1. Social Media in Public Health By Maureen Donnellan Your Community Strategy Strategic Advisers LLC Healthcare IS Community.

2. Social Media and Public Health Data and Trends Who’s Doing It Obstacles and Issues of Concern - Why Social Media Plans Fail Building the system that will give you the results you want. Weaving Your Social Network into Public Relations Audiences Advocating for your Constituents Healthcare Reform and Opportunities to Serve e.g., Immunizations

3. In 2009, a total of 58% of Internet users reported searching for health information online. Although people may prefer to go to their clinicians first, they have reported that they actually go online first for health information because it is so convenient.

4. Looking for health information is the third most popular online activity measured in Pew Internet surveys. In 2010, 8 in 10 internet users looked online for health information, making it the third most popular online pursuit among all those tracked by the Pew Internet Project, following email and using a search engine.

6. 64% of adults living with at least one chronic condition have internet access, compared with 81% of adults who report no chronic conditions. Yet once online, 83% of internet users living with chronic conditions say they look online for health information, compared with 77% of internet users living with no such conditions. Indeed, internet users living with chronic conditions are keen to gather health information online, particularly about specific diseases, treatments, health insurance, and drug safety or recalls. They outpace or match other internet users on nearly every topic.

18. Issues of Concern Risk Management and Social Media Policy Why Aren’t More Primary Care Providers Using Social Media? “ I do not think social media, especially healthcare social media, is the best avenue to interact with patients. It’s simply too risky on too many levels.”Doctors And Social Media: To Interact With Colleagues Or Influence Patient Care? August 15th, 2010 by DrWes in Better Health

19. Issues of Concern Risk Management and Social Media Policy What keeps medical executives up at night? 1) transparency 2) time 3) HIPAA 4) liability How to Address It Transparency is required for authenticity. Find people that do have the time. Clear Social networking policy Education and policy.

20. Issues of Concern Risk Management and Social Media Policy Discussion of patient non-specific issues is encouraged. Any attempt at patient-initiated discussion of specific medical issues is discouraged and immediately goes offline and onto the EMR for issues of record, liability and safety. Doctor-patient dialog surrounding individual care should be limited to HIPAA compliant networks that integrate with the EMR.

21. http://www.healthcareitnews.com Currently only 10.3% of hospitals are engaged in social media. Analysts say they will account for the greatest growth in social media by 2014.

22. Data and Trends Who’s Doing It? Some of Greater Cincinnati’s Healthcare Organizations using Social Media as of Feb. 4, 2011

23. “Patients with the strongest relationships to specific primary care physicians were also more likely to receive recommended tests and preventive care.” Massachusetts General Hospital Research Study

24. Journal of Medical Internet Research Thomas J. Moore, MD, Boston University Medical Center “We have found that an online program that provides weekly educational information, motivational messages and convenient ways for self-monitoring can lead not just to significant weight loss but also to reduction in blood pressure and to healthier dietary habits.” Nielsen Online By Melissa Davies, Healthcare Research Director, Healthcare “39% of patients already use online support groups to discuss medications or treatments with other patients.”

25. Coordinated care and population management September 08, 2010 | Peter A. McClenne Patient access to health information via social media channels is rising at a torrid pace – introducing an invaluable opportunity for providers to include patients as critical members of the care team. Michael Christopher Gibbons, MD, MPH The Ability of Health IT to connect patients to providers and healthcare systems may help them improve care processes and outcomes by learning from large groups of patients. Health IT may offer significant new promise for addressing healthcare disparities by improving the availability, appropriateness, and efficacy of patient health education.

26. A PATIENT’S PERSPECTIVE ON SOCIAL MEDIA I can read thousands of blog posts written by people from all walks of life, all living with type 1 diabetes. I can find connections. I can find people who understand exactly what I’m going through. I don’t feel so alone or isolated. In fact I often feel inspired and empowered by what I’ve seen. Social media has helped me be a healthier person by showing me real-life examples of others living with diabetes. Unfiltered and unafraid, these people are sharing their stories. I hear first hand about situations they have experienced, and I can share in their successes and challenges. Blog Post by Scott Johnson September 24, 2010 Type I Diabetes patient Mayo Clinic

27. More access to Information Improved Compliance Deeper Relationships Reduced Disparity Better Outcomes Cost Effectiveness …Better Health

28. Why Social Media Plans Fail In 2008, Adam Sarner, an analyst with market research firm Gartner, projected that over 75 percent of Fortune 1000 companies with Web sites had undertaken some kind of online social-networking initiative for marketing or customer relations purposes. He added in an interview with CNET News, 50 percent of those campaigns were classified as failures. http://news.cnet.com/8301-13577_3-10058509-36.html#ixzz112Vy7VuD

31. Build the system that will give you the results you want. Objectives - Start with the end in mind. 1. Jeff Livingston, MD, who practices at MacArthur OB/GYN, in Irving, Tex, said initially his objective in using social media was to connect with teens in a way that they were familiar with in order to talk about preventing teen pregnancy. Now he says social media has helped the practice to better connect with the community. 2. According to UNC Health Care, a not-for-profit integrated healthcare system owned by the State of North Carolina and based in Chapel Hill, their intention for using social media was "to create an open dialog with the community about UNC Health Care." Advocacy Support Groups Online Resources Combat Misinformation Disease Management Research Feedback Pubic Relations

32. Build the system that will give you the results you want.

33. Build the system that will give you the results you want. One Objective at a Time

34. Build the system that will give you the results you want. Risk Management All policies in place before launch of social media campaign. Outcome-Based Strategic Planning Pick Your Targets Measure Follow the Successes Redefine Repeated cycles of failure AND success.

35. With a good plan in place you can have the luxury of implementing three of my favorite, common, but oft-ignored, pieces of expert advice: Be Fearless. Change Your Mind. Learn from Failure.

37. Lack of Clear Purpose

38. Lack of Authenticity

39. Failure to Engage

40. Weak Architecture

42. Lack of Clear Purpose… Social Network Building Community Enhancing Relationships Improving Communications Caring for your Constituents “Social support…is influenced by social structural imperatives and becomes more than the sum of the individual links of networks in terms of social cohesion.Social cohesion can have a powerful effect on health…and has implications for improving the health of communities. “ Michael Marmot and Richard Wilkinson Social Determinants of Health International Centre for Health and Society

43. Lack of Authenticity Complaints and negative comments can be a huge opportunity to demonstrate patient/client advocacy. Don’t erase them. Be Open. Ask people to get involved. Admit mistakes and how to remedy them. “You are not in control… your customers, partners and employees are.” Charlene Li, Author of “Open Leadership: How Social Technology can transform the way you lead.” Open Leadership Skills Assessment Test

45. Failure to reach out and form relationships

46. Failure to make sure community members know they are heard by responding and following through.

48. Know where the rubber meets the road.

50. Where does the rubber meet the road for Hamilton County Public Health?

51. Managing HCPH Programs and “Brands”

54. Architecture How you engage will be determined by who you want/need to engage with. Architecture is audience driven.

55. 49 Social Network Corporate Website

56. 50 Evolution of the Social Corporate Website 8. Seamless integration 7. Social log-in triggers sharing 6. Users stay on site with social log-in 5. Aggregate discussion on site 4. Brand integrated in social channels 3. Link away but encourage sharing 2. Link away with no strategy 1. No social integration

58. 52 Corporate Website + Social Network EMR

59. 53 Evolution of the Social Corporate Website 8. Seamless integration 7. Social log-in triggers sharing 6. Users stay on site with social log-in 5. Aggregate discussion on site 4. Brand integrated in social channels 3. Link away but encourage sharing 2. Link away with no strategy 1. No social integration

61. 55 Website/Social Media Assimilation

62. 56 Evolution of the Social Corporate Website 8. Seamless integration 7. Social log-in triggers sharing 6. Users stay on site with social log-in 5. Aggregate discussion on site 4. Brand integrated in social channels 3. Link away but encourage sharing 2. Link away with no strategy 1. No social integration

63. 57

64. 58 Evolution of the Social Corporate Website 8. Seamless integration 7. Social log-in triggers sharing 6. Users stay on site with social log-in 5. Aggregate discussion on site 4. Brand integrated in social channels 3. Link away but encourage sharing 2. Link away with no strategy 1. No social integration

65. Architecture will also be determined by access requirements to tools and information…

66. 60 Corporate Website + Social Network EMR

67. HCPH Social Media Strategy (Architecture) EHR Physicians Hospitals General Public Schools Restaurants Programs HHS CDC NIH CMS Environmental constituents Other Agencies Emergency Preparedness Architecture How you engage will be determined by who you want/need to engage with. Architecture is audience driven.

68. Social Media “Page” v. Social Community Network

69. Bring All Partners to the Table …Who Are You Really Serving? Health District staff have always practiced education over enforcement. In addition to required inspections, the Health District offers food safety training for licensed food service operators and retail food establishments to ensure that food service staff understand and follow proper food handling procedures. HCPH Clean Kitchen Award

70. Social Media “Page” v. Social Community Network

72. propel program success

73. Innovate public relations and communications in public health

74. New universe of customer service.Many Opportunities in current Program Plan of Work Probable Effects of the Patient Protection and Affordable Care Act

75. What Happens Next? Approve HCPH Social Media Policy Create an initial organizational Social Media Strategy Clarify Program Brand Strategy Launch Survey to identify target audiences and potential pilot projects. Choose Pilot. Execute. Measure and Revise. Revise organizational strategy. Move onto next project.

76. Pilot Project Proposals We Thrive Refocus marketing and promotion on PHYSICIANS and SCHOOLS. Immunizations/Tuberculosis Create a health bridge between public health agencies and PHYSICIANS about immunization compliance. Link EHR, Primary Care Physicians, and the Public through physician promotion, events and social media networking.

77. The last point of social media failure… …failing to Fail. “The strength of a relationship is not how perfect it is but how resiliently it deals with the unavoidable downs. With the advent of social technologies, there are new ways to form those bonds and relationships – but also the potential to amplify mistakes.” Innovation requires failure. So embarking into new territory requires preparation and planning for failure. NEXT STEP – Pilot Project