American Idol it’s not…

…but a Mayo Clinic physician, Janet Vittone, M.D., has been named one of five finalists in an ABCNewsNow.com/Prevention magazine contest called “Picture of Health” for women over age 40 who have overcome an illness or otherwise inspired members of their community to make healthy choices. See the ABCNewsNow interview here.

Voting is on-line, and as of this moment there have been a total of 1,978 votes cast, which is probably about 8 seconds worth of voting in American Idol.

Dr. Vittone had previously been featured on Mayo Clinic’s web site. The Rochester Post-Bulletin also did a story today on the contest and her participation.
This contest demonstrates several trends shaping media:

User-generated content, as each contestant uploaded a one-minute video during the first two months of 2007. Reportedly several hundred women entered or were entered by their loved ones. All of that content was free to ABC and to Prevention, and they used it to sell advertising.

Audience involvement, with people voting for their favorites. This is a little different from other contests like American Idol, because in essence you have five women who have either beaten a disease or engaged a community in health behaviors. There’s no Sanjaya in the bunch. Which saintly woman do you choose?

Partnerships for cross-promotion. Prevention and ABCNewsNow.com are building traffic and interest for each other, and with the announcement of finalists on Good Morning America, they got a nice additional cross-promotion.

Lots of web video that wouldn’t make air. When you go to the contest site you have options to see at least three videos of each contestant (each of which has a SlimFast ad). The whole Good Morning America introduction segment was about three minutes. But because you don’t need to appeal to a mass audience on the web, you can provide more in-depth video for those who are interested. (I would suggest, though, that ABC might want to reconsider whether playing the same ad before each video is a good idea. I would watch more of them if I didn’t have to see the “Hippy Hippy Shake” ad for a full 30 seconds each time. I likely would be more favorably disposed toward the advertiser, too, if every one-minute video wasn’t preceded by a 30-second ad.)

It will be interesting to follow this and see how many people are participating.

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Video in a whole new (Silver)Light

TechCrunch has a really interesting review of Microsoft’s new multimedia presentation and services software, Silverlight. I installed Silverlight on my Mac with no problem, and the demos show that this is going to be able to do a lot of neat things. For one thing, it might challenge the ubiquity of Flash. The video quality in the Fantastic Four movie trailer is stunning.

It tells me Web 2.0 might be moving to 2.2 or so, and that standards for web video may be moving up.

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Same Song, Same Verse

Circulation numbers continue to get worse.

Newspaper sales continue a steep slide nationally, figures released Monday show, but two New York City tabloids continued to buck the trend, posting the largest gains among major papers.

The industry as a whole reported a 2.1 percent drop in weekday circulation, and 3.1 percent on Sundays, in the six months ended March 31, compared with the period a year earlier. The figures, compiled by the Audit Bureau of Circulations but not yet audited, reflect 745 of the nation’s more than 1,400 daily newspapers.

The figures follow first-quarter reports for the nation’s major newspaper companies that showed falling earnings, declines in advertising and plans for continued staff cuts, heightening fears about the future of newspapers. Circulation figures have dropped gradually for two decades, beginning in the 1980s, but since 2004, the decline has picked up speed as readers and advertisers have migrated to the Internet.

It’s interesting that the Times places itself among those that “held fairly steady”…even though the other two in the group had slight gains while the Times’ decline was slightly worse than the industry average on Sundays, and modestly better than average on weekdays.

Sales have held fairly steady in recent years at the nation’s three largest-circulation newspapers, USA Today (more than 2.2 million), The Wall Street Journal (more than 2 million) and The New York Times (more than 1.1 million). In the most recent period, USA Today and The Journal, which do not print Sunday issues, posted fractional gains, while The Times’s circulation dropped 1.9 percent on weekdays and 3.4 percent on Sundays.

The Los Angeles Times, roiled by internal dissension, leadership turnover and a recent deal by its owner, the Tribune Company, to take the company private, lost 4.2 percent of its weekday sales, and 4.7 percent on Sundays. The Times’s weekday circulation averaged 815,000, almost 300,000 below where it stood seven years earlier.

I guess compared to the LA Times, the NY Times can take some comfort.

Or, as a famous Minnesotan would sing, “The Times, they are a changin'”

My wireless router burned out last week, and I’m just now back on-line at home, so I’m a few days late with this one. Happy to be back.

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Leveraging the Internet in Health Care

This morning Jane Jacobs and I are presenting a Mayo Clinic case study at a half-day workshop entitled, “New Media Requires New Strategies: A Marketer’s Primer.” Our co-presenters include Kathy Divis of Greystone.net and David Bennett of the Medical University of South Carolina.

Kathy gave the overview of trends in healthcare and the internet in general, from the rise in broadband penetration to the consequent explosion of on-line video and the various Web 2.0 applications.

She cited a Harris poll that said about 75 percent of people are interested in asking questions that don’t require a visit, schedule/cancel appointments, refill prescriptions and receive test/lab results, and more than a third are willing to pay for the ability to do this (an average of about $10/month).

About 40 percent of rural Americans have high speed access at home. The number of text messages sent and received each day exceeds the population of the planet.

She said the healthcare industry will have no choice but to engage and develop social media if it is interested in helpoing people find accurate and helpful information online, and that social media may shift control of healthcare brands to the masses, and those who ignore it are placing their organizations at risk.
Here’s and example of a health care video on YouTube

[youtube=http://youtube.com/watch?v=x2M3o0FB0SI]

…and another one

[youtube=http://youtube.com/watch?v=q7MssseGxO0]

The issue she raised is there is no control over who shares your page on YouTube, and by that I think she means the “Related” videos.

Clinical wizards and marketing avatars are multi-media files that combine text, audio, video and/or animation with interactivity and decision logic to educate the user about a specific condition or marketing campaign.

Kathy’s best estimate is there are over 700 health and fitness podcasts currently available, and now about 12 percent of internet users say they have downloaded a podcast.

Only three people in the audience have personal blogs. She made a good point that whether a hospital sponsors a blog or not, that doesn’t stop people from blogging about you. She cited High Point Regional Health System as one with patient blogs.

Next Kathy went into RSS (Really Simple Syndication), Wikis, and Tagging. See for example the social bookmarking site del.icio.us. The great thing about tagging and social bookmarking is it indicates that real human beings have looked at content and assigned it a relevant keyword, so searching based on tags gives results based on what users have found helpful, not what some site architect mapped out.

David went into depth on clinical wizards, and one in particular that they did for heart risk. They used targeted Google adwords to promote geographically, and in one year had more than 6,000 people take the assessment, of whom 4,000 signed up for eNewsletters, 2,300 individuals were identified as “at risk” and 123 (extremely conservatively estimated) scheduled appointments. He thinks it was likely 3x that amount. Total investment was about $40,000 per year, for likely 10x the revenue.

He next moved into podcasting and gave some price ranges for ways of approaching it, from bare bones to in-house studio to outside-produced content. Rmail is a way to get podcasts by email instead of RSS, which can help since people are more comfortable with email than RSS. They do about 20 audio podcast segments a week. They develop for a local TV program, and then use different versions for the web, cutting into multiple segments.
They use a Content Delivery Network CDN for delivery of all their online video (Akamai). They have put about 100 videos on YouTube. Here’s one:

[youtube=http://youtube.com/watch?v=d4S6k3OEIkg]

They use text messaging with an interesting application for weight loss, in which they send a daily reminder to people who sign up, asking them to text back their weight that day, which is tracked and plotted over time.
Jane and I discussed our definition of new media (anything that doesn’t require an FCC license) and how we are incorporating resources, such as our Mayo Clinic Medical Edge syndicated products, that we have produced for traditional media into these new channels. We have podcasts available from mayoclinic.org and on iTunes, and a Flash presentation on Mayo Clinic’s history. More recently we have begun using Flash for Medically Speaking web video, in which various experts who treat patients with a given condition share perspective on symptoms, diagnosis and treatment. In February, we launched a cell phone service in conjunction with Digital Cyclone, to provide health information and news videos to people on the go.

Here’s a video we used for pitching the launch to journalists:

[youtube=http://youtube.com/watch?v=1YkDSjclEws]

John Eudes of Greystone.net illustrated decision support wizards with examples from Rush University Medical Center’s Sleep Center (a company called Jellyvision produced it.) One problem is you can’t back up and another is you can’t jump ahead to make an appointment. A breast cancer risk self-assessment wizard from Central Health systems is improved because it has an interactive navigation box at the bottom that solves some of these problems. Emmi Solutions does an on-line informed consent program, and John showed the coronary artery bypass graft version. The purpose is to improve the patient experience and help with risk management. Patients have expressed satisfaction with the system and say they feel more informed and more confident.

John concluded with a strategy overview, with options ranging from purchasing syndicated content, repurposing what you’re already doing and custom content creation for the web. Mayo is doing the second and third options, but with a focus on the repurposing end and producing custom content at the same time as we are producing the mass media content.

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ALI Social Media Summit Presentation

As requested by Michael Rudnick, Chairperson of the Advanced Learning Insitute’s Social Media Summit, I have posted the PDF of my presentation on the blog he established as a clearinghouse. Go there to access my presentation, and feel free to leave comments or get in touch with me.

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