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Social Media by Fvx296q

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									      Social media
Is there a role for community-based
      practicing cardiologists?


        Friday, August 31, 2012
         Seth D Bilazarian, MD
                 PMA
        DrSeth@pmaonline.com
       Social media definition
Social media (SoMe) include web-based and
  mobile technologies used to turn
  communication into interactive dialogue. "A
  group of internet-based applications that
  build on the ideological and technological
  foundations of Web 2.0 and that allow the
  creation and exchange of user-generated
  content."

                                     Wikipedia
       Two questions SoMe raises for
       physicians in clinical practice
• Is it worth it?
  –   Is there time to spend on SoMe?
  –   Will it be entertaining?
  –   Will it be enriching personally?
  –   Will it be enriching professionally?
• Can I afford to ignore it?
  – Will there be consequences personally,
    professionally (individually and to my group) by
    "standard ostrich avoidance"?
        Disconnect: Clinicians vs
    leaders, technophiles, and futurists
• Many pundits characterize the slow adoption of all
  technology tools (EHR, SoMe) as a failure of entrenched
  clinicians to change and embrace these new realities. To
  technophiles, SoMe is a panacea.
• Physicians are under enormous duress and financial
  constraints. Tools that provide efficiency and add to the
  efficacy of the physician-patient experience and ultimately
  health outcomes would be welcomed in a "do more with
  less" environment. To them, SoMe can't be integrated into
  practice.
• What's the problem?
What leaders, technophiles, and
      futurists are saying

• "Of all the professions represented on the planet,
  perhaps none are more resistant to change than
  physicians. If there were ever a group defined by
  lacking plasticity, it would first apply to doctors." p177
• "Too many doctors today are trying to fly a biplane in
  the jet age, the indicators all analog and completely out
  of whack. It's no wonder they seem to crash." p179



                      http://creativedestructionofmedicine.com
     What clinicians might say
• Where's the ROI on previous technology
  investments?
• Healthcare really is different: Other
  industries derive benefit from internet
  traffic in reduced cost and increased sales
• Malpractice risks?
• HIPAA violation risks?
      Disconnect: Clinicians vs
  leaders, technophiles, and futurists
• What's the problem?
• If physicians are profit motivated for their
  practices, wouldn't they be willing to adopt
  new strategies if they improved efficiency,
  quality, and safety and reduced cost?
            The panacea of SoMe
• In recent past, new solutions were touted for problems without
  admitting that these always present new unanticipated problems.
  Promoters naive or deceitful.
• Examples
   – EHR/ EMR http://ht.ly/1hg9x9
   – ACGME work-hour restrictions (http://goo.gl/N6Cmo and
     http://goo.gl/SvQ87 )
• Doctors to blame
   – Changing physician culture is hard, much harder than doing
     smart analytics. To succeed, we need a new cadre of IT-
     powered doctor-leaders. @ChasRoades) 2/12/12 11:07 AM
   – "Looking outside the system to digital media and
     communities for answers but are challenged with uncertainty
     over concepts of usefulness, practicality, bandwidth issues,
     'ROI,' and privacy concerns."
     http://www.howardluksmd.com
              Online health-seeking
                digital resources
•   Internet resources   • 79% of adults are on the
•   Facebook               internet
•   YouTube              • Broadband is used in 60% of
•   Twitter                US homes
                         • 85% of adults in the US have
                           a cell phone
                         • 26% of > 65-year-old people
                           are on social networks
                         • No filter
                         • Dangerous? Any answer you
                           want
 Change in internet usage by age:
           2000–2010
Teens (12–17 years old)                     93%
All adults (>18 years old)                  79%
Adults 18–29                                95%
Adults 30–49                                87%
Adults 50–64                                78%
Adults >65                                  42%




                      Data from Pew Internet and American Life Project
     Web 2.0="Gather and talk"
Web applications that facilitate participatory
  information sharing, interoperability, user-centered
  design, and collaboration on the World Wide Web.
A Web 2.0 site allows users to interact and collaborate
  with each other in a social-media dialogue as
  creators (prosumers) of user-generated content in a
  virtual community, in contrast to websites where
  users (consumers) are limited to passive viewing of
  content created for them.
Examples of Web 2.0 include social networking sites,
  blogs, wikis, video-sharing sites.


                                                 Wikipedia
                Historical perspective:
   Medical resources on the internet: The future has arrived

Advances in telecommunications technology have fostered the development of
   computer networks that allow access to vast amounts of information and services.
The recent upsurge in interest in the Internet is due to several mutually reinforcing
   factors:
     – Increased ease and availability of access to the internet.
     – Lower access charges.
     – Faster communications.
     – More organizations offering services over the Internet.
Of particular interest to the medical community is the large and increasing number of
   technical, scientific, and biomedical resources that can be accessed.
Many medical organizations and some medical journals are advertising their services
   over the internet and can be contacted through electronic mail.
As telecommunications cost decreases and speed increases, new forms of computer
   communication, such as long-distance, real-time audio, and video services will
   become available. Computer networks in general & the Internet in particular are
   likely to play more important roles in many aspects of medicine in the future.


 More now than in 1995
                                              Ann Intern Med 1995; 123:123-131
         Problems–Security
   Data breaches from unencrypted
      devices up 525% in 2011
• The increase in "bring-your-own-device" policies at
  various hospitals, in addition to the continued
  implementation of electronic health record systems, are too
  much for government alone to regulate.
• The report digs into the latest major data breach figures–
  those breaches affecting 500 or more individuals–released
  by the US HHS's Office for Civil Rights.
• With the addition of the 2011 Sutter Health breach, which
  affected 4.2 million patients, the number of major
  healthcare information breaches now sits at 385 since
  2009.


                             Fierce Health IT http://goo.gl/CI2MW
         Problems–No filters
• In Web 1.0–Trusted organizations filtered
  and presented data for consumption
• In Web 2.0–No filters
• In Web 2.0 –No barriers. February, 2012:
  Patients were asking questions directly to
  Steven Nissen at the Cleveland Clinic and
  Dr Harlan Krumholtz at Yale in separate
  webchats sponsored by their organizations
• Patients asking questions
  regarding management:
   – Should I get this test?
   – What diet is best?
• Are these promotional
  strategies? Selling a
  book? Promoting the
  institution?
Heart 411: The Only Guide to Heart Health You'll
  Ever Need by Marc Gillinov, Steven Nissen
      Historical perspective:
     Weekend sign-out at PMA
• Monday morning calls (left a note at
  hospital operator)
• Home fax–thermal paper
• Email, internet–print for hospital
  rounds the next day
• Email to smart phone–(beeper gone)
   My take on the tools afforded by
            Social Media
• Useful for promotion, marketing of practices and
  healthcare businesses (Web 1.0)
• Potentially great strategies for communicating with
  patients in a highly efficient and effective manner
• Many unknowns and uncertainties: security, privacy,
  propriety
• System impediments to adoption: malpractice risks,
  hospital system limitations are pervasive
• Most physicians would enthusiastically adopt solutions
  that would improve efficiency and efficacy of patient
  interactions
            More info and the future
• @MayoClinic          Oct. 15–19, 2012 is social media week at Mayo
   Clinic mayocl.in/SMWeekatMayo
• Blogging to be used for promotions/ tenure consideration?
   @RyanMadanickMD: My university recently announced that
   blogging can be used in promotion/tenure consideration
• Read especially persuasive and how-to SoMe essay
   http://www.howardluksmd.com/orthopedic-social-
   media/physician-social-media-presence-hjl20/
     Social Media to be discussed on
            Practioner's corner
•   Email
•   Internet Searching: Google
•   Patient Portal
•   LinkedIn
•   Facebook
•   Twitter

								
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