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Thomas S. Davis, CRNA Chief CRNA, Scott & White Medical Center Main OR tom@procrna.com

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I think that email will explode in the future Bill Gates, 1992

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Agenda Types of Social Media Current use Future use Dangers Developing a policy Developing your own personal social media.

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What is Social Media? Social media refers to the means of interactions among people in which they create, share, and exchange information and ideas in virtual communities and networks. Internet based applications Allow creation and exchange of user generated content Use mobile and web based platforms Allows real time exchanges of information within and between individuals and groups

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Importance of Social Media 51% of people aged 2534 used social networking in the office, more than any other age group People continue to spend more time on social networks than any other category of sites20% of their time spent on PCs and 30% of their mobile time As of 2012, Facebook has 152,226,000 unique PC visitors and 78,388,000 unique mobile app visitors. Twitter reported 37,033,000 unique PC visitors and 22,620,000 unique mobile app visitors. Total time spent on social media in the U.S. across PCs and mobile devices increased 37 percent to 121 billion minutes in July 2012, compared to 88 billion in July 2011 Social Media Report, 2012, Nielsen, http://blog.nielsen.com/nielsenwire/social/2012/

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Comparison Published Media Social Media Quality standards by publisher Subscription / Mailing Production is complex Time lag between creating and publishing Once printed can not be altered Quality determined by individual Available world wide Can be posted immediately Can be altered instantly

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Web Based Traditional Web Sites URL identifies the type of site.com /.edu /.net /.gov /.org Share information with a public or private group Marketing Product information Sales Social

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Mobile Devices Devices that connect to the internet or to each other using traditional internet technology or mobile apps. Phones Pads Notebooks Wireless laptops Allow real time access to information in any location

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Twitter was created in March 2006 by Jack Dorsey and by July, the social networking site was launched. Over 500 million registered users as of 2012 Generates over 340 million tweets daily Handles over 1.6 billion search queries per day

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Gossip or Useful Tool? Phil Baumann, 140 Health Care Uses for Twitter http://philbaumann.com/2009/01/16/140-health-care-uses-for-twitter/ Twitter may either be the greatest prank ever played on the internet community or it may be the best thing since sliced bread

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Health Care Uses for Twitter Epidemiological survey Disaster alerting and response Emergency response team management Supportive care for patients and family members Alarming silent codes (psychiatric emergencies, security incidents) Biomedical device data capture and reporting Medical service collaboration in the clinical setting Triage management in emergency rooms Publishing health-related news

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Health Care Uses for Twitter Reporting hospital staff injuries Reporting medical device malfunctions Product safety alerts Pain management Patient-sharing of health-related experiences Post-discharge patient consultations and follow-up care Discussing HIPAA reform in the age of micro-sharing Recruitment of health care staff

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Monitoring of Social Trends We analyzed over 500 million Twitter messages from an eight month period and find that tracking a small number of flu-related keywords allows us to forecast future influenza rates with high accuracy, obtaining a 95% correlation with national health statistics. Aron Coulotta, Columbia University Library

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West, Texas

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Facebook Launched in 2004 As of September 2012, over 1 Billion users Over half use mobile devices User must register and create a profile May join user groups

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A National Cross-sectional survey of social networking practices of U.S. Anesthesiology Residency Program Directors A. Barker et al, Journal of Clinical Anesthesia 2012 Social media is a staple of American culture especially among younger generations. Users are able to generate content Professional and personal lives can become blurred Patient confidentiality can be compromised Only 30.3% of Residency Programs have Social Media Policies

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The Intersection of Online Social Networking with Medical Professionalism Thompson, LA et al, J Gen Intern Med 2008 Among Medical Residents 44.5% Frequently use Facebook 83% of accounts had personally identifiable information 70% of accounts describe alcohol use or excessive drinking.

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NEJM August 13, 2009

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In confirming this patient as my friend on Facebook, I was merging my professional and personal lives. From my Facebook page, Ms. Baxter could identify and reach anyone in my network of friends, view an extensive collection of personal photographs, read my personal blog, and review notations that others had left on my wall.

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Facebook in Medicine Communication Colleagues Patients Education Pre/Post-Op Instruction DOS Informaton Marketing Services Billing

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Caution: HIPAA Violations Must protect patient information and dignity Revealing Personal Information Becoming a distracted Healthcare worker. Violating Institutional policies and trademarks

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Common Sense Dont discuss patients, even in general terms; its not that hard for John Does friends to figure out who it is. Do talk about conditions, treatments, research and best practices without identifying patients. Identify yourself. Anonymity breeds bad behavior. Dont post online anything you would not say in the elevator. Use separate accounts for your personal and professional lives. Dave Ekrem, The manager of web development and social media for MassGeneral Hospital for Children

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When Your Fingers do the Walking, Where do they Walk?

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Education The more we use social media the more we understand it Youtube can be a very valuable classroom aid. Pre-recording the key points and references allows students to prepare for class USA Today 3/14/12

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PreOp.com 503 YouTube videos All aspects of Surgery are presented Pre-op anesthesia teaching Interview General Spinal / Epidural OB

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Patient Education The main reason I wanted to do this was for the educational possibilities. I spend a lot of my time with patients on what to expect and what the steps are, Kim said. A lot of anxious patients want to know exactly what happens. With this they will be able to see what happens. http://www.huffingtonpost.com/2012/05/08/houston-hospital-live-tweet-brain-surgery_n_1500751.html

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Visalia California Hospital District District ordered 100 iPads for employees X-Ray images ECG Patient monitoring "This is going to make my day easier and patient safety better," Roger Haley, a kidney specialist at the hospital, said in an interview with a local ABC News station. "Now, I don't have to find a workstation to do what I need to do; I do it right there, right then, right now." http://mashable.com/2010/04/21/hospital-purchases-100-ipads/

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Steps You Can Take to Secure Your Mobile Devices Draft a Mobile device policy Who may access Which information may be accessed Which devices may be used Follow organization's policy List specific security requirements Know your IT security officer

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