This document provides a summary of social media use in health care and hospice/palliative medicine in 2010. It discusses the growth of innovative health startups using social media, patient communities online, and health organizations adopting social platforms. It also reviews the growth of blogs, Twitter, YouTube and online advocacy in this space in 2010. Challenges of using social media effectively in health care are also examined.

1. Hospice and Palliative MedicineSocial Media2010 Year in Review Annual Assembly Vancouver, Canada February 2011

3. LOTS of things are clickable in this slidedeck. Just click it!

5. What is Social Media? Internet-based tools for creating, sharing and discussing information

6. Social Networking

14. What Social MediaHas Taught Me Diane Meier, MD

15. 2010 Review of Health Care in Social Media Alex Smith Assistant Professor of Medicine Division of Geriatrics UCSF and San Francisco VAMC

16. 16 Health 2.0 My definitions: Web 1.0 = information gathering Web 2.0 = user generated content/interaction Health 2.0 = health outside of patient-doctor interaction Health 2.0: explosive growth 2010: Innovative startups Patient and caregiver communities Health care organizations

17. Innovative Startups

19. Patients Like Me

20. Mobilizing Health Cal Berkeley and Stanford Grads Non-profit. Uses texts to allow village health directors in India to message doctors and receive immediate advice about what next steps to take

21. Goal: weight loss How: TWYE, enter calories if known Anyone can see your food diary Uses crowd-sourcing to tell you how many calories in the food you eat Example, “oatmeal cookie” TWYE averages 200 calories, based on others who entered calories for “oatmeal cookie”

29. Challenges How to use social media effectively? How much effort, for what reward? Tension between giving generic health advice and patient specific advice Tension between public and private lives of health workers (e.g. drunk med student) Tension between top down regulation (e.g. FDA) and immediate, organic, shifting nature of social media

30. Thank you!

31. #HPM Social Media 2010 In Review

32. Stories Early Palliative Care in Lung CA The Death of Dr. Pardi (NYT) AtulGawande – Letting Go The Death of E. Edwards Adv Dir v. Death Panel Palliative Care in Haiti

33. Blogs Lost some prominent bloggers Well established network Seeing more org blogs Needing more voices PC Grand Rounds

34. Twitter Initiated #HPM Tweetchat Leading medical specialty Increased growth of core Rapid dissemination Rising influence

35. Type your Tweet here RT = Re-tweet #hpm automatically added Lots o’ links! Quick Use Buttons Reply Your own tweet Re-Tweet Feature/Block Someone replying to you Favorite Tweet

36. Visual Example of a Tweetchat Tweetchat

37. Tweetchat Group of people begin to have a conversation around a single hashtag

38. Using Tweetchat they can all see the same thread Tweetchat

39. All the people following the individuals see only a few tweets with #hpm Tweetchat

40. Tweetchat

41. Tweetchat

42. Tweetchat Passed on to 2,838 followers

43. Tweetchat Impact

44. AAHPM/HPNA Assembly Tweets (#HPM) 2009 - 224 2010 - 834 2011 (to date) - Contributors 2009 - 30 2010 - 92 2011 (to date) - Twitter

45. YouTube Boring videos - of news interviews - of people holding hands - of talking heads With a few exceptions…

48. Online Advocacy 1 Tweet per day and/or 1 per day and/or 1 Comment per week and/or 1 Post per 2 months

49. Goal: Steer the discussion Objective: 1 Tweet or 2 retweets (RT) / day Impact increased by following (& followed by): Our #HPM Community Local Reporters National Reporters Thought Leaders Mobile/Smartphones

50. Likes Goal: Show support/Push content Objective: 1 / day Impact by ‘Likes’ on Facebook Fan Pages/YouTube: Drives content to other people’s walls Drives content to your wall Your like makes other people like A shows that page is alive with activity

51. Comments Goal: Reframe the discussion Objective: 1 Comment / week Impact by commenting on: Blogs (HPM and National) Online newspaper articles Facebook Fan Pages (AAHPM/HPNA/Blogs) YouTube Calls for comments by government agencies Regulations.gov

52. Posts Goal: Start the discussion Objective: 1 Post / 2 months Impact increased by: Joining/starting a blog community Developing novel content

54. Web 2.0 A Tool for Efficiency Holly Yang, MD

55. Web 2.0 Collaborative Interactive Dynamic

56. Really Simple Syndication (RSS)

61. Crowdsourcing/Microvolunteering

62. Collaborative Wikis

63. Web 2.0: Collaborative online learning Suzana Makowski, MD MMM FACP

64. Why Personal Learning Network? Diverse schedules Learners with diverse needs: Disciplines Experience Goals Diverse locations

65. Virtual Learning Network Personal Learning Network Static Didactic Authority-based Dynamic Dialogue Constructed

66. “ ” PLN’s are deliberately formed networks of people and resources capable of guiding our independent learning goals and our professional development needs. Corrine Weisberger (via slideshare)

68. LGLCbased on ning platform Core curriculum Referenced articles (delicious, citeulike, diig) Discussion board: Case discussions Journal club Member topics Member Blog – reflection & narrative medicine RSS feeds to other blogs, microblogs

69. Format