My talk about social media at the HITS Health Informatics Tri-State Summit at USI #HITSUSI18

1. Digital Professionalism
for Healthcare
Stakeholders
Joyce Lee, MD, MPH
Robert Kelch Professor of Pediatrics
http://www.doctorasdesigner.com/
Twitter: @joyclee

2. Disclosures
Unitio
Grant Funding from Lenovo
@joyclee

3. “The Good Old Days”
@joyclee

4. You are a
Digital Citizen
“A person utilizing information
technology (IT) in order to engage in
society, politics, and government
participation.”
@joyclee

5. @joyclee

6. Agenda
General Rules
The Personal is Professional
Case Studies
@joyclee

7. General Rules
7
@joyclee

8. HIPAA
Don’t reveal patient info and don’t
respond in public
Even if you don’t use identifiers individual
pts may be identifiable
Unlawful behavior (drug use, illegal acts)
Violation of Marketing Laws (FTC)
Misleading claims of board certification
Misleading claims about patient
outcomes
Giving specific medical advice
Don’t Violate Laws
@joyclee

9. UM, Medical Center policies about “public
behavior” and community policies
Discriminatory speech
Licensing and Regulatory Affairs (LARA)
Medical fraud
Substance abuse
Professionalism
Don’t Violate Policies
@joyclee

10. Alcohol/Drugs
Sexually suggestive material
Language
Religious
Political
Anonymity
Respect for patients
Don’t Breach
Professionalism
@joyclee

11. Digital Hygiene
@joyclee

12. “A world of indiscriminate
tracking where institutions
are stockpiling data about
Individuals”
Pieces of you
are already all
over the internet
@joyclee

13. @joyclee

14. @joyclee

15. Work emails
Gmail
Deleted Facebook, Twitter, Instagram posts
Files on your work computer
Files on your personal computer
“Workforce members are discouraged from posting
anonymously or posting using a username or profile
other than their own under the assumption that they
cannot be identified. Cyber tracing investigations are
common to identify posters of malicious internet libel,
and anything posted online may be admissible in
court.“
Privacy-Is there such a thing?
@joyclee

16. Can you separate your
private and public
identity as a
Healthcare
Professional?
(1) Yes
(2) No
@joyclee

17. “When a healthcare stakeholder asks,
“Should I post this on social media?” the
answer does not depend on whether the
content is professional or personal but
instead depends on whether it is
appropriate for a physician in a public
space”
The Personal is Professional
@joyclee
-Matt DeCamp, MD

18. @joyclee

19. Does it violate laws?
Does it violate policies?
Is it a breach of professionalism?
There is no right answer, sometimes…
Case Studies
@joyclee

20. Director, Chief Operating Officer of the
Cleveland Clinic Wellness Institute

23. “He wrote this opinion piece on his
own and it does not reflect the
position of the Cleveland Clinic
whatsoever, and we strongly
support vaccinations and the
protection of patients and
employees”
-Eileen Sheil, executive director of corporate
communications for the medical center.

24. ”Disclaimer or not, logo or no logo, the world
knew that this doctor was leadership at The
Cleveland Clinic.”
“Our public engagement is inextricably
linked to our work and other aspects of our
lives.”
“Welcome to the age of transparency.”
-Dr. Vartabedian
Every healthcare professional
is the voice of his/her
institution
@joyclee

26. “Due to your clenching and grinding
habit, this is not the first molar tooth you
have lost due to a fractured root…This
tooth is no different.”
“I looked very closely at your radiographs
and it was obvious that you have cavities
and gum disease that your other dentist
has overlooked. … You can live in a world
of denial and simply believe what you
want to hear from your other dentist or
make an educated and informed
decision”
-Dentist

29. “5 nurses who worked at Tri-City
Medical Center in Oceanside, CA
used social media to post their
personal discussions concerning
hospital patients. No photos,
patients names, or other
identity-compromising
information were posted.”

35. Do you exist if you are
not online?
@joyclee

38. @joyclee

39. @joyclee

40. http://www.doctorasdesigner.com/

42. Learn from expert
patients and
caregivers on social
media
@joyclee

43. Diabetes Online Community
(DOC)
myglu.org
@joyclee

44. Glucose Sensor + Flovent =
Rash-free?
@joyclee

45. http://www.nightscout.info/

47. Be Safe Out There!
Watch your Hand Hygiene
And your Digital Hygiene!
joyclee@med.umich.edu
http://www.doctorasdesigner.com/
Twitter: @joyclee
https://medium.com/@joyclee