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Social Media in Health Care:
A Mayo Clinic Progress Update

             MHSCN


             Lee Aase
Manager, Syndication and Social Media
            Mayo Clinic

            July 23, 2009
Agenda
• Updating a Previous MHSCN
 Presentation
• The MacGyver Mindset
• Examining the Toolbox
• Health Care Penetration & Examples
• Mayo Clinic’s Experience
• Case Study

                                   2
About Lee Aase - @LeeAase

• B.S. Political Science
• 14 years in politics and government at
 local, state, national levels
• Mayo Clinic since April 2000
   • Media relations consultant
   • Manager since 2004
     • Media Relations/Research Comm
     • Syndication and Social Media
                                      3
The power of Facebook...




• Evelyn’s existence
• Videos from Grand Rapids
                                4
Disclaimers
•   These results not typical
•   Use as directed
•   Read and follow label directions
•   Side effects may include vertigo, watery
    eyes, crackberry thumb and iPhone
    application addiction
•   Social media tools are an essential part of a
    balanced communications diet
•   If insufficient media coverage persists,
    consult your communications doctor
•   Your mileage may vary
                                              5
The Most Important Word (and
Book Recommendation) in Web 2.0




                             6
Star Tribune Values and The
    Changing Media Landscape

• 1998 $1.2 Billion
• 2006: $530 Million
• Today: Bankruptcy




                                  7
8
The MacGyver Mindset




                       9
Overview of FREE Tools
• Blogs
• Podcasts
• RSS
• Social Networks
• Wikis
• YouTube
• Twitter
• Updates: Slideshare, uStream, Skype
                                   10
Intro to Blogs




• Just an easy-to-publish Web site that
 allows comments
• Blogs in Plain English - Lee LeFever
                                     11
RSS = Really Simple Syndication

• Lets you easily track dozens of blogs
 or other Web sites without surfing
• Truly opt-in “email”
• RSS “baked in” to IE 7, Safari
• Google Reader a free Web option



                                      12
Podcasts

• TiVo for Audio (and now video)
• Don’t need an iPod to use
• Series of segments to which you can
 subscribe via RSS
• iTunes free for PC or Mac
• Create your own FREE podcast
 (listed in iTunes) through SMUG

                                   13
Social Networking Sites




                          14
Wikis

• Collaborative editing tools
• Wikipedia the most famous
• 2.9 million articles in English
• Definitive stories quickly on
    • 35W Bridge Collapse
    • Virginia Tech shooting

                                    15
16
YouTube

• World’s second largest search
 engine
• Google bought for $1.65 Billion
• “The world has voted, and we want
 to watch videos on YouTube.” - Andy
 Sernovitz, Blog Council



                                      17
18
Other Important Platforms

• Slideshare.net: YouTube for
 PowerPoint and Keynote
• uStream.tv: Your own global
 television channel
• Skype: Audio and Videoconferencing
• Mix and Match


                                  19
20
21
Twitter Case Study #1: Listening




                               22
Ensuing Conversation




                       23
Twitter Case Study #2: “Tweetup”
           in Baltimore
            Me: Are you based in Baltimore?



 Me: I’m going to be there Tuesday for this conference.
 (asae.center.or/hcc) on a panel RU available late pm?



Me: I’m flying out Tues at 6:45 p.m. Any avail in the later
afternoon? I think my panel is done about 2:30


                                                        24
Twitter Case Study #3:
Journalist Interactions




                          25
26
Hospitals Using Social Media
     (via @EdBennett)




                               27
Growth of YouTube vs. Twitter




                                28
29
30
31
32
33
Mayo Clinic’s Social Media
      Experience



                        34
Mayo Clinic’s Origin




http://tinyurl.com/32xbjx
Sources of Information Influencing
           Preference for Mayo Clinic
     Word of mouth                                          84


Stories in the media                            57


MD recommendation                          44


        Advertising              27

                                                     2006   Study



  Internet/Websites             26


Personal experience             24


   Mailings to home        18

                       0   20         40        60    80              100
                                                                 36
Mayo Clinic Medical Edge
News Media Syndications




                           37
Mayo Clinic Social Media Progression
 • Reach people directly
    • Started with Medical Edge
    • Produce economically to fit medium
 • Provide platforms for sharing
    • Create outposts on popular sites
    • Energize word of mouth
 • Leverage social media with mass media
  and vice versa
 • Sharing Mayo Clinic
                                   38
First Foray in New Media




• Existing Medical Edge radio mp3s
• Launched Sept. ‘05; Downloads up
 8,217 percent Oct. vs. Aug.
Step 2: More, Longer Podcasts




                           40
41
42
43
44
Total Cost for Mayo Clinic
Facebook, YouTube and Twitter




 $0.00
                            45
Key Tool: Flip Video Camera*
• Affordable for all campuses (and you)
• Recording interviews (with tripod)
 improves existing processes
• Authenticity without writer’s cramp
• Provides potential blog resources
   • Audio of full interview
   • Video excerpts
• Limited group of video editors to
 ease adoption, ensure quality
                                        46
Cost for a Standard Definition Flip
          Video Camera




$150.00
   HD available for an additional $80

                                        47
HD: Worth the Investment




                           48
podcasts.mayoclinic.org




                          49
newsblog.mayoclinic.org




                          50
Next Step: Launched 1/22/2009
     Sharing Mayo Clinic
• Gathering global Mayo community
   • Patients telling their stories
   • Employee bloggers recruited from
     throughout organization
   • Video profiles of patients/staff
• Hub to integrate Mayo social media
• Interactive companion to print edition
• sharing.mayoclinic.org
                                        51
sharing.mayoclinic.org




                         52
Benefits of Comment Threads

• Patient stories most popular on .org
• Outlet for grateful patients who want
 to tell their stories
• Prompts patients to think about
 sharing stories
• Alerts us to great stories we may
 want to feature in publications,
 Medical Edge, media pitches

                                      53
Where Sharing Mayo Clinic Fits

• News Blog - Breaking research news;
 “Hard” news - Like U.S News, Time
• Podcast Blog - Evergreen “news you
 can use” - Like Prevention
• Sharing Mayo Clinic - Features;
 behind the scenes at Mayo Clinic,
 and stories from patients in their own
 words - Like People

                                     54
Other Blogs...

• Health Policy Center Blog
• Physician Update Blog - For referring
 MDs but not limited to them
• Diversity in Education Blog
• Advancing the Science - Medical
 science blog - our medical version of
 Scientific American


                                     55
Yearly Cost for a
 Customized Blog




$75.00
                     56
Old-Style Online Newsroom vs.
   MacGyver Online Newsroom
• Web 1.0 Online Newsroom
   • Typically purchased from a Vendor
   • Costly - up to $10,000 + monthly fee
   • Password-Protected Access
• MacGyver Online Newsroom
   • DIY
   • $45/year or $0.12/day
   • Open to customers/patients/links
                                      57
Overcoming Objections

• “But what about the cost in staff time
 to maintain all of these social media
 platforms? They’re not really free!”
   • AT&T free phone service in 1969
   • Pitney Bowes free fax machines
     and supplies in 1989
   • YouTube, Facebook and Twitter
     free in 2009


                                      58
Sharing Some Stories...




                          59
60
Affirming our Employees

Dear staff,
This 4 minute video actually made me tear
up…the patients mentioning our Judd
Sessions, classes and pamphlets…in relation
to their satisfaction with their care. How
wonderful to hear.

The patient/family testimonials reminded me
how we are making a difference through patient
education in the lives of our patients/families.
                                           61
Two Case Studies of Mainstream
Media Facilitated by Social Media
• Wall Street Journal Health Blog
   • Pitched via Facebook
   • Previewed on News Blog
   • Embedded from YouTube
• CBS Radio Network
   • Flip audio downloaded from news
    blog made national network air


                                     62
Don’t (just) pitch the media.

       Be the media.



                            63
Enhancing Distribution of
     Patient-Generated Content
• Alerted to interesting video of elderly
 couple playing piano in Gonda atrium
• Embedded in Sharing Mayo Clinic,
 posted to Facebook, Tweeted on 4/7/09
• Video had been seen 1,005 times in six
 preceding months since upload



                                       64
The next day...




                  65
Six days later...




                    66
April 22




           67
Sunday, May 3




                68
69
70
May 4




        71
Cinco de Mayo




                72
May 6




        73
Thursday, May 7




                  74
May 10




         75
76
May 11




         77
May 12




         78
A sampling of the comments...




                                79
May 15




         80
Early Morning May 26




                       81
May 26, 2009: Live in Studio
  Good Morning America




                               82
May 28, 2009




               83
Results to Date
• More than 4 million views on
 YouTube
• Before posting to Sharing Mayo
 Clinic: 1,000 views in six months
• After posting, Facebooking and
 Tweeting: 5,000 views per hour




                                     84
Lessons
• Your mileage may vary, but...
• You’ll go a lot farther if you get a car.




                                         85
Summary

• Twitter, Facebook, YouTube: $0
• Sharing Mayo Clinic blog: $75
• Bringing joy to the world
 through music: Priceless




                              86
Immense Potential

• Marketing we couldn’t buy
   • 500,000 annual unique patients,
    50,000 employees as ambassadors
• More efficient care delivery
   • Patient support groups
   • Chronic disease management
   • Workplace Collaboration
• Free versions let you prove concept,
 gauge readiness
                                       87
“Your kids aren’t
smarter than you are.
   They’re just not
afraid to look dumb.”


                   88
Six Personal Steps to Explore

• Establish a permanent personal email
• Get profiles in Facebook, LinkedIn
• Get a Twitter account
• Get a Flip camera (or iPhone 3GS?)
• Create a personal YouTube account
• Start a personal Blog

                                     89
Four Starter Steps for Institutions

• Claim your organization’s Twitter
 “handle”
• Create a Facebook “fan” page
• Create a YouTube channel
• For Extra Credit: If you have
 organizational commitment, create a
 multi-author blog


                                      90
91

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MHSCN Presentation on Mayo Clinic Social Media

  • 1. Social Media in Health Care: A Mayo Clinic Progress Update MHSCN Lee Aase Manager, Syndication and Social Media Mayo Clinic July 23, 2009
  • 2. Agenda • Updating a Previous MHSCN Presentation • The MacGyver Mindset • Examining the Toolbox • Health Care Penetration & Examples • Mayo Clinic’s Experience • Case Study 2
  • 3. About Lee Aase - @LeeAase • B.S. Political Science • 14 years in politics and government at local, state, national levels • Mayo Clinic since April 2000 • Media relations consultant • Manager since 2004 • Media Relations/Research Comm • Syndication and Social Media 3
  • 4. The power of Facebook... • Evelyn’s existence • Videos from Grand Rapids 4
  • 5. Disclaimers • These results not typical • Use as directed • Read and follow label directions • Side effects may include vertigo, watery eyes, crackberry thumb and iPhone application addiction • Social media tools are an essential part of a balanced communications diet • If insufficient media coverage persists, consult your communications doctor • Your mileage may vary 5
  • 6. The Most Important Word (and Book Recommendation) in Web 2.0 6
  • 7. Star Tribune Values and The Changing Media Landscape • 1998 $1.2 Billion • 2006: $530 Million • Today: Bankruptcy 7
  • 8. 8
  • 10. Overview of FREE Tools • Blogs • Podcasts • RSS • Social Networks • Wikis • YouTube • Twitter • Updates: Slideshare, uStream, Skype 10
  • 11. Intro to Blogs • Just an easy-to-publish Web site that allows comments • Blogs in Plain English - Lee LeFever 11
  • 12. RSS = Really Simple Syndication • Lets you easily track dozens of blogs or other Web sites without surfing • Truly opt-in “email” • RSS “baked in” to IE 7, Safari • Google Reader a free Web option 12
  • 13. Podcasts • TiVo for Audio (and now video) • Don’t need an iPod to use • Series of segments to which you can subscribe via RSS • iTunes free for PC or Mac • Create your own FREE podcast (listed in iTunes) through SMUG 13
  • 15. Wikis • Collaborative editing tools • Wikipedia the most famous • 2.9 million articles in English • Definitive stories quickly on • 35W Bridge Collapse • Virginia Tech shooting 15
  • 16. 16
  • 17. YouTube • World’s second largest search engine • Google bought for $1.65 Billion • “The world has voted, and we want to watch videos on YouTube.” - Andy Sernovitz, Blog Council 17
  • 18. 18
  • 19. Other Important Platforms • Slideshare.net: YouTube for PowerPoint and Keynote • uStream.tv: Your own global television channel • Skype: Audio and Videoconferencing • Mix and Match 19
  • 20. 20
  • 21. 21
  • 22. Twitter Case Study #1: Listening 22
  • 24. Twitter Case Study #2: “Tweetup” in Baltimore Me: Are you based in Baltimore? Me: I’m going to be there Tuesday for this conference. (asae.center.or/hcc) on a panel RU available late pm? Me: I’m flying out Tues at 6:45 p.m. Any avail in the later afternoon? I think my panel is done about 2:30 24
  • 25. Twitter Case Study #3: Journalist Interactions 25
  • 26. 26
  • 27. Hospitals Using Social Media (via @EdBennett) 27
  • 28. Growth of YouTube vs. Twitter 28
  • 29. 29
  • 30. 30
  • 31. 31
  • 32. 32
  • 33. 33
  • 34. Mayo Clinic’s Social Media Experience 34
  • 36. Sources of Information Influencing Preference for Mayo Clinic Word of mouth 84 Stories in the media 57 MD recommendation 44 Advertising 27 2006 Study Internet/Websites 26 Personal experience 24 Mailings to home 18 0 20 40 60 80 100 36
  • 37. Mayo Clinic Medical Edge News Media Syndications 37
  • 38. Mayo Clinic Social Media Progression • Reach people directly • Started with Medical Edge • Produce economically to fit medium • Provide platforms for sharing • Create outposts on popular sites • Energize word of mouth • Leverage social media with mass media and vice versa • Sharing Mayo Clinic 38
  • 39. First Foray in New Media • Existing Medical Edge radio mp3s • Launched Sept. ‘05; Downloads up 8,217 percent Oct. vs. Aug.
  • 40. Step 2: More, Longer Podcasts 40
  • 41. 41
  • 42. 42
  • 43. 43
  • 44. 44
  • 45. Total Cost for Mayo Clinic Facebook, YouTube and Twitter $0.00 45
  • 46. Key Tool: Flip Video Camera* • Affordable for all campuses (and you) • Recording interviews (with tripod) improves existing processes • Authenticity without writer’s cramp • Provides potential blog resources • Audio of full interview • Video excerpts • Limited group of video editors to ease adoption, ensure quality 46
  • 47. Cost for a Standard Definition Flip Video Camera $150.00 HD available for an additional $80 47
  • 48. HD: Worth the Investment 48
  • 51. Next Step: Launched 1/22/2009 Sharing Mayo Clinic • Gathering global Mayo community • Patients telling their stories • Employee bloggers recruited from throughout organization • Video profiles of patients/staff • Hub to integrate Mayo social media • Interactive companion to print edition • sharing.mayoclinic.org 51
  • 53. Benefits of Comment Threads • Patient stories most popular on .org • Outlet for grateful patients who want to tell their stories • Prompts patients to think about sharing stories • Alerts us to great stories we may want to feature in publications, Medical Edge, media pitches 53
  • 54. Where Sharing Mayo Clinic Fits • News Blog - Breaking research news; “Hard” news - Like U.S News, Time • Podcast Blog - Evergreen “news you can use” - Like Prevention • Sharing Mayo Clinic - Features; behind the scenes at Mayo Clinic, and stories from patients in their own words - Like People 54
  • 55. Other Blogs... • Health Policy Center Blog • Physician Update Blog - For referring MDs but not limited to them • Diversity in Education Blog • Advancing the Science - Medical science blog - our medical version of Scientific American 55
  • 56. Yearly Cost for a Customized Blog $75.00 56
  • 57. Old-Style Online Newsroom vs. MacGyver Online Newsroom • Web 1.0 Online Newsroom • Typically purchased from a Vendor • Costly - up to $10,000 + monthly fee • Password-Protected Access • MacGyver Online Newsroom • DIY • $45/year or $0.12/day • Open to customers/patients/links 57
  • 58. Overcoming Objections • “But what about the cost in staff time to maintain all of these social media platforms? They’re not really free!” • AT&T free phone service in 1969 • Pitney Bowes free fax machines and supplies in 1989 • YouTube, Facebook and Twitter free in 2009 58
  • 60. 60
  • 61. Affirming our Employees Dear staff, This 4 minute video actually made me tear up…the patients mentioning our Judd Sessions, classes and pamphlets…in relation to their satisfaction with their care. How wonderful to hear. The patient/family testimonials reminded me how we are making a difference through patient education in the lives of our patients/families. 61
  • 62. Two Case Studies of Mainstream Media Facilitated by Social Media • Wall Street Journal Health Blog • Pitched via Facebook • Previewed on News Blog • Embedded from YouTube • CBS Radio Network • Flip audio downloaded from news blog made national network air 62
  • 63. Don’t (just) pitch the media. Be the media. 63
  • 64. Enhancing Distribution of Patient-Generated Content • Alerted to interesting video of elderly couple playing piano in Gonda atrium • Embedded in Sharing Mayo Clinic, posted to Facebook, Tweeted on 4/7/09 • Video had been seen 1,005 times in six preceding months since upload 64
  • 67. April 22 67
  • 69. 69
  • 70. 70
  • 71. May 4 71
  • 73. May 6 73
  • 75. May 10 75
  • 76. 76
  • 77. May 11 77
  • 78. May 12 78
  • 79. A sampling of the comments... 79
  • 80. May 15 80
  • 82. May 26, 2009: Live in Studio Good Morning America 82
  • 84. Results to Date • More than 4 million views on YouTube • Before posting to Sharing Mayo Clinic: 1,000 views in six months • After posting, Facebooking and Tweeting: 5,000 views per hour 84
  • 85. Lessons • Your mileage may vary, but... • You’ll go a lot farther if you get a car. 85
  • 86. Summary • Twitter, Facebook, YouTube: $0 • Sharing Mayo Clinic blog: $75 • Bringing joy to the world through music: Priceless 86
  • 87. Immense Potential • Marketing we couldn’t buy • 500,000 annual unique patients, 50,000 employees as ambassadors • More efficient care delivery • Patient support groups • Chronic disease management • Workplace Collaboration • Free versions let you prove concept, gauge readiness 87
  • 88. “Your kids aren’t smarter than you are. They’re just not afraid to look dumb.” 88
  • 89. Six Personal Steps to Explore • Establish a permanent personal email • Get profiles in Facebook, LinkedIn • Get a Twitter account • Get a Flip camera (or iPhone 3GS?) • Create a personal YouTube account • Start a personal Blog 89
  • 90. Four Starter Steps for Institutions • Claim your organization’s Twitter “handle” • Create a Facebook “fan” page • Create a YouTube channel • For Extra Credit: If you have organizational commitment, create a multi-author blog 90
  • 91. 91