Is all health care local?

This presentation from John Norris caught my eye on Twitter because of how he promoted it through a tweet:

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Give his presentation a review and then I’ll share some thoughts that he stirred in me (since I work for @mayoclinic, and particularly with our Twitter account.)

I think this slideshow has a ton of useful ideas for a hospital interested in using Twitter or similar tools effectively. Phil Baumann’s 140 Healthcare Uses for Twitter is another good read.

When John says “All healthcare is local” that’s true…except when it’s not, just as Tip O’Neill’s “All politics is local” was occasionally trumped by national issues.

I would instead say “All healthcare is personal.”

And social media platforms are, above all, personal.

Most of the healthcare people get is local. But sometimes they look outside of their local for specialized expertise. And part of the power of social media is that it makes that expertise available to a community that can be globally dispersed.

But as John points out, the social tools (including Twitter) can be extremely helpful for a local community, too. Just because a Twitter community can be global doesn’t mean it has to be, or that the only worthwhile Twitter efforts are those with thousands of followers.

Ed Bennett’s list of the hospitals with most Twitter followers was interesting and fun, but as he says, you shouldn’t read too much into it. A hospital with a few hundred followers could be providing a great service and interacting with that local community.

The point is to be of service to the community, whether it’s geographical or interest-based. If the information you provide is useful, and if you can interact with that community, the activity can be valuable both to you and to the people you serve.

For example, people might want to follow and interact with @mayoclinic AND their local hospital (e.g. @InnovisHealth in Fargo, ND), and maybe a service like John is providing in Corvallis, Oregon called @CorvallisHealth. They would be likely looking for different information from each source, and to have different conversations with each.

Twitter lets users (including each hospital/corporate user) decide on suitable goals that meet their objectives. As John suggests, don’t let someone else’s Twitter strategy have too much influence on you. Look at what Twitter can do, and what you can do with Twitter, and decide what makes sense for you.

Then go for it, without worrying about “competition.”

I’m looking forward to learning about lots of other innovative uses of Twitter at the Health Care Social Media Summit Mayo is hosting in October in Scottsdale, Ariz,, co-sponsored by Ragan Communications.

If you’re using Twitter in an interesting or different way, I’d love to hear about it and help spread the word about it. By sharing what you’re doing, you may spark ideas in others. Not that they would necessarily do the same thing exactly, but it may help them see connections they could make in their communities.

And since most health care is local, you can just feel good if someone in another community can gain from what you’ve learned.

Creativity and the MacGyver Mindset

Here’s an interesting story from our Mayo Clinic Medical Edge TV news feature about the nature of creativity, and how it doesn’t just apply to art and music:

It’s nice to have a Mayo Clinic neurologist validating and outlining more rigorously something I’ve felt intuitively, and that is consistent with what I call “The MacGyver Mindset.” MacGyver was extremely creative, finding ways to use what he had on hand to accomplish what he needed to do. (Yes, I realize he was a fictional character, but we can learn lessons from his approach.)

Dr. Caselli breaks down creativity into these core elements, which surprisingly have little to do with what would traditionally considered “creative” professions:

  1. Motivation
  2. Perception
  3. Execution
  4. Temperament, and
  5. Social Context

What I’m trying to do in SMUG is help create a social context in which mid-career professionals can perceive the value of using social media tools professionally, can be motivated to try and get training to help them execute. Not sure whether we can do anything about temperament, but hopefully we can influence the rest.

Creativity is extremely important. Every business that starts involves creativity: seeing a situation that is not what you want it to be, and figuring out how to get to the desired end. Likewise, a politician who (in the words of Bobby Kennedy) says “I dream of things that never where and ask ‘Why not?'” is being creative in imagining a desired future state.

How is SMUG helping you think — and act — more creatively?

A Present for Evelyn

Our family is in Grand Rapids, Michigan this weekend visiting my daughter Rachel, her husband Kyle and my granddaughter Evelyn, who turns one today.

Evelyn got to open one of her presents Saturday night when we arrived, as she sat in the lap of her Aunt Rebekah. This is one of those priceless moments that’s a great reason to have a Flip video camera (or something like it):

Because we won’t know the baby’s gender for at least several months, we’re thinking we will refer to him/her as “Thermie” for short.

If I would have know what the news was going to be, I would have been focusing more on Bekah than on Evelyn.

This is another example of how you can embed video from Facebook in a self-hosted WordPress blog, whereas you can’t in a WordPress.com blog.

Meanwhile, here’s the video we shot a year ago right now, when we welcomed Evelyn to the world. She’s changed quite a bit:

Lisa and I have been truly blessed, and are looking forward to Evelyn having a sibling and to becoming serial grandparents.

RAQ: Should I upgrade my iPhone instead of getting a Flip?

Here’s a recent question from Mara Herschbach in the SMUG Facebook group:

Hi Lee! Love the Keynote this morning you did for Life Science Alley. One question, would you go Flip Camera over the new iPhone 3Gs? I have an iPhone 3G and was not planning to upgrade, but if the cost is similar and I did not have to carry another gadget…

Thanks again for all the info. Looking forward to checking out SMUG.

Here’s my answer:

I think the one reason for concern about iPhone 3Gs video would be whether you can use it with a tripod. Keeping the camera steady is extremely important, and you can’t do that without a tripod, no matter how steady you think you are. So unless you can use the iPhone with a tripod, I still think you need some other kind of camera, whether it’s a Flip or something else.

I’m going to be taking my daughter to the Apple store tomorrow to get her a MacBook Pro as she goes off to college, and I will ask there about whether Apple has a tripod option for the iPhone 3Gs. If not, I think that still means if you want to use video professionally within your blogs or YouTube channel, you need another video camera – whether it’s a Flip or something else.

Does anyone else know whether there is a tripod option for the iPhone 3Gs?

Getting Twitter “Traction” in Health Care

I have enjoyed working with Chris Seper at MedCity News (on this story, for example) but I think he misses the point of @EdBennett‘s list of hospitals ranked by number of Twitter followers.

And therefore I think his recommendation also is off.

Certainly some hospitals (and other organizations) have just had their Twitter accounts on autopilot, sending Tweets based on an RSS feed. If they’ve done that, though, they aren’t putting a lot of effort (or any time) into Twitter. So even if they don’t have a lot of followers, you can’t really say the project has been a failure, because the cost has been essentially zero. We did this for several months with our @mayoclinic account at the start, and while it isn’t the best approach it can be a good defensive move (see my bottom-line recommendation below.)

But comparing hospitals to celebrities like Ashton Kutcher makes no sense. In fact, as I wrote in a comment (currently awaiting moderation) on the post Chris did about Ed’s list:

Look at the TV stations in the Cleveland market: @wkyc – 3883 followers; @fox8news 2,686; @19ActionNews 1,520; @WEWS 2,098. Only one of those would crack the top 5 hospitals, and one wouldn’t match the hospital numbers at all.

I think Chris is presenting not just a false choice, but a wrong-headed recommendation, when he says:

Hospitals may be better served setting up accounts for high-profile doctors and managing those accounts, rather than trying to gain followers for an institution.

I think this is wrong on two counts:

First, it isn’t an either/or situation, i.e. to  develop an institutional Twitter presence OR encourage individual physicians to engage. There is a place for both.

Second, if the alternative would be “setting up accounts for high-profile doctors and managing those accounts” then that’s really missing the point of social media. Public affairs staff can provide guidance and training for MDs who want to use Twitter, but as Ed says, “docs will do SM on their own if so inclined. Hospitals can’t make them do it.” And hospital PR staff shouldn’t pose as MDs and “manage” accounts for them.

I’m pleased with the progress we’ve made on our @mayoclinic account: our number of followers has quadrupled in the last six months as we have become more interactive. And we also have individual physicians like @vmontori and @davidrosenman getting active in Twitter. They’re both doing some really interesting innovation projects in health care, and are interested in the application of social media.

But we’re not managing the accounts for Dr. Rosenman or Dr. Montori. And the reason DrVes, Dr Val and KevinMD have gained lots of followers is because of their personal involvement, not because someone has “managed” their accounts for them.

The Bottom Line:

  1. Hospitals, or other organizations for that matter, should have a Twitter account, if for no other reason than to keep someone from brandjacking them. But the more they engage, the more valuable they will find even this corporate account.
  2. They should encourage and train individuals who are interested to get involved personally. You can’t manufacture passion, though. If doctors and other leaders are excited about engaging, they will likely be successful. But ghost-tweeting by PR staff would be the wrong approach.