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From Virginia and many fine airports. Healthcare administration, foodie, music buff and fan of all things porcine, skis backwards

Using the Nationwide Heath Information Network to Deliver Value to Disability Claimants

Sue Feldman and Thomas Horan have released their Kay Center study on disability claims and health information exchanges. I am proud to have been a data and interview source for this study. It highlights the importance that integrated systems can play in providing a better patient experience and increased revenue for providers. Click the image below for a PDF of the report, or view it here on SlideShare.


The Bob Ross Theory of Social Content Management

After a twenty year stint in the U.S. Air Force as a medical records expert, Bob Ross was destined for a life in healthcare social media. Somewhere he got sidetracked.  By some accounts it was when the Air Force stationed him at Eilson and he first saw snow-capped mountains. Destiny being the fickle force that it is took Bob’s life in another direction. Today very few of us think of Ross as an Health Information Management (HIM) guru. Instead we remember him as the the afro guy who had the painting show on PBS. But, I think, were he still with us today, Bob would confirm my suspicion that he was really just preparing us for the social web.

The Bob Ross Theory of Social Content Management is simple: Let your content live where it naturally wants to live and embed it in your own happy place.

Or, as I call it at work, the argument for having our own blog site. Social networks are by definition communities; and communities are all different. It is what makes life interesting. It is also what makes the initial entree into social networking a challenge for many healthcare organizations. Is it Facebook or Twitter? What about YouTube? Should we really be giving all that traffic away (does traffic really matter anymore)? The answer is more simple that it sounds. Let the content live where it wants to live and embed it on your blog.

Having a blog-type site is more than just having a place for long from posts. They are the blank canvas for our own social media oil painting. One of the biggest advantages of a content management system like Wordpress is the ability to aggregate all of your social web efforts. With a blog site, or “social hub” as we have started calling our site, content like videos can live on sites like YouTube. The advantage is that you can present them on a site you own and control. It also lets you showcase them alongside your other social content like photos from Flickr, audio from AudioBoo, presentations from SlideShare, etc.

There is another distinct advantage to The Bob Ross Theory. As hospital web content expert Ed Bennett often points out, YouTube is the third most visited site online, making it the second biggest search engine (after its parent, Google). Ed is also quick to share the tip that the more information you populate about your video, the more likely it is to come back as a search result. Where else would a happy little video want to live? Once uploaded, you embed that video on your blog site and share your own link via twitter or facebook, but the video still lives on YouTube. It is the best of both worlds.

The Bob Ross Theory is not limited to videos. Flickr is the 34th most visited site and second largest photo site after Facebook. Lets put a happy little photo right there. Now add some tags, a description and presto, it becomes a search result on Yahoo!. When you want to share that photo or slide show, you embed it as a blog post and share that link.

Pretty soon your blog site is not such a blank canvas, it is full of happy content. When prompted with: ‘Bob, everything in your world seems to be happy.’ Ross replied: “That’s for sure. That’s why I paint. It’s because I can create the kind of world that I want, and I can make this world as happy as I want it.” 1

For more information on getting started with a blog site, take a look at Lee Aase’s SMUG site.

1 Wikipedia http://en.wikipedia.org/wiki/Bob_Ross

Celebrating One Year of HCSM – changing healthcare through social media

On Sunday, January 17th, as a group we celebrated the one year birthday of #HCSM (pronounced “HIC-sum” by those in the know). The event was a special 2 hour chat that included a first ever live audio component. Lee Aase, Director of Syndication (and social media) for the Mayo Clinic and Dana Lewis moderated. Seven participants, I was proud to be one, spoke with Lee and Dana on the state of and future of social media in healthcare. You can listen to the event via the player below or download it as a podcast into iTunes.

Thanks to all those who participated:

And a special thanks to the producers of the event:

Finally, and to reiterate what I said at the top of my segment in the audio cast, thank you to the #HCSM community. In the last year we have laid the ground work that is changing the face of healthcare. Every day this group comes up with new ways to improve the patient experience. After all, we are all patients.

hospital use of social media

What happens when you need to get a message out to a lot of people quickly? You turn to your friends and fans.

10 tips for taking the time argument of out social media

What takes longer, teaching a doctor to tweet or sticking a microphone in their face and asking a question? I have been thinking a lot about efficiency in the way we interact with media. Techy types often have the same thoughts about data storage – compression and decompression. What is the most efficient way to record a file to a disk and then read it back? It is not a stretch to think about our relationship with media in the same way.

As an experiment, what is the first thing that comes to mind when you see this image?

600px-Blank_stop_sign_octagon.svg

How long does it take to register “STOP” in your mind? Probably longer even than it takes to put your foot on the brake. Call it Pavlovian, but the truth is that our brains are wired to process visual stimulus very quickly. The “decompression” of the meaning of a red octagon is highly efficient.It takes very little effort for us to decode the message behind the sign.

Now examine a sonnet from Shakespeare:

46pageThere are two challenges to texts as ethereally magical as those from Shakespeare. The first is the creation of the written words. To take a simple phrase – ‘I cannot figure out if it’s my heart or eyes that love you more’ and transform it into:

Mine eye and heart are at a mortal war
How to divide the conquest of thy sight

requires a substantial amount of intellect. The effort required to “compress” the emotional sentiment associated with the text is staggering. It is probably our appreciation for that effort that causes us to always conjure mental images of poets gazing into the distance, quill in hand, always thinking more than writing. It is not just poets that have the challenge. Writing is simply hard work. Ask any good editor . To take an idea and translate it into text that, hopefully, the majority of your audience can understand is not a simple thing. Your audience, in turn, has the job of decompressing what you have written and recompiling it into a cohesive thought. Its a lot more complicated that drawing a stop sign to write about something as complex as love.

Video has emerged as pretty comfortable middle ground in the compression/decompression challenge. From a decompression standpoint, videos require fairly low “processing power”. That explains why so many of us are glued to the TV every night. The entertainment value is high compared to the effort we have to put into it decoding it. Practically speaking, the “how two” video has a lot of advantages over a text book. Julia Child understood this very well. Showing someone how to truss a chicken is easier on both parties than writing about about it. To truss a chicken you first tuck the wing tips into and under the wings themselves. Then you have a complicated procedure of wrapping one long string around the bird in a way that both closes it up and forms the perfect roasting shape. On second though, let the folks at HowCast show you how…

Video, as it turns out, is pretty efficient in both compression and decompression as a means of interacting with media. It is worth noting that audio, as in the spoken word, also fits nicely into this niche. Both require less effort than text to create and less effort for an audience to decode.

In a healthcare setting, one of the biggest challenges to the adoption of social media is time. It is fairly easy to convince people they have something worthwhile to talk about. It is another thing to get them to take the time to do it. Doctors, executives, department heads, etc all have the same excuse “who has time to blog or tweet?” I wonder if what they mean is ‘I don’t want to have to write a term paper every week!’. But what about 30 second audio blip, or 2 minute video? How hard is it to stop a doctor in a hallway, stick a camera in their face and ask for three health tips? OK, maybe it feels funny to do it, but the effort required to capture that moment is pretty low. From an audience standpoint, no one has to read a bombastic (ahh humm, you are still right this, right?) post about health tips; you get the “how to” video and nothing else.

With that in mind, I present a Phil Baumann styled list of 10 things you can try for easily compressed and decompressed social media posts (in no particular order)

  1. Sign up for AudioBoo - AudioBoo is a site that allows you to record (via computer or smartphone) an audio clip and instantly post to many social media sites.
  2. “Three Words” campaign – every day, stop someone in the hall and record them giving their name, job and 3 words that, to them, represent the organization. Do themes, like heart month, and nursing week… Use audiboo, an iphone, a flip camera…
  3. Doc on the spot – stop a doctor, record a 30 second health tip. Make sure the doctor mentions their specialty and how to follow up for more info. “Hi, I’m Doctor Jones with a quick tip for sleeping better…. want to know more, tweet us your questions…”
  4. Roving reporters – Distribute inexpensive flip video cameras everywhere. They are inexpensive. Send them around the hospital and ask people to be “roving reporters” – every week, send out a theme or question and ask for people to interview co-workers. Compile the videos and post online
  5. Physician updates – Imagine a family member in surgery. Have the doctor record updates as audio clips that can be shared with family members who are not in the waiting room.
  6. CEO minute – a daily update from the CEO on the most important things on his desk that day. It is a glimpse into his world (and ultimately what is important for the organization). It does not take the CEO more than a minute to record, and the staff more than a minute to view. He or she can even produce it from his phone on the way to work.
  7. Show the way – record a time-compressed video of how to drive from major intersections to medical practices.
  8. Share the health – allow interested patients to record doctor advice during appointments including advantages and disadvantages of treatment options. Remember that your patients have a network too, help them help their friends (and it doesn’t hurt your image either)
  9. Employee recognitions – record spontaneous employee recognitions. Have someone to recognize? Take a video camera, bundle of balloons and their boss along to that person’s work area. Record the recognition and share it – tag them on appropriate networks so their friends and family see how important they are to their employer.
  10. Photo of the day – ask employees and fans/friends to contribute to a flickr pool. Re-broadcast one photo a day. Again, remember themes and important weeks.

Have some more suggestions? Post them in the comments!

Hospital Social Media participation guide

So you have a hospital blog, now what? The more contributions you have to your social media effort, the more engaging you will be. No one is an island, and it would be nearly imposable for one person to represent an entire hospital or health system. Fortunately, the nature of social media is that everyone can join in the fun.

A model of which I am increasingly in favor is the “Pipeline” approach. The pipeline is where many contributors funnel in various media (video, written posts, photos, etc) into the effort. Those contributions can live on which ever site is most appropriate (IE video on youtube) and be aggregated and embedded on a centralized, branded “social media hub”. Sharing.mayoclinic.org is a great example of a social hub. They then become the fodder of tweets, facebook updates, etc.

As interest in social media grows and marketing funds disappear, service lines and departments are clamoring for support. We answer that demand by asking those interested to become contributors – part of the funnel of content, the pipeline. When an department or service line is identified, we share a guideline document with them. The guide highlights the social media program and establishes expectations for time commitments and content.

The example below is not fancy or even complete (what about policies and a review process?) but it may help serve as a launching point for those creating their own pipeline of social media contributors. This is a de-identified and simplified version of the document we use internally, please forgive the generic name and branding. It can  be downloaded and used under the creative commons guidelines.

Creative Commons License
Social Sharing guidelines by Nick Dawson is licensed under a Creative Commons Attribution-Share Alike 3.0 United States License.
Based on a work at www.nickdawson.net.

Notes from Central Va Healthcare Exec Group talk posted

cvheg screencap

Once a month, a who’s who of central Virginia healthcare execs convene for CVHEG – the Central Virginia Healthcare Executive Group. The CVHEG is the local chapter of the American College of Healthcare Executives. The group represents a wide swath of healthcare professionals. Recently, I was privileged to address the group as part of a fantastic lineup of speakers on social media and healthcare.

You can find my notes, references and presentation here.

Other panelists included:

#SMHC notes posted

Notes from today’s ALI conference on healthcare and social media are now online here. Ali notes

If you liked that…

Then you’ll love this….

(in response to this social media dashboard)

Part time social media contrarian and full time big thinker Phil Baumann released his own social media dashboard. What I like about Phil’s dashboard, besides the no-nonsense language, is the emphasis on action. Phil is an advocate of the ‘just do it’ mentality; and when it comes to making a positive impact on a patient or employee, that may be the best prescription.

Have a look for yourself here:

Social Media Metric Dashboard

It is an anathema, the taboo topic of the healthcare social media circles;  they are three little letters that can cause more angst than almost any other aspect of planning and deploying a social media strategy – ROI.

There, I said ‘em.

Regardless of your feeling on metrics and ROI, they are a topic that will continue to crop up. Having a way to track interactions and participation in social media seems to be a reality for any healthcare organization. One of the ways to address ROI is by monitoring trends in interaction. While there is some subjective work in determining what constitutes a positive vs negative interaction, the results are solid enough when presented over time. If French is the language of love then spreadsheets are surely the language of management.

Below is a link to the dashboard spreadsheet that my organization is using. It is homegrown and inspired in part by conversations with Dana Lewis.

smtracker

SM Metrics Template 20090930 – Excel

Google Spreadsheet Version

The template is in MS Excel 2003 format, and there is a link to a Google Spreadsheet version as well. It is distributed under the creative commons license as follows:
Creative Commons License
SM Metrics Template by Nick Dawson is licensed under a Creative Commons Attribution-Share Alike 3.0 United States License.

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Last.FM

Im on the internets

seriously, I like this stuff