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Leveraging Social Media to
Reach Customers and Improve
 Organizational Effectiveness:
 The Mayo Clinic Perspective

        LifeScience Alley
             Lee Aase
Manager, Syndication and Social Media
            Mayo Clinic

          August 13, 2009
Agenda
• Preliminaries and Introductions
• Social media and why you should care
• The MacGyver Mindset and Toolbox
• Health Care Social Media Penetration
• Mayo Clinic’s Experience
• A Particular 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
A Grandpa who appreciates the
     power of Facebook...




                            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
Genius Optional




                  8
The MacGyver Mindset




                       9
Intro to 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
A Taste of Tweetcamp

• Understanding the Phenomenon
• Exploring Applications




                                 21
Twitter vs. Facebook

• Facebook is primarily for
 strengthening existing connections
 (or re-establishing former ones.) For
 your friends.
• Twitter enables you to connect with
 people who have common interests.
 For the friends you don’t know yet.



                                    22
Twitter vs. Blogs
• Twitter is a micro-blogging platform.
• Limited length reduces writer’s/artist’s
 block
• Blogs provide opportunity for more
 thoughtful reflection and development
   • Tweeting = great way to take notes
     on a live event
   • Blog = platform for review/synthesis
   • Twitter = great for spreading word
     about posts
                                      23
5 Reasons Twitter Beats Email

• “Brevity is the soul of wit” - and of
 Twitter
• No expectation to read and respond to
 everything
• Conversations open and discoverable
• Direct messages can reach recipients
 with priority
• Blocking or unfollowing punishes
 abuses
                                          24
Twitter Hashtags

• Enable easy gathering, especially
 around an event, such as:
  • #hcsm
  • #BlogWell - TODAY
• Follow in search.twitter.com or log
 into room on Tweetchat.com
• Create a hashtag simply by using it
 in a tweet

                                        25
Twitter Etiquette
• Follow your interesting followers
• Following not = endorsement
• Auto d to new followers = Not Cool
• “Protecting” updates also = Not Cool
• Replying (@) = Cool
• Re-Tweet (RT) to credit sources, help
 followers find interesting tweeters
 also = Cool
                                       26
Making Twitter More Productive

• Desktop Applications
   • Tweetdeck
   • Twhirl
• Phone Applications
   • Twittelator
   • Tweetie
   • Twitterific
• Various Web sites like HootSuite
                                     27
Twitter Case Study #1: Listening




                               28
Ensuing Conversation




                       29
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


                                                        30
Twitter Case Study #3:
Journalist Interactions




                          31
32
Hospitals Using Social Media
     (via @EdBennett)




                               33
Growth of YouTube vs. Twitter




                                34
35
36
37
38
39
Mayo Clinic’s Social Media
      Experience



                        40
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


  Internet/Websites             26


Personal experience             24


   Mailings to home        18

                       0   20         40        60   80         100
                                                           42
Mayo Clinic Medical Edge
News Media Syndications




                           43
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




                           45
46
47
48
49
Total Cost for Mayo Clinic
Facebook, YouTube and Twitter




 $0.00
                            50
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
                                        51
Cost for a Standard Definition Flip
          Video Camera




$150.00
   HD available for an additional $80

                                        52
HD: Worth the Investment




                           53
podcasts.mayoclinic.org




                          54
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
                                        55
sharing.mayoclinic.org




                         56
57
Complying with HIPAA

• Comments moderated to prevent privacy
 breaches
  • Patients can divulge own info in
    comments
  • When comments aren’t from patient,
    de-identify
• Get HIPAA releases for special
 comments or video we shoot and upload

                                   58
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

                                      59
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

                                     60
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


                                     61
Yearly Cost for a
 Customized Blog




$75.00
                     62
newsblog.mayoclinic.org




                          63
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
                                      64
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


                                     65
66
67
68
69
Answers to Objections

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

                                      70
Stephen Covey’s “8th Habit”
Going beyond effectiveness to greatness


 “Find your voice and inspire
     others to find theirs”



                                   71
“8th Habit” Opportunity
I can go to any group, and I do it all the time, all over the world, and I
ask a simple question: “How many honestly believe that the vast
majority of the workforce in your organizations possess more talent,
more intelligence, more capability, more creativity, more resourcefulness
than their present jobs require or even allow them to use?” Literally,
almost everyone raises their hands…. Think of the loss of what we could
call “voice,” of people’s intelligence, capability, creativity. And yet I
can ask the next question: … “How many feel pressured to produce
more for less?” and you know what, the same amount of hands go up.

Now just put those two questions together: Here there’s this enormous
capability and talent and intelligence, and also this great pressure to
produce more for less, and they’re not able to even use it.

                                                        -- Stephen Covey
                                                                   72
Don’t (just) pitch the
       media.

   Be the media.


                     73
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



                                       74
The next day...




                  75
Six days later...




                    76
April 22




           77
Sunday, May 3




                78
79
80
May 4




        81
Cinco de Mayo




                82
May 10




         83
84
May 11




         85
May 12




         86
A sampling of the comments...




                                87
May 15




         88
Early Morning May 26




                       89
May 26, 2009: Live in Studio
  Good Morning America




                               90
May 28, 2009




               91
Results to Date

• More than 4.3 million views on YouTube
• More than 1.4 million views on Sharing
 Mayo Clinic
• Before posting to Sharing Mayo Clinic:
 1,000 views in six months
• After posting, Facebooking and
 Tweeting: 5,000 views per hour


                                      92
Lessons
• Your mileage may vary, but...
• You’ll go a lot farther if you get a car.




                                         93
Summary

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




                               94
Immense Potential

• Marketing we couldn’t buy at any price
   • 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
                                    95
“I’m going to speak about
  opportunities and vulnerabilities
  interchangeably. If you capitalize
 on something, it’s an opportunity.
If your competitor capitalizes on it,
          it’s a vulnerability.”

                - Alpheus Bingham
                       Innocentive
                     August 5, 2009


                                  96
“Your kids aren’t
smarter than you are.
   They’re just not
afraid to look dumb.”


                   97
98
Tips on Personal Steps to Explore

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

                                     99
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


                                      100

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Leveraging Social Media to Reach Customers and Improve Organizational Effectiveness

  • 1. Leveraging Social Media to Reach Customers and Improve Organizational Effectiveness: The Mayo Clinic Perspective LifeScience Alley Lee Aase Manager, Syndication and Social Media Mayo Clinic August 13, 2009
  • 2. Agenda • Preliminaries and Introductions • Social media and why you should care • The MacGyver Mindset and Toolbox • Health Care Social Media Penetration • Mayo Clinic’s Experience • A Particular 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. A Grandpa who appreciates the power of Facebook... 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
  • 10. Intro to 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. A Taste of Tweetcamp • Understanding the Phenomenon • Exploring Applications 21
  • 22. Twitter vs. Facebook • Facebook is primarily for strengthening existing connections (or re-establishing former ones.) For your friends. • Twitter enables you to connect with people who have common interests. For the friends you don’t know yet. 22
  • 23. Twitter vs. Blogs • Twitter is a micro-blogging platform. • Limited length reduces writer’s/artist’s block • Blogs provide opportunity for more thoughtful reflection and development • Tweeting = great way to take notes on a live event • Blog = platform for review/synthesis • Twitter = great for spreading word about posts 23
  • 24. 5 Reasons Twitter Beats Email • “Brevity is the soul of wit” - and of Twitter • No expectation to read and respond to everything • Conversations open and discoverable • Direct messages can reach recipients with priority • Blocking or unfollowing punishes abuses 24
  • 25. Twitter Hashtags • Enable easy gathering, especially around an event, such as: • #hcsm • #BlogWell - TODAY • Follow in search.twitter.com or log into room on Tweetchat.com • Create a hashtag simply by using it in a tweet 25
  • 26. Twitter Etiquette • Follow your interesting followers • Following not = endorsement • Auto d to new followers = Not Cool • “Protecting” updates also = Not Cool • Replying (@) = Cool • Re-Tweet (RT) to credit sources, help followers find interesting tweeters also = Cool 26
  • 27. Making Twitter More Productive • Desktop Applications • Tweetdeck • Twhirl • Phone Applications • Twittelator • Tweetie • Twitterific • Various Web sites like HootSuite 27
  • 28. Twitter Case Study #1: Listening 28
  • 30. 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 30
  • 31. Twitter Case Study #3: Journalist Interactions 31
  • 32. 32
  • 33. Hospitals Using Social Media (via @EdBennett) 33
  • 34. Growth of YouTube vs. Twitter 34
  • 35. 35
  • 36. 36
  • 37. 37
  • 38. 38
  • 39. 39
  • 40. Mayo Clinic’s Social Media Experience 40
  • 42. Sources of Information Influencing Preference for Mayo Clinic Word of mouth 84 Stories in the media 57 MD recommendation 44 Advertising 27 Internet/Websites 26 Personal experience 24 Mailings to home 18 0 20 40 60 80 100 42
  • 43. Mayo Clinic Medical Edge News Media Syndications 43
  • 44. First Foray in New Media • Existing Medical Edge radio mp3s • Launched Sept. ‘05; Downloads up 8,217 percent Oct. vs. Aug.
  • 45. Step 2: More, Longer Podcasts 45
  • 46. 46
  • 47. 47
  • 48. 48
  • 49. 49
  • 50. Total Cost for Mayo Clinic Facebook, YouTube and Twitter $0.00 50
  • 51. 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 51
  • 52. Cost for a Standard Definition Flip Video Camera $150.00 HD available for an additional $80 52
  • 53. HD: Worth the Investment 53
  • 55. 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 55
  • 57. 57
  • 58. Complying with HIPAA • Comments moderated to prevent privacy breaches • Patients can divulge own info in comments • When comments aren’t from patient, de-identify • Get HIPAA releases for special comments or video we shoot and upload 58
  • 59. 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 59
  • 60. 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 60
  • 61. 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 61
  • 62. Yearly Cost for a Customized Blog $75.00 62
  • 64. 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 64
  • 65. 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 65
  • 66. 66
  • 67. 67
  • 68. 68
  • 69. 69
  • 70. Answers to Objections • “But what about the cost in staff time to maintain all of these social media platforms? They’re not really that cheap!” • AT&T free phone service in 1969 • Pitney Bowes free fax machines and supplies in 1989 • YouTube, Facebook and Twitter free in 2009 70
  • 71. Stephen Covey’s “8th Habit” Going beyond effectiveness to greatness “Find your voice and inspire others to find theirs” 71
  • 72. “8th Habit” Opportunity I can go to any group, and I do it all the time, all over the world, and I ask a simple question: “How many honestly believe that the vast majority of the workforce in your organizations possess more talent, more intelligence, more capability, more creativity, more resourcefulness than their present jobs require or even allow them to use?” Literally, almost everyone raises their hands…. Think of the loss of what we could call “voice,” of people’s intelligence, capability, creativity. And yet I can ask the next question: … “How many feel pressured to produce more for less?” and you know what, the same amount of hands go up. Now just put those two questions together: Here there’s this enormous capability and talent and intelligence, and also this great pressure to produce more for less, and they’re not able to even use it. -- Stephen Covey 72
  • 73. Don’t (just) pitch the media. Be the media. 73
  • 74. 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 74
  • 77. April 22 77
  • 79. 79
  • 80. 80
  • 81. May 4 81
  • 83. May 10 83
  • 84. 84
  • 85. May 11 85
  • 86. May 12 86
  • 87. A sampling of the comments... 87
  • 88. May 15 88
  • 90. May 26, 2009: Live in Studio Good Morning America 90
  • 92. Results to Date • More than 4.3 million views on YouTube • More than 1.4 million views on Sharing Mayo Clinic • Before posting to Sharing Mayo Clinic: 1,000 views in six months • After posting, Facebooking and Tweeting: 5,000 views per hour 92
  • 93. Lessons • Your mileage may vary, but... • You’ll go a lot farther if you get a car. 93
  • 94. Summary • Twitter, Facebook, YouTube: $0 • Sharing Mayo Clinic blog: $75 • Bringing joy to the world through music: Priceless 94
  • 95. Immense Potential • Marketing we couldn’t buy at any price • 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 95
  • 96. “I’m going to speak about opportunities and vulnerabilities interchangeably. If you capitalize on something, it’s an opportunity. If your competitor capitalizes on it, it’s a vulnerability.” - Alpheus Bingham Innocentive August 5, 2009 96
  • 97. “Your kids aren’t smarter than you are. They’re just not afraid to look dumb.” 97
  • 98. 98
  • 99. Tips on Personal Steps to Explore • Establish a permanent personal email • Get profiles in Facebook, LinkedIn • Get a Twitter account • Get a Flip camera (or iPhone 3G S?) • Create a personal YouTube account • Start a personal Blog 99
  • 100. 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 100