Archivi delle etichette: Social media

Fake news, analfabetismo funzionale e comunicazione: c’è molto lavoro da fare @WRicciardi @drsilenzi

Anche se, almeno nel campo delle vaccinazioni, sembra che la comunicazione degli aspetti scientifici sia riuscita a indebolire il muro delle fake news c’è ancora molto da lavorare!

Un approccio sistemico sembra assolutamente necessario.

Vorrei proporvi tre riflessioni diverse sul tema.

La prima, di Gilberto Corbellini, è stata pubblicata su Il Foglio nei primi giorni di dicembre con il titolo “Abbiamo una comunicazione scientifica scadente. E non è colpa degli scienziati” https://www.ilfoglio.it/scienza/2017/12/05/news/abbiamo-una-comunicazione-scientifica-scadente-e-non-e-colpa-degli-scienziati-167158/

La seconda, di Alessandro Calvi, è stata pubblicata sul sito gli Stati Generali il 22 dicembre con il titolo “Fake news, giornali e moralismi senza più notizie” non riguarda la comunicazione scientifica, ma mi sembra molto utile per inquadrare il problema: in generale, viviamo in tempi (interessanti, forse troppo come dice Mario Sechi) caratterizzati da una comunicazione assolutamente inadeguata per una società moderna, aperta e complessa. http://www.glistatigenerali.com/media_storia-cultura/fake-news-giornali-e-moralismi-senza-piu-notizie/

La terza è un video della serie TED che può dare un respiro internazionale a questo tema intricato dal titolo “How to seek truth in the era of fake news. Si tratta di un’intervista molto chiara!

 

Annunci

Una lettura obbligatoria: Exponential Organizations di Salim Ismail @WRicciardi @leadmedit

Una lettura estiva (forse sarebbe meglio dire uno studio estivo) di un libro affascinante: Exponential Organizations di Salim Ismail, edito da Marsilio nella collana Nodi.

Che cos’è un’organizzazione esponenziale? Essa è un’organizzazione il cui impatto (o output) risulta notevolmente superiore – almeno dieci volte – rispetto ai competitor, grazie all’utilizzo di nuove tecniche organizzative, che fanno leva sulle tecnologie in accelerazione.

Gestire organizzazioni esponenziali focalizzate sui clienti e non sui competitor esterni e sulle strutture interne tradizionali richiede una svolta epocale, paragonata a una nuova “era cambriana”. Richiede una nuova cultura e nuove e più dinamiche competenze.

Ho raccolto alcune frasi che mi hanno particolarmente colpito! Buona meditazione a tutti noi perché molti dei temi trattati riguardano anche la sanità!

  1. L’unica costante del mondo d’oggi è il cambiamento, e il ritmo del cambiamento sta aumentando.
  2. L’accelerazione (del cambiamento) è costituita dalle 6 D: digitalized, deceptive (ingannevole), disruptive (dirompente), dematerialized, demonetized, democratized.
  3. L’utilizzo di strumenti lineari e di tendenze del passato per fare previsioni su di un futuro in accelerazione è deleterio (vedi i casi di Iridium e Kodak).
  4. Gli esperti, in quasi tutti i campi, messi di fronte ad una crescita di tipo esponenziale, continuano sempre a pensare in un’ottica lineare, ignorando l’evidenza davanti ai loro occhi.
  5. Il vecchio detto secondo cui un esperto è “qualcuno che ti dice perché qualcosa non può essere fatta” è oggi più vero che mai.
  6. Nessuno degli indicatori tradizionali quali l’età, la reputazione e le vendite attuali possono garantire la sopravvivenza di un’azienda.
  7. La legge di Moore afferma che il rapporto prezzo/prestazione della potenza di calcolo raddoppia ogni diciotto mesi.
  8. “Le nostre organizzazioni sono fatte per resistere ai cambiamenti che arrivano dall’esterno” piuttosto che per accoglierli, anche quando sono utili (da John Hagel).
  9. Le strutture organizzative aziendali esistono proprio per annientare i fattori dirompenti di cambiamento.
  10. La maggior parte delle organizzazioni complesse si basa sulla cosiddetta “struttura a matrice” … Questa struttura è efficace nel garantire il controllo, ma è disastrosa in termini di individuazione delle responsabilità, di velocità e di propensione al rischio … Con il tempo, le funzioni orizzontali acquistano sempre più potere … Per le grandi organizzazioni con struttura a matrice attuare il cambiamento rapido e dirompente è qualcosa di estremamente difficile. Quelle che ci hanno provato, infatti, hanno sperimentato che il “sistema immunitario” dell’organizzazione tende a rispondere alla minaccia percepita attaccando.
  11. Le organizzazioni esponenziali hanno la capacità di adattarsi a un mondo in cui l’informazione è pervasiva e onnipresente e di convertirla in vantaggio competitivo.
  12. I tratti comuni delle organizzazioni esponenziali sono: il Massive Transformative Purpose (Mtp), cinque caratteristiche esterne denominate Scale e cinque interne denominate Ideas. Per essere un’organizzazione esponenziale, un’azienda deve avere il Mtp e almeno quattro caratteristiche.
  13. Il Mtp non è la missione: il Mtp è aspirational. Il fuoco è su ciò che si aspira a raggiungere.
  14. Scale: staff on demand; community and crowd; algoritmi, leveraged asset; engagement
  15. Ideas: interfacce; dashboard; experimentation; autonomia; tecnologie sociali.
  16. Il concetto di autonomia non implica non rendere conto a nessuno delle proprie azioni. Secondo Steve Denning, “In un network esistono ancora le gerarchie, ma esse tendono ad essere basate sulle competenze, e fanno affidamento più sull’accountability tra colleghi che su quella dovuta all’autorità, cioè sul dover rendere conto a qualcuno perché sa qualcosa e non per il semplice fatto che occupa una determinata posizione indipendentemente dalle competenze. Il ruolo del manager si trasforma, non viene abolito”
  17. Un’organizzazione esponenziale tende a essere una zero latency enterprise cioè un’azienda in cui si annulla l’intervallo tra ideazione, approvazione e realizzazione.
  18. In passato il lavoro si concentrava principalmente sull’importanza del quoziente intellettivo (QI), oggi il quoziente emotivo (QE) e quello spirituale (QS) stanno diventando indicatori sempre più rilevanti.
  19. Un secolo fa, la competizione si giocava principalmente sulla produzione, Quarant’anni fa, invece, il fattore decisivo divenne il marketing. Oggi, nell’era di internet, in cui produzione e marketing sono diventati merci e sono stati democratizzati, tutto ruota intorno a idee e ideali.
  20. Il piano strategico quinquennale è in sé uno strumento obsoleto … Esso è un suicidio per un’organizzazione esponenziale … L’unica soluzione è stabilire un Massive transformational Purpose (Mtp), costruire la struttura aziendale, adottare un piano (al massimo) annuale e osservare la crescita, con aggiustamenti progressivi e in tempo reale a seconda delle necessità.
  21. Nel mondo delle organizzazioni esponenziali, lo scopo (Mtp) è più importante della strategia e l’execution ha la precedenza sulla pianificazione.
  22. Arianna Huffington ha detto: “Preferisco lavorare con una persona meno brillante ma che sa fare gioco di squadra ed è chiara e diretta, piuttosto che con qualcuno molto brillante ma dannoso per l’organizzazione”.
  23. In un’organizzazione esponenziale, la cultura (con il Mtp e le tecnologie sociali) è il collante che garantisce la tenuta del team nonostante i salti quantici della crescita esponenziale. Secondo Chip Conley “la cultura è ciò che accade quando il capo non c’è”. E secondo Joi Ito “la cultura si mangia la strategia a colazione”.
  24. Sta diventando sempre più facile acquisire potere, ma è sempre è più difficile mantenerlo.
  25. Consiglio ai CEO delle grandi aziende di affiancare a chi occupa posizioni di leadership i venticinquenni più brillanti, per colmare il gap generazionale e tecnologico, per permettere a questi giovani di crescere più velocemente e per innescare un meccanismo di mentoring al contrario.
  26. Se siete un manager di Amazon e un dipendente viene da voi con una grande idea, la vostra risposta di default deve essere : Se volete dire di no, dovete motivare questo rifiuto con una relazione di due pagine spiegando perché non ritenete l’idea valida.
  27. Jeff Bezos (Amazon) ha detto: “ Se sei focalizzato sui competitor, devi aspettare che siano loro a fare la prima mossa, prima di agire. Concentrarsi sui clienti, invece, consente di essere dei pionieri”.
  28. Il miglior modo per definire questa macrotransizione verso organizzazioni esponenziali è considerarla un passaggio dalla scarsità all’abbondanza … Secondo Dave Blakely “queste nuove organizzazioni sono esponenziali perché prendono qualcosa di scarso e lo fanno diventare abbondante”.

Gli idioti di Twitter @Medici_Manager @aringherosse

Il rapido declino della civiltà occidentale in 140 caratteri secondo Matt Labash.

Pubblicato su Weekly Standard e tradotto da Il Foglio

http://www.slideshare.net/carlofavaretti/edit_my_uploads

Il mito de “la Rete” e del suo potere nel Paese di 20 milioni di non connessi @Medici_Manager @aringherosse

C’è uno spirito che circola nel Palazzo e che possiede, a turno, i politici italiani: la Rete. Articolo determinativo ed Erre maiuscola, come un’entità metafisica e trascendente, capace di decidere le sorti dell’Italia. Chi pensava che la retorica digitale fosse esclusiva del M5S — specializzato nel vedere nel web la soluzione di tutti i mali — è stato costretto a ricredersi: la Rete è diventata per tutti gli schieramenti la ragion politica di candidature, rinunce e cambiamenti. L’elezione del Presidente della Repubblica è stato il trionfo della sua transustanziazione. Insospettabili compresi: da Stefano Rodotà («La mia candidatura girava in Rete da mesi» ha dichiarato) a Mario Monti, secondo cui il nome di Anna Maria Cancellieri è emerso «con forza dalla Rete».

Nei talk show che affollano il palinsesto televisivo, quando la discussione si fa difficile, ecco comparire la Rete a smuovere le acque, nemica o amica dello schieramento a seconda di chi parla. Tanto nessuno può smentirla, la Rete.

Chissà cosa pensano i venti milioni di italiani non connessi a Internet quando — mentre guardano i tg, ascoltano la radio, leggono i giornali per trovare risposte — spunta la Rete sulla bocca dei loro rappresentanti. E anche se restiamo tra i 29 milioni che si connettono almeno una volta al mese, c’è da scommettere su quanti sarebbero in grado di darne una definizione.

Viene il dubbio che la maggior parte dei politici italiani abbia finito con l’identificare la Rete con gli influencer di Twitter, le poche centinaia di utenti — giornalisti e opinionisti — animatori del dibattito su un social network che conta meno di 4 milioni di iscritti. Un bacino decisivo per il consenso mediatico e no, ma che rischia di allontanare i rappresentanti dei cittadini dalla maggioranza dei cittadini stessi. E di fornire una interpretazione della realtà pericolosa per le urne e per il Parlamento dove, nel bene o nel male, la Rete non vota. Perché la Rete non esiste.

http://bit.ly/14cJ1LB

I grandi ospedali sono più sicuri @Medici_Manager @WRicciardi

17 maggio 2013 di Denis Rizzoli http://bit.ly/10bEciV

Il rischio di morte per un intervento chirurgico è significativamente più alto negli ospedali di piccole dimensioni. È il risultato di uno studio condotto dall’ Agenzia sanitaria per i servizi regionali(Agenas) e il Dipartimento di epidemiologia del Lazio. Si chiama Volumi di attività ed esiti delle cure: prove scientifiche in letteratura ed evidenze scientifiche in Italia e vuole dimostrare quali sono le malattie curate meglio negli ospedali con alti volumi di attività. Le conclusioni parlano chiaro. Farsi operare in una struttura che svolge poche operazioni potrebbe essere fatale per almeno 14 diverse patologie: l’aneurisma dell’aorta addominale non rotto, l’angioplastica coronarica, l’artoplastica del ginocchio, il bypass aortocoronarico, il tumore del colon, del pancreas, del polmone, della prostata, dello stomaco e della vescica, la colecistectomia laparoscopica, l’endoarterectomia carotidea, la frattura del femore e l’infarto. Per dimostrarlo, hanno svolto una ricerca sistematica negli studi internazionali pubblicati. Questi risultati sono stati poi confrontati con i dati del Programma Nazionale Esiti 2012, già pubblicati da Wired nella mappa interattiva #doveticuri con le performance di tutti gli ospedali italiani, cliccabile qui sotto.

VOTA LA MAPPA DI WIRED AL DATA JOURNALISM AWARD
Quali sono gli interventi più sicuri in un grande ospedale? 
L’ infarto è una delle patologie che fa più vittime con una media nazionale elevata: il 10,28% dei pazienti è morto entro 30 giorni dall’intervento, nel 2011. In questo caso, tuttavia, l’ospedale in cui si viene operati può fare la differenza.

È bastato incrociare la percentuale di decessi per infarto in ogni struttura (sull’asse verticale) con il numero di casi trattati nello stesso ospedale (sull’asse orizzontale) – escludendo però i centri con meno di 6 casi l’anno perché statisticamente fuorvianti. La curva risultante mostra che il numero di morti crolla fino a circa 100-150 casi l’anno e continua a diminuire al crescere dei ricoveri, come mostra il grafico tratto dallo studio di Agenas. È errato tuttavia parlare di una soglia di interventi oltre la quale si può ritenere un ospedale sicuro. “ Nei casi che abbiamo studiato, la mortalità continua a diminuire al crescere dei volumi quindi non è possibile trovare un punto esatto, una soglia minima”, spiega Marina Davoli del Dipartimento epidemiologia del Lazio. Forse non è un caso se tra gli ospedali con l’indice di rischio per infarto più alto (66,67%) nel 2011 ci siano strutture con un volume di 7 casi l’anno, come l’Ospedale Civile di Giaveno, in provincia di Torino, oppure l’ Ospedale di Pieve di Cadore, Belluno, con un volume di 9 interventi annuali. Tra i centri più virtuosi, invece, c’è una struttura con 891 casi l’anno, l’ Azienda Ospedaliera-Universitaria Careggi di Firenze, che ha un indice di rischio del 6,47%.

Anche per i malati di tumore si presenta un rischio analogo. Per esempio, il 5,88% dei pazienti operati di cancro allo stomaco sono morti nel 2011 ed è una delle malattie oncologiche più pericolose. Anche per questo intervento si è più sicuri in un grande centro.

I dati sulla mortalità di ogni struttura sono stati collocati sull’asse Y, mentre il numero di interventi effettuati sull’asse X. I pazienti che non sopravvivono dopo 30 giorni dall’intervento si riducono drasticamente negli ospedali che operano fino a circa 20-30 casi all’anno e la curva continua ad abbassarsi al crescere dei volumi di attività. Anche qui, uno dei centri con l’indice di rischio particolarmente alto (50%) è l’ospedale Rummò di Benevento con volume di 8 casi, mentre tra i più virtuosi c’è il Policlinico Universitario Agostino GemelliRoma, con una mortalità dell’0,62% e un volume di 96 interventi l’anno.

Passando alla frattura del femore, non ci sono sorprese rispetto ai casi precedenti. Questo intervento ortopedico è piuttosto pericoloso per i pazienti più anziani. Nel 2011, sono deceduti in media il 5,91%.

Il rischio di morte entro 30 giorni diminuisce a picco nelle strutture che operano fino a 100 interventi all’anno e continua a diminuire lievemente fino a stabilizzarsi.

Perché gli ospedali piccoli sono più pericolosi?
Riguardo ai motivi per cui il rischio di morte cala negli ospedali con più ricoveri gli esperti sembrano essere tutti d’accordo. “ È una relazione già ampiamente documentata dalla letteratura internazionale – spiega Carlo Perucci, direttore di Agenas – nella chirurgia c’è una linea d’apprendimento riguardo alla manualità e alle competenze. Più si lavora, più si diventa bravi”. Anche la numerosità delle equipe è un fattore determinate. “ Oltre alle abilità del singolo medico, c’è anche l’organizzazione. Un ospedale grande ha affrontato più casi particolari e quindi ha più medici specializzati in singole variazioni della stessa patologia”, illustra Stefano Nava, primario di pneumologia all’ Ospedale Sant’Orsola diBologna. Infine, anche il maggior numero di attrezzature sembrano giocare a favore dei grandi centri. “Solo le strutture con alti volumi, possono avere tutta l’infrastruttura necessaria per affrontare il problema”, prosegue Perucci. “ Se un paziente ha un trauma cranico e va nell’ospedale più vicino che non ha imaging o il radiologo non è reperibile, è chiaro che perde tempo. Il fattore tempo è fondamentale per molte patologie”, conclude Nava.

La mappa # doveticuri di Wired, dove sono contenuti le performance di tutti gli ospedali italiani, è stata scelta tra le finaliste dei Data Journalism Award, il premio del  Global Editors Network (Gen) dedicato alle migliori inchieste di data journalism. Da quest’anno anche i lettori possono esprimere la loro preferenza sul sito datajournalismawards.orgFate sentire la vostra voce.

3 different blogging styles for your hospital or health care organization @Medici_Manager @Dermdoc

Find one that fits your voice the best. By Kelly Merrick | Posted: February 28, 2013 http://bit.ly/YAet2s

Kelly Merrick is the social media mentor at Hive Strategies. You can check out the Hive Strategies blog here.

When you decide to start a health care-related blog, there are a lot of elements to consider. You have to determine how much time you can devote to managing a blog, what your comment policy will be, and some strategies for how to gain followers.

But there is something else you should consider, something that I think is perhaps more important than all of the above items: What purpose you want your blog to serve.

I read a lot of health care blogs, and for the most part, all of the blogs have a specific type, which features the strength of the writer. So, as you are preparing to start your own blog, I want you to consider what you want your blog to accomplish.

Do you want to educate your readers by giving them information about topics such as immunizations and the latest health research? Or do you want to tug on their heartstrings by telling stories? Or do you want to weave your own personal life experiences into your blog? This is a crucial step to take because it will ultimately decide why your readers return for more.

Educational

An educational blog is one that is practical. It covers topics that are useful to the audience and helps them make decisions for themselves. An educational blog is great for many reasons, and is a good choice if you are the type of health care provider who keeps up on the latest medical research and has a strong desire to share practical applications with a larger audience.

A great example of an educational blog is one by Registered Nurse Linda Scherf. Scherf manages her hospital’s Birthing Center blog in McMinnville, Oregon, and covers topics from car seat safety to how to obtain your baby’s birth certificate to breast-feeding advice.

Narrative

A narrative blog is a powerful one, especially if you are the type of person who is a storyteller. When done correctly, a narrative blog pulls readers in and captivates them through a story that revolves about anything from a tense moment in the ER or a special encounter with a patient.

A narrative blog is an extremely powerful blog because you are using your personal experiences to drive the content. But be careful with a narrative format because it has the risks of running long and revealing protected patient information.

The blog One Case at a Time by anesthesia resident Felicity is one of the best narrative blogs I have read. She is a talented writer and has the ability to pull me into every one of her posts with dramatic and tense stories about her experiences with patients and colleagues.

Personal

A personal blog is one that might be educational and narrative, but pulls largely on personal opinions and stories to make a point. A personal blog is one that is powerful because it gives you insight into who the blogger is, and can be full of personal thoughts, fears and hopes.

If you are a health care provider who has the desire to give information through personal experiences, and if you are comfortable giving out details from your professional and person life, this type of blog can really help you connect with your audience.

I suggest following the blog Reflections of a Grady Doc, written by Dr. Kimberly Manning, if you are considering a blog that draws mostly from personal experiences. Her blog also combines a narrative element, which makes her blog even more engaging.

Although I encourage you to decide if you want your blog to be largely educational, narrative or personal, a good blog will incorporate all three. But by choosing a specific type of blog, you give yourself some boundaries and guidelines to follow, which can be extremely helpful when you are deciding what to write about on any given day. It also will attract a certain type of reader, so you’ll want to be aware of what you want your blog to accomplish.

If you are writing to a specific audience, educational might be your blog type. But if you are writing to a larger audience who may not be in your area, a narrative blog may fit you. And if you want to connect with your reader, wherever they may be, a personal blog is an effective way to accomplish that.

But no matter what type of blog you choose to write, keep in mind what your strengths are as a writer, because you’ll want to make sure you can sustain your blog and enjoy it at the same time.

Hospitals begin to recognize social media’s potential to improve patient experience @Medici_manager @Dermdoc

“In Canada in health care we’re at a point where most hospitals accept the role of social media for branding and communication, but only the lead adopters are using it for patient engagement and for clinical use.” – Ann Fuller, public relations director,   Children’s Hospital of Eastern Ontario (CHEO)

Call up the website home page for any large Canadian hospital and you’ll likely spot the familiar icons that link to the institution’s facebook, Twitter and YouTube accounts.

Hospitals are inherently conservative institutions and, as such, have been relative latecomers to adopt social media, which are broadly defined as digital channels that can facilitate timely, collaborative and interactive communication.

As they enter the social media fray, hospitals face a host of challenges and decisions. These range from basic upkeep—nothing is more frustrating to a potential user than a neglected or stale-dated facebook or Twitter account—to deciding how interactive to be with patients, and what staff should be trained and involved in social media use.

From marketing to improved care

Not all hospitals haven entered the fray—for example, smaller hospitals may not be able to afford the expertise and time involved in establishing a social media presence—and among those that have, how they use social media varies significantly.

Many still use the channels for marketing and old-style public relations communication—for example posting news releases—while some larger hospitals are more active, have thousands of followers, and can track and address patient concerns.

But the potential of using social media to improve patient care and patient experience is only beginning to be realized, according to health care digital communication leaders.

That’s not surprising because it’s only been a few years since hospitals began to take social media seriously; the Ontario Hospital Association hosted its fourth Social Media in Health Care conferencejust last month; the first was Jan 21, 2010.

Social media policies can allay concerns about risk

The issue of privacy and risk dominated discussions about social media several years ago, but that concern has begun to be addressed as hospitals formulate and adopt social media policies (seeCHEO policy, for example) that spell out ground rules for use.

An emerging debate contrasts the approach of hospitals that use a single channel “firehose” social media approach—institutions that have just one facebook and one Twitter account for all communication—and those that have multiple social media channels.

To Ed Bennett, who manages web operations at the University of Maryland Medical System, the progression from hosting single to multiple speciality channels—from addressing patient concerns at a broad level, to also addressing narrower concerns of specific patient groups—is a natural evolution.

Social media: this is where the public is talking about you

Part of his job is to monitor all online mentions of his medical centre and decide which ones are appropriate to respond to, and who should respond. “This is where conversations are moving, where they’re [the public] is talking about you, and if you don’t participate, you are cut off from the discussion.”

A lot of concerns are about services such as parking, or long waits in the ER, or how to get test results, he notes. “If you are able to resolve these, or just respond in a polite way, you can turn a negative into a positive.”

Craig Thompson, director of digital communications at Women’s College Hospital in Toronto, says  the  “low hanging fruit”  that  social media can address involves better communication about issues that frequently frustrate patients, such as hospital access and how to prepare for procedures.  Beyond that, opportunities to use social media to improve patient experience “present themselves at different times, every organization has to find its own solutions.”

Social media such as facebook also present the opportunity to create “extensions of real life face-to-face patient support groups,” says Bennett. The Maryland University Medical System sponsors four or five of such groups, including for transplant and for trauma patients; participants have to be invited to join (the groups are closed) and the groups are moderated by a health care professional.

“Still, we explain that nothing on the Internet is 100% closed and warn people not to put out any information that wouldn’t be comfortable with the world seeing,” he says.

The multiple channel approach

Michelle Hamilton-Page is the manager of social media at CAMH (the Centre for Addiction and Mental Health in Toronto), which has a multiple channel model approach to social media (see, for example, its foundation-associated endstigma facebook page).

Hamilton-Page’s position is based in education, rather than communications, and she spends much of her time helping groups within CAMH think through whether social media can help them meet their objectives and, if so, how to go about it.

A similar approach is taken at St. Michael’s Hospital in Toronto, notes digital media manager Anthony Lucic. “People think of social media as mass communication, but it can be really focused and targeted. Sometimes, it’s about just wanting to talk with a core group of peers. Our approach is very grassroots, we sit down with people to find out who they want to engage, and what networks they could use.”

Children’s Hospitals have been early adopters of social media

Children’s Hospitals, like CHEO in Ottawa and the SickKids (the Hospital for Sick Children) in Toronto, are among the most advanced in terms of using social media. That’s partly because the patients, and their parents, are younger—and members of age cohorts that are relatively more comfortable using social media.

“Our patients, and their parents, have different expectations” compared to adult hospitals, says Ann Fuller, public relations director at CHEO. “New generations are used to sharing more and have different expectations of privacy than my mother did.”

And Fuller notes some doctors are saying it is time to relook at the idea that that physicians should not interact through social media with patients, point to “niche applications” where, for example, a clinician could be on facebook with a group of young patients with diabetes.

recent research study at CHEO into patients’ use of facebook underscored its importance to teenagers with long-term and chronic illnesses and noted that only a few disclosed any personal health information on their facebook pages.

It concluded that that the need for social-network-based communication between patients and healthcare providers—now forbidden by some institutions—will increase and that “age-appropriate privacy-awareness education” should be strengthened.

Calls for more education, literacy 

Better education about social media is something that Sivan Keren Young, manager of digital communications at Sunnybrook Health Sciences Centre, thinks is essential. “Everyone is using social media, but no one gets any social media literacy training, there’s nothing in schools, and that can cause mistakes, people can unintentionally do the wrong thing.”

Interestingly, it was disappointment about the level of public uptake for H1N1 vaccination was the inspiration for the first major Canadian examination of how health care institutions could use social media to understand and improve the patient experience.

“For us, the light bulb went on” when the Toronto-based Health Strategy Innovation Cell went online to find out what was being said in patient websites and chat rooms about the H1N1 vaccine, says Cathy Fooks, president of The Change Foundation , which co-authored a report on using social media to improve health care and worked with two health care organizations to explore the potential of social media.

What the investigators discovered was a whole series of anti-vaccination conversations about concerns about the vaccine—concerns that were inhibiting people from getting vaccination. “Public Health had no idea—none of that concern had turned up in their formal communication channels,” Fooks noted.

The foundation went on to co-author with the Innovation Cell a seminal report on using social media to improve health care and a report based on work with two health care organizations exploring the potential of using social media.

According to Bennett, those who are still sceptical about social media should stop thinking of it as brand new and different: “It’s still people talking to each other.”

Pros and Cons of Healthcare Social Media @Medici_Manager @DocComLtd

Social media includes all online tools and technologies which let people communicate and publish content easily. The most popular among them are Blogs, Facebook, Twitter and YouTube. Widely used for communications and marketing, these channels are considered as important (if not more important) as mainstream media channels like newspapers and television.

The use of social media in healthcare represents an increasingly effective tool in healthcare. It can be used to communicate with consumers, inform about new wellness schemes, market healthcare products, provide basic healthcare advice, inform about latest medical devices, get instant public feedback and much more. At the same time,Healthcare social media also presents challenges, including risks to information accuracy, organizational reputation, and individual privacy.

The primary focus for most organizations’ social media programs is marketing and communications. Hospitals are using social media to target health consumers. As consumers are shifting to online searches before making important healthcare decisions, hospitals are looking at creating solid social media presence and fostering long term relationships with their consumers. Internationally, Mayo Clinic has taken the lead in healthcare social media. Mayo Clinic’s Center for Social Media has a stated mission to “lead the social media revolution in healthcare, contributing to health and well being for people everywhere.” Indian hospitals are not far behind. The Apollo Hospitals twitter account has more than 2000 followers. Their Facebook page makes wonderful use of the timeline feature, has 91,000 likes and is fast growing. Their YouTube channel has been active for the past 4 years.

Many organizations have also formed online support groups for patients. Patients are encouraged to share their personal experiences and this consumer generated content is an invaluable source of information for other patients. Many doctors, too, have joined such support forums and provide information on various disorders. In a country like India where 70% of healthcare services are paid for ‘out-of-pocket’, Social Media becomes all the more important for healthcare marketing. Companies selling healthcare devices have found social media influences purchasing decisions. Internationally, many pharma companies too have realized the enormous potential of social media. Almost all major drug companies now have social media presence. Companies like Pfizer, Novartis, J & J and Sanofi-Aventis have launched many innovative social media campaigns. The HR departments in many healthcare organizations are using social media sites to spot and recruit talent.

These new tools of communications come with their own risks and dangers. Like a double edged sword, all points in favor of social media usage also contribute to the dangers associated with their use. The dangers social media exposes healthcare to are internal as well as external. Flippant remarks made by nurses or doctors online can be misconstrued by general public. Cases abound where protected health information was shared online inadvertently. The danger of violations of patient privacy cannot be overstated.

Conversations cannot be controlled and negative remarks made on social media by disgruntled employees or consumers cannot be erased. Such risks can be minimized by fostering positive comments by consumers and show casing achievements and consumer centeredness via these communication channels.

Organizations need to gear up to grab the opportunity and face the challenge that is social media. They need to monitor their ‘social presence’ and keep track of consumer sentiments. Use of social media for innovative marketing and communication campaigns should be encouraged. Organizations should educate both their employees and the public on their privacy practices to encourage responsible use of their social media sites. Guidelines and specific social media policies need to be in place to promote risk free use of social media by employees. Once policy is established, employees, volunteers, contracted employees, and medical staff members should receive training and education to ensure they are aware of the policies and procedures. With proper policy and training for employees, healthcare is slowly but surely taming the social media beast that technology has helped unleash on the markets.

http://bit.ly/13R5IrH

Good piece on potential for social media in improving patient safety @tkelsey1 @Medici_Manager

Harnessing the cloud of patient experience: using social media to detect poor quality healthcare

Recent years have seen increasing interest in patient-centred care and calls to focus on improving the patient experience. At the same time, a growing number of patients are using the internet to describe their experiences of healthcare. We believe the increasing availability of patients’ accounts of their care on blogs, social networks, Twitter and hospital review sites presents an intriguing opportunity to advance the patient-centred care agenda and provide novel quality of care data. We describe this concept as a ‘cloud of patient experience’. In this commentary, we outline the ways in which the collection and aggregation of patients’ descriptions of their experiences on the internet could be used to detect poor clinical care. Over time, such an approach could also identify excellence and allow it to be built on. We suggest using the techniques of natural language processing and sentiment analysis to transform unstructured descriptions of patient experience on the internet into usable measures of healthcare performance. We consider the various sources of information that could be used, the limitations of the approach and discuss whether these new techniques could detect poor performance before conventional measures of healthcare quality.

http://bit.ly/11VQDnO

7 social media mistakes made in health care @Medici_Manager @kevinmd

If you’re a health care professional, chances are you know a bit about social media, possibly feel compelled to use it sometimes and you might actually be participating in the Facebook/Twitter/LinkedIn/blog revolution.

But there can be real problems in using social media in the health care context. Whether you are in private practice or work for a group of large hospital network, social media mistakes can be costly in terms of misrepresenting your specialty, breaching patient confidentiality, or limiting your business growth. Do you make the following mistakes when using social media?

1.  Avoidance.  Most health care professionals wish social media didn’t exist.  They see it as confusing and a distraction.  The questions about how, when and why social media is important and useful give them indigestion and some go to great lengths to tell others to” just say no”  to all thing social media. The problem with this is social media exists for millions of people (500 million on Facebook alone) and to ignore all things social media is to ignore your patients’ needs and a wide-range of new business development opportunities.

If you’re reading this, you probably aren’t a total avoider, but reading and engaging are two very different things.  Social media is here to stay. Your clients and patients probably use it more than you can even imagine. If you hear colleagues “pooh-pooh”ing social media, correct them quickly.  It’s here, it’s real, it’s a force to be reckoned with and made your own.

2. Fear. After avoidance, many health care professionals move to the stage of reluctant acceptance, but aren’t happy about it.  They are ignorant of why social media is important or how to effectively leverage it to help their patients and grow their practice.Ignorance plus anxiety = fear and we’ve got a lot of fear in health care about social media.   But the fear seems silly from some of the most educated and intelligent people on the planet. I mean, we are not born to do heart or brain surgery (and I sure as hell fear the idea of me doing any kind of surgery), support someone through a suicidal crisis or diagnose schizophrenia. We had to learn how to do these things over time. So too social media.  The sky is not falling. You can learn how to do social media well and effectively. Learning is kinda your thing.

It does take courage to try something new and work at it until we see a positive return.  Will you be a courageous health care provider and learn, experiment and grow via social media?

3. Sloth. Doing social media well is work. Not save-a-life work or Alaskan salmon fishing work, but it requires time, thought and energy.  I hear many health care professionals bemoan the fact that “social media is hard work,” and then vent on and on about the unfairness of health care reform, patients not valuing them, the jerks over at health care insurance companies 1,2 and 3.

It’s important to remember that we all have the same number of hours in a day. Someone who spends an hour writing and talking about negative stuff has wasted 60 minutes of their life.  Another person who uses that time to connect with people is doing a service and building their future. Use your time wisely, work to achieve positive goals. How are you currently using your time?

4. Narcissism. Many health care professionals see Twitter as the place where people talk about their life and what they had for lunch. One of my colleagues has this as his email signature: “Follow me on Twitter: I’ll tell you how I feel.”  Ugh. Narcissistic.  Why? First, he doesn’t get it, second, instead of trying to learn more and understand, he mocks it and looks foolish.  (As an aside if you don’t understand a technology, it is best to say nothing, rather than look stupid in front of colleagues who do understand … just saying.)

Despite how it may seem, social media is not about you. No one reading your wall or tweets really cares about how you feel.  Social media is about making connections, helping others with useful information, sharing ideas and building business opportunities.  If you’re not into doing the above things, by all means avoid social media. But if you want to touch lives and grow professionally, social media is a neat way to jump start the process.

5. Selfishness. Social media is about giving. Giving great content, information, tips that people can use to live a better, healthier life. Sharing articles and info from other sources that you know will help your readers.  The more you give, the more people follow you and when you make an offer to sell a service or product, your followers are so impressed with your quality as a person and a professional, they can’t wait to pay to get more support and help from you.

Social media is not advertising, nor is it your personal water cooler.  Selfish use of social media includes only broadcasting your articles and blog posts, using Twitter as an advertisement stream rather than an opportunity for connection. If you stream only includes your posts about your business and you, take note.  The most powerful use of Twitter is when you use the retweet (RT) and the @ reply.  The people who are leveraging Twitter to the max say that they retweet and reply 90% of the time, with only 10% of their tweets about their own stuff.  Share, converse, introduce people to one another .. you’ll get so much more out of the social media experience.  How do you give on social media?

6. Unethical shenanigans. Social media can be used unethically. The problem is,most health care professionals don’t realize when they are being unethical online.  So let’s try to make this simple. It is unethical to breach your clients’ confidentiality online.  Do not, under any circumstances mention your clients’ experiences or demographics in your social media space.

Another unethical move is to tell your clients how to use social media vis-a-vis your professional relationship. Why? By doing this you are misusing your position of power in the treatment dynamic.

Let’s talk about this for a bit.

Some mental health professionals want to develop social media policies and often these policies say things like, “I have a Twitter account, but if I find you’re following me I’ll remove you,” or “I’m on Facebook, but you can’t friend me because it could be a breach of confidentiality.”

At first glance these statements seem ok, until you think about what the professional is saying here.  Essentially she’s saying “I have a social media life and you can’t participate. I will tell you how to engage in social media.”  The problem is, social media is free and open access. When you have an open Twitter account you imply that anyone who wants to can follow you.  Otherwise, you can make the account private.  So while you can prevent your clients from calling you at home or knowing where you live, you really can’t tell them what to do in social media if you have public accounts.  Well, you can try to tell them what to do but how does that impact your relationship and how do you enforce it?

The attraction of social media is it puts all of us on an equal playing field. There is no cost to entry. If I want to follow Lance Armstrong, President Obama, or musician John Mayer, I can.  When we try to tell our clients what to do in the social media space we are abusing our power. If you’re not comfortable with the openness of this, privatize your accounts or simply don’t participate.

One more unethical trap: Googling clients.  Awhile ago this was a topic of discussion in mental health circles.  Some argued that, in cases of emergency, it’s acceptable to Google a client to get more information. I disagree.  It’s a violation of privacy and opens you up to a pandora’s box of legal liabilities.

7.  Lack of imagination. This may be the worse sin of all.  I’ve realized over the last few months just how powerful social media can be to influence people’s ideas, change behavior and educate large groups of people.  We in health care get so stuck on the first 6 sins in this list that we don’t consider all of the positive possibilities. We stop at simplistic uses, put up barriers by citing HIPAA,  wait for someone more official than we are to give us permission, and essentially stop growth for ourselves and our clients. It’s frustrating.

What if we saw social media as a problem solver? What if we devised ways to use it to educate, inform, treat and improve lives?  What if we become open to the possibilities and then grapple with the confidentiality and access issues?  In health care we tend to put the cart before the horse. We think, “How can this all go wrong?” before we imagine how the world will look if it all goes right.

We can send humans into space for months at a time, do all our banking securely online and video chat with people on the other side of the world. I think we can find a way to make the technology of social media work for health care. Don’t you?

Susan Giurleo is a psychologist who blogs at the BizSaavy Therapist.

 

Top 40 Innovation Bloggers of 2012 @Medici_Manager @muirgray @timkastelle

After two weeks of torrid voting and much passionate support, along with a lot of gut-wrenching consideration and jostling during the judging round, I am proud to announce your Top 40 Innovation Bloggers of 2012:

  1. Jeffrey Phillips
    Jeffrey PhillipsJeffrey Phillips is a senior leader at OVO Innovation. OVO works with large distributed organizations to build innovation teams, processes and capabilities. Jeffrey is the author of Relentless Innovation and the blog Innovate on Purpose.


  2. Gijs van Wulfen
    Gijs van WulfenGijs van Wulfen leads ideation processes and is the founder of the FORTH innovation method. He is the author of Creating Innovative Products & Services, published by Gower.


  3. Paul Hobcraft
    Paul HobcraftPaul Hobcraft runs Agility Innovation, an advisory business that stimulates sound innovation practice, researches topics that relate to innovation for the future, as well as aligning innovation to organizations core capabilities.


  4. Tim Kastelle
    Tim KastelleTim Kastelle is a Lecturer in Innovation Management in the University of Queensland Business School. He blogs about innovation at the Innovation Leadership Network.


  5. Scott Anthony
    What Innovators Can Learn From GatoradeScott D. Anthony is managing director, Asia-Pacific, of Innosight, an innovation consulting firm, and author of The Little Black Book of Innovation: How It Works, How to Do It (Harvard Business Review Press, 2012).


  6. Greg Satell
    5 Principles of InnovationGreg Satell is an internationally recognized authority on Digital Strategy and Innovation. He is a speaker and consultant for digital innovation, innovation management, digital marketing and publishing, as well as offshore web and app development. Follow Greg @digitaltonto.


  7. Nicolas Bry
    Nicolas BryNicolas Bry is a Senior VP at Orange. He’s developed strong expertise in innovation management, creating digital business units with international challenges. He completed a professional thesis on rapid innovation at HEC Business School.


  8. Steve Todd
    Steve ToddSteve Todd is an EMC Fellow and author of the books Innovate With Influence andInnovate With Global Influence. As an EMC Intrapreneur with 200+ patents filed,  Steve is a Top 10 Innovation Blogger and EMC’s Vice President of Strategy and Innovation.
  9. Braden Kelley
    Braden KelleyBraden Kelley is a popular innovation speaker, embeds innovation across the organization with innovation training, and builds B2B pull marketing strategiesthat drive increased revenue, visibility and inbound sales leads. He is currently advising an early-stage fashion startup making jewelry for your hair and is the author of Stoking Your Innovation Bonfire from John Wiley & Sons. He tweets from@innovate.


  10. Donna Sturgess
    Donna Sturgess is the President and Co-founder of Buyology Inc and former Global Head of Innovation for GlaxoSmithKline. Her latest book is Eyeballs Out: How To Step Into Another World, Discover New Ideas, and Make Your Business Thrive

http://www.innovationexcellence.com/blog/2013/01/02/top-40-innovation-bloggers-of-2012/

@KevinMD: The most popular posts of 2012 @Medici_Manager

Want to know the most viewed posts on KevinMD in 2012? Here they are, in order of pageviews.

http://www.kevinmd.com/blog/2012/12/kevinmd-popular-posts-2012.html

Happy New Year, and thank you all for your engaged readership and discussion during these turbulent health care times.

1. Why one-third of hospitals will close by 2020. A third of hospitals now in existence in the United States will not cross the 2020 finish line as winners.

2. 6 reasons why applicants fail to get into medical school. Every year medical school applicants feel confused and in the dark about why they have been rejected by medical schools. They do not understand what they did wrong or what they need to do differently when they reapply.

3. What doctors can learn from working at Starbucks. Do Starbucks employees have more emotional intelligence than physicians?

4. Why EMR is a dirty word to many doctors. Widespread adoption of an EMR (or multiple compatible EMRs) that is intuitive and easy to use, that empowers the end user and patients, and that actually helps to make the healthcare system more efficient would be a good thing for doctors, patients, and the industry.

5. Primary care doctors may no longer be needed. In places where there is a mix of PAs, NPs and MDs, their job responsibilities, descriptions and levels of care should reflect the 6, 7 and 11 or more years of training they have had.

6. Why physicians should care about Amanda Trujillo. The issue boils down to whether the health care industry can tolerate highly educated, vocal, critically-thinking, engaged nurse-collaborators who, in the interest of their patients, will constructively work with — and challenge, if necessary — physicians and established treatment plans.

7. Patient engagement is the holy grail of health care. We as health care professionals need to start looking at things like the definition of health, health goals, compliance, and outcomes from the patient’s perspective.

8. Why I decided to opt out of Medicare as a provider. Doctors should be angry. Patients should be angry. You should be angry, too. But, it’s in these small acts, one by one, as hard as they are, that together through our pain, we can change this world.

9. When a medical student sees you, consider it your lucky day. When you’re at your doctor’s office and you hear those words “the medical student will see you now”; instead of cringing, consider it your lucky day.

10. Mean doctors and nice nurses: It’s time to change our brand. Until Americans become convinced of these facts about their physicians, and like us just as much as they like nurses, we have more work to do.

How influential are you inside your company? @Medici_Manager @HarvardBiz

Should Your Boss Care About Your Klout Score?

by Michael Schrage  |   9:00 AM November 27, 2012 http://blogs.hbr.org/schrage/2012/11/should-your-boss-care-about-your-klout.html?utm_campaign=Socialflow&utm_source=Socialflow&utm_medium=Tweet

A confession: I don’t know my Klout score.

A second confession: I don’t want to know my Klout score.

A third confession: I’m a hypocrite. I’m almost always looking for ways to meaningfully assess how influential — positively and negatively — my colleagues, collaborators and co-workers are.

“Influence” increasingly is the coin of the organizational realm. Influence defies title, credential and seniority. Somebody may be smart, talented and hardworking but do they have influence? Are they perceived as people who can move collegial hearts and minds? Employees with influence — or with reputations for influence — enjoy understandable competitive advantages in the organizational marketplace. But who decides who has influence? And who decides how to measure it?

Klout-ish services are simply logical and inevitable initiatives to measure that competitive advantage. Social media provide both the raw and the cooked material allowing algorithmic innovators to bring a bit of digital dazzle to “influencer metrics.” Decades ago in more analog times, Eugene Garfield and his Institute of Scientific Information pioneered “citations” as the way to quantitatively assess the influence of scientific papers (and their authors) on a discipline. Today, we have Klout, Peerindex, Twitalyzer and other “influence analytics” to give people — and their employers — the power to neurotically obsess over how influential the numbers say they are.

Memes that Klout scores can cost you a job — or at least a job interview — have already gone viral on social media. Not unlike recommendation engines, influence scores seem destined to become one of those low-cost, high-impact online presences that will cast virtual shadows of disproportionate length and darkness. You think that Facebook photo of you puking at the frat party is going to come back to haunt you? Perhaps it’s your single-digit — and falling — Klout score that should keep you up at night…

Of course, the Klouts and Twitalyzers are first-generation analytics that live web-wide in the digisphere. The real enterprise future of “influencer analytics” will soon be found inside the firewalls. With a few exceptions (salespeople, thought-leaders, marketers), most organizations don’t care about employee IQ — Influence Quotient — outside the enterprise. They’re more concerned with how influential employees are inside the organization. Do their colleagues and subordinates “cite” and reference them? Are their comments and contributions appropriately acknowledged? Are they — forgive the cliché — “team players” and appropriately influential as such?

If you’re running IBM, Siemens, Toyota, Exxon-Mobil, CNOOC or any Fortune 2000 global enterprise, you are going to invest in an internal Klout or Peerindex to assess your internal influence marketplace. Quantitative assessments of influence will — and must — become part of job and performance reviews, as well as indicators of leadership potential. This is part of the “googlefication” tide raised in an earlier post. Technology executives can talk about the “consumerization of IT” all they want but the real impact or — please excuse — “influence” is coming from the internalization of social media services. Enterprise social media services such as Jive, Sharepoint, Yammer and Socialtext — not to mention instant messaging and repurposed email — provide all the material necessary for importing a more enterprise-appropriate generation of Kloutish influencer metrics.

More sophisticated managements will make sure their enterprise analytics go beyond the Klout paradigm to identify “bad” influences and influencers. After all, if a business unit leader is as much a “bad” influence in some sectors as a “good” one in others, top management needs to know. Indeed, the future of influencer analytics may be in novel ways of identifying and categorizing the ratio between “positive” and “negative” influence impact inside the enterprise. How do you rate and rank an employee who is a positive influencer with customers and suppliers but a negative influence on colleagues and subordinates?

Quantifying influence removes these questions from the realm of the hypothetical. The new reality is that enterprise social media may come into the enterprise with the promise of promoting better communication, coordination and collaboration but will ultimately perform as the algorithmic arbiter of influence — good and bad. In other words, these metrics will enjoy enormous influence.

________________

Insight Center: Putting Social Media to Work

More >>

Michael Schrage

MICHAEL SCHRAGE

Michael Schrage, a research fellow at MIT Sloan School’s Center for Digital Business, is the author of Serious Play and the new HBR Single Who Do You Want Your Customers to Become?

Guidelines to engage professionally in social media @Medici_Manager @kevinmd

by  on November 9th, 2012in SOCIAL MEDIA http://www.kevinmd.com/blog/2012/11/guidelines-engage-professionally-social-media.html

The use of social media is a tricky business. A recent Wall Street Journal article points out the challenges that CEOs and business leaders face when using Twitter. Many CEOs and other executives relate stories of personal attacks and cyber stalking from disgruntled customers, former employees or competitors. Some have opted out of the social media space due to specific legal concerns. Other very successful business leaders continue to embrace social media and have developed a knack for keeping their tweets and posts professional. It is clear that social media is here to stay and that it can be a very effective marketing tool.

In medicine, social media can have far reaching effects. Twitter can allow a clinician to reach, educate and interact with a wide audience of patients, partners, and colleagues.   As I have mentioned in previous blog posts, social media is an effective tool for widespread communication and public relations. Nearly 50% of all Americans regularly use Facebook and almost 40% use Twitter.

Often CEOs and other business leaders seem distant and unreachable; a social media presence turns icons into real people who are accessible to all. Interestingly, many executives fail to see the return on investment (ROI) from the use of twitter and other social media outlets. According to the WSJ and an article in CEO.com, 7 out of 10 leaders of fortune 500 companies have no social media presence whatsoever. However, there are real tangible benefits in both business and in medicine that can result from dedicated use of social media. An article online in April 2012 from INC.com suggests key reasons that CEOs should tweet and include connecting with employees, building relationships and connecting comfortably with the press. I believe that these applications are just the beginning. However, social media must be used responsibly and respectfully in order to be most effective.

Here are some guidelines that I like to follow when engaging professionally in social media:

1. Separate business and pleasure. A professional social media presence is just that- professional. Steer clear of posting personal items on twitter or facebook unless these are events that directly relate to or enhance your business or reputation. Certainly, it is important to help those who may follow you see you as a “real person” who is in touch with the “real world”. However, don’t cross the line.

2. Avoid polarizing topics unless the issue directly involves what you represent or stand for in your profession. For example, a discussion promoting healthcare reform or a “patient’s bill of rights” may be very appropriate for a physician to tweet or blog about. However, a physician should probably avoid posting religious or political views about abortion rights on twitter or facebook. Conversely, a CEO of an oil company may want to post about the benefits of offshore drilling even though it may be a very controversial topic. Social media allows you to tell your side of the story and can be a platform for you to provide data to support your opinion.

3. Respond to criticism in a respectful, thoughtful way. Not everyone is going to agree with you, your company or organization. Often, people feel free to express displeasure or disagreement very openly on twitter  (the internet allows people to hide behind a cyber curtain). Be careful to separate emotion from your response. Acknowledge alternative opinions and provide constructive comments.

4. Avoid saying bad things about others. Social media outlets are not the place to start a war of words. Make sure that you do not say anything about competitors, colleagues or others on twitter that you would not be comfortable saying directly to those individuals. Twitter is not the place to “air dirty laundry” or discuss private matters. Remember, twitter is a megaphone that broadcasts your message to millions of potential listeners.

5. Maintain a constant presence. Once you engage in social media, it is vital to remain regularlyengaged. Developing a following and a dedicated readership requires effort. You must provide fresh, relevant content. Avoid periods of “radio silence”. For instance, provide twitter content daily–spread out tweets to different parts of the day. I typically tweet several newsworthy items early in the morning and then again in the afternoon and evening. The only rule is be consistent.

Social media is the future. Early adopters are willing to take risks, have long term vision and already are able to see the ROI. Twitter, Facebook, and other outlets should be part of every leader’s job and executives should be held accountable for what is and is not posted. Social media provides opportunities in both medicine and business in general to educate, motivate and influence opinions. Careful attention to keeping posts professional and thoughtful will provide the best results. The world is getting smaller everyday. Twitter and social media outlets allow us to connect, interact and collaborate to accomplish common goals. Use your voice, be heard and Tweet away!

Kevin R. Campbell is a cardiac electrophysiologist who blogs at his self-titled site, Dr. Kevin R. Campbell, MD.

Mobile Health 2012 @Medici_Manager

by Susannah FoxMaeve Duggan Nov 8, 2012 http://www.pewinternet.org/Reports/2012/Mobile-Health.aspx

OVERVIEW

Fully 85% of U.S. adults own a cell phone. Of those, 53% own smartphones.

One in three cell phone owners (31%) have used their phone to look for health information. In a comparable, national survey conducted two years ago, 17% of cell phone owners had used their phones to look for health advice.

Smartphone owners lead this activity: 52% gather health information on their phones, compared with 6% of non-smartphone owners. Cell phone owners who are Latino, African American, between the ages of 18-49, or hold a college degree are also more likely to gather health information this way.

ABOUT THE SURVEY

The results reported here come from a nationwide survey of 3,014 adults living in the United States. Telephone interviews were conducted by landline (1,808) and cell phone (1,206, including 624 without a landline phone). The survey was conducted by Princeton Survey Research Associates International. Interviews were done in English and Spanish by Princeton Data Source from August 7 to September 6, 2012. Statistical results are weighted to correct known demographic discrepancies. The margin of sampling error for the complete set of weighted data is ±2.4 percentage points.