Social media for healthcare - april fools vs reality

OK, how many took this article seriously?
Supposed social media guidelines on MMM.

How many passed it to co-workers without even reading it? Who thought it would impact their upcoming project? Of course, reading this through makes it apparent as an April Fools joke, either developed by the magazine, or done by a hacker getting into it.

The reality is that social media is already a viable communication channel in healthcare, and is being implemented responsiby, respectfully, and meeting whatever guidelines do eventually come up. Especially for unbranded, disease category communities, as noted in this Wiki on Dose of Digital.

Peer to peer advice and case based learning have always been powerful forces in medical decision making, for professionals and consumers.

When the real guidelines come out, they should take into account the positive good already taking place.

Team Chemistry - Sports and Analytics

Late March is as good time to speak about teamwork. For basketball teams, the right group chemistry is essential, and this on display in the winners of the NCAA tournaments. You can also see how fragile team chemistry can be, in the shift that results when an NBA team adds a "superstar" yet changes their whole approach to playing. The coach has to decide how to best leverage the new individual talents while still maintaining a winning framework.

If you are growing or leading a sales or marketing analytics group, you have choices to make:

- the mix of hands on analysts versus consultants

- whether to staff in house or outsource, or even offshore

- having people steeped in your industry as well as other categories, for a fresh perspective


Then of course, the coaching and training are critical. Analytics is rooted in mathematics and algorithmic techniques which have been around for decades. Yet there are innovative digital, multichannel methods. Thus a leader must find the right mix of setting standards, yet delegating and allowing the group to develop some new innovative thinking.

Methodically removing balls from the air

Ever feel like you are working on so many responsibilities and immediate deliverables at once? It can be just like you are simultaneously juggling many balls in the air. This can happen in the "functional service areas" like analytics.

The key is to focus on getting items completed, one by one. Not on getting overwhelmed with the total set. Each completed and transitioned result will provide satisfaction for oneself and one's "clients."

But how to choose which one to complete first? You need some kind of "greedy algorithm:"
- first in, first out?
- nearest to the deadlines?
- easiest to get over with?
- task with the most pressure and stress attached?

The "greedy heuristic" you choose for getting the first one off your plate may be up to you, or handed to you.

As you plow through your list of tasks, some might be thorny, and need a new perspective, even a chance to put aside and "sleep on it" before solving.

I remember fondly my days on the high school mathematics team when there was a book called: How to Solve it, by George Polya It gave great problem solving techniques for seeing mathematical puzzles and theorems from a new perspective.
Examples of these techniques are:

* break into sub-problems, relate these to each other, and solve the core sub-problem.
* draw diagrams to represent the core issue
* apply a rotation, or a transformation, so the relevant dimension is more obvious
* find an analogous problem and solve that.

For the technically and mathematically inclined, this is a paperback investment well worth it.

Chronic conditions, and amplified milestones

In the recent Mediapost "Marketing: Health" online article, Elizabeth Elfenbein and I describe how the basic accomplishments and milestones of daily living are amplified and made more challenging for a patient having a chronic condition. Landmarks that would be ignored or taken for granted are now significant accomplishments. Timescales that would move quickly slow down.

All the more important is the measurement of progress to a patient treating such pain. Diaries, assessment tools, and interactions with caregivers and healthcare providers are critical to obtain positive feedback on treatment.

Have a read at this case study, and let us know your thoughts.

Perspective in measurement and in life

In measuring time series data, one realizes that significant outliers or spikes will take on significance only over a certain duration and a certain time scale of granularity. A daily spike in website visits may seem signficant within last month's daily visitor plot. However, it may seem less so with a weekly plot. Or it may lose significance further compared to other larger spikes on a duration plot of an entire year.

This spring weekend has brought a new meaning to judging the relative importance of events, and in juding magnitudes of scale of importance. This humble overworked professional has tried to keep up with assignments over the weekend. He's also watched his Amazon rankings of his book on a daily basis, and wished they would nudge higher. These issues pale in comparison to the pleasure of riding bikes and playing baseball with kids as spring draws near. On the negative side, both hassles and joys are tempered by stuggles friends have with flooding nearby.

Furthermore, all of these are tiny in perspective when considering the natural disasters in Japan that happened within a day but whose duration of impact will be measured in years and tens of thousands of lives.

Consulting workshops and passing the ownership baton

In the consulting business there comes a moment of both risk and reward, and that is the delivery and handoff to the client. Especially true when the consultant is preparing a workshop that the client wishes to lead.

Seems odd to say, but nowadays manufacturer marketers are so busy that they may require consultants, or agencies, to prepare workshops and slides for even their most critical business functions.

When this happens, we on the agency side go through heroic efforts to make the slides, materials, and flow as captivating and engaging for the audience as possible. There may be a couple of check ins with the well-intentioned client, but uncertainty remains.

Finally, the workshop day arrives, and the group that has prepared the messages, visuals, and slides has to transition control. Like a relay race team, the final pass of the baton is to the client running the show, in front of dozens (or even hundreds) of attendees. No talented, speedy relay race team wants to drop the baton, and so consultant have to put the time in and work hard right up until the end of the final pass off of materials.

The moment of euphoria, the proof of the pudding, is when the client moderator takes our presenations and makes it his or her own, adding special corporate and department flavor that only he or she can. The finish line is crossed, and the client company makes strides.

Convergent branding: hitting the spot.

When I was studying for my math major at MIT, I learned over and over theorems about convergence: how a sequence of numbers gets arbitrarily ever closer to a target. The same concept holds in multi-dimensional space, like in the figure to the left: from all directions, follow the trend and get to the same point.

At The CementBloc, we also talk about convergent branding. From whatever channel a consumer, healthcare professional, or payer comes from, they experience the brand in the same consistent way. Ironically, this does not mean that all of your marketing is located at one point in space. Quite the contrary, the convergence is to the customer, wherever the customer goes, in whatever channel, that is where you place the consistent message.

This has implications for promotional planning. Say you have an audience of healthcare specialists, or consumer caregivers, with a high-volume central portal or community. Then make that favored location part of your convergent messaging plan. But in a subtle way. If you seem promotional, you steer the sequence off course; rather, continue the pattern, and let your true message flow within the direction of that active customer destination.

Heavy stuff? Want to find out more? Make a comment or send an email.

Wisdom 2.0 - sure wish I had gone here

Reading through my Twitter for news items, I stumbled across tweets from a range of delighted and peaceful attendees of the Wisdom 2.0 Conference. Check out the speakers, and the agenda. You can watch live if you are in synch; but I think I missed it.

Anyway, seems to be a Silicon Valley SF Bay Area assembly of high powered software executives, yoga instructors, and people in between. For 3 days, talking about work-life balance, being at peace with rampant technology, and what is real connection in the age of social media.

As our communication and connections become more rapid, global, and superficial, we struggle continually. The pendulum has swung to reactivity, rather than the proactive days of deliberate appointments and letter writing. The ancient ritual of Sabbath days can be a pause to past times, but those traditions are harder than ever to keep. Would have been nice to sit outside with a cup of Java and a biscotti with other nerds stretching to yoga and pondering the implications.

Already thinking about booking for next year...

Youtube: unbranded health video channels on demand

The increased usage of healthcare videos on Youtube is rampant, it is taking on many forms, official and non, and is as complex a network as the whole Internet itself. The YouTube growth is surprisingly prevalent among both among consumersand heathcare professionals.

A 2010 study of Manhattan Research study reported in Med Ad News notes that "the majority of physicians visit YouTube ... nearly 2 in 3 physicians are using this website for personal or professional reasons."

Youtube healthcare videos include the polished, consumer unbranded health content from the Johnson & Johnson health channel. I get my leads for this channel from promotion by a Twitter feed from Robert Halper

Both consumer and professionals benefit from YouTube channels of major medical institutions like the Mayo Clinic Youtube channel.

More purely professionally oriented videos covering the latest studies and medical conventions are found on the Insider Medicine Channel
and The MD Conference Channel. What is most striking among these are the high volumes of views yet low number of memberships. The metrics are about viewing and downloading.

While there are channels for professional associations like American Society of Plastic Surgeons and American College of Rheumatology, content streams are by no means standardized. There can be:

* association announcements
* clinical cases
* training videos
* career advice
* information for pateints.

Then, aside from all of these "official" channels are thousands of independent healthcare professionals and interest groups generating content they deem valuable for others. Any Youtube search will show you that. For example, many professional journals are not quite on YouTube, but a search for "New England Journal of Medicine" will demonstrate the wide variety of posters.

What is the implication of all this?

* Professionals are on YouTube, posting and downloading videos, but in non-predictable ways.
* Search here is as important as elsewhere on the web.
* The situation will continue to evolve, perhaps consoliating, or remaining de-centralized.
* Advertising models still seem to be forming; some of these links have ads or sponsored links, others not.


Stay tuned.

Nerds on TV -- the right way -- IBM Watson and Jeopardy

As a computer scientist, trained in artificial intelligence myself, I am delighted to see the development of the IBM Watson parallel computer competing on evening TV Jeopardy! episodes. See this Google search for the plethora of results on the Jeopardy shows.


Heck, as a parent, I love it that my kids are running to me with how awesome the smart computer is doing on their favorite quiz show!

See this great PBS News Hour video to find out more about Watson, Jeopardy,and the artificial intelligence background.

When are computers really "intelligent?" People have been pondering this for at least 100 years. Alan Turing developed a "Turing test" of the computer responding to a person's questions and having the answers be undecipherable from that of another human being. Then in the 1980's came the chess playing machines. First with algorithms, then with brute force statistics, and finally Deep Blue beating grand master chess champions by the turn of the century.

But now having smart computers compete on glitzy evening game shows and educating the world about parallel intelligence of computers? Love it.


See a great write-up by James Taylor on the Smart Data Collective community as to what the IBM Watson episodes mean to Decision Management and Analytics. In essence, computers can now make decisions on the fly leveraging large databases, and continually get smarter in our results.
This is after all what people do in decision making.

Think about that the next time you are creating your marketing and sales analytics systems. Rapid feedback loops, shorter decision cycles,and continual optimization.