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Architect Opportunity.



Digital Engagement for

Health Care




October 17, 2012
About Soshal Group

We are a digital marketing and innovation agency.

Our clients are looking for a dedicated digital partner, often as their
agency of record. At 12+ people, we are small enough to stay nimble,
but large enough to work with sizable brands and organizations.

         www.SoshalGroup.com | @SoshalGroup


                                                                          2
Our mission
We architect opportunities for our clients, our team,
and our community.




                                                        3
Today’s agenda
11:30 – 11:40   Welcome and Introductions

11:40 – 12:00   Pat Rich

12:00 – 12:20   Ann Fuller

12:20 – 12:25   Poll + Questions

12:25 – 12:45   Paul Dombowsky
                                            4
12:45 – 1:00    Q&A
We will cover
1.How well is your organization currently leveraging
conversations through digital engagement?

2.How can you secure funding and support from senior
executives?

3.What tactics are necessary for reaching an inclusive
audience?

                                                           5
4.Who is using digital engagement well? What results are
they tracking?
Introductions
   Pat Rich
   Director and Editor in Chief, Online Content
   Canadian Medical Association

   Ann Fuller
   Director, Communications and Public Relations
   Children’s Hospital of Eastern Ontario (CHEO)

   Dave Hale
   Chief Executive Officer
   Soshal Group

   Paul Dombowsky
   Founder/CEO, Ideavibes and Fundchange           6
   Digital Engagement Lead, Soshal Group
Today’s audience
Over 60 people signed up for today’s webinar and the
audience includes:

•At least one person from each province

•Six Provincial Ministries of Health

•Two different Federal Departments

•Public Health
                                                       7
•Over 20 hospitals
Asking questions
During the Webinar:
•Type in your questions in the Question section on the GoTo Meeting Control Panel.
•We will assume all questions can be publicly answered. If you would like yours to be
privately addressed, add “private” to the end of your question.

During Q&A:
•If you want to verbally ask questions during the Q&A at the end – please put up your
hand by clicking the hand button on the GoTo Meeting Control Panel.

After Webinar:
•We are launching a social community to continue the conversation on digital
engagement after today’s webinar. Visit www.soshalgroup.com
                                                                                        8
Defining “Digital
Engagement”
“Digital Engagement is anything and everything that
involves a conversation online.”
         Tim Lloyd – former Deputy Head of Digital, US Dept. of Health

1.The use of technology to increase touch points with various stakeholders

2.Frequency of conversations improves processes and procedures

3.Improvement in patient care and working environment for staff

                                                                             9
The Canadian Medical
Association and digital
engagement

Pat Rich – Director, CMA Online Content
Introduction




               11
The tangible goods
•Launched social networking site for physicians
(Asklepios) 2008 – sunset 2012

•First Twitter feed in 2009 (@cmaer)

•Twitter # with annual meeting starting in 2009

•Public engagement campaign on Facebook
www.healthcaretransformation.ca 2011
                                                  12

•Developed SM guidelines for members 2011
How did it start?
“…. the year was 2007 …..”

•Recognition that Web 2.0 was becoming a big thing

•Board of Directors working group on member communications report
calling for member engagement (two way)




                                                                    13
Which led to…
•Assessment of member needs and where we could
bring the most value

•Creation of secure, private social networking site for
physicians - Asklepios




                                                          14
…at the same time
Realization that CMA had:

•No internal structure to support digital engagement

•No access to social media sites for staff

•No strategy to use social media

•No dedicated resourcing
                                                       15
Which resulted in
•Internal assessment of legal landscape of social media
sites

•Planned internal strategy taken to senior management and
Board

•Initial assessment of what we wanted to do

•Pilot project to provide access to SM sites to staff

•Development of social media use policy for staff           16

•Launched pilot Twitter account (@cmaer)
However…
•Value proposition of digital engagement for members
is still very unclear

•Definite pushback from some members concerned
about privacy, security issues and lack of value




                                                       17
So we…
•Looked at digital engagement from a strategic
perspective

•Continued to update senior management on the topic

•Used Asklepios to support engagement with
members on specific topics

                                                      18
Which led to…
•Creation of a CMA Twitter account, to be used at
annual meeting

•Pilot use of YouTube

•Use of Facebook for a specific campaign with public
in conjunction with other media

                                                       19
•Dedicated resourcing for community manager to
support Asklepios
What we forgot
…or chose to ignore.

•How to properly support an online community

•Development of an association-wide digital
engagement/social media strategy

•The value proposition was still lacking for physicians
(and other health care professionals)
                                                          20

•Proper metrics to measure success
Which then led to…
•Development of social media-based Intranet for staff

•Development of social media guidelines for members
(first balanced guidance in Canada for physicians)




                                                        21
What we didn’t use
1.Blogs

2.Facebook

3.LinkedIn



                     22
What we did right
•Started small and progressed incrementally

•Had communications/public affairs lead the initiative
(not IT)

•Sought senior management buy-in before proceeding

•Used digital engagement tools strategically
                                                         23
•Recognized need for dedicated internal resourcing
Where we’re going…
•Development of an association-wide strategy

•Build on early successes (Twitter)

•Evaluate new tools (e.g. Pinterest)

•Acknowledge changing landscape (sunsetting of
Asklepios)
                                                 24

•Continue to be strategic
Why it matters to us
•Canadian physician use of social media will increase

•Social media will transform physician-patient
interactions in some situations

•Social media will strengthen the ePatient movement


                                                        25
Vision

With the right precautions, we can help make a difference
in the lives of children, youth, and families by spreading
our expertise outside our walls and beyond the patients we
see in our clinics each year.




                                                             27
7 pt. SM philosophy
1.Set realistic goals

2.Make strategic choices to managed needed resources

3.Adopt low-risk tools first. Where adding risk, pilot first

4.Build an on-line community

5.Encourage positive dialogue

6.Discussion of patient-specific issues in public forums is off limits,   28
discussion of patient non-specific issues should be encouraged

7.Share our experiences
Social media approach
Phase 1: Foundation building

Phase 2: Pilot programs

Phase 3: Expansion



                               29
Foundational elements
     Education, Governance and Best Practices
           •   Social Media Policy for staff
           •   Leadership Forum on Social Media
           •   Governance & Best Practices framework for departmental/program involvement
           •   Comment Assessment Tool
           •   Social Media approval request form
           •   Dialogue with Family Forum, Youth Forum

     Twitter
           • Bilingual account. Shared with Foundation, branded as Hospital
           • Content: Foundation news/events, CHEO news, health tips, community health retweets, articles of
             interest, job/volunteer opps
           • Role: Inform & disseminate. Monitor community dialogue
           • Frequency: 1 – 3 times per day

     YouTube
           •   Bilingual non-profit account, shared with Foundation
           •   Content: Educational videos and telethon stories
           •   Role: Inform.
           •   Frequency: 1 monthly


     Facebook
           •   Separate English and French “Fan Pages”
           •   Content: CHEO news, health education, Foundation new & events, community health updates
           •   Role: Build the CHEO community through dialogue & engagement
           •   Frequency: 3 – 5 times per week
                                                                                                               30
Foundational elements
    Linkedin
            • Corporate profile




    Wikipedia
            • Expanded profile




    Blogs
            • Two Cents: Internal blog for staff
            • SMiCH: Blog to share and exchange information on social media with other Canadian
              health organizations
            • CHEO Moms & Dads
                                                                                                  31
Pilots
•Patient support

•Patient care

•Staff engagement




                    32
Staff engagement




                   33
Why online tool?
•Nature of healthcare makes it difficult/impossible to get people
in room at the same time.

•Many hospital communications are one-way

•In-person communication can be time-consuming, costly

•Access peer knowledge, without scheduling meetings or
committees
                                                                    34
•Conversations can be secure within organization, or securely
within a group
One man’s view
“A medical, multi-disciplinary approach, as medicine is being taught in med
school, yet as it fails to be practiced in daily routine. Where specialists of all
walks contribute their experience to a singular activity feed that anybody in
the hospital environment can follow, react to and share with others.”




                                                                                     35
Texas health




               36
IPC Hospitalist
“Patients receive better care when physicians can communicate with
each other quickly and effectively. Our internal network puts our
physicians in control of the dialog and that’s what they want.” -
Director of Information Systems

Benefits
   Better Collaboration: IPC’s physicians find internal network to be
   better than email in many cases for obtaining advice and answers to
   questions from their physician peers.

    Mobile Connectivity: Physicians can easily access organizational
    knowledge via their mobile devices.
                                                                         37
    Open: Breaks down organizational hierarchies and fosters dialogue
    between experts.
What we did
•Launched as part of strategic plan, with email to all staff from
CEO
•Intranet promotion, posters, etc
•Lunch & learns, Intranet tutorial
•Cafeteria Q&A
•Yam Jam
•Small weekly prizes
•Town hall debate
                                                                    38
•Yammer superstars
How did it work
•870 of 2,500 total staff & physicians registered so far


•1000+ messages posted to date


•100 “groups” set up by users




                                                           39
Digital Engagement Practice
Paul Dombowsky
Challenges
What are we seeing when organizations try to
  implement digital engagement strategies?
• Lack of consensus on how open people the
  organization to be?
• Capacity building – who is doing to do what?
• Alignment with brand strategy
• Intersection of Communications and IT – moving to
  the next stage presents new problems from different
  internal stakeholders                                 42
• Measurement and metrics
Digital engagement map




                         43
Benefits
• Facilitating conversations that strengthen relationships and build loyalty

• Providing opportunities to develop stakeholder-driven policy and programs
  that foster support and good will

• Offering proactive stakeholder communication that reduces the likelihood of
  crisis management intervention

• Introducing the opportunity for stakeholder innovation

• Reducing costs of change management and provide an opportunity for the
  community or market to lead the change

• Fostering conversations around key issues by the community that benefit       44
  from the peer-to-peer nature of involvement

•
The role of social media




                           45
Digital Engagement - 4 pillar strategy




  What is        Who are      What are the    How are the
  being said –   your         nature & type   conversations
  what is the    stakeholde   of conver-      motivating the
  context?       rs?          sations you     community to
                              are having?     engage and
                                              expand the
                                              community        46
Crowdsourcing
Crowdsourcing has a lot to offer the health care sector
 – it is lagging behind other industries
Docpeers.com – problem solving network for health care
Eurekamed.com – open call for medical inventors – crowdsourcing solutions


Consider crowdsourcing for:
•   Problem solving
•   New care models
•   Organizational alignment
                                                                            47
•   Running challenges to find solutions (financial incentives)
•   Process improvement by employees
Assessing your
organization
Where does your organization sit in its effectiveness in
engaging with your various stakeholders?

Do these stakeholders have enough opportunity to
engage with your organization?




                                                           48
DE Assessment
                                      Level I               Level II              Level III             Level IV

Public

Patients / Clients

Members / Donors

Staff / Volunteers



Level I     Very few individuals in this group are being reached or have even been identified, and almost none are
            engaging with the organization digitally
Level II    Some of your target audience are being reached, and few are engaging with the organization

Level III   Most of the individuals in this target audience are being reached, and of those, some are engaging with the   49
            organization
Level IV    All or almost all of this target audience is being reached and most are engaging with the organization
Next Steps
Understanding where your challenges are and how to
 move up the levels takes both a look inside and
 understanding what practitioners like those at the CMA
 and CHEO are doing.

Soshal has developed an online assessment tool to help
  you determine where your organization is. More details
  to come.
                                                           50
Digital engagement
practice
Soshal Group's Digital Engagement Practice is focused on
turning community platforms into conversion pathways.

Architecting opportunities with patients, staff, stakeholders, and
citizens using a 5 step process:

1.Digital Engagement Audit
2.External review (What your competitors are doing)
3.Internal review (What are you doing?)
4.Market assessment (opportunities that can be leveraged)            51
5.Recommendations for moving forward
Health e-Community
We invite you to join the community if you:
•Have questions about digital engagement in health that you’d like to ask us and other health
experts

•Would like ongoing support for questions about implementing digital strategies to work with
your stakeholders

•Would like to connect and share with other health professionals for best practices and
experiences

•Are interested in watching highlights from our webinar

•Would like to witness digital engagement first-hand
                                                                                                52
•Check out the Community for Soshal’s new Online Assessment Tool
#HCSMCA
Join the conversation every Wednesday at 1pm ET
#hcsmca is a vibrant community of people interested in exploring social
innovation in health care.
We share and learn, and together we are making health care more open
and connected.

Wednesdays at 1pm ET
Follow the hashtag.
Join the weekly chat.
Share your knowledge.
Tap into the community.
Search the archives.                                                       53
                          http://cyhealthcommunications.wordpress.com/hcsmca-2/
Add a topic.
Attend a meet up.
Ottawa | Toronto




Architect Opportunity.



HEADQUARTERS
Ottawa, Ontario
202-1339 Wellington St West | K1Y 3B8
1.855.476.7425 | info@soshalgoup.com
@SoshalGroup | fb.com/SoshalGroup       54

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Digital Engagement in Healthcare - Webinar by Soshal Group, CMA and CHEO

  • 1. Architect Opportunity. Digital Engagement for Health Care October 17, 2012
  • 2. About Soshal Group We are a digital marketing and innovation agency. Our clients are looking for a dedicated digital partner, often as their agency of record. At 12+ people, we are small enough to stay nimble, but large enough to work with sizable brands and organizations. www.SoshalGroup.com | @SoshalGroup 2
  • 3. Our mission We architect opportunities for our clients, our team, and our community. 3
  • 4. Today’s agenda 11:30 – 11:40 Welcome and Introductions 11:40 – 12:00 Pat Rich 12:00 – 12:20 Ann Fuller 12:20 – 12:25 Poll + Questions 12:25 – 12:45 Paul Dombowsky 4 12:45 – 1:00 Q&A
  • 5. We will cover 1.How well is your organization currently leveraging conversations through digital engagement? 2.How can you secure funding and support from senior executives? 3.What tactics are necessary for reaching an inclusive audience? 5 4.Who is using digital engagement well? What results are they tracking?
  • 6. Introductions Pat Rich Director and Editor in Chief, Online Content Canadian Medical Association Ann Fuller Director, Communications and Public Relations Children’s Hospital of Eastern Ontario (CHEO) Dave Hale Chief Executive Officer Soshal Group Paul Dombowsky Founder/CEO, Ideavibes and Fundchange 6 Digital Engagement Lead, Soshal Group
  • 7. Today’s audience Over 60 people signed up for today’s webinar and the audience includes: •At least one person from each province •Six Provincial Ministries of Health •Two different Federal Departments •Public Health 7 •Over 20 hospitals
  • 8. Asking questions During the Webinar: •Type in your questions in the Question section on the GoTo Meeting Control Panel. •We will assume all questions can be publicly answered. If you would like yours to be privately addressed, add “private” to the end of your question. During Q&A: •If you want to verbally ask questions during the Q&A at the end – please put up your hand by clicking the hand button on the GoTo Meeting Control Panel. After Webinar: •We are launching a social community to continue the conversation on digital engagement after today’s webinar. Visit www.soshalgroup.com 8
  • 9. Defining “Digital Engagement” “Digital Engagement is anything and everything that involves a conversation online.” Tim Lloyd – former Deputy Head of Digital, US Dept. of Health 1.The use of technology to increase touch points with various stakeholders 2.Frequency of conversations improves processes and procedures 3.Improvement in patient care and working environment for staff 9
  • 10. The Canadian Medical Association and digital engagement Pat Rich – Director, CMA Online Content
  • 12. The tangible goods •Launched social networking site for physicians (Asklepios) 2008 – sunset 2012 •First Twitter feed in 2009 (@cmaer) •Twitter # with annual meeting starting in 2009 •Public engagement campaign on Facebook www.healthcaretransformation.ca 2011 12 •Developed SM guidelines for members 2011
  • 13. How did it start? “…. the year was 2007 …..” •Recognition that Web 2.0 was becoming a big thing •Board of Directors working group on member communications report calling for member engagement (two way) 13
  • 14. Which led to… •Assessment of member needs and where we could bring the most value •Creation of secure, private social networking site for physicians - Asklepios 14
  • 15. …at the same time Realization that CMA had: •No internal structure to support digital engagement •No access to social media sites for staff •No strategy to use social media •No dedicated resourcing 15
  • 16. Which resulted in •Internal assessment of legal landscape of social media sites •Planned internal strategy taken to senior management and Board •Initial assessment of what we wanted to do •Pilot project to provide access to SM sites to staff •Development of social media use policy for staff 16 •Launched pilot Twitter account (@cmaer)
  • 17. However… •Value proposition of digital engagement for members is still very unclear •Definite pushback from some members concerned about privacy, security issues and lack of value 17
  • 18. So we… •Looked at digital engagement from a strategic perspective •Continued to update senior management on the topic •Used Asklepios to support engagement with members on specific topics 18
  • 19. Which led to… •Creation of a CMA Twitter account, to be used at annual meeting •Pilot use of YouTube •Use of Facebook for a specific campaign with public in conjunction with other media 19 •Dedicated resourcing for community manager to support Asklepios
  • 20. What we forgot …or chose to ignore. •How to properly support an online community •Development of an association-wide digital engagement/social media strategy •The value proposition was still lacking for physicians (and other health care professionals) 20 •Proper metrics to measure success
  • 21. Which then led to… •Development of social media-based Intranet for staff •Development of social media guidelines for members (first balanced guidance in Canada for physicians) 21
  • 22. What we didn’t use 1.Blogs 2.Facebook 3.LinkedIn 22
  • 23. What we did right •Started small and progressed incrementally •Had communications/public affairs lead the initiative (not IT) •Sought senior management buy-in before proceeding •Used digital engagement tools strategically 23 •Recognized need for dedicated internal resourcing
  • 24. Where we’re going… •Development of an association-wide strategy •Build on early successes (Twitter) •Evaluate new tools (e.g. Pinterest) •Acknowledge changing landscape (sunsetting of Asklepios) 24 •Continue to be strategic
  • 25. Why it matters to us •Canadian physician use of social media will increase •Social media will transform physician-patient interactions in some situations •Social media will strengthen the ePatient movement 25
  • 26.
  • 27. Vision With the right precautions, we can help make a difference in the lives of children, youth, and families by spreading our expertise outside our walls and beyond the patients we see in our clinics each year. 27
  • 28. 7 pt. SM philosophy 1.Set realistic goals 2.Make strategic choices to managed needed resources 3.Adopt low-risk tools first. Where adding risk, pilot first 4.Build an on-line community 5.Encourage positive dialogue 6.Discussion of patient-specific issues in public forums is off limits, 28 discussion of patient non-specific issues should be encouraged 7.Share our experiences
  • 29. Social media approach Phase 1: Foundation building Phase 2: Pilot programs Phase 3: Expansion 29
  • 30. Foundational elements Education, Governance and Best Practices • Social Media Policy for staff • Leadership Forum on Social Media • Governance & Best Practices framework for departmental/program involvement • Comment Assessment Tool • Social Media approval request form • Dialogue with Family Forum, Youth Forum Twitter • Bilingual account. Shared with Foundation, branded as Hospital • Content: Foundation news/events, CHEO news, health tips, community health retweets, articles of interest, job/volunteer opps • Role: Inform & disseminate. Monitor community dialogue • Frequency: 1 – 3 times per day YouTube • Bilingual non-profit account, shared with Foundation • Content: Educational videos and telethon stories • Role: Inform. • Frequency: 1 monthly Facebook • Separate English and French “Fan Pages” • Content: CHEO news, health education, Foundation new & events, community health updates • Role: Build the CHEO community through dialogue & engagement • Frequency: 3 – 5 times per week 30
  • 31. Foundational elements Linkedin • Corporate profile Wikipedia • Expanded profile Blogs • Two Cents: Internal blog for staff • SMiCH: Blog to share and exchange information on social media with other Canadian health organizations • CHEO Moms & Dads 31
  • 34. Why online tool? •Nature of healthcare makes it difficult/impossible to get people in room at the same time. •Many hospital communications are one-way •In-person communication can be time-consuming, costly •Access peer knowledge, without scheduling meetings or committees 34 •Conversations can be secure within organization, or securely within a group
  • 35. One man’s view “A medical, multi-disciplinary approach, as medicine is being taught in med school, yet as it fails to be practiced in daily routine. Where specialists of all walks contribute their experience to a singular activity feed that anybody in the hospital environment can follow, react to and share with others.” 35
  • 37. IPC Hospitalist “Patients receive better care when physicians can communicate with each other quickly and effectively. Our internal network puts our physicians in control of the dialog and that’s what they want.” - Director of Information Systems Benefits Better Collaboration: IPC’s physicians find internal network to be better than email in many cases for obtaining advice and answers to questions from their physician peers. Mobile Connectivity: Physicians can easily access organizational knowledge via their mobile devices. 37 Open: Breaks down organizational hierarchies and fosters dialogue between experts.
  • 38. What we did •Launched as part of strategic plan, with email to all staff from CEO •Intranet promotion, posters, etc •Lunch & learns, Intranet tutorial •Cafeteria Q&A •Yam Jam •Small weekly prizes •Town hall debate 38 •Yammer superstars
  • 39. How did it work •870 of 2,500 total staff & physicians registered so far •1000+ messages posted to date •100 “groups” set up by users 39
  • 40.
  • 42. Challenges What are we seeing when organizations try to implement digital engagement strategies? • Lack of consensus on how open people the organization to be? • Capacity building – who is doing to do what? • Alignment with brand strategy • Intersection of Communications and IT – moving to the next stage presents new problems from different internal stakeholders 42 • Measurement and metrics
  • 44. Benefits • Facilitating conversations that strengthen relationships and build loyalty • Providing opportunities to develop stakeholder-driven policy and programs that foster support and good will • Offering proactive stakeholder communication that reduces the likelihood of crisis management intervention • Introducing the opportunity for stakeholder innovation • Reducing costs of change management and provide an opportunity for the community or market to lead the change • Fostering conversations around key issues by the community that benefit 44 from the peer-to-peer nature of involvement •
  • 45. The role of social media 45
  • 46. Digital Engagement - 4 pillar strategy What is Who are What are the How are the being said – your nature & type conversations what is the stakeholde of conver- motivating the context? rs? sations you community to are having? engage and expand the community 46
  • 47. Crowdsourcing Crowdsourcing has a lot to offer the health care sector – it is lagging behind other industries Docpeers.com – problem solving network for health care Eurekamed.com – open call for medical inventors – crowdsourcing solutions Consider crowdsourcing for: • Problem solving • New care models • Organizational alignment 47 • Running challenges to find solutions (financial incentives) • Process improvement by employees
  • 48. Assessing your organization Where does your organization sit in its effectiveness in engaging with your various stakeholders? Do these stakeholders have enough opportunity to engage with your organization? 48
  • 49. DE Assessment Level I Level II Level III Level IV Public Patients / Clients Members / Donors Staff / Volunteers Level I Very few individuals in this group are being reached or have even been identified, and almost none are engaging with the organization digitally Level II Some of your target audience are being reached, and few are engaging with the organization Level III Most of the individuals in this target audience are being reached, and of those, some are engaging with the 49 organization Level IV All or almost all of this target audience is being reached and most are engaging with the organization
  • 50. Next Steps Understanding where your challenges are and how to move up the levels takes both a look inside and understanding what practitioners like those at the CMA and CHEO are doing. Soshal has developed an online assessment tool to help you determine where your organization is. More details to come. 50
  • 51. Digital engagement practice Soshal Group's Digital Engagement Practice is focused on turning community platforms into conversion pathways. Architecting opportunities with patients, staff, stakeholders, and citizens using a 5 step process: 1.Digital Engagement Audit 2.External review (What your competitors are doing) 3.Internal review (What are you doing?) 4.Market assessment (opportunities that can be leveraged) 51 5.Recommendations for moving forward
  • 52. Health e-Community We invite you to join the community if you: •Have questions about digital engagement in health that you’d like to ask us and other health experts •Would like ongoing support for questions about implementing digital strategies to work with your stakeholders •Would like to connect and share with other health professionals for best practices and experiences •Are interested in watching highlights from our webinar •Would like to witness digital engagement first-hand 52 •Check out the Community for Soshal’s new Online Assessment Tool
  • 53. #HCSMCA Join the conversation every Wednesday at 1pm ET #hcsmca is a vibrant community of people interested in exploring social innovation in health care. We share and learn, and together we are making health care more open and connected. Wednesdays at 1pm ET Follow the hashtag. Join the weekly chat. Share your knowledge. Tap into the community. Search the archives. 53 http://cyhealthcommunications.wordpress.com/hcsmca-2/ Add a topic. Attend a meet up.
  • 54. Ottawa | Toronto Architect Opportunity. HEADQUARTERS Ottawa, Ontario 202-1339 Wellington St West | K1Y 3B8 1.855.476.7425 | info@soshalgoup.com @SoshalGroup | fb.com/SoshalGroup 54