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Your Future Customers Are on Google
and Facebook, Are You?

#NatCon2013
Lee Aase
Director, Mayo Clinic Center for Social Media
April 8, 2013
Learning Objectives

> Participants will be able to describe various social
  media platforms and their capabilities in relation
  to traditional means of communication
> Participants will be able to describe examples of
  concrete applications of social media tools in
  health care
> Participants will be able to discuss ways they can
  use social media tools to meet important
  business and practice needs
The Hidden Agenda

> You will see the transformational power of social
  media
> You will believe that using social media tools is
  worthwhile and that you can do it
> You will be armed with arguments and resources
  to make the case for social media
> You will experiment with social media at this
  conference
Two Heroes

  Six Magic Words

 Four Reasons Why
They’re True for You
“I’ll bet I
could do
  that!”
About Lee Aase (@LeeAase)

> B.S. Political Science, Chemistry minor
> 14 years in politics and government at local, state,
  national levels
> Mayo Clinic since April 2000
   • Media relations consultant
   • Public Affairs Manager (2003-2010)
   • Director, Center for Social Media since July 2010
2010 Brand Preference
 Summary
 Health Care Decision-Makers Aged 25+                                 Total

 Mayo Clinic                 12.5                6.1
                                                              18.6%
      AMC 1        4.1       3.5                              7.6%

      AMC 2       3.6      2.5                                6.1%

      AMC 3      2.3 1.1                                      3.4%

      AMC 4     1.60.9                                        2.5%

      AMC 5    1.0
                 0.8
                                                              1.8%

                                                              1.6%
      AMC 6    0.9
                 0.7

                                                              1.3%
      AMC 7    0.6
                0.7

                1st Mention         Add'l Mention

2010 US Consumer Brand Monitor, decision-makers 25+, n=5,279
                                     ©2011 MFMER | slide-17
"If you can’t explain it to a six-year-
old, you don’t understand it yourself."
Spot the analogy...




http://leeaase.me/WhatIsTheInternetAnyway
When we don’t understand something,
we instinctively look for analogies
> “What...do you write to it, like mail?”
> Humans always try to explain the unknown in
  familiar categories
> If you don’t create comfortable analogies your
  stakeholders will invent scary ones
> Good analogies
   • can overcome prejudice and misperception
   • resonate with professional/organizational culture
     and DNA
Analogies for Social Media Tools

       Blogs              RSS


      Podcasts       Social Networks


       Skype            YouTube


       Wikis             Twitter


     Slideshare         uStream
Blogs
> An easy-to-publish Web site that allows
  comments
> Blogs in Plain English - Lee LeFever
> You read them all the time without even
  knowing it
RSS = Really Simple Syndication

> An email newsletter that can’t spam you
> Lets you easily and quickly track dozens of Web
  sites and search queries without surfing
> Feedly.com replaces Google Reader
> Browser options and smart phone or desktop
  apps
Podcasts

> TiVo for audio (and also video)
> Audio podcasts - opportunity for multitasking
  content consumption
> Don’t need an iPod to use
> Series of segments to which you can subscribe
  via RSS
> iTunes free for PC or Mac
Social Networking Sites
• With a billion Facebook users, analogies no
  longer needed
• Typically free or freemium, but business
  models vary
• External free sites like Facebook, LinkedIn
• SaaS options such as Yammer, Chatter, Jive
• Open Source, e.g. BuddyPress with
  WordPress
Wikis

> Like “track changes” in Microsoft Word without
    inducing strabismus
>   Collaborative editing tools
>   Wikipedia the most famous
>   4.1 million articles in English
>   Definitive stories quickly on
    • 35W Bridge Collapse
    • Sandy Hook shooting
YouTube
> World’s second largest search engine
Slideshare.net: YouTube for
PowerPoint
Twitter
> A group blog with extremely short stories
> Text messaging available on phones and
  computers
> A multifunction pager that uses your cell phone
> A river of serendipitous news
> A messaging platform in which you can control
  the flow
A Story from Twitter
Ensuing Conversation
To paraphrase JFK...

> Ask not the intended purpose of the tools
> Ask how you can apply the tools to your
  intentions
> No one better at this than...
The Greatness of MacGyver

> He’s from Minnesota
> Lack of resources wasn’t an insurmountable barrier
  to getting the job done
> He saw potential in everyday situations*
A Brief History of Social Media
at Mayo Clinic
Answering a burning
question...
It all started with a tornado...
Mayo Clinic’s First Social Networkers
Dr. Henry Plummer: Inventor of the PMR
Mayo Clinic Medical Edge
Syndicated News Media Resources
> Existing Medical Edge radio mp3s
> Launched Sept. ‘05; 8,217% download increase
Reasons for Reluctance about Blogging

> Keeping the content fresh
> Wise use of resources
   • Physician/Researcher
   • Public Affairs
> Authenticity - didn’t want to “ghost blog”
My First Blog Post - 7/30/06
Lines from Lee
Beyond the Hypochondriac
Mayo Clinic Medical Edge TV
Sample Sound Bite
Recovering 99.41% for the 1-2%
 • Required almost no incremental MD effort
 • Process change - microphone on physician and
   interviewer
 • 90 minutes of editing per interview
 • More than 60,000 “hits” and 62 comments on Dr.
   Fischer’s podcast
Involuntary Social Networking Presence:
http://myspace.com/mayoclinic
Facebook: 11/7/07
A Pivotal Presentation
YouTube: Feb. ’08
Joining The Blog Council

> Membership organization of blogging “companies”
> Typically Fortune 500 members
  • Coca-Cola, P&G, Wells Fargo, etc.
  • Mayo Clinic, Kaiser Permanente, U.S. Navy among
    “non-traditional” members
> Now SocialMedia.org
The Revolutionary Power of
Consumer-Grade Video
Transforming YouTube Channel
@MayoClinic on Twitter: 4/29/08
The $4-a-month online newsroom
Let’s Talk “site” - May 2008
Sharing Mayo Clinic - Jan. 2009
Yammer - Feb. 2012
A Broader Historical Perspective...
Thesis #1: Air was the
original social medium
Patient Word of Mouth
• 91% said “good things” about Mayo Clinic
  after visits
   • Average of 43 heard “good things”
• 86% recommended Mayo Clinic
   • Average of 24 advised to come
   • Average of 6 actually came

                        2009 Patient Brand Monitor, n=900

                                                    ©2011 MFMER | slide-18
Sources Influencing Preference
  for Mayo Clinic
     Word of mouth                                                   82
       News stories                                      62
    Hospital ratings                             48
            Internet                    33
MD recommendation                    29
Personal experience                26
        Advertising                25
         Direct mail       13
       Social media    5
                                                      2010 study (n=119)
     Insurance plan    5



                Consumer Brand Monitor, Base: Respondents who prefer Mayo Clinic;
                                               *differs significantly from Q2-2010
                                                                           ©2011 MFMER | slide-20
#2: Electronic tools merely
facilitate broader, more
efficient transmission by
overcoming inertia and
friction
#4: Social media are the
third millennium’s
defining communications
trend
Gutenberg: Global Mass Literacy
Zuckerberg: Global Mass Publishing
#7: Hand-wringing about
merits and dangers of
social media is as
productive as debating
gravity
What else do patients
know about you?
For those who think blocking is a
viable long-term option...
As Uncle Ben would say...
Not that Uncle Ben. This Uncle Ben
Key Elements

> All policies apply in social media, too
   • Privacy
   • Mutual Respect
   • Computer use
> Generally don’t “friend” patients
> Remember the “front page” rule
A Balanced Approach to
Professionalism
> Avoiding faux pas is important but cannot be
  the only standard for judging professionalism in
  social media
> Professionalism is more than the absence of
  unprofessional conduct
> Professionals have a moral obligation to use
  available tools effectively on behalf of those they
  serve
#9: Mass media will
remain powerful levers
that move -- and are
moved by -- social media
buzz
The Octogenarian Idol Story
> Alerted to interesting video of elderly couple
  playing piano in Gonda atrium
> Video shot by another patient and uploaded to
  YouTube by her daughter
> Video had been seen 1,005 times in six preceding
  months since upload
> Embedded in Sharing Mayo Clinic, posted to
  Facebook, Tweeted on 4/7/09
The next day...
Six days later...
April 22
Sunday, May 3
May 4
May 10
May 11
May 12
May 15
Early Morning May 26
May 26, 2009: Live in Studio
Good Morning America
Results to Date
>   More than 8.1 million views on YouTube
>   >1.5 million views on Sharing Mayo Clinic
>   From 200 views/month to 5,000 views/hour
>   National TV coverage in U.S. and Japan
#26: Your mileage may
vary, but you’ll go a lot
further if you get a car
#11: Social media
strategies can help
make a product, service
or experience better
Dr. Sreenivas Koka
#13: Social media tools
offer unprecedented
opportunity for
transformational change
and productivity
Taking a page from Dr. Koka
ROI Calculation
>   Time allotted for recruitment calls: 30 min
>   Time to create video: 60 min
>   Time saved per call: 10 min
>   Calls made April-Nov 2011: 90
>   Total time saved: 900 minutes (and rising)
>   ROI: > 1,400%
#17: Social media are free
in any ordinary sense of
the word (or at least
ridiculously inexpensive)
Total Cost for Mayo Clinic Facebook,
YouTube and Twitter




  $0.00
In the European
Union, based on
current
exchange rates:



€0,00
#18: As I approaches zero,
ROI approaches infinity
Unique Myelofibrosis Patients


             MCF           MCA

400

300

200

100

  0
      2008   2009   2010     2011
#35: Social technologies
will transform healthcare
The 37th Thesis


Applying social media in health care
isn’t just inevitable: it’s the right
thing to do in the interest of patients.
Mayo Clinic Center for
   Social Media
> Our Raison d’etre: The Mayo Clinic Center for
  Social Media exists to improve health
  globally by accelerating effective application
  of social media tools throughout Mayo Clinic
  and spurring broader and deeper
  engagement in social media by hospitals,
  medical professionals and patients.
> Our Mission: Lead the social media
  revolution in health care, contributing to
  health and well being for people everywhere.
A Catalyst for Social Media




                              ©2011 MFMER | slide-40
Social Media Health Network

> Membership group associated with Mayo Clinic
    Center for Social Media
>   For organizations wanting to use social media to
    promote health, fight disease and improve health
    care
>   Dues based on organization revenues
>   Industry members eligible to join, but not
    accepting industry grant funding
>   >140 member organizations
The book on social media in
health care...
             • Essays from 30 Thought
               Leaders
             • The “Why?” of health
               care social media
             • Available on Amazon and
               discount bulk orders
             • http://mayocl.in/OGvNCx
             • Net proceeds fund
               patient scholarships
#MCCSMbook
Free Resources
network.socialmedia.mayoclinic.org




                                     ©2011 MFMER | slide-40
Ways you can use Social Media tools
> Marketing your services
> Pitching stories to traditional media
> Reputation management and overcoming negative
    reviews
>   Communication efficiency
>   Establishing Thought Leadership
>   Building Rapport with current and prospective
    patients
>   Overcoming stigma
>   Doing your work (whatever it is) more efficiently
    and effectively
For Further Interaction:

>   Google Lee Aase or SMUG U
>   aase.lee@mayo.edu
>   @LeeAase
>   http://network.socialmedia.mayoclinic.org

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Your Future Customers Are on Google and Facebook, Are You

  • 1. Your Future Customers Are on Google and Facebook, Are You? #NatCon2013 Lee Aase Director, Mayo Clinic Center for Social Media April 8, 2013
  • 2. Learning Objectives > Participants will be able to describe various social media platforms and their capabilities in relation to traditional means of communication > Participants will be able to describe examples of concrete applications of social media tools in health care > Participants will be able to discuss ways they can use social media tools to meet important business and practice needs
  • 3. The Hidden Agenda > You will see the transformational power of social media > You will believe that using social media tools is worthwhile and that you can do it > You will be armed with arguments and resources to make the case for social media > You will experiment with social media at this conference
  • 4. Two Heroes Six Magic Words Four Reasons Why They’re True for You
  • 5.
  • 6. “I’ll bet I could do that!”
  • 7.
  • 8.
  • 9. About Lee Aase (@LeeAase) > B.S. Political Science, Chemistry minor > 14 years in politics and government at local, state, national levels > Mayo Clinic since April 2000 • Media relations consultant • Public Affairs Manager (2003-2010) • Director, Center for Social Media since July 2010
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. 2010 Brand Preference Summary Health Care Decision-Makers Aged 25+ Total Mayo Clinic 12.5 6.1 18.6% AMC 1 4.1 3.5 7.6% AMC 2 3.6 2.5 6.1% AMC 3 2.3 1.1 3.4% AMC 4 1.60.9 2.5% AMC 5 1.0 0.8 1.8% 1.6% AMC 6 0.9 0.7 1.3% AMC 7 0.6 0.7 1st Mention Add'l Mention 2010 US Consumer Brand Monitor, decision-makers 25+, n=5,279 ©2011 MFMER | slide-17
  • 15. "If you can’t explain it to a six-year- old, you don’t understand it yourself."
  • 17. When we don’t understand something, we instinctively look for analogies > “What...do you write to it, like mail?” > Humans always try to explain the unknown in familiar categories > If you don’t create comfortable analogies your stakeholders will invent scary ones > Good analogies • can overcome prejudice and misperception • resonate with professional/organizational culture and DNA
  • 18. Analogies for Social Media Tools Blogs RSS Podcasts Social Networks Skype YouTube Wikis Twitter Slideshare uStream
  • 19. Blogs > An easy-to-publish Web site that allows comments > Blogs in Plain English - Lee LeFever > You read them all the time without even knowing it
  • 20. RSS = Really Simple Syndication > An email newsletter that can’t spam you > Lets you easily and quickly track dozens of Web sites and search queries without surfing > Feedly.com replaces Google Reader > Browser options and smart phone or desktop apps
  • 21. Podcasts > TiVo for audio (and also video) > Audio podcasts - opportunity for multitasking content consumption > Don’t need an iPod to use > Series of segments to which you can subscribe via RSS > iTunes free for PC or Mac
  • 22. Social Networking Sites • With a billion Facebook users, analogies no longer needed • Typically free or freemium, but business models vary • External free sites like Facebook, LinkedIn • SaaS options such as Yammer, Chatter, Jive • Open Source, e.g. BuddyPress with WordPress
  • 23. Wikis > Like “track changes” in Microsoft Word without inducing strabismus > Collaborative editing tools > Wikipedia the most famous > 4.1 million articles in English > Definitive stories quickly on • 35W Bridge Collapse • Sandy Hook shooting
  • 24.
  • 25. YouTube > World’s second largest search engine
  • 27. Twitter > A group blog with extremely short stories > Text messaging available on phones and computers > A multifunction pager that uses your cell phone > A river of serendipitous news > A messaging platform in which you can control the flow
  • 28. A Story from Twitter
  • 29.
  • 31.
  • 32. To paraphrase JFK... > Ask not the intended purpose of the tools > Ask how you can apply the tools to your intentions > No one better at this than...
  • 33.
  • 34. The Greatness of MacGyver > He’s from Minnesota > Lack of resources wasn’t an insurmountable barrier to getting the job done > He saw potential in everyday situations*
  • 35.
  • 36. A Brief History of Social Media at Mayo Clinic
  • 38. It all started with a tornado...
  • 39.
  • 40. Mayo Clinic’s First Social Networkers
  • 41. Dr. Henry Plummer: Inventor of the PMR
  • 42. Mayo Clinic Medical Edge Syndicated News Media Resources
  • 43. > Existing Medical Edge radio mp3s > Launched Sept. ‘05; 8,217% download increase
  • 44. Reasons for Reluctance about Blogging > Keeping the content fresh > Wise use of resources • Physician/Researcher • Public Affairs > Authenticity - didn’t want to “ghost blog”
  • 45. My First Blog Post - 7/30/06 Lines from Lee
  • 47. Mayo Clinic Medical Edge TV Sample Sound Bite
  • 48. Recovering 99.41% for the 1-2% • Required almost no incremental MD effort • Process change - microphone on physician and interviewer • 90 minutes of editing per interview • More than 60,000 “hits” and 62 comments on Dr. Fischer’s podcast
  • 49. Involuntary Social Networking Presence: http://myspace.com/mayoclinic
  • 50.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 61. Joining The Blog Council > Membership organization of blogging “companies” > Typically Fortune 500 members • Coca-Cola, P&G, Wells Fargo, etc. • Mayo Clinic, Kaiser Permanente, U.S. Navy among “non-traditional” members > Now SocialMedia.org
  • 62. The Revolutionary Power of Consumer-Grade Video
  • 66.
  • 67.
  • 68.
  • 70. Sharing Mayo Clinic - Jan. 2009
  • 72. A Broader Historical Perspective...
  • 73.
  • 74.
  • 75.
  • 76.
  • 77. Thesis #1: Air was the original social medium
  • 78.
  • 79. Patient Word of Mouth • 91% said “good things” about Mayo Clinic after visits • Average of 43 heard “good things” • 86% recommended Mayo Clinic • Average of 24 advised to come • Average of 6 actually came 2009 Patient Brand Monitor, n=900 ©2011 MFMER | slide-18
  • 80. Sources Influencing Preference for Mayo Clinic Word of mouth 82 News stories 62 Hospital ratings 48 Internet 33 MD recommendation 29 Personal experience 26 Advertising 25 Direct mail 13 Social media 5 2010 study (n=119) Insurance plan 5 Consumer Brand Monitor, Base: Respondents who prefer Mayo Clinic; *differs significantly from Q2-2010 ©2011 MFMER | slide-20
  • 81. #2: Electronic tools merely facilitate broader, more efficient transmission by overcoming inertia and friction
  • 82.
  • 83. #4: Social media are the third millennium’s defining communications trend
  • 84.
  • 85. Gutenberg: Global Mass Literacy Zuckerberg: Global Mass Publishing
  • 86.
  • 87. #7: Hand-wringing about merits and dangers of social media is as productive as debating gravity
  • 88. What else do patients know about you?
  • 89.
  • 90. For those who think blocking is a viable long-term option...
  • 91.
  • 92. As Uncle Ben would say...
  • 93. Not that Uncle Ben. This Uncle Ben
  • 94.
  • 95. Key Elements > All policies apply in social media, too • Privacy • Mutual Respect • Computer use > Generally don’t “friend” patients > Remember the “front page” rule
  • 96. A Balanced Approach to Professionalism > Avoiding faux pas is important but cannot be the only standard for judging professionalism in social media > Professionalism is more than the absence of unprofessional conduct > Professionals have a moral obligation to use available tools effectively on behalf of those they serve
  • 97. #9: Mass media will remain powerful levers that move -- and are moved by -- social media buzz
  • 98. The Octogenarian Idol Story > Alerted to interesting video of elderly couple playing piano in Gonda atrium > Video shot by another patient and uploaded to YouTube by her daughter > Video had been seen 1,005 times in six preceding months since upload > Embedded in Sharing Mayo Clinic, posted to Facebook, Tweeted on 4/7/09
  • 103.
  • 104.
  • 105. May 4
  • 106. May 10
  • 107.
  • 108. May 11
  • 109. May 12
  • 110. May 15
  • 112. May 26, 2009: Live in Studio Good Morning America
  • 113.
  • 114.
  • 115. Results to Date > More than 8.1 million views on YouTube > >1.5 million views on Sharing Mayo Clinic > From 200 views/month to 5,000 views/hour > National TV coverage in U.S. and Japan
  • 116. #26: Your mileage may vary, but you’ll go a lot further if you get a car
  • 117. #11: Social media strategies can help make a product, service or experience better
  • 119. #13: Social media tools offer unprecedented opportunity for transformational change and productivity
  • 120. Taking a page from Dr. Koka
  • 121. ROI Calculation > Time allotted for recruitment calls: 30 min > Time to create video: 60 min > Time saved per call: 10 min > Calls made April-Nov 2011: 90 > Total time saved: 900 minutes (and rising) > ROI: > 1,400%
  • 122.
  • 123. #17: Social media are free in any ordinary sense of the word (or at least ridiculously inexpensive)
  • 124. Total Cost for Mayo Clinic Facebook, YouTube and Twitter $0.00
  • 125. In the European Union, based on current exchange rates: €0,00
  • 126. #18: As I approaches zero, ROI approaches infinity
  • 127.
  • 128.
  • 129. Unique Myelofibrosis Patients MCF MCA 400 300 200 100 0 2008 2009 2010 2011
  • 130. #35: Social technologies will transform healthcare
  • 131.
  • 132.
  • 133.
  • 134.
  • 135.
  • 136.
  • 137.
  • 138.
  • 139. The 37th Thesis Applying social media in health care isn’t just inevitable: it’s the right thing to do in the interest of patients.
  • 140. Mayo Clinic Center for Social Media > Our Raison d’etre: The Mayo Clinic Center for Social Media exists to improve health globally by accelerating effective application of social media tools throughout Mayo Clinic and spurring broader and deeper engagement in social media by hospitals, medical professionals and patients. > Our Mission: Lead the social media revolution in health care, contributing to health and well being for people everywhere.
  • 141. A Catalyst for Social Media ©2011 MFMER | slide-40
  • 142. Social Media Health Network > Membership group associated with Mayo Clinic Center for Social Media > For organizations wanting to use social media to promote health, fight disease and improve health care > Dues based on organization revenues > Industry members eligible to join, but not accepting industry grant funding > >140 member organizations
  • 143. The book on social media in health care... • Essays from 30 Thought Leaders • The “Why?” of health care social media • Available on Amazon and discount bulk orders • http://mayocl.in/OGvNCx • Net proceeds fund patient scholarships #MCCSMbook
  • 145. Ways you can use Social Media tools > Marketing your services > Pitching stories to traditional media > Reputation management and overcoming negative reviews > Communication efficiency > Establishing Thought Leadership > Building Rapport with current and prospective patients > Overcoming stigma > Doing your work (whatever it is) more efficiently and effectively
  • 146. For Further Interaction: > Google Lee Aase or SMUG U > aase.lee@mayo.edu > @LeeAase > http://network.socialmedia.mayoclinic.org