The Best Medicine


Despite what Reader’s Digest says, it’s not laughter. It isn’t a pill either.

I’m presenting on social media in health care at a conference in Palm Coast, Florida this morning, and the speaker just before me showed this great video. Sit and watch this for the next 10 minutes…

… and then get moving!

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By Lee Aase | Posted in Patient Education | Tagged , , , , | Leave a comment

Know Your Numbers Video Contest Winners!


The Know Your Numbers video promotion contest results have been tabulated! Thanks to everyone who helped spread this important healthy heart awareness message. The more people you invited to join and the more times you shared the video, the better your chances were of winning. In total, there were 1031 individuals who participated in the contest and 148,143 points accrued! So, here goes…[Insert imaginary drum roll here…]

Grand Prize Winners: (Won full scholarship to attend the Social Media Summit, Social Media Health Network Member Meeting and Social Media Residency; October 15-19, 2012)

  • Bobbi Ebbing
  • Cari Lambrecht
  • Rachel Miller

First Prize Winners: (Won an electronic heart rate monitor with fitness indicator)

  • Nancy Spain
  • Chris Boyer
  • Gary Oftedahl
  • Edgar Diaz

Second Prize Winners: (Won choice of an electronic pedometer, digital bathroom scale, or automatic blood pressure monitor)

  • Maya Linson
  • Emily Doering
  • Janet Bliden
  • Carrie Loveless
  • Luke Kobold
  • Eve Pidgeone
  • Deb Boyce
  • Carmen Gonzalez

Third Prize Winners: (Won choice of Mayo Clinic books: The Mayo Clinic DietMayo Clinic Fitness for Everybodyor Mayo Clinic 5 Steps to Controlling High Blood Pressure)

  • Amber Smith
  • Shaun Herrmann
  • Jennifer Heitz
  • Dina Piersawl
  • Judy Smith
  • Dan Hinmon
  • Laura Hall
  • Michelle Lockard

Team Prize Winners: (Won one-year Social Media Health Network membership)

  • Inova Health System
  • Upstate Medical University
  • Decatur County Memorial Hospital
  • WomenHeart

And don’t forget – this contest focused on spreading the word about the #1 killer of both men and women in the United States: heart disease. So although the contest is over, feel free to continue sharing this video and reminding others of heart disease risk factors!

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By Makala Johnson | Posted in News, Patient Education | Tagged , , , , | Comments (2)

Mayo Clinic Center for Social Media Coming to New York


In addition to our annual Social Media Summit in October, produced in collaboration with  Ragan Communications (details coming soon), the Mayo Clinic Center for Social Media is co-producing another major social media conference in 2012, Connecting Health Care & Social Media.

This one will be held at Roosevelt Hospital, 1000 Tenth Avenue (at 59th Street), in New York City May 17-18, 2012 and we’re producing it with NYC Health Business Leaders and Continuum Health Partners.

Dr. Farris Timimi and I will be presenting on Mayo Clinic’s social media experience and philosophy, and we’ll be joined by others with helpful insights to share (some of whom are members of our External Advisory Board), including:

  • Ed Bennett, University of Maryland Medical Center
  • Chris Boyer, Inova Health System
  • Margaret Fontana, Meridian Health Care
  • Kathleen Kearns, Continuum Health Partners
  • Dr. Howard Luks, University Orthopedics PC
  • Dr. Katie Malbon, Mount Sinai Adolescent Health Center
  • Dr. Mike Sevilla, Family Medicine physician and blogger

See the conference agenda for more details. Register today!

For information on joining the Social Media Health Network and the associated benefits — including credits to further reduce or even eliminate event registration fees — see this page.

Network members can get further details here (member login required.)

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By Lee Aase | Posted in Events | Tagged , , , , | Comments (3)

Building a Process to Accept Feedback From Your Social Media Audience


Source: etsy.com via Nick on Pinterest

Editor’s Note: Nick Dawson, is a member of the External Advisory Board for the Mayo Clinic Center for Social Media.

So, you have a Facebook timeline for your hospital and you’ve been tweeting since before all those celebrities joined. You have wrangled through the legal concerns and assuaged senior leaders. You are on your way to health care social media greatness, right? Well, if your strategy doesn’t extend into the organization’s operations, you might have a few more i’s to dot and t’s to cross.

Learning to accept feedback is a challenge, for people and companies. How often do we hear a response to a concern which begins with: “Oh, we don’t do that…” Perhaps it is because most feedback is offered at a time of frustration.

Think about the person who has been sitting for too long in your waiting room. They probably aren’t in the best mood. So what do they do? People are turning to their social networks to vent about a frustrating experience.

There are two main challenges with accepting feedback: first, responding to it and, secondly, acting on it. Experts tell us people judge a customer service experience based on the reaction of the first person they contact. It is not always about solving the problem, sometimes it’s about how well we listen.

Have you ever seen a brand’s Facebook wall with page after page of unanswered customer feedback? If you are like me, the initial reaction is often: “why are they even online, are they just using social media to serve ads? I wish they’d at least acknowledge the posts…

The second part, acting on feedback, may be part of the reason so few brands engage. For many brands, social media lives somewhere under the marketing organizational tree. Traditionally, that team hasn’t been at the forefront of addressing customer needs. Promote the new practice? Sure! Solve the waiting room congestion? That’s something else entirely.

However, as tools like Twitter and Facebook become common connections between individuals and brands – sometimes even being the first point of contact – us social media leaders need to get good at accepting feedback.

So how do we, as the social media mavens of our health care organizations, learn to accept feedback? Organizational alignment is not an excuse for avoidance, but it may be where the opportunity lies. Social media teams should carefully consider their many audiences and their potential needs. Based on those needs, consider what parts of the organization are best positioned to support the audience. Build connections with those teams and help them understand how social media can help them; likely, it will be a win/win.

Here are some steps and ideas to help your team get better at feedback:

  • Audience assessment: look through your inbound tweets, Facebook wall posts and Foursquare tips to see which themes emerge. In all likelihood you’ll see everything from kudos to slander. But, what about job seekers or students looking for continuing education? What about patients needing an appointment? If you can identify your audience segments and their needs, you are well on your way.
  • Construct a relationship gap diagram: I think of these as the Lego building blocks for a well connected social strategy. Which people, teams or process plugs into this block? Once you know your audiences and their potential needs, you can identify where you have internal connection gaps. For instance, that tweet about long wait times in the ER – who on the ER team could help respond to and resolve that concern? Having those alliances ahead of time will save you a lot of relationship building when the feedback comes in.
Photo Mar 19, 10 15 35 AM
example of an early gap graph sketched out on my iPad. We identified that our social team was not well equipped to respond to job seekers, but HR was. We also saw opportunities to plug in patient advocates for care-related concerns. Once we identified those gaps, we worked with those other teams to build a “connected” process.
  • Make it mutually beneficial: Remember selling your skeptical C-suite on social media? Well, you’re going to have to take your show on the road again. Fortunately, social has gained a lot of popularity in the last year so hopefully it won’t be too painful this time around. When meeting with leaders from other teams, try to position the relationship as mutually beneficial. Perhaps that ER nurse manager has been wanting to post pictures of the new waiting room, or connect with local EMS squads online. As you think through a process together, help those team leaders see the benefits.
  • Help them help you: Build your process in such a way that it is easy for those other teams to participate. You’ve reached out and built the relationship, now what happens when feedback comes in? Will you have one email contact for each team? Maybe a text would be easier? What is the expectation on turn around? Is there a potential action or resolution you could suggest to that person? Can you offer an affirmative close (“In two hours, I’ll move forward in replying to the tweet with ‘XYZ’, unless you suggest otherwise…”)
  • Share the results: Now that you have established a relationship and process with the right people around the organization, keep them engaged by sharing the outcome of your work together. Let them know how your audience accepts the responses they helped you craft. Keep them appraised of trends and sentiments about the hospital or clinic’s online reputation.
  • Follow up with the original post: Sometimes the stars will align and everyone in the hospital will move together like a symphony to resolve a concern. Other times, despite your best efforts, you may not be able to gather everyone together right away. Either way, don’t leave the customer hanging. You may not be able to resolve their concern right away, but you can at least acknowledge it. Let them know you’ve read their post and are working with your team and will reply with more information soon. Our patients and community are real people too, they know there is a community manager or small team on the other side of the Facebook wall; they don’t expect you to move mountains. They do expect you to listen though.

Lastly, think about how you use social tools in your personal life. Do you interact with brands? Do you expect them to respond when you engage them? Our patients and customers are no different in their usage. Building a process to accept, respond and react to feedback will go a long way in strengthening your strategy and engagement. You community will appreciate it!

*Do you have a process for feedback? What tips and tricks have you learned? How did your organization get there? * -Nick Dawson

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By Randy Schwarz | Posted in Uncategorized | Tagged , , , , , | Comments (1)

Making it Work


Please do not judge us, but my wife and I have become addicted to Project Runway.  Argue you may that the series has jumped the proverbial shark, but there my wife and I find ourselves, planted firmly on the couch, despite Tim Gunn’s absence from the current iteration.

It is striking, watching the show and reflecting on the historic connections that lie beneath the fabric-laden façade.  The very origins of the fabrics’ names that the designers use have profound and ancient roots.  The muslin fabric, used by the designers as a universal base for design, is named for the port city of Mosul, first written of in 1298 by Marco Polo in his book The Travels, a text reporting his visit to the court of the Mongol leader Kublai Khan. The satin, favored by Michael C., is named for the port of Zaytun, an important port in the Mongol empire in the Fujian province of southern China.  The reversible woven damask silk, favored by Austin, has its origins in the Syrian city of Damascus, the city where the majority of the Mongol trade to Europe in that era passed.

The impact of the Mongol empire on the fundamental meaning of trade was profound.  Previous to the Mongol empire, trade was a rare component of life in both Europe and China.  The presumption in feudal Europe had been that each country functioned as an independent and autonomous entity, fully self-sufficient; in the Chinese kingdoms, walls that served as borders to limit raiding equally limited trading opportunities.

The Mongols astutely understood that one kingdom’s disposable excess may well be another kingdom’s greatest desire and forged new trading relationships and routes.  The Silk Road, the linking trade route ranging 4,000 miles across the majority of Eurasia and portions of Africa, did more than allow fabric to be shared, it truly allowed knowledge and culture to be shared, and by doing so, played a critical role in the evolution and development of the modern world.

The barriers that we face, those well-established between competing hospitals, between competing medical practices, between patients facing the same health challenges, even between physicians and patients – these barriers may seem woven into the very fabric of our health care culture and overwhelming to confront.  Yet pick them apart we do, using social media and the digital conversations to forge new relationships and in doing so redefining the nature of engagement.  We are laying the foundation for new definitions that may echo in the same fashion as damask silk, satin, and muslin, and will eventually make for a new vocabulary.

Join us in the creation of this digital Silk Road!

In the meantime, please forgive me; I have to get back to Project Runway.  Someone needs to root for Mondo!

Farris Timimi, M.D., is medical director for the Mayo Clinic Center for Social Media.  Engage with him on  Twitter.

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By Farris Timimi | Posted in Philosophy | Tagged , , | Comments (1)

Call for Proposals: 2012 Social Media Summit


Last year’s Social Media Summit at Mayo Clinic in Rochester, Minn. was a huge success, with more than 375 participants from 38 states and 4 countries.

We’re now in the midst of planning for this year’s Social Media Summit, which will be part of a full week of social media events at Mayo Clinic. We’ve identified some great potential presenters and panelists, but we’re also putting out a call for proposals so we can have an even stronger Summit program.

The 2012 Social Media Summit will be held on Oct. 16-18 in Rochester, Minn. The program, produced in collaboration with Ragan Communications, will consist of pre-conference workshops on the first day, followed by a three-track conference on the 17th and 18th.  The tracks for this year’s event are:

  • Social Media, marketing and PR
  • Mobile Health Care Communications
  • Social Media for Medical Professionals

You can read more details about the week’s events here.

If you have an idea for a presentation you could provide or a panel you would like to organize, we would love to consider it.

Whether it’s a concrete case study or a compelling conversation topic, summarize your idea in a paragraph or two and provide some biographical background on yourself and any co-presenters or panelists. Be sure to provide contact information, including links to your online social networking profiles.

Then submit your one page proposal via email by March 23, 2012 to the Mayo Clinic Center for Social Media.

We look forward to your ideas!

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By Lee Aase | Posted in Events | Tagged , , , , , , , , , | Comments (2)

Guiding Principles for Physician Use of Social Media


Editor’s Note: Mark Ryan, M.D., is a member of the External Advisory Board for the Mayo Clinic Center for Social Media.

“Art is not a mirror held up to reality but a hammer with which to shape it.”  — Bertolt Brecht

In two prior posts, I have discussed the issue of professionalism and social media.  These two posts can be found here and here.  I have also taken issue with medical organizations’ extant social media guidelines.  In some of these posts’ comments, it has been noted that there is no corresponding guideline or document that expressly discusses appropriate, positive use of social media in health care communications.

As a result, I am taking the liberty of making some suggestions as to what I think are important guiding principles for effective physician use of social media.  This will include some cautions that I feel are especially useful, but I would also like to explain how and why I think physicians can use social media in positive and useful ways.

Part of this task includes defining physician professionalism.  There are various definitions (here, here, and here), but they share the common themes of respect for patients’ autonomy, individualism, and privacy; response to and concern for societal needs; embodiment of humanistic values of altruism, empathy, compassion, honesty, and integrity; focus on the scientific basis of medical knowledge; accountability to peers; and commitment to professional development and competence

With those guiding principles, here are my suggestions for how physicians can effectively use social media:

  1. Do not discuss patient’s illnesses, medical conditions, or personal information online.  Unless you have a patient’s express permission to share their information, then do not discuss anything about them online.  The simple fact is that even if we believe we have made information anonymous, it is hard to do so completely (as this doctor discovered).  If a patient has given you their permission, make that clear in the post.  Otherwise, do not discuss real patients’ information via social media.  Rather than choosing to discuss a specific recent case that you might have seen, it would be better to offer a broader perspective or discussion on the issues at hand.  This is especially true in a smaller community, where even broad descriptions of patients and clinical situations might allow patients to be identified.
  2. Use social media to share information that promote quality health care and up-to-date medical information.  There is a wealth of information available on Twitter, for example, that provides current information regarding medical research and treatments.  The New England Journal of Medicine, the Journal of the American Medical Association, the American Academy of Family Physicians, the National Institutes of Health, and the Centers for Disease Control (among many, many others including individual medical specialty organizations and journals) all have accounts that provide regular updates with a focus on basic science and clinical care.  By following these accounts and sharing relevant and actionable information, we promote its dissemination.
  3. Address those societal needs that you think are most important, or that motivate you.  Social media use will undoubtedly be an added responsibility during your free time, and so using it to focus on issues that are relevant to you makes it easier to sustain the effort.  For example, I am a strong believer in the need to enhance our primary care workforce via family medicine and I support the Patient Protection and Affordable Care Act (PPACA) of 2010.  As a result, my Twitter feed focuses on these topics.  I share updates about how the PPACA will enhance patients’ access to health care and reform health insurance company practices, about the importance of family medicine (and primary care) and the need to reform our system to support and train more family physicians, etc.  Each of us will be motivated by our specific interests, but we should use social media as tool to call for necessary change to benefit society as a whole.
  4. Recognize that you represent your profession, and help others recognize that they do, too.  When someone views your social media posts, they will likely see the post through the lens of your profession.  If they see my posts, it might not be seen as “Mark Ryan thinks such-and-such” but rather “Dr. Mark Ryan thinks such-and-such.”  It might then be tempting to presume that others in the same profession feel the same.  So, take care not to post updates that would violate the definition of professionalism identified above.  If you see someone else posting updates that seem unprofessional, I think it is appropriate to connect with them and discuss this issue–not in a punitive way, but rather to help promote the proper use of social media tools.
  5. Promote the humanistic values identified as congruent with medical professionalism.  Be honest, forthright, helpful, and compassionate.  Offer help, answer questions, and suggest resources when you are able to do so.  Be open to contact from others, and participate in discussions when time allows.
  6. I do not think it is necessary to separate personal and professional content online.  My social media presence is a reflection of who I am, and expresses my beliefs and my priorities.  These are what make me the person and the physician that I am, that define the societal needs that I seek to address, and determine my perspective on any number of issues.  To be personal, my social media presence must reflect my beliefs.  However, I do use a disclaimer to note that my opinions are mine alone (not those of my employer), and I understand that there are those who will disagree with me.  Social media is an opt-in phenomenon: if someone wants to read my opinions, they will have to come find my accounts…and they can choose to ignore me and any of my posts.
  7. I do not think we must keep our social media content locked behind tight privacy restrictions.  My accounts’ privacy settings depend on my anticipated use: I keep my Twitter and Tumbr accounts public because I intend for the information to be public.  I keep my Facebook account private because I do not intend to use it for public information, but rather to keep up with friends and family.
  8. Do not practice medicine via social media.  It seems self-evident, but it is worth making clear.  I do not provide any individual, specific medial care or medical advice via social media.  The most I have done is to provide links to already-available online resources for people to review and to help them make their own decisions as to how to proceed with any given medical issue.  I do not knowingly interact with any patients on Twitter but, if I did, I would interact with them the same way I interact with anyone in a public setting.  I do not friend patients on Facebook because of how I choose to use Facebook
  9. Presume that everything said online can be found if someone looks hard enough, and is going to be available forever.  This might be an exaggeration, but it provides guidance when thinking about what information should be shared.  I assume that nothing is actually private, and so I do not post any information (even via direct messages) that I would be bothered if it were made public.  For the same reason, I choose not to use any anonymous accounts: I assume that someone out there could identify me if they tried hard enough.  This helps me edit what I put online and what stays in my head.

I hope that this post accomplishes its goal: to provide some suggestions and guidelines on how to use social media effectively and professionally as a physician.  Social media is not simply a way to reflect what is happening around us, but rather a way to play an active role in changing society for the better.

Please provide comments and suggestions below.

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By Mark Ryan, MD | Posted in Uncategorized | Tagged , , , , , , , , | Comments (18)

Coffee For All


Merchants introduced coffee to the European continent through Venice.  Once Pope Clement VIII ruled that it was acceptable for Catholics to consume coffee in 1600, the consumption and popularity of coffee markedly increased.  In 1645 the first coffee house in Europe was opened, in Venice.

Ideas require space for formulation, development and growth.  The European coffeehouse served as a real physical space that fostered innovation, and did so in direct competition with the university system.  In contrast to the universities, a widely diverse group of patrons frequented coffeehouses, with equal standing regardless of their socioeconomic status once they passed walked through the doors.  Indeed, posted rules and orders often included the pronouncement that “no man of any station need give his place to a finer man.”

Historian Brian Cowan has described the European coffeehouses as “places where people gathered to drink coffee, learn the news of the day, and perhaps to meet with other local residents and discuss matters of mutual concert.”  In contrast to the taverns and pubs, there was no alcohol available in coffeehouses, which resulted in sober discussions.

Admission to a European coffeehouse was typically set at one penny; in exchange, the customer would receive admission, a cup of coffee and the opportunity to converse with other patrons on a wide range of topics to include politics, current events, history, and even daily gossip.  Indeed, historians typically associate the advent of the European coffeehouse with the subsequent development of the Age of Enlightenment.

There has been a great deal of discussion comparing social media, as a platform for exchange, to the European coffeehouse.  In particular, the real physical space for discussion that the coffeehouse fostered has been appropriately compared to the virtual space that social media creates, and the brisk exchange of ideas on a wide variety of topics that we see in this new domain.  The development of new insights and ideas cannot occur in a vacuum; innovation truly requires a space (real or virtual) for people to meet and for ideas to percolate and meld. Social platforms provide this space for active exchange and engagement, making for a powerful and apt analogy.

In our celebration of this paradigm shift, we must not cautious not to exclude those from the conversation those who lack access to participate.  Many of these people are from the most disadvantaged groups, including the elderly, disabled, minorities, and socioeconomically challenged.  Their contributions to this digital conversation, their capacity to enter this space of sharing innovation, may be missed.  Moreover, studies have suggested that those who are digitally excluded are more prone to recurrent health issues.

Internet use consists of a spectrum of access options that range from those individuals who have never been online, to those who have online access limited to dial up, or to those who only have access while at work.  We need to make a clear, conscious and concerted effort to identify and support local community access advocates including public libraries and librarians, community centers, and places of worship, which offer free internet access.  Additionally, our engagement and the digital content we create must be in a format that can be readily accessed and easily occur via mobile technology, given the growing role this form of access can play.  We must foster the development of access vectors that foster engagement for the disabled.  The potential impact of digital isolation on quality of life is profound.

Truly, everyone who wants a cup of coffee must be ensured a full mug.

Farris Timimi, M.D. is the medical director for the Mayo Clinic Center for Social Media.

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By Farris Timimi | Posted in Philosophy | Tagged , , , , , | Leave a comment

Pinterest for Heath is a Beautiful Thing . . . Literally


Editor’s Note: Meredith Gould, PhD, is a member of the External Advisory Board for the Mayo Clinic Center for Social Media.

From zero to gazillion miles per hour in weeks — that’s how quickly Pinterest, the latest social media platform has caught on. First adopted by artists, photographers, crafters, and do-it-yourselfers, Pinterest has swiftly captured the attention of marketers across industries. (For a healthcare industry round-up, see: HealthProTalk).

Still, I note a bit of head-scratching among healthcare social media enthusiasts who are busy asking: How could Pinterest be used to generate business and patient engagement? What sorts of content should we be pinning? What sorts of boards should we be creating? What are we to do in the absence of categories for health or medicine?

Great questions, but from my (multiple identity) perspective as an artist, e-Patient, and caregiver, I say there’s nothing wrong – and a lot that’s very wise – with simply focusing on this existing category: Art. I say it’s worth considering the incalculable value of pinning images that can soothe mind and spirit while the body is under siege. I suggest we start asking how Pinterest might be used to enhance someone’s healing process.

Sites like CaringBridge and CarePages make it possible for loved ones to deliver ongoing encouragement for patients and caregivers. Now, imagine using Pinterest boards (individual or shared) to enhance mood and outlook for self and others. Here are some examples from my own self-soothing account: Irises (paintings and drawings of my all-time favorite flower, that will last longer than real irises ever do) and Inspired Healing (images that remind me that while we may not be cured, we can always be healed).  I visit Fractals, Spirals, Cells & bacteria, and Microscopicto remember there’s beauty to be found in the natural sciences, something that really helps when I’m feeling disgusted with all thing medical.

If laughter is the best medicine, can beauty be far behind? Hopefully not.

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By Meredith Gould, PhD | Posted in Uncategorized | Tagged , , , , , , | Comments (3)

The Buzz on Social Media Residency


The Mayo Clinic Center for Social Media hosted the first-ever Social Media Residency on October 20-21, 2011. Included in the curriculum was a video interview assignment where the social media residents discussed their thoughts on the residency.

The first Social Media Residency session of 2012 will meet March 28-29 on our Mayo Clinic campus in Jacksonville, Florida. Tuition is discounted for members of Mayo’s Social Media Health Network.

[tweet about this event using #SMresFL]

For more information and to register:

If you have questions, please contact the Center for Social Media at 507-538-0492 or by email.

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By Lee Aase | Posted in Events | Tagged , , , , | Comments (2)