clout at TJC. Your recommendations are likely to be adopted.

ctsinclair We should include @jcommission on all our tweets so they hear us…. RTx3

gerohelper I’d require all accredited org to have 1 FT front of house (patient-side) and 1 FT back-of-house (employee-side) HCSM reps RTx2

gerohelper These social media reps would be in charge of training & developing SM programs suiting the org’s culture

stephaniethum Turn off the PR feed for a minute and show proof of listening to patients, proxy caregivers and stakeholders. RTx3

juliechiesa: putting the cart before the horse lets get all hospitals actually using EHR before we consider SM a requirement RTx2

AccessCR If use of SM mandated, then training and IT access imperative for all staff. Could be unaffordable. Is it best use of limtd budget?

2healthguru Seriously aren’t we too early in growth curve 4 mature entities whether gov’t or voumtary to be in an Social Media oversight position?

MeredithGould @2healthguru Couldn’t there be oversight in terms of strategy and message?

HealthSocMed @healthguru2 Not oversight. Advocacy. Conversational policy making? What would you propose?

saltzberg @hjluks @juliechiesa can’t SM can help w/ EHR adoption? let people know the status, etc through blogs, twitter, fb, etc? why wait?

HITshrink @hjluks @juliechiesa: yes, but hcsm should be easier to implement for hospitals than #ehr‘s

nickdawsonhc T2 – for starters I’d reply back

hjluks T2 can’t ever imagine Joint Commision on board with hcsm… but I’m very biased

ctsinclair RT @hjluks: T2 cant ever imagine Joint Commision on board with hcsm… but Im very biased “On FB, Twitter, YT, RSS feeds (for news)

nickdawsonhc @hjluks likewise, they are in fact on twitter though, but being very one-way

hjluks @nickdawsonhc I realize that… that is a far stretch from allowing hospitals to tweet about healthcare issues

nickdawsonhc Theres a lot that JCAHO could do with SM – realtime updates on “recommendations”, pt friendly reports, field questions

ahier JCAHO are interested in social media, or they wouldn’t have a @JCommission account #hcsm (they must have some policies too)

philbaumann T2 Look how remarkable @JCommission is on Twitter: the humor, the retweets, the unfailing interaction and service.

ahier JCAHO might wonder “How can social media help provide higher quality care?” RTx1

mkmackey Their goal is to ensure no harm and quality of care for patients.

ctsinclair RT @ahier: JCAHO might wonder “How can social media help provide higher quality care?” (encourage use of soliciting feedback -> QI)

stephaniethum JCAHO isn’t just about higher quality care. It’s also about performance improvement. Can’t improve unless Ur listening to problems.

ctsinclair If I were the @jcommission soc med czar, I would give bonus points for WiFi pt access, and not blocking socmed sites (useful for pts) RTx1

philbaumann So would JCAHO gives a six-month heads up on SoMe audits? “We’ll review your tweets November 1. Keep ‘em clean.”

DaphneLeigh How about we get @jcommission to scare hospitals into doing SM, part of accreditation RT x1

philbaumann Social Media Accreditations? Ur kiddin’, right? RTx1

murzee True, but will jump on bandwagon when can charge for further accred. RT @hjluks: RT @philbaumann: T2 – Social Media Accreditations?

healthblawg DNV (NKOTB, breaking JC’s exclusive) has a more outcomes-based approach to QI that may be more accommodating http://bit.ly/TlAex RTx1

hjluks @healthblawg Big fan of DNV processes and reasoning

gerohelper Not to be a slight topic changer (but I’m going to be), anybody else feel CARF is more SM friendly than JCAHO?

ctsinclair If I were the JC soc med czar, I would ask hospitals who utilize social media to show me their socmed policy and workflow RTx1

philbaumann “JtComm social media czar”. “Czar” and social media – totally incompatible.

nickdawsonhc @hjluks does JCAHO do anything to prevent hospitals from tweeting? (I’m not aware of any restrictions)

RickenFlow have a privacy policy in place, a communication background between patients, doctors, nurses and management cont.

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