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John Sharp, MSSA, PMP
                     April 16, 2009

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                                 Digital Consumer   April 16, 2009
   How is Web 2.0 different?
   Tool Set
   Best Practices
   First Steps – claim your brand
   Monitor your brand
   Enterprise 2.0
   Return on Investment/Impact
   Minimizing Risk



                                Digital Consumer   April 16, 2009
   Architecture of participation
    ◦ Tim O’Reilly

    User generated Health Care
    ◦ Matthew Holt




                            Digital Consumer   April 16, 2009
Digital Consumer   April 16, 2009
Why Participate
in Web 2.0?
The best companies
are the best
collaborators.
The next layers of
value creation
are becoming so
complex that no
single firm or
department is going
to be able to master
them alone.

                       Digital Consumer   April 16, 2009
McKinsey Quarterly
Six ways to make Web 2.0 work




           Digital Consumer   April 16, 2009
   Blogs and Microblogging
    – own content
   Wiki – participatory content
   Google, Gmail, maps, Ajax
    – enriching the user experience
   Social networking - Facebook
   Photo sharing, tagging - Flickr, delicious
   YouTube – video, tagging, viral videos
   Virtual Worlds – Second Life


                                Digital Consumer   April 16, 2009
Digital Consumer   April 16, 2009
   133 million blogs
   900,000 blog posts every
    24 hours
   More than four in five
    bloggers post product or
    brand reviews




                               Digital Consumer   April 16, 2009
Example - Hospital CEO Blog




           Digital Consumer   April 16, 2009
Digital Consumer   April 16, 2009
Digital Consumer   April 16, 2009
   Between texting and
    blogging
   Limited to 140
    characters
   Persistent
    awareness, ambient
    intimacy
   Business uses –
    immediate
    communication

                          Digital Consumer   April 16, 2009   13
Digital Consumer   April 16, 2009   14
Digital Consumer   April 16, 2009   15
   Fargo, SD – recent flood
   Innova Health used their blog and Twitter for
    emergency communications to the media and
    public
   Reduced phone calls to call in center
   CEO pledged commitment to rebuilding the
    community
   Recognized employees who worked through
    the crisis
   Also, MD Anderson during hurricane

                                Digital Consumer   April 16, 2009   16
 Press releases
 Emergency communication
 Personal Health diary
 Weight Management support
 Daily Health tips
 Brainstorming
 Updating families during procedures
--------------------------
 What are you doing?




                             Digital Consumer   April 16, 2009   17
   Reference Tool ,
    collaborative contributions
   50 now cataloged
   ClinInfoWiki.org
   AskDrWiki.com
   Medical info in Wikipedia – accurate?
   Medpedia – creating vetted health
    information, but slow to create articles




                                 Digital Consumer   April 16, 2009   18
Myocardial Infarction during Pregnancy
From Ask Dr Wiki
Contents
1 Overview
2 Pathophysiology
3 Diagnosis
4 Drugs




                 Digital Consumer   April 16, 2009   19
Digital Consumer   April 16, 2009   20
This article needs additional
citations...




                      Digital Consumer   April 16, 2009   21
   MySpace, Facebook, LinkedIn
   Like a personal web page with links to
    “friends”
   For patients – development of condition-
    related communities – opportunity for disease
    management?
   “One-third of all online type 2 diabetes
    patients are using Health 2.0 sources “
   Social Networking for business - LinkedIn



                               Digital Consumer   April 16, 2009   22
Digital Consumer   April 16, 2009   23
Functional
 Rating                               PatientsLikeMe
  Scale                                 Monitoring
                                      ALS progression

Forced
 Vital
Capacity




             Digital Consumer   April 16, 2009      24
Features Wisdom Cards
Advertising dependent




         Digital Consumer   April 16, 2009   25
Communities built around
a health search tool




    Digital Consumer   April 16, 2009   26
   RevolutionHealth.com – Steve Case
   Utilizes health information from Mayo,
    Cleveland Clinic, Harvard
   But allows users to comment on health
    information, experience with providers and
    hospitals
   Users can create blogs
   Driven by Consumer-Directed Healthcare




                               Digital Consumer   April 16, 2009   27
Digital Consumer   April 16, 2009   28
   Virtual World
    – many companies have
    built businesses in
    Second Life
   Appeal mostly to
    younger demographic,
    esp. gamer
   Potential for education
    of medical professionals
    and consumer health
    promotion
                               Digital Consumer   April 16, 2009   29
Featured
Communities




              Digital Consumer   April 16, 2009   30
•Network your way to a new
nursing job
•Find friends and former nursing
colleagues
•Rate and review top
hospitals, schools and more
•Get advice and career tips
•Search jobs in your favorite
cities




           Digital Consumer   April 16, 2009   31
Digital Consumer   April 16, 2009   32
   Limitations
        ◦ Time
        ◦ Unclear Value
        ◦ Privacy for patients and professionals

       Benefits
             Expanding professional networks
             Extending relationships developed at national
              meetings
             Research collaborations
             Recruitment

                                            Digital Consumer   April 16, 2009   33
   Google maps          ClinicalTrials.gov
   Photos – Flickr      Pubmed articles
   Videos               flu epidemic
   Products             SEER data from NCI
   Books – Amazon       Health dispericies
   Population data
   Anything tagged
   Any data source



                             Digital Consumer   April 16, 2009   34
Digital Consumer   April 16, 2009   35
 Google Health
 Microsoft Health Vault
 Dossia


   Give control to the consumer over
    their health information




                           Digital Consumer   April 16, 2009   36
Digital Consumer   April 16, 2009   37
   Organize your health information, with
    everything in one place
   Simplify your life: enter health info once, use
    it in many ways
   Gain insight with data that helps you make
    informed decisions
   Connect with medical devices – blood glucose
    monitors, weight scales, blood pressure
    monitors


                                 Digital Consumer   April 16, 2009   38
Employee Sponsored PHR




Founders: Walmart, AT&T, Cardinal Health, Intel…

                             Digital Consumer   April 16, 2009   39
   Using Web 2.0 within your organization
   Social networking to encourage cross-
    department collaboration, innovation
   Wellness social network
   Wikis as a reference tool
   CEO blog for employee communications




                               Digital Consumer   April 16, 2009   40
   Monitor what people are saying about you
   Manage your online reputation
   Enter cautiously
   If you launch a blog, require that comments
    be approved before posting
   Think about a tagging strategy which will
    enhance your brand
   Consider Web 2.0 a new tool set, not a
    solution looking for a problem
   To block or not to block from work site?

                                Digital Consumer   April 16, 2009   41
   Develop a strategy
   Claim your brand in the Web 2.0 world
   Monitor your brand
   Experiment
   Explore
   partnerships




                               Digital Consumer   April 16, 2009   42
   Integrate with marketing strategy
   How will it strengthen your brand,
    your online reputation?
   Establish a presence
   YouTube Channel
   Twitter Account(s)
   Facebook group?
   Expert Blog
   RSS feeds consolidated
   Sharing tools – Delicious, Digg, etc.

                                 Digital Consumer   April 16, 2009   43
   RSS feeds for news, blogs, videos
   TweetDeck, FriendFeed for monitoring
    Twitter, Facebook
   Monitor blog comments
   Find rogue sites
   Monitor rating sites
   www.angieslist.com
   www.ratemds.com
   www.healthgrades.com


                              Digital Consumer   April 16, 2009   44
   LinkedIn or social network for nurse recruitment
   Executive blog for employee communication
   Social Network for physician alumni
   Video channel on YouTube
   Twitter for CME promotion
   Send press releases, interview offers to bloggers
    with solid reputations
   Twitter from the OR? Henry Ford Hospital
   Special Twitter account for communicating with
    press contacts



                                    Digital Consumer   April 16, 2009   45
   Create a unique Twitter account
   Secure updates: In the setup, select, Protect
    My Updates – this allows some protection
    from others seeing your updates
   Invite specific press contacts to request your
    updates
   Do not accept requests to follow from people
    you do not recognize
   Start posting updates with links on a daily
    basis to keep the press engaged
   Include embargoed items?
                                Digital Consumer   April 16, 2009   46
 Consumer social
  networks
  – new patients
 Scientific/Research communities
  - collaboration
 Physician/provider social networks
  - referrals
 Nursing social networks – recruitment
 Develop criteria to assess partners

                         Digital Consumer   April 16, 2009   47
 Test The Waters
 Set Modest Expectations
 Don’t Let Fear Strangle Growth
 Resist Exclusivity
 Don’t Forget About Search
TransUnion: an estimated $2.5 million in
  savings in less than five months while
  spending about $50,000 on a social
  networking platform.


                             Digital Consumer   April 16, 2009   48
Wikis, blogs, profiles, and
SharePoint   communities
             Wikis, blogs, profiles, socia
             l bookmarks, and
             microblogging
             Wikis, blogs, profiles, grou
             ps and communities,
             social analytics, and more




                     Digital Consumer   April 16, 2009   49
   Soft
    ◦ Transparency
    ◦ Brand enhancement
    ◦ Worker efficiency, networking,
      satisfaction (Ygen)
   Hard
    ◦ Drive web traffic to website, events,
      announcements
    ◦ Recruitment
    ◦ Wellness – employees and patients
    ◦ Physician referrals, CME attendance
    ◦ Clinical trial recruitment

                                       Digital Consumer   April 16, 2009   50
Blog:
    ehealth.johnwsharp.com




            Bookmarks:
delicious.com/johnsharp/HIMSS2009




                     Digital Consumer   April 16, 2009   51

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The Digital Consumer: Web 2.0 Roadmap for Healthcare Organizations

  • 1. John Sharp, MSSA, PMP April 16, 2009 CC Attribution license Digital Consumer April 16, 2009
  • 2. How is Web 2.0 different?  Tool Set  Best Practices  First Steps – claim your brand  Monitor your brand  Enterprise 2.0  Return on Investment/Impact  Minimizing Risk Digital Consumer April 16, 2009
  • 3. Architecture of participation ◦ Tim O’Reilly  User generated Health Care ◦ Matthew Holt Digital Consumer April 16, 2009
  • 4. Digital Consumer April 16, 2009
  • 5. Why Participate in Web 2.0? The best companies are the best collaborators. The next layers of value creation are becoming so complex that no single firm or department is going to be able to master them alone. Digital Consumer April 16, 2009
  • 6. McKinsey Quarterly Six ways to make Web 2.0 work Digital Consumer April 16, 2009
  • 7. Blogs and Microblogging – own content  Wiki – participatory content  Google, Gmail, maps, Ajax – enriching the user experience  Social networking - Facebook  Photo sharing, tagging - Flickr, delicious  YouTube – video, tagging, viral videos  Virtual Worlds – Second Life Digital Consumer April 16, 2009
  • 8. Digital Consumer April 16, 2009
  • 9. 133 million blogs  900,000 blog posts every 24 hours  More than four in five bloggers post product or brand reviews Digital Consumer April 16, 2009
  • 10. Example - Hospital CEO Blog Digital Consumer April 16, 2009
  • 11. Digital Consumer April 16, 2009
  • 12. Digital Consumer April 16, 2009
  • 13. Between texting and blogging  Limited to 140 characters  Persistent awareness, ambient intimacy  Business uses – immediate communication Digital Consumer April 16, 2009 13
  • 14. Digital Consumer April 16, 2009 14
  • 15. Digital Consumer April 16, 2009 15
  • 16. Fargo, SD – recent flood  Innova Health used their blog and Twitter for emergency communications to the media and public  Reduced phone calls to call in center  CEO pledged commitment to rebuilding the community  Recognized employees who worked through the crisis  Also, MD Anderson during hurricane Digital Consumer April 16, 2009 16
  • 17.  Press releases  Emergency communication  Personal Health diary  Weight Management support  Daily Health tips  Brainstorming  Updating families during procedures --------------------------  What are you doing? Digital Consumer April 16, 2009 17
  • 18. Reference Tool , collaborative contributions  50 now cataloged  ClinInfoWiki.org  AskDrWiki.com  Medical info in Wikipedia – accurate?  Medpedia – creating vetted health information, but slow to create articles Digital Consumer April 16, 2009 18
  • 19. Myocardial Infarction during Pregnancy From Ask Dr Wiki Contents 1 Overview 2 Pathophysiology 3 Diagnosis 4 Drugs Digital Consumer April 16, 2009 19
  • 20. Digital Consumer April 16, 2009 20
  • 21. This article needs additional citations... Digital Consumer April 16, 2009 21
  • 22. MySpace, Facebook, LinkedIn  Like a personal web page with links to “friends”  For patients – development of condition- related communities – opportunity for disease management?  “One-third of all online type 2 diabetes patients are using Health 2.0 sources “  Social Networking for business - LinkedIn Digital Consumer April 16, 2009 22
  • 23. Digital Consumer April 16, 2009 23
  • 24. Functional Rating PatientsLikeMe Scale Monitoring ALS progression Forced Vital Capacity Digital Consumer April 16, 2009 24
  • 25. Features Wisdom Cards Advertising dependent Digital Consumer April 16, 2009 25
  • 26. Communities built around a health search tool Digital Consumer April 16, 2009 26
  • 27. RevolutionHealth.com – Steve Case  Utilizes health information from Mayo, Cleveland Clinic, Harvard  But allows users to comment on health information, experience with providers and hospitals  Users can create blogs  Driven by Consumer-Directed Healthcare Digital Consumer April 16, 2009 27
  • 28. Digital Consumer April 16, 2009 28
  • 29. Virtual World – many companies have built businesses in Second Life  Appeal mostly to younger demographic, esp. gamer  Potential for education of medical professionals and consumer health promotion Digital Consumer April 16, 2009 29
  • 30. Featured Communities Digital Consumer April 16, 2009 30
  • 31. •Network your way to a new nursing job •Find friends and former nursing colleagues •Rate and review top hospitals, schools and more •Get advice and career tips •Search jobs in your favorite cities Digital Consumer April 16, 2009 31
  • 32. Digital Consumer April 16, 2009 32
  • 33. Limitations ◦ Time ◦ Unclear Value ◦ Privacy for patients and professionals  Benefits  Expanding professional networks  Extending relationships developed at national meetings  Research collaborations  Recruitment Digital Consumer April 16, 2009 33
  • 34. Google maps  ClinicalTrials.gov  Photos – Flickr  Pubmed articles  Videos  flu epidemic  Products  SEER data from NCI  Books – Amazon  Health dispericies  Population data  Anything tagged  Any data source Digital Consumer April 16, 2009 34
  • 35. Digital Consumer April 16, 2009 35
  • 36.  Google Health  Microsoft Health Vault  Dossia  Give control to the consumer over their health information Digital Consumer April 16, 2009 36
  • 37. Digital Consumer April 16, 2009 37
  • 38. Organize your health information, with everything in one place  Simplify your life: enter health info once, use it in many ways  Gain insight with data that helps you make informed decisions  Connect with medical devices – blood glucose monitors, weight scales, blood pressure monitors Digital Consumer April 16, 2009 38
  • 39. Employee Sponsored PHR Founders: Walmart, AT&T, Cardinal Health, Intel… Digital Consumer April 16, 2009 39
  • 40. Using Web 2.0 within your organization  Social networking to encourage cross- department collaboration, innovation  Wellness social network  Wikis as a reference tool  CEO blog for employee communications Digital Consumer April 16, 2009 40
  • 41. Monitor what people are saying about you  Manage your online reputation  Enter cautiously  If you launch a blog, require that comments be approved before posting  Think about a tagging strategy which will enhance your brand  Consider Web 2.0 a new tool set, not a solution looking for a problem  To block or not to block from work site? Digital Consumer April 16, 2009 41
  • 42. Develop a strategy  Claim your brand in the Web 2.0 world  Monitor your brand  Experiment  Explore  partnerships Digital Consumer April 16, 2009 42
  • 43. Integrate with marketing strategy  How will it strengthen your brand, your online reputation?  Establish a presence  YouTube Channel  Twitter Account(s)  Facebook group?  Expert Blog  RSS feeds consolidated  Sharing tools – Delicious, Digg, etc. Digital Consumer April 16, 2009 43
  • 44. RSS feeds for news, blogs, videos  TweetDeck, FriendFeed for monitoring Twitter, Facebook  Monitor blog comments  Find rogue sites  Monitor rating sites  www.angieslist.com  www.ratemds.com  www.healthgrades.com Digital Consumer April 16, 2009 44
  • 45. LinkedIn or social network for nurse recruitment  Executive blog for employee communication  Social Network for physician alumni  Video channel on YouTube  Twitter for CME promotion  Send press releases, interview offers to bloggers with solid reputations  Twitter from the OR? Henry Ford Hospital  Special Twitter account for communicating with press contacts Digital Consumer April 16, 2009 45
  • 46. Create a unique Twitter account  Secure updates: In the setup, select, Protect My Updates – this allows some protection from others seeing your updates  Invite specific press contacts to request your updates  Do not accept requests to follow from people you do not recognize  Start posting updates with links on a daily basis to keep the press engaged  Include embargoed items? Digital Consumer April 16, 2009 46
  • 47.  Consumer social networks – new patients  Scientific/Research communities - collaboration  Physician/provider social networks - referrals  Nursing social networks – recruitment  Develop criteria to assess partners Digital Consumer April 16, 2009 47
  • 48.  Test The Waters  Set Modest Expectations  Don’t Let Fear Strangle Growth  Resist Exclusivity  Don’t Forget About Search TransUnion: an estimated $2.5 million in savings in less than five months while spending about $50,000 on a social networking platform. Digital Consumer April 16, 2009 48
  • 49. Wikis, blogs, profiles, and SharePoint communities Wikis, blogs, profiles, socia l bookmarks, and microblogging Wikis, blogs, profiles, grou ps and communities, social analytics, and more Digital Consumer April 16, 2009 49
  • 50. Soft ◦ Transparency ◦ Brand enhancement ◦ Worker efficiency, networking, satisfaction (Ygen)  Hard ◦ Drive web traffic to website, events, announcements ◦ Recruitment ◦ Wellness – employees and patients ◦ Physician referrals, CME attendance ◦ Clinical trial recruitment Digital Consumer April 16, 2009 50
  • 51. Blog: ehealth.johnwsharp.com Bookmarks: delicious.com/johnsharp/HIMSS2009 Digital Consumer April 16, 2009 51