Join a Weekly Twitter Conversation about Healthcare Communications and Social Media

The Healthcare Communications & Social Media community hosts a weekly Twitter conversation about communication and marketing practices by healthcare organizations, including use of social media. The Twitter conversation community meets on Twitter every Sunday night from 9pm/21:00 to 10pm/22:00 eastern US time. The Twitter hashtag for the conversation is  #hcsm.
 
To participate: Use Twitter Search (or your favorite Twitter client - we recommend Tweetchat and Tweetdeck) to search on #hcsm. The moderator will ask everyone to introduce themselves at the start of the event then list the topics for discussion during the session.
 
To find out more:
 
Twitter: @healthsocmed - http://twitter.com/healthsocmed
 
 
 
Email: healthsocmed at gmail dot com

Celebrating One Year of Healthcare Conversation…One Tweet at a Time!

January 18, 2009

 First healthcare communications and social media discussion begins after Dana M. Lewis jumps in on a discussion of health communications practices with Dan Fuoco and Arik Hanson. Dana and Arik agree to have a scheduled conversation on GChat. First participants: @cybersibesk, @danfuoco, @arikhanson, @danamlewis. Conversation covered: basic social media tools used by hospitals, what patients seek from healthcare organizations, opportunities for social media in healthcare.

January 20

First public Twitter chat announced for January 25, using Twitter hashtag #healthcomm.

January 25 

Initial group heads to Twitter based on popular demand, begins using hashtag #healthcomm. Chat moderated by @danamlewis.

February 16

Tom Stitt (@tstitt) extends offer from @Aperial to support & host #hcsm web services to support Sunday night discussions and more. (This is Tom's point of no return, he's effectively acting as a #hcsm staffer going forward.)

March 3

@healthsocmed Twitter account created to moderate weekly discussions but a company named "HealthComm" holds the @HealthComm Twitter account and an individual has “@hcsm” Twitter account. Group adopts #hcsm as Twitter hashtag to avoid hassles. 

March 4

Launch of #hcsm blog:

http://www.healthsocmed.com

April 5

#hcsm compiles RSS feeds to assist in creating:

http://hospital.alltop.com

April 13

#hcsm information/news aggregation service launched:

http://www.hcsm.blokcast.com

April 30

#hcsm sponsors H1N1 (Swine) Flu website to aggregate H1N1 information from multiple sources:

http://swineflu.blokcast.com

May 29

Reed Smith (@reedsmith) donates services to create #hcsm avatar/graphics.

June 14

Chat focused on legal issues facing healthcare organizational uses of social media featuring guests Daniel Goldman (@danielg280), legal counsel at Mayo Clinic, and David Harlow (@healthblawg), healthcare lawyer/Harlow Group, reaches 1000+ tweet per hour intensity and is nicknamed the “fire hose” #hcsm chat. Various healthcare bloggers start to republish, summarize and comment on #hcsm sessions including @otoole4info, @HITshrink and @ctsinclair.

August 17

#hcsmeu, the European counterpart of #hcsm, launched by @whydotpharma and @andrewspong

November 5

#hcsm is awarded "Best Non-Profit use of Microblogging" 2009 Society of New Communications Research Award.

January 17, 2010

Celebrating one year of #hcsm Twitter chats @LeeAase joins as guest moderator with @DanaMLewis plus seven special guests bring topics (@nickdawson, @chimoose, @jonmrich, @lizasisler, @macobgyn, @ChristineKraft, @drval), first time audio is offered via BlogTalkRadio. Special event produced by Tom Stitt (@tstitt) and Meredith Gould (@meredithgould) with support from the team @Aperial. Perficient (@Perficient_HC) provides financial support for the audio production costs.

http://www.blogtalkradio.com/healthsocmed/2010/01/18/special-hcsm-birthday-event-hcsmbday

#hcsm Draft Transcript 30 Aug 2009

Hi everyone! welcome to health communications & social media (#hcsm). Let's start with
some introductions! (@danamlewis moderating)
8/30/2009 18:00

HealthSocMed:

Hello again everyone! This is Becca, the lucky little lurker in San Diego. #hcsm
8/30/2009 18:00
tully3000:
Hi! Stephanie, former HC mktg director and lots of other stuff. Now freelancer. #hcsm
8/30/2009 18:01
stephaniethum:
Blausen Group Scientific & Medical Communications- animations & illustrations via web,
iPhone-Human Atlas and traditional media #hcsm
8/30/2009 18:01
blausengroup:
Hi! Gloria O'Connell from Minneapolis. #hcsm
8/30/2009 18:01
gocatallina:
Want to participate in both @MackCollier's #blogchat and #hcsm + make time for Sunday
spiritual reading. #multitasking #blogchat
8/30/2009 18:01
planetrussell:
Kathy Mackey, Niche Marketer, Houston, TX working with healthcare entrepreneurial
companies #hcsm
8/30/2009 18:02
mkmackey:
Hi all! Liza Sisler, Heath IT Consulting (Perficient) - likely lurking tonight - yes really! #hcsm
8/30/2009 18:02
lizasisler:
Jumping into my weekly #hcsm chat, so will be yakking about healthcare stuff for the next
hour!
8/30/2009 18:02
MeredithGould:
Brian Ahier ~ Lives and breathes Health IT ~ The Dalles, Oregon #hcsm
8/30/2009 18:02
ahier:
Hi, Dana, gang. Steve here, hosp dept chair of psychiatry; co-chair of a CCHIT work group;
also 1 of the mythreeshrinks.com docs. #hcsm
8/30/2009 18:02
HITshrink:
Meredith Gould, healthcare infomediary, online strategy & content development, sociologist,
co-blogger w/@daphneleigh #hcsm
8/30/2009 18:02
MeredithGould:
Sitting out #hcsm again tonight Waiting for #flaminglips to come out on stage ...
8/30/2009 18:02
healthblawg:
Hello all. Jonathan Richman, blogger (Dose of Digital), pharma strategy and biz dev guy at
Bridge Worldwide #hcsm #hcsm
8/30/2009 18:03
jonmrich:
<--- Dana Lewis, health communications & social media consultant, moderator of #hcsm
8/30/2009 18:03
danamlewis:
http://printyourtwitter.com/tweets.html
4 of 36 8/30/09 19:02
@HITshrink Wow! Great to see you...missed you this summer. #hcsm
8/30/2009 18:03
MeredithGould:
Hello #hcsm, this is Glenn tweeting on behalf of Reed Medical Education, I'm in CT
8/30/2009 18:03
OC2009SanFran:
Hi #HCSM. I have a new role starting tomorrow. After 2 yrs of socmed consulting, I am now
web director for a USDA food safety agency
8/30/2009 18:03
craigstoltz:
Going to try and follow two chats at once - #hcsm and #blogchat. This should be fun.
8/30/2009 18:03
Sue_Anne:
@craigstoltz Congrats on the new post! #hcsm
8/30/2009 18:04
Sue_Anne:
::shouts:: to @meredithgould @healthblawg Brian@ahier @mkmackey #hcsm
8/30/2009 18:04
HITshrink:
Carmen Gonzalez, clinical trial patient recruitment specialist #hcsm
8/30/2009 18:04
crgonzalez:
@craigstoltz Congratulations! Sounds like a very cool gig! #HCSM
8/30/2009 18:05
MeredithGould:
hi, everyone. my name is Jennifer, and my ob/gyn invited me to join this chat. #hcsm
8/30/2009 18:05
ladywolf2k:
<-- Shwen Gwee - Lead, New Media Comms @ Vertex Pharma (Disclaimer: Opinions
tweeted are solely my own, not my employer's.) ;-) #HCSM
8/30/2009 18:05
shwen:
welcome to everyone! for those trying to double dip on chats tonight, there will be
transcripts/summaries post of #hcsm in the next few days
8/30/2009 18:05
danamlewis:
Tom Stitt, principal@aperial, open source social media app builders for healthcare #hcsm
8/30/2009 18:05
tstitt:
<-- Mary Ann Geier, web marketing mgr in Philly for health provider network. hello all #hcsm
8/30/2009 18:05
mageier:
@Sue_Anne I admire you for that level of multi-tasking. I'm going to try to eat pretzels and
chat here. #hcsm
8/30/2009 18:05
MeredithGould:
Hi Jennifer it's great to have you here. #hcsm
8/30/2009 18:06
tully3000:
Jeff Livingston, Obgyn Irving, Tx Health 2.0 and Social Media enthusiast #HCSM
8/30/2009 18:06
macobgyn:
Quick intro - I do online marketing / communications for a non-profit out in Calif. We face
lots of HIPAA issues in our online mktng. #hcsm
8/30/2009 18:06
Sue_Anne:
http://printyourtwitter.com/tweets.html
5 of 36 8/30/09 19:02
My tweets are my own, too, not Allina Hospitals & Clinics, although I am a public relations
manager there. #hcsm
8/30/2009 18:06
gocatallina:
Sounds great, @craigstoltz, great job. #hcsm
8/30/2009 18:06
HITshrink:
@HITshrink always nice to have you join #hcsm
8/30/2009 18:06
mkmackey:
We will assume all tweets within #hcsm are your own and not those of your employers
(unless you specifically declare them) :p #hcsm
8/30/2009 18:07
HealthSocMed:
congrats @craigstoltz #hcsm
8/30/2009 18:07
mageier:
@Sue_Anne On behalf of myself and @daphneleigh, thank you for spelling HIPAA correctly!
#hcsm
8/30/2009 18:07
MeredithGould:
<-- You guys know who I am... #hcsm
8/30/2009 18:07
EdBennett:
Phil Baumann. RN. I help Healthcare out with the Web. Point it in, er, forward in time. #hcsm
8/30/2009 18:07
philbaumann:
@KentBottles Are you going to join us tonight on #hcsm?
8/30/2009 18:08
gocatallina:

TOPIC 1 - As an industry we're said to be "20 years behind".Ten years from now, what will
we look like? Has SM changed our trajectory? #hcsm

8/30/2009 18:08
HealthSocMed:
Anthony Broad-Crawford, VP & CTO at Within3. #hcsm
8/30/2009 18:08
broadcrawford:
Intros: Mike Russell, health tech, biz dev + social media. Worked for @TheWELL's prof.
services group w/AARP, Gov., NGO clients. #hcsm
8/30/2009 18:08
planetrussell:
@craigstoltz That's great! good luck in the new job #hcsm
8/30/2009 18:08
EdBennett:
@philbaumann this topic should be full speed ahead then ;P what do you think? #hcsm
8/30/2009 18:08
danamlewis:
@craigstoltz When you become powerful, please bring back red dye #2. #hcsm
8/30/2009 18:08
MeredithGould:
Brand Development - 360° HC Campaign Strategy - Creative Direction - Social Media
Delivery - Marketing/Advertising #hcsm
8/30/2009 18:08
gravityten:
@HealthSocMed Dana - might not be bad to start with that disclaimer every week - don't
want to assume anything. #hcsm
shwen:
http://printyourtwitter.com/tweets.html
6 of 36 8/30/09 19:02
8/30/2009 18:08
@MeredithGould I always have to think about it ... and often spell it wrong. :) #hcsm
8/30/2009 18:08
Sue_Anne:
RT @HealthSocMed: T1 - As an industry we're "20 yrs behind." 10 yrs from now, what will
we look like? Has SM changed our trajectory? #hcsm
8/30/2009 18:09
stephaniethum:
T1: Ten years out seems too long -- how about in a year or perhaps even in 6 months?
#hcsm
8/30/2009 18:09
MeredithGould:
I hope so. I think SM will force us to listen to customers more closely. #hcsm
8/30/2009 18:09
gocatallina:
T1 In 10 years we'll only be 15 yrs behind. #hcsm
8/30/2009 18:09
HITshrink:
@HealthSocMed T1 - It won't make a difference inside our orgs, but what people do outside
will be amazing #hcsm
8/30/2009 18:09
EdBennett:
Agreed: RT @shwen: @HealthSocMed Dana - might not be bad to start with that disclaimer
every week - dont want to assume anything. #hcsm
8/30/2009 18:10
tully3000:
@Sue_Anne Right, if they wanted to call it Hippo... #hcsm
8/30/2009 18:10
MeredithGould:
Gregg Masters, San Diego healthcare entrepreneur & student of social media's potential to
transform healthcare conundrum #hcsm
8/30/2009 18:10
2healthguru:
RT @EdBennett: @HealthSocMed T1 - It wont make a difference inside our orgs, but what
people do outside will be amazing #hcsm
8/30/2009 18:10
MeredithGould:
Who says hc is 20 years behind? Behind who, behind what? SM is changing every industry.
#hcsm
8/30/2009 18:10
gravityten:
RT @ahier: Social Media and Healthcare – It's not Just for the Kids http://bit.ly/Ov5Gd (via
@MedicalQuack) #hcsm
8/30/2009 18:10
norskedoc:
Steven Barley - Director, Internet Services at Riverside Health System (@riverside) #hcsm
8/30/2009 18:11
StevenBarley:
There will be private, topic-based health chats via SM sponsored by hospitals and doctors
through advanced tech security innovations #hcsm
8/30/2009 18:11
crgonzalez:
T1 Technology isn't a problem. Bureacracy is. <shrug.> #hcsm
8/30/2009 18:11
stephaniethum:
@gravityten HC industry is behind, oh, every other industry relative MeredithGould: to everything? That
http://printyourtwitter.com/tweets.html
7 of 36 8/30/09 19:02
seems to be the common consensus. #hcsm
8/30/2009 18:11
#HCSM T1: Not sure where the 20yrs came from, but @jbernoff's analysis puts life sciences
industry ~18mths behind in SM: http://bit.ly/7P8m7
8/30/2009 18:11
shwen:
RT @planetrussell Intros: Mike Russell, health tech, biz dev + social media. Worked for
@TheWELL's p/s group w/AARP, Gov, NGO clients. #hcsm
8/30/2009 18:12
tim_woods:
@gravityten everyone says HC is 20 years behind. behind every other industry, behind
real-time needs of patients. #hcsm
8/30/2009 18:12
danamlewis:
T1 Health Care isn't behind. Certain organizations are behind. #hcsm
8/30/2009 18:12
philbaumann:
HCSM increases the interactions & idea-generation, so turns up the heat. HC changes will
"cook" quicker. #hcsm
8/30/2009 18:12
HITshrink:
T1 - In 5 years - the gap between HC and other industries should narrow - assuming HC
reform initiatives (in some form) advance #hcsm
8/30/2009 18:12
StevenBarley:
T1: We will see dramatic changes in health information technology, including integration of
social media over next 5 yrs #hcsm
8/30/2009 18:12
ahier:
Good evening #hcsm I'm Kathryn Armstrong from LVHN in Allentown pa. Will be popping in
and out tonight! Looks like it will be interesting!
8/30/2009 18:12
cybersibesk:
T1 We have to give credit here. Some organizations *are* out in front in some respects. Like
w/live, surgical webcasts. Cutting edge. #hcsm
8/30/2009 18:12
stephaniethum:
RT @HITshrink: HCSM increases the interactions & idea-generation, so turns up the heat.
HC changes will "cook" quicker. #hcsm
8/30/2009 18:12
gocatallina:
SM won't really play a role in the advance of our industry (it hasn't been a factor for others)
#hcsm
8/30/2009 18:13
StevenBarley:
RT @philbaumann: T1 Health Care isnt behind. Certain organizations are behind. [agree -
I'm talking about hospitals] #hcsm
8/30/2009 18:13
EdBennett:
T1 is social media an industry? Or are you talking about the dysfunctional healthcare
industry? #hcsm
8/30/2009 18:13
2healthguru:
All industries are trying to navigate the sm waters. Some are early adopters, some are not.
#hcsm
8/30/2009 18:13
gravityten:
http://printyourtwitter.com/tweets.html
8 of 36 8/30/09 19:02
Tech implants will allow for SM-uploading of data for immediate case study use by med
students and by doctors for survey data #hcsm
8/30/2009 18:13
crgonzalez:
I suspect every heavily regulated industry will lag behind a bit in SoMe. Privacy regs make it
a challenge #hcsm
8/30/2009 18:13
danielg280:
RT @ahier: T1: We will see dramatic changes in health information technology, including
integration of social media over next 5 yrs #HCSM
8/30/2009 18:13
macobgyn:
love this - RT @HITshrink HCSM increases the interactions & idea-generation, so turns up
the heat. HC changes will "cook" quicker. #hcsm
8/30/2009 18:13
danamlewis:
HC tends to be like a large boat. Large boats take longer to turn around. #hcsm
8/30/2009 18:13
gravityten:
T1: Ten years out augmented reality tools will be part of healthcare social media
communications #hcsm
8/30/2009 18:13
ahier:
@philbaumann HC is behind - Integration of systems, continuity of user experience across
delivery, and so on ... #hcsm
8/30/2009 18:13
StevenBarley:
T1 I think the changing business landscape will force some changes. Some in the C-suite
will kick and scream. #hcsm
8/30/2009 18:13
stephaniethum:
T1: I wonder if the 'industry' being behind or not will be less relevant, as individuals are the
players in socmed #hcsm
8/30/2009 18:13
mageier:
RT @stephaniethum: T1 Technology isnt a problem. Bureacracy is. [and Inertia, but that is
changing] #hcsm
8/30/2009 18:14
HITshrink:
@2healthguru Referring to healthcare as an industry #hcsm
8/30/2009 18:14
HealthSocMed:
Will be reviewing the #hcsm transcript later. Working on methadone in #hospice talk for
Tuesday
8/30/2009 18:14
ctsinclair:
Hi, Mary Pat Whaley, manager of hospital-owned physician groups and blogger #hcsm
8/30/2009 18:14
mpwhaley:
@StevenBarley That's Healthcare. Not Health Care. #hcsm
8/30/2009 18:14
philbaumann:
The lag I think is related to administrative functions.. #hcsm
8/30/2009 18:14
mkmackey:
#HCSM T1: In the nxt few yrs, I think we'll see the tides turn in HCSM, shwen: but mainly b'cos of
http://printyourtwitter.com/tweets.html
9 of 36 8/30/09 19:02
the rise of the ePatients n Health 2.0 folks.
8/30/2009 18:14
In 10 years some form of doc/pt interaction via soc med will be commonplace #HCSM
8/30/2009 18:14
macobgyn:
T1 I wonder how the EHR push will shift perceptions in general about technology. #hcsm
8/30/2009 18:14
MeredithGould:
I think the "ideas will cook quicker" statement is right. If HCReform is in any way
fundamental, SocMed could expedite it. #hcsm
8/30/2009 18:15
craigstoltz:
.@danielg280 check out HIPAA Survival Guide http://bit.ly/1zhIT #hcsm
8/30/2009 18:15
ahier:
T1 Also behind is the shift from doctor-centered care to pt-centered care; accepting the
responsibility to manage own care. #hcsm
8/30/2009 18:16
HITshrink:
RT @PhilBaumann: T1 1: Collaboration media coupled with streamlined HIT are capable of
producing enormous changes. #hcsm
8/30/2009 18:16
oneofthefreds:
I believe the pace of change will accelerate and we might be amazed at how things stand
even 3-5 yrs from now #hcsm
8/30/2009 18:16
ahier:
@ahier Brian, join the party over at #hcsm
8/30/2009 18:17
EdBennett:
Social media has potential to enhance/speed participatory medicine & e-patient efforts.
#hcsm
8/30/2009 18:17
MeredithGould:
RT @HITshrink Also behind is shift from doctor-centered care to pt-centered care; accepting
responsibility to manage own care #hcsm
8/30/2009 18:17
ahier:
T1: Stimulus package has finally answered the question: who pays (gov't, payer)? This will
accelerate things dramatically. #hcsm
8/30/2009 18:17
leonardkish:
RT @cromashko: Nxt 10 will bring more Pt access to records online, collab w/doctors, less
reliance on single source for info [yes!] #hcsm
8/30/2009 18:17
HITshrink:
@healthsocmed are programs that connect patients 2 patients an ex. of sm? if so, one can
argue that some HC is leading #hcsm
8/30/2009 18:17
simonslee:
@gravityten Good point and marries up with the need/push for HC reform #hcsm
8/30/2009 18:17
StevenBarley:
@simonslee Good point #HCSM
8/30/2009 18:18
macobgyn:
http://printyourtwitter.com/tweets.html
10 of 36 8/30/09 19:02
@EdBennett are my tweets not showing up w/ hashtag #hcsm?
8/30/2009 18:18
ahier:
@philbaumann Same can be said for groups of (grassroots) ppl creating an #hcsm
groundswell - re: "...capable of producing enormous changes"
8/30/2009 18:18
shwen:
@MeredithGould an major accelerator, new industry has been invented 'consumer access
services' Integrating PHR/EMR/EHR datapoints #hcsm
8/30/2009 18:18
2healthguru:
RT @MeredithGould: Social media has potential to enhance/speed participatory medicine &
e-patient efforts. #HCSM
8/30/2009 18:18
macobgyn:
@simonslee depends - are the programs using technology? #hcsm if not, i say it's not SM,
just making HC social
8/30/2009 18:18
danamlewis:
@simonslee Agree that health care leads in some unique respects. We can't ignore the
good/cutting edge. #hcsm
8/30/2009 18:19
stephaniethum:
I think it will be intrstg to see if pt controlled PHRs take off and if that speeds the trajectory of
e-communication btw pt and care #hcsm
8/30/2009 18:19
danielg280:
@philbaumann You really think collaboration media & HIT adoption can kick the "typewriter"
& "dial-tone" mentality out of healthcare? #hcsm
8/30/2009 18:19
tstitt:
@simonslee Yes, those are examples of socme. #hcsm
8/30/2009 18:19
MeredithGould:
@ahier sorry - I see them now... #hcsm
8/30/2009 18:19
EdBennett:
Should HCSM respond to patient needs or create them? #hcsm
8/30/2009 18:19
MKBarnes:
@ahier Brian, you're showing up just fine in tweetchat @EdBennett #hcsm
8/30/2009 18:19
StevenBarley:
Greater tool adoption in general will help to drive innovation which will in turn drive use. The
technology is there, adoption not yet #hcsm
8/30/2009 18:19
lizasisler:
RT @planetrussell: Whole idea behind #Cluetrain manifesto was individuals using SM make
change happen. Orgs can acknowledge or fail. #hcsm
8/30/2009 18:19
craigstoltz:
@MKBarnes Don't the vectors move in both directions? (Hi!) #hcsm
8/30/2009 18:19
MeredithGould:
http://printyourtwitter.com/tweets.html
11 of 36 8/30/09 19:02
SM in 10 years could have a HUGE impact on preventative care, education, shared
resources, information on a global scale. #hcsm
8/30/2009 18:20
gravityten:
RT @MKBarnes: Should HCSM respond to patient needs or create them? both #hcsm
8/30/2009 18:20
blausengroup:
@danielg280 Agreed. I think patient-controlled PHR adoption will be slow, with hiccups, like
everything else. #hcsm
8/30/2009 18:20
stephaniethum:
@danielg280 PHRs better take off or all of our EHRs will continue to operate in isolation.
They are the missing link for info. #HCSM
8/30/2009 18:20
macobgyn:
@EdBennett New van...new glasses...new sink pig... #hcsm
8/30/2009 18:20
MeredithGould:
Lurking tonight (for the moment).. #hcsm
8/30/2009 18:20
AmandaChanguris:
RT @MKBarnes: Should HCSM respond to patient needs or create them? #hcsm GREAT
Q!
8/30/2009 18:20
ahier:
@danielg280 I don't really think PHRs will take off - it's boring (unless you have chronic
conditions) for healthy, little interaction #hcsm
8/30/2009 18:20
StevenBarley:
RT @MKBarnes: Should HCSM respond to patient needs or create them? [hcsm *IS* pt
needs... pt2pt, pt2md, etc] #hcsm
8/30/2009 18:21
HITshrink:
SM is just an example of how technology can improve collab. for care, but other technology
with PHR/EHR can also provide online collab #hcsm
8/30/2009 18:21
cromashko:
I expect a bigger shift toward SM as the children of boomers take on a greater role in their
parents' care #hcsm
8/30/2009 18:21
crgonzalez:
@MeredithGould Life is good... #hcsm
8/30/2009 18:21
EdBennett:
I think healthcare is completely different for those with chronic conditions who utilize more
healthcare than anyone else. #hcsm
8/30/2009 18:21
mkmackey:
@danielg280 I am a big fan (and regular user of) EHR extension - via patient portal #hcsm
8/30/2009 18:21
StevenBarley:
RT @crgonzalez: I expect a bigger shift toward SM as the children of boomers take on a
greater role in their parents care [Agree!] #hcsm
8/30/2009 18:21
EdBennett:
@StevenBarley But couldn't buzz around PHRs alert hc consumers to MeredithGould: possibilities available
http://printyourtwitter.com/tweets.html
12 of 36 8/30/09 19:02
for participatory medicine? #hcsm
8/30/2009 18:21
@stephaniethum @macobgyn What bothers me about pt-controlled PHRs is missing
context around what shows up + ensuing pt nervousness. #hcsm
8/30/2009 18:22
stephaniethum:
RT @ crgonzalez I expect a bigger shift toward SM as the children of boomers take on a
greater role in their parents' care (Agree!) #hcsm
8/30/2009 18:22
mpwhaley:
@StevenBarley But PHRs are needed to put pts in control of their info allowing info sharing
from one provider to another. #HCSM
8/30/2009 18:22
macobgyn:
T1 When we say SM, are we referring to the retail sector (Twitter, FB), or internal social
media too? #hcsm
8/30/2009 18:22
philbaumann:
RT @crgonzalez: I expect a bigger shift toward SM as the children of boomers take on a
greater role in their parents care #hcsm
8/30/2009 18:22
Sue_Anne:
hold that thought @crgonzalez - perfect tie in for topic 2 #hcsm
8/30/2009 18:22
HealthSocMed:
If HIT is done right, difference btw an EHR & a PHR should be nil. All connected. #hcsm
8/30/2009 18:22
HITshrink:
Re: should HCSM respond to patient needs/create. More on the create side. Patients need
guidance. #hcsm
8/30/2009 18:22
leonardkish:
Current healthcare patient needs happens in the present not the future. #hcsm
8/30/2009 18:22
MKBarnes:
Patient portals tethered to EHR will bring wave of social media applications #hcsm
8/30/2009 18:22
ahier:
RT @HITshrink: If HIT is done right, difference btw an EHR & a PHR should be nil. All
connected. #hcsm
8/30/2009 18:22
tstitt:
@crgonzalez RT: I expect a bigger shift toward SM as the children of boomers take on a
greater role in their parents' care #hcsm (yep)
8/30/2009 18:22
simonslee:
@MeredithGould Too early to tell - maybe MS will add lots of utility to HealthVault - but what
kind of functionality would excite you? #hcsm
8/30/2009 18:23
StevenBarley:
@mkmackey chronic conditions = early adopters in many areas, SoMe will another #hcsm
8/30/2009 18:23
EdBennett:
http://printyourtwitter.com/tweets.html
13 of 36 8/30/09 19:02
@crgonzalez I agree. We've been trying to help manage my mother's care "old school", and
it's been really difficult. #hcsm
8/30/2009 18:23
Sue_Anne:
RT @mpwhaley: RT @crgonzalez Bigger shift toward SM for children of boomers/sandwich
generation. <Agreed.> #hcsm
8/30/2009 18:23
stephaniethum:
Great phrase from @tstitt: *"typewriter" & "dial-tone" mentality* of healthcare administration.
I'd add "14k baud" #hcsm
8/30/2009 18:23
craigstoltz:
RT @MKBarnes: Current healthcare patient needs happens in the present not the future.
#hcsm
8/30/2009 18:23
MeredithGould:

TOPIC 2 - Does your HC org have a "one size fits all" strategy for SM? How do you target
different audiences online? #hcsm (ex next tweet)
8/30/2009 18:23
HealthSocMed:

@crgonzalez I read that children of baby boomers r the most freq users of PHRs. #HCSM
8/30/2009 18:23
macobgyn:

TOPIC 2.1 - For example, how can HC reach out to the "careguiders"? #hcsm
8/30/2009 18:23
HealthSocMed:

Social media implications for healthcare ='the emperor has no clothes'. Adapt to structural
shift (transparency, price, access) or die #hcsm
8/30/2009 18:23
2healthguru:
@philbaumann #hcms T1: Good question! I think we're referring mainly to retail/external
SM, but internal should count too. #hcsm
8/30/2009 18:23
shwen:
An engaged informed consumer gets better care whether they save paper documents or
have online access to their records #hcsm
8/30/2009 18:23
blausengroup:
I think PHR is the wrong term - it shouldn't be a record it should be a portal for interaction
with providers where info is captured. #hcsm
8/30/2009 18:23
jacquebrown:
RT @HealthSocMed: T2 - Does your HC org have a "one size fits all" strategy for SM? How
do you target different audiences online? #hcsm
8/30/2009 18:23
stephaniethum:
@macobgyn Perhaps - but do you have any real need to share between providers? My
physicians are all connected via our EMR #HCSM
8/30/2009 18:24
StevenBarley:
Fancy-shmancy on the Topic 2.1 use... :•) #hcsm
8/30/2009 18:24
gravityten:
@philbaumann I'd include internal social media...intranets/Yammer. #hcsm
8/30/2009 18:24
MeredithGould:
http://printyourtwitter.com/tweets.html
14 of 36 8/30/09 19:02
T2 I'm very excited to see new inventions/innovations springing up quite often nowadays to
help proxy caregivers. #hcsm
8/30/2009 18:24
stephaniethum:
RT @blausengroup Engaged informed consumer gets better care whether they save paper
document/have online access to their records(yep!) #hcsm
8/30/2009 18:24
mpwhaley:
Kaiser Colorado cut deaths by 73%. Studies like this will also be a moral motivator for
change in HC. #hcsm http://bit.ly/437aUO
8/30/2009 18:24
leonardkish:
@shwen OK, thank. In that case, I think Friendster is the future. ;) #hcsm
8/30/2009 18:25
philbaumann:
T2.1 Are "careguiders" not part of HC - for example, we have patient navigators - something
different? #hcsm
8/30/2009 18:25
StevenBarley:
@shwen @philbaumann what's an example of internal SM? #hcsm
8/30/2009 18:25
stales:
@StevenBarley A pt has a CT scan for pain in an ER then comes to me for follow up.
Unless its my hosp I cant get that report easily. #HCSM
8/30/2009 18:25
macobgyn:
agree w @macobgyn link phr to ehr and provider, then it will provide value evn 2 les frqnt
flyrs (immunization, apptmnt info, scripts) #hcsm
8/30/2009 18:25
danielg280:
T2--We figure out where the targeted patient population is and then we select the sites they
use most to seed SM messages #hcsm
8/30/2009 18:25
crgonzalez:
HCSM is NOT one size fits all. HCSM must address the needs of the individual and
community in real-time. #hcsm
8/30/2009 18:25
MKBarnes:
@StevenBarley "My physicians are all connected via our EMR" [w/our Cerner EHR setup,
there's NO doc2doc interaction] #hcsm
8/30/2009 18:25
HITshrink:
@StevenBarley They shuld def be a part of HC as they play a part in the patient journey /
care continuum. Great e.g. #hcsm
8/30/2009 18:26
shwen:
Not all MDs of chronic patients interact especially those still seeking diagnosis which is the
basis for the patient home.. #hcsm
8/30/2009 18:26
mkmackey:
Everyone is much more mobile - think snowbirds, road warriors, etc. - need 4 more than just
regional sharing of records #hcsm
8/30/2009 18:26
mpwhaley:
What is a careguider? #HCSM
8/30/2009 18:26
macobgyn:
http://printyourtwitter.com/tweets.html
15 of 36 8/30/09 19:02
@StevenBarley careguiders are part of HC - example provided was usually mothers/wives
/daughters guide health care for family. #hcsm
8/30/2009 18:26
HealthSocMed:
@StevenBarley Aux contraire! PHR's are guaranteed to be the hub in an emerging mega
industry of managed health information networks #hcsm
8/30/2009 18:26
2healthguru:
T2: isn't 'targeting audiences' the old model still? is the assumption that the org does this via
an official channel? #hcsm
8/30/2009 18:26
mageier:
T2 - It's really too early for SM to target in HC orgs - still learning/adopting #hcsm
8/30/2009 18:26
StevenBarley:
Co-Tweet (other tools like it) are growing in social media. They allow targeted messaging.
As a marketer-I recommend this. #hcsm
8/30/2009 18:26
gravityten:
@MeredithGould Internal social media for medical groups is a huge bonus. Providers within
same org being able to share info/knowledge. #hcsm
8/30/2009 18:26
Sue_Anne:
@stales Internal SM - Yammer, Int. blogs, wikis, social networks, etc. #hcsm
8/30/2009 18:27
shwen:
@HITshrink Big opp. to connect doc2doc with EMR. Like having your own Sermo within a
single practice or network. No? #hcsm
8/30/2009 18:27
jonmrich:
#hcsm @StevenBarley Your physicians may all be connected via your EMR, but what if the
PT wants to go outside your system? S/He needs PHR
8/30/2009 18:27
cromashko:
Good point @MKBarnes - first you have to find the audience, then you have to cater to their
unique community. #hcsm
8/30/2009 18:27
jacquebrown:
If I have pts I follow, I'd like to know ALL HC interactions they have (w/perm), to better help
'em manage their care. #hcsm
8/30/2009 18:27
HITshrink:
Care guider = the person who keeps you safe during a hospital stay #hcsm
8/30/2009 18:27
EdBennett:
@stales Adoption of micro-sharing platforms, eg Yammer but with awesome goodies. What
I have in mind is stuff you could play RATM to. #hcsm
8/30/2009 18:27
philbaumann:
Is "careguiders" new to the jargon lexicon? Anyone know when that one emerged? #hcsm
8/30/2009 18:27
MeredithGould:
T2. I think we'll begin to see HC agents, responsible for coord. care and making selections.
Used to be PCP, but now no time. #hcsm
8/30/2009 18:28
leonardkish:
http://printyourtwitter.com/tweets.html
16 of 36 8/30/09 19:02
T2 In same vein as @mpwhaley There R increasing technological innovations out there to
help proxy caregivers with their obligations. #hcsm
8/30/2009 18:28
stephaniethum:
Careguider access may be the same as a patient. #hcsm
8/30/2009 18:28
blausengroup:
@shwen I agree philosophically (re: PHR) but I don't think there's a lot of perceived value by
the masses - what's the value + for pt? #hcsm
8/30/2009 18:28
StevenBarley:
@jonmrich Absolutely. We need this. #hcsm
8/30/2009 18:28
HITshrink:
I'm going to be using this: RT @EdBennett: Care guider = the person who keeps you safe
during a hospital stay #hcsm
8/30/2009 18:28
tully3000:
I think we tend to think of care guiders as women, mostly, so often target them in all external
communications and marketing. #hcsm
8/30/2009 18:28
gocatallina:
LOVE THIS... explain your SM tie-in. RT @EdBennett: Care guider = the person who keeps
you safe during a hospital stay #hcsm
8/30/2009 18:28
gravityten:
Does careguider mean "economic decision maker." I am confused?? #HCSM
8/30/2009 18:28
macobgyn:
True @2healthguru! "PHR's are guaranteed to be the hub in an emerging mega industry of
managed health information networks" #hcsm
8/30/2009 18:29
cromashko:
RT @ EdBennett Care guider = the person who keeps you safe during a hospital stay (new
term to me) #hcsm
8/30/2009 18:29
mpwhaley:
Really need to differentiate between strategic v. tactical implementation of social media; no
one size fits all! #hcsm
8/30/2009 18:29
2healthguru:
Patient advocate _ careguider? #hcsm
8/30/2009 18:29
mkmackey:
@2healthguru PHR success requires HC org/provider adoption - but how reliable is user
provided HC info? #hcsm
8/30/2009 18:29
StevenBarley:
@leonardkish Won't PCPs regain some status/stature/value as/if the patient-centered
medical home model gets adopted? #hcsm
8/30/2009 18:29
MeredithGould:
careguiders can be completely different. for kids/younger folks, it's parents. it could be
spouse. still imp. to know your audience #hcsm
8/30/2009 18:29
danamlewis:
http://printyourtwitter.com/tweets.html
17 of 36 8/30/09 19:02
@leonardkish Re HC agents - I agree, I think there will be a huge growth in this service
#hcsm
8/30/2009 18:29
EdBennett:
T2: Remember the POST process (from Groundswell)? People is 1st - "targeting" is a form
of understanding the nxt step - Objective! #hcsm
8/30/2009 18:29
shwen:
@EdBennett Isn't that an attorney? #hcsm
8/30/2009 18:29
MeredithGould:
@MeredithGould @mpwhaley When I saw it I thought it meant proxy caregiver--not just
during hospital stay, but always. #hcsm
8/30/2009 18:29
stephaniethum:
@cromashko I don't necessarily agree - why? How often do you go outside your system?
#hcsm
8/30/2009 18:29
StevenBarley:
@StevenBarley The value for the pt is control. The ability to verify and manage their own
health info linking doc to doc. #HCSM
8/30/2009 18:30
macobgyn:
We are starting to see a sort of HC agencies who coordinate medical tourism. Why not the
same on the US side. Dependency on who pays. #hcsm
8/30/2009 18:30
leonardkish:
RT @EdBennett: Care guider = the person who keeps you safe during a hospital stay
#hcsm
8/30/2009 18:30
AmandaChanguris:
A PHR is better than no record at all I think. #hcsm
8/30/2009 18:30
blausengroup:
@HITshrink Tech-speaking, it would be extremely simple to create. But would you get buy in
from docs. What if they got paid to do it? #hcsm
8/30/2009 18:30
jonmrich:
I'm missing @daphneleigh right now... #hcsm
8/30/2009 18:30
MeredithGould:
@StevenBarley The issue exists in the non-virtual world when u collect history from the
patient. #hcsm
8/30/2009 18:30
danielg280:
@tully3000 I think @danalewis meant a broader idea than just hospital stays. I think
careguider covers the gamut of health choice help #hcsm
8/30/2009 18:30
crgonzalez:
RT @macobgyn: @StevenBarley The value for the pt is control. The ability to verify &
manage health info linking doc to doc. #hcsm
8/30/2009 18:30
mkmackey:
@StevenBarley that my friend is the traditional 'head in the sand paternalistic provider
perspective'; no longer sustainable! #hcsm
8/30/2009 18:30
2healthguru:
http://printyourtwitter.com/tweets.html
18 of 36 8/30/09 19:02
RT @macobgyn @StevenBarley The value for the pt is control. The ability to verify and
manage their own health info linking doc to doc. #HCSM
8/30/2009 18:31
nanarcr:
T2 "Caregiver Role Strain". (Yuke, nursing school term.) - Relieving CRS should be a top
priority with SM uses. #hcsm
8/30/2009 18:31
philbaumann:
I remain hopeful that granular, tailored info-feeds will allow [say] careguiders to stay current
what they must know w/little effort. #hcsm
8/30/2009 18:31
craigstoltz:
@StevenBarley Wish I could go outside our system. ER pts who go to other ERs, etc. Can't
even connect to other system hospitals. #hcsm
8/30/2009 18:31
HITshrink:
#hcsm @StevenBarley 100% I have one doc @ Wellstar, one doc independent practice,
and one doc @ Piedmont, all on diff EMR (or PAPER)
8/30/2009 18:31
cromashko:
@macobgyn Don't get me wrong - I'm a fan of PHRs (philosophically) and pitched one in
earnest last year - but HC orgs don't see value #HCSM
8/30/2009 18:31
StevenBarley:
@MeredithGould You need the Attorney if the Careguider doesn't work out :) #hcsm
8/30/2009 18:31
EdBennett:
RT @EdBennett: Care guider = the person who keeps you safe during a hospital stay
#hcsm
8/30/2009 18:31
ahier:
@crgonzalez Yeah I get that but hospital safety is a critical part of it. #hcsm
8/30/2009 18:31
tully3000:
@macobgyn And HC orgs must be onboard for PHR info to flow from org to org and
provider to provider #HCSM
8/30/2009 18:32
StevenBarley:
@philbaumann Totally agree about "CRS". Working on this with 1 company now. Resources
for Caregivers is very light online. #hcsm
8/30/2009 18:32
jonmrich:
@2healthguru So true. We know we need to reach different audiences but so few of us
know how to use the tools well. But we're learning #hcsm
8/30/2009 18:32
gocatallina:
@philbaumann aka Compassion burnout #hcsm
8/30/2009 18:32
MeredithGould:
RT @PhilBaumann T2 "Caregiver Role Strain" - Relieving CRS should be a top priority with
SM uses. #hcsm >Valuable to one being cared for too
8/30/2009 18:32
nanarcr:
@crgonzalez @tully3000 exactly. @edbennett references hospitals b'c he works there :)
careguiders impact all HC decisions/environment #hcsm
8/30/2009 18:32
danamlewis:
http://printyourtwitter.com/tweets.html
19 of 36 8/30/09 19:02
@StevenBarley providers too often forget they are only 'custodians' of patient intellectual
property; they don't own it..... #hcsm
8/30/2009 18:32
2healthguru:
PHR adoption will be driven by next generation of healthcare consumers #hcsm
8/30/2009 18:32
ahier:
@StevenBarley Its a good healthy discussion for all. Everybody got fired up #hcsm
8/30/2009 18:33
macobgyn:
@MeredithGould Me too, where is @daphneleigh ? #hcsm
8/30/2009 18:33
EdBennett:
@2healthguru Perhaps - but they are the ones that truly use it (I don't use mine) #hcsm
8/30/2009 18:33
StevenBarley:
@MeredithGould Do you want me to comment about "caregiver"? #hcsm
8/30/2009 18:33
philbaumann:
@StevenBarley The value in PHRs is empowering patients to take responsibility for their
healthcare #hcsm
8/30/2009 18:33
jacquebrown:
Can some1 clarify if "CareGuiders" r the same concept as Patient Navigators? Thanks!
#hcsm
8/30/2009 18:33
shwen:
#hcsm ya'll. careguiders are SO more than hospital stays. think kids & families with chronic
illnesses. etc.
8/30/2009 18:33
danamlewis:
Linking doc to doc, assembling all records easily accessible vital to patients with
complicated health issues - life and death #HCSM
8/30/2009 18:33
nanarcr:
Evening all, just stopping in! Kevin ALD advocate. Just landed in Minneapolis hope to do
transcript over next two days. #hcsm
8/30/2009 18:33
otoole4info:
@ahier How would you define a generation/cohort relative to # of years? #hcsm
8/30/2009 18:33
MeredithGould:
@jonmrich It is an important issue. It can be devastating; but quality support goes a long
way. #hcsm
8/30/2009 18:34
philbaumann:
@ahier Key issue is data input. If data can be input by caregivers, adoption will be
accelerated. #hcsm
8/30/2009 18:34
lizasisler:
@2healthguru But laws still think providers DO own the pt records. In Md, we have to give
permission for pts to get DC summary! #hcsm
8/30/2009 18:34
HITshrink:
http://printyourtwitter.com/tweets.html
20 of 36 8/30/09 19:02
SoMe would make the careguide role a lot easier if we could all get on the same page.
#hcsm
8/30/2009 18:34
gocatallina:
@philbaumann Seen anything good online? #hcsm
8/30/2009 18:34
jonmrich:
@StevenBarley got it; we're still early in the adoption curve; let the ARRA incentives simmer
a little. The industry already has momo! #hcsm
8/30/2009 18:34
2healthguru:
@StevenBarley re: "HC orgs don't see value in PHR" - think it has anything to do with PT
retention and revenue protection? #HCSM
8/30/2009 18:34
cromashko:
RT @ahier PHR adoption will be driven by next generation of healthcare consumers #hcsm
> Not soon enough. Drive by current generation. Now.
8/30/2009 18:34
nanarcr:
@jacquebrown I understand the concept and pitched it for our org - but so what? If I had
access to one, I doubt I would use it #hcsm
8/30/2009 18:34
StevenBarley:
@MeredithGould I think over the next 5-7 years we will see a huge demographic shift
#hcsm
8/30/2009 18:34
ahier:
@philbaumann Go ahead. You do know that I'm also an aide, right? Have my own rant
about "caregivers," esp. family members. #hcsm
8/30/2009 18:35
MeredithGould:
For PHRs to really take off, we need role models to help, members of Congress taking part
in their healthcare would be nice to have #HCSM
8/30/2009 18:35
MedicalQuack:
RT @lizasisler: @ahier Key issue is data input. If data can be input by caregivers, adoption
will be accelerated. #hcsm
8/30/2009 18:35
HITshrink:
@shwen "Care Shaman". Covers all bases. #hcsm
8/30/2009 18:35
philbaumann:
See technological generation gap http://bit.ly/22Tid a fascinating analysis #hcsm
8/30/2009 18:35
ahier:
RT @lizasisler @ahier Key issue is data input. If data can be input by caregivers, adoption
will be accelerated. #hcsm >Must be input by pts
8/30/2009 18:35
nanarcr:
RT @EdBennett: @MeredithGould You need the Attorney if the Careguider doesn't work out
:) #hcsm (So true! Ideally no attorneys involved.)
8/30/2009 18:35
AmandaChanguris:
@shwen anyone who helps you make healthcare decisions is a careguider. Friend, spouse,
parent, child--it depends on who's the patient #hcsm
8/30/2009 18:35
crgonzalez:
http://printyourtwitter.com/tweets.html
21 of 36 8/30/09 19:02
@lizasisler Interesting...caregivers inputting data instead of pts. Why do you think this would
be better? #hcsm
8/30/2009 18:35
jonmrich:
@jacquebrown I'm a big believer in practical value - I get the PHR equation from a philo
perspective, lacks practical value #hcsm
8/30/2009 18:35
StevenBarley:
@ahier Ok, I'd probably define cohort shifts in 5-year intervals...speaking sociologically, of
course! #hcsm
8/30/2009 18:35
MeredithGould:
"caregiver" "loved ones" "care guiders" all fall into the category of patient advocates - people
need support in this environment #hcsm
8/30/2009 18:36
MKBarnes:
@philbaumann I love it! Care Shaman! #hcsm
8/30/2009 18:36
crgonzalez:
weary of the phr/emr debate. don't see them coming together until incentive to provide
credible data on both sides #hcsm
8/30/2009 18:36
mageier:
Competition keeps health systems from linking EMR. Someday, it will all seem pretty stupid.
#hcsm
8/30/2009 18:36
gocatallina:
Our system (Sage practice portal) allows the patient to sync our EHR to their on PHR. I see
this growing in popularity. #HCSM
8/30/2009 18:36
macobgyn:
What is a PHR? #hcsm
8/30/2009 18:36
EndoGoddess:
RT @ahier: @MeredithGould I think over the next 5-7 years we will see a huge
demographic shift [sounds ~right] #hcsm
8/30/2009 18:36
HITshrink:
The PHR is not an "official" medical record that a physician would use- it is intended to be
"your" personal health record #hcsm
8/30/2009 18:36
mkmackey:
I just think we have a *really* long way to go. It's about so much more than data input (proxy
caregiver to disabled mother angle). #hcsm
8/30/2009 18:36
stephaniethum:
RT @crgonzalez anyone who helps make healthcare decisions is a careguider. Friend,
spouse, parent, child--depends on who's the patient #hcsm
8/30/2009 18:36
danamlewis:
@cromashko No, ROI - Patient provided HC info doesn't really have any value (a doc would
need to verify) #HCSM
8/30/2009 18:37
StevenBarley:
@EndoGoddess Personal Health Record #hcsm
8/30/2009 18:37
EdBennett:
http://printyourtwitter.com/tweets.html
22 of 36 8/30/09 19:02
RT @MKBarnes: "caregiver" "loved ones" "care guiders" are patient advocates - people
need support in this environment #hcsm
8/30/2009 18:37
crgonzalez:
RT @philbaumann: "Care Shaman". Covers all bases.[Including the turtle rattle.] #hcsm
8/30/2009 18:37
MeredithGould:
@jonmrich I've heard about ALZOnline & others, but don't know enough to pass judgement.
#hcsm
8/30/2009 18:37
philbaumann:
@crgonzalez Got it - thx. Not to be confused with @philbaumann's "Care Shaman" who b4
making decisions - LOL! #hcsm
8/30/2009 18:37
shwen:
@gocatallina Agreed re competition being barrier. EHRs *need* to be interoperable. #hcsm
8/30/2009 18:37
HITshrink:
@EndoGoddess phr = "personal health record" i.e. microsoft health vault, and Google's
analogous product #hcsm
8/30/2009 18:37
danielg280:
@cromashko Now if a national PHR was provided with integration standards and $ to
support org participation = best success #HCSM
8/30/2009 18:38
StevenBarley:
@EndoGoddess PersonalHealth record. See Google health or microsoft health vault.
#HCSM
8/30/2009 18:38
macobgyn:
@EndoGoddess Personal Health Record. EMR is Electronic Medical Record. PHR is
"yours." EMR is "theirs." Sort of. Should be "ours." #hcsm
8/30/2009 18:38
tully3000:
T2-Social Media begins with Listening. #hcsm
8/30/2009 18:38
gravityten:
so providers are careguiders, too? #hcsm
8/30/2009 18:38
HITshrink:
Would be nice if a PHR included medical education for caregivers and patients #hcsm
8/30/2009 18:38
blausengroup:
Note: the caregiver doesn't necessarily hold medical power of attorney. #hcsm
8/30/2009 18:38
MeredithGould:
T2-Caregivers, careguiders, patients, doctors, nurses, technicians, support staff... each
have different interests. #hcsm
8/30/2009 18:38
gravityten:
@jonmrich Not better -it will just speed adoption.Issue of gathering & inputting data can stall
adptn. W/device, med, cg input -faster #hcsm
8/30/2009 18:38
lizasisler:
@HITshrink wow! surprising for the people's republic of Maryland #hcsm
8/30/2009 18:39
2healthguru:
http://printyourtwitter.com/tweets.html
23 of 36 8/30/09 19:02
@shwen Care Shaman requires an intense reading of Gabriel Marquez before receipt of
said title #hcsm
8/30/2009 18:39
crgonzalez:
RT @StevenBarley: Now if a national PHR was provided with integration standards and $ to
support org participation = best success #hcsm
8/30/2009 18:39
jacquebrown:
@blausengroup See Mayo Clinic Health Manager. It's our attempt to do that. #hcsm
8/30/2009 18:39
danielg280:
@crgonzalez @philbaumann Oops... That was supposed to say "...Care shaman, who
CHANTS b4 making decisions". TweetChat FAIL! #hcsm
8/30/2009 18:39
shwen:
@shwen A good Care Shaman should keep you form needing any Health Care service
#hcsm
8/30/2009 18:39
EdBennett:
Alrighty, leaving debate of semantics and IT stuff behind...moving on to Topic 3 :) #hcsm
8/30/2009 18:39
HealthSocMed:
@blausengroup I'd contend that "caregivers" develop medical knowledge pretty darn quickly
in critical care situations. #hcsm
8/30/2009 18:39
MeredithGould:
Thanks @danielg280 #hcsm
8/30/2009 18:40
blausengroup:
T2-SM can meet specific audiences. That is the power of it. #hcsm
8/30/2009 18:40
gravityten:
What is the point? RT @MeredithGould: Note: the caregiver doesnt necessarily hold
medical power of attorney. #hcsm
8/30/2009 18:40
MKBarnes:
RT @2healthguru: @HITshrink wow! surprising for the peoples republic of Maryland [just for
psyc records, tho] #hcsm
8/30/2009 18:40
HITshrink:
I know I'm relatively new, but I tend to think that if our caregivers aren't careguiding, we
aren't providing the best care. #hcsm
8/30/2009 18:40
OSUSquire:
@EndoGoddess P/H/R personal health record.... #hcsm
8/30/2009 18:40
2healthguru:
@gocatallina re: "Competition keeps health syst from linking EMR." (airlines thought this
way in 1980s, seems stupid now!) #hcsm
8/30/2009 18:40
cromashko:
@EdBennett A good shaman. period. #hcsm
8/30/2009 18:40
MeredithGould:
http://printyourtwitter.com/tweets.html
24 of 36 8/30/09 19:02
RT @tully3000 Personal Health Record.EMR is Electronic Medical Record.PHR is "yours."
EMR is "theirs." Sort of. Should be "ours." YES! #hcsm
8/30/2009 18:40
lizasisler:
RT @macobgyn Our system allows the patient to sync our EHR to their on PHR. I see this
growing in popularity. #HCSM >Should be universal
8/30/2009 18:40
nanarcr:

TOPIC 3 - Think about other specific industries. Are any other industries using SM well?
Who can we learn from? What can we apply to #hcsm?
8/30/2009 18:40
HealthSocMed:

@StevenBarley Research underway... Reading a Robert Wood Johnson Foundation grant
opportunity just yesterday for PHR opps. #hcsm
8/30/2009 18:40
jkelkins:
I agree when people are motivated, it is amazing what can happen @meredithgould #hcsm
8/30/2009 18:41
blausengroup:
@OSUSquire We aren't #hcsm
8/30/2009 18:41
EdBennett:
@danielg280 health manager, do you have a link that explains? #hcsm
8/30/2009 18:41
dmourey:
@MKBarnes That without med POA certain critical decisions can't be made by caregivers.
#hcsm
8/30/2009 18:41
MeredithGould:
@EdBennett Haha... Except maybe treatment for excessive inhalation of smoke n strange
concoctions. #hcsm
8/30/2009 18:41
shwen:
Sometimes we aren't. RT @OSUSquire: I tend to think that if our caregivers arent
careguiding, we arent providing the best care. #hcsm
8/30/2009 18:41
tully3000:
RT @HealthSocMed: T3 - Think about other specific industries. Are any other industries
using SM well? Who can we learn from? #hcsm
8/30/2009 18:41
stephaniethum:
@HITshrink @gocatallina EHRs dont really have to be interoperable if PHRs can sync b/t
one doc to the other w the pt in control. #HCSM
8/30/2009 18:41
macobgyn:
@HITshrink Don't you guys still have HSAs and CONs? #hcsm
8/30/2009 18:42
2healthguru:
@OSUSquire Ideal, but not reality, Caregivers have so many "bosses" that the patients
don't always get careguided. #hcsm
8/30/2009 18:42
mpwhaley:
T3 The most progressive hospitals do look to brands outside of HC for best practices.
Gallup is a great source. #hcsm
8/30/2009 18:42
stephaniethum:
http://printyourtwitter.com/tweets.html
25 of 36 8/30/09 19:02
Technology, younger demo, those are the social media evangelists. #hcsm
8/30/2009 18:42
gravityten:
@MKBarnes The careguide might advocate for the patient, but the patient still has ultimate
decision making. #hcsm
8/30/2009 18:42
gocatallina:
@HealthSocMed Tech sector uses SM very well for a long time, particularly small
independent development teams. #hcsm great collaboration
8/30/2009 18:42
nanarcr:
NASA is doing well integrating lots of SM to help make science cool again #hcsm
8/30/2009 18:42
crgonzalez:
RT @HealthSocMed: TOPIC 3 - Think about other industries. Are any other industries using
SM well? Who can we learn from? #hcsm
8/30/2009 18:42
tully3000:
T3 - Can't single out an "industry" but orgs within certain industries #hcsm
8/30/2009 18:42
StevenBarley:
@dmourey www.mayoclinichealthmanager.com. It's a product that gives u health info and
guidance based on yr info in MS healthvault #hcsm
8/30/2009 18:42
danielg280:
T3 I think lawyers have caught on. #hcsm
8/30/2009 18:42
philbaumann:
T3 There are also some out there we can learn from as a "not" to do. Heh. #hcsm
8/30/2009 18:42
stephaniethum:
@stephaniethum The Entertainment Industry makes extensive use of SM. It is about the
fans you know. #hcsm
8/30/2009 18:42
RonLedford_CPA:
T3: So far I see tech/publishing companies using SM quite well #hcsm
8/30/2009 18:43
ahier:
T3: Nonprofits are adopting social media at around 89%. Some are doing it really well -
Humane Society of US (@hsus), @livestrong #hcsm
8/30/2009 18:43
Sue_Anne:
RT @2healthguru: @HITshrink Dont you guys still have HSAs and CONs? [yes, tho they are
trending down] #hcsm
8/30/2009 18:43
HITshrink:
Pts need to educate docs about how to communicate w/them effectively and vice versa.
#hcsm
8/30/2009 18:43
MeredithGould:
T3 Hard not to think of Obamas campaign as successful Social Media utilization. #HCSM
8/30/2009 18:43
macobgyn:
@stephaniethum I don't think any one industry stands out in the use of SM, just certain
companies. #hcsm
8/30/2009 18:43
EdBennett:
http://printyourtwitter.com/tweets.html
26 of 36 8/30/09 19:02
T3: Nonprofits are adopting social media at around 89%. Some are doing it really well -
Humane Society of US (@hsus), @livestrong #hcsm
8/30/2009 18:43
techfanster:
@dmourey here's the link to Mayo Clinic Health Manager #hcsm http://bit.ly/kqwYZ that
@danielg280 had mentioned
8/30/2009 18:43
LeeAase:
Right on. RT @macobgyn: T3 Hard not to think of Obamas campaign as successful Social
Media utilization. #hcsm
8/30/2009 18:43
tully3000:
T3: Federal Govt has sure gotten into the game in a BIG way #hcsm #Gov20
8/30/2009 18:43
ahier:
RT @MeredithGould: Pts need to educate docs about how to communicate w/them
effectively and vice versa #fb #HCSM
8/30/2009 18:44
macobgyn:
@EndoGoddess PHR = Personal Health Record #hcsm
8/30/2009 18:44
tmana:
@StevenBarley Great minds... #hcsm
8/30/2009 18:44
EdBennett:
T3 The Taco Truck industry nailed it so far. Just look at @kogibbq #hcsm
8/30/2009 18:44
philbaumann:
@stephaniethum I think journalists are using it well I think our issue is privacy We need to
define uses around privacy, others don't. #hcsm
8/30/2009 18:44
OSUSquire:
@RonLedford_CPA I actually hold an #entsm tweetchat on Tuesday's 8PM PDT. Some in
entertainment "get it". But not all. #hcsm
8/30/2009 18:44
gravityten:
@macobgyn But if my EHR doesn't link to other hospital's EHR, how will I know what went
on over there? #hcsm
8/30/2009 18:44
HITshrink:
@EdBennett Agreed. Brands=individual organizations. #hcsm
8/30/2009 18:44
stephaniethum:
T3: Isn't government an industry sector? #hcsm
8/30/2009 18:44
ahier:
T3: My org struggles because we are a mental health provider, but also a non-profit. #hcsm
8/30/2009 18:44
Sue_Anne:
We can find best practices to use for #hcsm, but it takes people willing to live & breathe sm
in order to sell it, build it and do it
8/30/2009 18:44
OC2009SanFran:
@macobgyn I think I understand what you are saying. But what if the patient in incapable of
accessing PHR, like unconsious? #hcsm
8/30/2009 18:44
gocatallina:
http://printyourtwitter.com/tweets.html
27 of 36 8/30/09 19:02
T3: Agree entertainment, sports as well, altho w/ both not sure if it's really guided, or grass
roots by entertainers/athletes thmslvs #hcsm
8/30/2009 18:45
danielg280:
@MeredithGould Don't forget about about literacy challenges #hcsm
8/30/2009 18:45
mpwhaley:
RT @macobgyn: T3 Hard not to think of Obamas campaign as successful Social Media
utilization. #HCSM <---agree bigtime
8/30/2009 18:45
OC2009SanFran:
T3: We have to be careful about how much we put out there about the children and teens
we serve. #hcsm
8/30/2009 18:45
Sue_Anne:
@craigstoltz Thx. Congrats on new position. USDA ppl. did great panel at #Gov20camp DC
on SoMe's role in USDA peanut butter recall. #hcsm
8/30/2009 18:45
planetrussell:
RT @OC2009SanFran: We can find best practices but it takes people willing to live &
breathe sm in order to sell it, build it and do it #hcsm
8/30/2009 18:45
MeredithGould:
Orgs benefiting from SM - those that depend on grass roots efforts, connectivity - customer
service and support #hcsm
8/30/2009 18:45
StevenBarley:
SM in other industries is enabled by industry standards. HC has long suffered from lack of
certain standards. #hcsm
8/30/2009 18:45
MKBarnes:
RT @ahier: T3: Federal Govt - Obama's run for office really was a sm campaign in many
ways. #hcsm
8/30/2009 18:45
gravityten:
If you look at the list of agency adoption of social media in Fed govt it's encouraging #hcsm
#Gov20
8/30/2009 18:45
ahier:
@HITshrink Your pt syncs the info done at the outside hosp to your system. #HCSM
8/30/2009 18:45
macobgyn:
HC could benefit from looking at any industry that centers on the consumer. I have seen
hospitals borrowing styles from hospitality #hcsm
8/30/2009 18:45
mkmackey:
@EdBennett :) #hcsm
8/30/2009 18:45
StevenBarley:
@gocatallina That would be a problem. #HCSM
8/30/2009 18:45
macobgyn:
@dmourey @danielg280 re: "do you have a link that explains?" www.relayhealth.com for
PHR example #hcsm
8/30/2009 18:45
cromashko:
http://printyourtwitter.com/tweets.html
28 of 36 8/30/09 19:02
@mpwhaley Oh, believe me, I'm all over/about literacy challenges PLUS multi-lingual and
accessibility issues. #hcsm
8/30/2009 18:46
MeredithGould:
@gravityten I totally agree with your statement. #hcsm
8/30/2009 18:46
RonLedford_CPA:
@MeredithGould Problem is, docs aren't embracing SoMe, so patients have to bring it up in
the office. That's a barrier. #hcsm
8/30/2009 18:46
OSUSquire:
T3: when we say an industry is / isnot doing well w SocMed, do we mean official channels
or individual professionals in that industry? #hcsm
8/30/2009 18:46
mageier:
RT @StevenBarley: Orgs benefiting from SM - those that depend on grass roots efforts,
connectivity - customer service and support #hcsm
8/30/2009 18:46
blausengroup:
@danielg280 Entertainment is not guided well. They try, but fans tend to take over quickly.
That's what makes them nervous. #hcsm
8/30/2009 18:46
gravityten:
@gocatallina Really! Or incapable of understanding PHR, even, or the ramifications of
decisions, etc. How can SM help? #hcsm
8/30/2009 18:46
jkelkins:
@mkmackey Great point, I've often thought hospitals would improve a lot if they studied the
hospitality industry. #hcsm
8/30/2009 18:46
MeredithGould:
@macobgyn And what if they don't sync for several weeks/months? Missing info? #hcsm
8/30/2009 18:46
HITshrink:
IBM probably one of the best examples of using social media internally to delivery better
customer results. #hcsm
8/30/2009 18:46
tstitt:
RT @techfanster: T3: Nonprofits are adopting SM... Some are doing it really well - > Was
thinking the same lines. Some great dev uses! #HCSM
8/30/2009 18:47
cybersibesk:
@EndoGoddess so typical for 'our industry' kinda like 'anachronism-itus'; a merger of
professional narcissism w/we are the world~ #hcsm
8/30/2009 18:47
2healthguru:
plus, its not just about doing #hcsm well. u hav 2 foster a culture that truly cares 4
customers -- that leads 2 true dialogue w/ customers
8/30/2009 18:47
OC2009SanFran:
@OSUSquire Will those doctors live forever? #hcsm
8/30/2009 18:47
MeredithGould:
T3: Agree with @ahier - the Fed Govt actually is using SM particularly well. Just think of
CDC/HHS. #hcsm
8/30/2009 18:47
shwen:
http://printyourtwitter.com/tweets.html
29 of 36 8/30/09 19:02
@OSUSquire Blasphemy! Docs are using social media...some of them at least. #HCSM
8/30/2009 18:47
macobgyn:
RT @ahier If you look at the list of agency adoption of social media in Fed govt it's
encouraging (agreed: AIDS.gov) #hcsm
8/30/2009 18:47
crgonzalez:
@mkmackey In Asia, Hospitality is borrowing health care services to add value #hcsm
8/30/2009 18:47
drsteventucker:
@OSUSquire Privacy issues still get in way of pt-doc SM. #hcsm
8/30/2009 18:47
HITshrink:
@tstitt BestBuy has had a lot of press re: internal SM use too #hcsm
8/30/2009 18:47
StevenBarley:
@mpwhaley is it the bosses or is it an excuse? If we connect to patients, they become our
advocates. #hcsm
8/30/2009 18:47
OSUSquire:
@macobgyn You're special. #hcsm
8/30/2009 18:47
MeredithGould:
@gravityten Hollywood is scared of the Twitter effect - can make or break movies after the
first showing. #hcsm
8/30/2009 18:47
EdBennett:
@shwen and NASA and some military branches #hcsm
8/30/2009 18:47
ahier:
RT @mkmackey: I have seen hospitals borrowing styles from hospitality. <Agreed. Retail,
too, perhaps?> #hcsm
8/30/2009 18:48
stephaniethum:
@HITshrink Agree but as it stands now you never get the info. #HCSM
8/30/2009 18:48
macobgyn:
@gravityten I have never seen the numbers to measure effectiveness, are they available
online? #hcsm
8/30/2009 18:48
RonLedford_CPA:
@HITshrink #hcsm Answer is all records should be pdf to be easily interchangeable. Govt
standard for the past 15 yrs.
8/30/2009 18:48
nanarcr:
@drsteventucker Interesting. Probably a cultural issue as well, speaking anthropologically,
of course. #hcsm
8/30/2009 18:48
MeredithGould:
@MeredithGould Often in asia, HC providers will greet patients at airports, car service to
hosp; blood draws at hotel #hcsm
8/30/2009 18:48
drsteventucker:
discussion over at #hcsm about industries who are using social media well. any
industries/groups of people you'd recommend?
8/30/2009 18:48
dan

Posted via web from #hcsm

Web Services Updates for #hcsm

Today we started making changes to support the +1,700 follower strong #hcsm community more effectively.

1. We created a streaming media aggregation web site and service: http://hcsm.blokcast.net

2. We simplified the existing blog-style content site: http://www.healthsocmed.com

The streaming media aggregation web service includes feeds from various media streams that provide #hcsm transcripts, summaries, commentary or reference material. Adding "hcsm" or "#hcsm" tags to YouTube video or Flickr images will enable the streaming media web service search feeds to find and display relevant thumbnails. We are open to adding more feeds. Please suggest additional feeds to @healthsocmed via Direct Message. RSS feeds that update frequently are preferred. If the content you want to recommend doesn't have an associated RSS feed, consider using Feedburner to create an RSS feed or Microsoft Bing create a saved search (which will also create an RSS feed) that is targeted to a specific web site or page.

There are more changes in the works. As soon as the current set of web service updates is complete and tested, we'll launch a public beta of some additional social publishing features that we think will make Sunday night #hcsm sessions far more useful. The new features will make it much easier for individuals to collaboratively link relevant resources with the topics and transcripts from #hcsm sessions. All of the new features are being implemented using Drupal (open source) with hosting at Amazon. With the recent addition of Drupal authentication and content auto-post support by Posterous, a simple "easy-as-email" method for updating Drupal-based content became available. We think this combination of technology can provide a simple way to annotate, curate, memorialize and supplement the fast-paced Sunday night #hcsm sessions.

We will be making content edits to the streaming media and blog-style web services and fixing bugs for the next three or four days. Thanks for your patience.

Many thanks to Reed Smith (@reedsmith) for providing new #hcsm graphics to support the web service updates. Also thanks go to Stew Apelzin (@sapelzin) at Aperial for the web development work on the new and updated services.

Tom & Dana

Posted via web from #hcsm

Hospitals and Social Media: Best Practices

Health Care Twitter Conversation Community HCSM Launches 2009 H1N1 (Swine) Flu Website

Here's the press release we distributed today (Thu, 30 April):
 
Contact: Dana Lewis
E:mail: danamichellelewis@gmail.com       
Twitter: www.twitter.com/danamlewis
Phone: +1.256.527.8373
 
Health Care Twitter Conversation Community (#hcsm) Launches 2009 N1H1 (Swine) Flu Website

Up-to-date social media & news feeds about H1N1 aggregated in one location for use by health care professionals

TUSCALOOSA, Ala. – The Health Care Communication & Social Media (#hcsm) community from Twitter has launched a web site 2009 H1N1 (Swine) Flu (http://swineflu.blokcast.com) to aggregate information feeds from social media, government and traditional media.

“After discussing 2009 H1N1 (Swine) Flu communication strategies on Sunday night, the #hcsm Twitter conversation community decided that having related social media and news feeds aggregated in one place would be useful for HCSM members and organizations,” said HCSM co-founder and moderator Dana Lewis.

The 2009 H1N1 (Swine) Flu website requirements were suggested by the HCSM community and implemented by Tom Stitt, Stew Apelzin and Aperial, developers of BlokCast, an RSS feed and streaming aggregation service focused on healthcare markets. HCSM participants include physicians, administrators, public information managers, web services managers, editors, bloggers, writers and consultants. (788 followers of @healthsocmed as of Weds 29 April 2009, meets Sunday 9pm eastern US time, search on #hcsm using a Twitter client.)

“We thought it would be useful for healthcare organizations and state/local healthcare departments as well as local government offices that manage emergency services to have one website that aggregated relevant government news and social media feeds about the 2009 N1H1 (Swine) Flu,” said Stitt.

The 2009 H1N1 (Swine) Flu website was built using Drupal, an open source content management framework. Followers of the #hcsm community on Twitter suggested authoritative RSS news feeds from governmental organizations and traditional media regarding the 2009 H1N1 (Swine) Flu epidemic, as well as suggesting social media feeds from Twitter, YouTube and Flickr.

“We’re excited to use technologies like Drupal to build BlokCast & work with HCSM to showcase the benefits of social media for addressing real-time health care communication requirements,” said Stitt.

“Twitter isn’t about “what are you doing?” anymore. This is the second time the HCSM community has identified a communication issue in health care on Sunday night and has had a credible solution a few days later,” said Lewis. Previously, the HCSM community sparked the implementation of an Alltop web page with hospital news feeds: http://hospital.alltop.com.

For more information about the 2009 H1N1 (Swine) Flu website, contact Tom Stitt: tstitt@aperial.com or +1.650.276.0460. More information about the Health Care Communication and Social Media (#hcsm) community can be found at http://healthsocmed.com or http://hscm.blokcast.net.

I'll meet you at the corner of Health and Social Media - Twitter Conversation Communities, Part II

From #hcsm Tweeter Greg Matthews who is also Director/Consumer Innovation for the Humana Innovation Center team and posts at the Crumple it Up/Out of the Bin Blog

The consumer revolution is still spreading.  It's already upended a whole slew of industries . . . publishing, media, entertainment, consumer goods, retail . . . but until now it's left healthcare relatively untouched.  But that's changing.

Yesterday I wrote about the growing phenomenon of online communications forums (aka "Twitter Conversation Communities") based in Twitter.

Today I wanted to talk about one of those communities that's of particular interest to me - a group that's focused on using the power of social networks to help people to get healthier and create a system that works better than the one we have today.

There are over 500 (editor's note-now over 1,700) people following the "official" twitter account of the Health Social Media group (@healthsocmed).  Inspired by @PRSarahEvans ' #journchat group, a PR student from the University of Alabama named Dana Lewis (@danamlewis ) founded the Healthcare Communications & Social Media group in January of 2009 along with @arikhanson.  The group meets every Sunday night at 9 p.m. eastern US time, and it's easy to follow along using the hashtag #hcsm .

Sometimes the topics are predictable. HIPAA, privacy and data security, and health care reform.  This past Sunday, we strayed into some new territory - territory that got a lot more exciting and interesting for me.  We tackled questions such as:

Who owns social media inside an organization?

What's the role of the IT department in social media?

Both of those are subjects that I feel passionate about, and had a great time debating - always respectfully - with my colleagues.  As to who owns social media, refer back to Chris Hall's post on Humana's Social Media Chamber of Commerce ("Meeting of the Minds").  As to the role of IT . . . let's just say that I'd love for that role to be different from what I see in most companies today.  In healthcare, it's been my experience that the IT department is concerned with data security (which is as it should be) and little else (which is NOT as it should be). 

But I digress (please, come digress WITH me next Sunday night!).  I spoke yesterday with Tom Stitt, who has helped Dana Lewis to moderate and bring some order to the conversation (it's a big job for a single person - especially one who's working and going to school!)  Tom is a longtime healthcare pro (he's currently working on a fascinating project called http://patientcast.net) who's helped Dana to manage lots of the action that happens between Sunday meetings.

On any given Sunday, there are 50-100 active participants on #hcsm.  But there are a lot more "silent participants" who are watching the action, and are often unsure of the rules of engagement.  Many of them will contact Tom or Dana after the meeting to ask how to participate.  The funny thing is that, while this might look like a committee meeting where one shows his or her credentials before entering, it's really an open forum.  Anyone can participate at any time.  The only rule is that there's no "pitching" allowed during the hour of the forum  - a rule that seems to be taken quite seriously.

So what do I get out of it? 

First, I get access to a network of people who care about many of the same things I do.  I'm now following most of the people who are following @healthsocmed. 

Second, I get to hear what things those people are concerned about, working on and wondering how to begin.  That helps me both to learn things I didn't know before, but also to contextualize my own work a little better

Third, I have a forum of true experts on whom I can test my ideas and thinking, and be referred to the best thinking out there.

So I think that we're going to be seeing more communities like this showing up . . . in fact, if you know of other Twitter Conversation Communities, I'd love to see your comments here.

And if you're interested in Health and Social Media, I suggest the following:

1. Join in the next conversation on Sunday night at 9 p.m. eastern US tme

2. Follow @healthsocmed on Twitter

3. Check out the streaming media site with transcripts at http://hscm.blokcast.net or the blog at http://healthsocmed.com

4. Follow along in the HealthSocMed FriendFeed room.

See you Sunday!

http://crumpleitup.com/blog/ill-meet-you-corner-health-and-social-media-twitter-conversation-communities-part-ii

FAQ: The #HCSM Twitter Conversation Community

1. How do I participate? Join Twitter. Pick a Twitter client that works well for you in a fast paced conversation communities where hundreds of tweets will be posted in an hour. Search Twitter using the #hcsm hashtag. Review the conversations during a prior week to get a sense of how the process works. The #hcsm community meets for one hour on Sunday nights at 9pm eastern US time. #hcsm is an abbreviation for the Healthcare Communications & Social Media Twitter conversation community. The conversation community covers a range of topics that are related to communication, marketing and media issues facing healthcare organizations. The topics are not limited to how social media is used in healthcare. If you want to have your tweets, retweets and favorites used by the conversation community in the follow-on transcripts, you need to follow @healthsocmed on Twitter and use the #hcsm hashtag during the session.
 
2. What are the rules of engagement (etiquette) for the conversation community events? Introduce yourself with a brief tweet when the moderator (who uses the Twitter name @healthsocmed) asks for introductions. Introductions generally go on for 3-5 minutes. If you arrive late, start with an introduction. The moderator (@danamlewis is the regular moderator and founder of #hcsm) will then list topics for discussion. The moderator will decide when it is time to move to a new topic. (Note: #hcsm is not a multi-level marketing, job, recruiting, product or service promotion forum. Currently there is no time reserved for "pitches" of any kind. Hashtag or retweet spam is not tolerated and will be reported to @spam at Twitter.) The moderator will ask for final thoughts during the last 5 minutes.
 
3. How are topics selected for #hcsm events? Submit topics to @healthsocmed (replies or direct messages.) The moderator chooses the topics for each conversation community event. To get an idea of how the conversation goes, check out the transcripts, summaries and resource materials at http://hcsm.blokcast.net
 
4. Who participates in #hcsm? There is a wide range of participants including clinical, non-clinical, marketing, IT, public information and development staff from providers, payors and pharma as well as patients, students, vendors, consultants and healthcare reform activists.
 
5. Where can I find out more about Healthcare Communications & Social Media (#hcsm)? 
 
 

Good - Better - Best Twitter Clients for Participation in #HCSM

Participating in a Twitter conversation community like #hcsm (Healthcare Communications & Social Media) definitely fits the "drink from firehose" analogy. Topics, tweets, retweets and replies are posted rapidly and are often difficult to track. Here are some suggestions on how to make a #hcsm conversation community experience more useful and less challenging. This is not an exhaustive list.
 
1. Don't try to follow every conversation. Pick the conversation thread that is of interest and stick with it.
 
2. As a new topic is introduced, wind up your conversation on the last topic.
 
3. You can always reply to others after the #hcsm hour-long session is over. The #hcsm conversation continues on Twitter 6 days and 23 hours after the formal session is over.
 
4. Twitter can go from speedy to slow in minutes and then recover. The #hcsm moderators have no control over Twitter performance.
 
Here are three Twitter client options for participating in #hcsm (there are many others that will work.)
 
Twitter Search: Easy, no user name or password sharing, Good experience? You decide.
-If you are using the standard Twitter web client in a tab on your browser:
-log into your Twitter.com web account
-create a search for #hcsm and save
-follow the conversation
-you can reply to tweets, topics and designate favorites
-you will need to remember to type #hcsm in all of your replies/tweets in order for others to see/respond
 
Tweetchat: More complex but Better experience? You decide.
If you don't mind sharing username/password information using OAuth, consider using the Tweetchat client in your browser
-open a tab in your browser and navigate to http://tweetchat.com/
-Tweetchat is a third party browser application that relies on something called the Twitter API
-you will need to login/share your Twitter account information to get logged in to Tweetchat
-type #hcsm in the "Room to Enter:" box
Tweetchat will automatically add the #hcsm hashtag to your replies. You can adjust the speed of (or pause) the "tweet" message refresh rate.
 
TweetDeck: Most complex but Best experience? You decide.
-if you want to use TweetDeck, seriously consider completing the install/ setup work before the #hcsm session starts
-download and setup TweetDeck from http://tweetdeck.com (will require you to install Adobe Air, share username/password)
-TweetDeck is a third-party application that relies on something called the Twitter API
-the Twitter API effectively "meters" the number of tweets per hour that can be managed by TweetDeck
-click on the TweetDeck wrench icon to set your API meter - 12% for All Friends, 24% for Replies and 40% for DMs should help you avoid hitting the limit during a #hcsm session
-also set TweetDeck to use narrow columns
-create a search for #hcsm in TweetDeck - #hcsm will appear as a column - you can nudge columns left and right using the arrows at the bottom of the columns
-consider a column scheme that, from left to right, has Direct Messages, Replies, Your "A" List of tweeters (including yourself) and then #hcsm search
-to reply, retweet, favorite, email, and much more mouse over the icon of the tweeter
-TweetDeck will automatically add the #hcsm tag to any replies or retweets you make to a tweet that has the #hcsm tag present (this is a setting you control under the wrench symbol in the upper left corner)

FAQ: The Most Commonly Asked Questions/Issues on #HCSM

If you are new to the #hcsm Twitter conversation community, you may have questions, topics or concerns that have been covered in past sessions. Don't let that stop you from asking your questions, suggesting your topic or expressing your concern. However, you may want to read these frequently asked questions first.

A. Are any healthcare providers using social media today?
A list of hospitals using social media is maintained by Ed Bennett here: http://ebennett.org/hsnl/
 
1. Doesn't HIPAA (and ARRA/HITECH) forbid or restrict the use of social media or networks between healthcare providers and patients?
No. Twitter, Facebook and YouTube are not covered entities or business associates as defined by HIPAA, ARRA and HITECH. Having a healthcare provider "brand" or name on a Facebook, YouTube or Twitter account doesn't make any of those organizations or services business associates. Twitter, Facebook and YouTube are not required to encrypt data, retain data or provide logs/data records for audit. Twitter, Facebook and YouTube are not managing, storing or using patient healthcare information.
2. But what about patient-to-provider-to-patient interactions involving social media? Couldn't these interactions cause privacy breaches?
The same HIPAA and privacy training/coaching that healthcare providers routinely give to call center or other patient-facing staff should be given to provider staff who moderate provider social media services. The patient interaction issues are exactly the same.
 
3. But what if a patient discloses private healthcare information (PHI) on a public social network that has the name or brand of a healthcare practitioner or provider associated?
Providers and practitioners have no obligation to prevent patients from making voluntary, unsolicited PHI disclosures via provider affiliated or unaffiliated social network services. HIPAA doesn't apply to patients making their own disclosures. The key issue here is the same as it might be with patient communication involving email, phone calls to a call center, faxes or printed materials - the provider staff need the same HIPAA training as they get today so they know how to respond to a PHI disclosure by a patient on a social network.
 
4. As a provider, we're very worried about negative comments appearing in social media - on Twitter, Facebook, YouTube or in a blog. We're also worried about irrational, misleading or factually incorrect ranting via social media.
Yes, negative comments and ranting will happen. Yes, negative comments appear today in traditional media (e.g. letters to the editor) and electronic communication. More often than not, negative comments are made "about" (word of mouth) vs. "to" (via social networks) healthcare providers. Isn't a negative comment scenario better if made "to" a provider so the provider can choose to reply or not? Can a provider stop letters to editor, people posting to blogs or making comments on blogs? No. So isn't it better to have social media resources speaking for and telling the story from the provider perspective (or telling a story through carefully considered silence) vs. ignoring the conversations in social media?
 
5. Won't management of the healthcare provider want in in-depth review of all possible issues involving use of social networks before we can move forward?
Did management require an in-depth review before the use of fax machines was permitted? Or wireless/mobile telephones? Did the use of electronic press release services require review and approval? Social network technology closely resembles wireless/mobile phones, fax machines and web based services that the provider uses today. Social media technology is relatively simple. The focus should be on the benefits of encouraging open communication with prospective patients, patients, physicians and the community and insuring that social media moderators representing the provider are well trained.

6. Won't the use of social media take traffic away from our web site?
Social media is not an extension of the healthcare  provider corporate web site and unlikely to compete for or generate significant new traffic. Social media is also not likely to deliver material numbers of new unique visits or page views. Social media is not cheap search engine optimization or cheap search engine marketing. Social media develops 1:1 relationships, trust and attention very slowly. For some healthcare providers, social media is like having a public relations staff or an outside public relations agency doing 24/7 sensing or perception polls.
 
Note: This is not legal advice. If you have legal concerns, be sure to consult with a healthcare attorney.
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