establishing a virtual team in the nicu

Neonatology Fellows’ Workshop 2010CAN/AAP District IX SOPP 16th Annual

Conference

CLARA SONG, MDUSC Division of Neonatal Medicine of the

LAC+USC Medical Center and Childrens Hospital Los Angeles

Keck School of MedicineUniversity of Southern California

Los Angeles, CA

Establishing a Virtual Team in the NICU

OBJECTIVES

To define social media and its evolution

To classify the current available web-based tools

To utilize web-based tools in an effort to facilitate collaboration between health professionals

Social media has taken over porn as

the #1 activity on the web

Source: Social Media Revolution from Socialnomics.net

Web 1.0

Source: www.jeffc.me/web-10-and-web-20-visual-differences

Web 2.0

Source: www.jeffc.me/ web-10-and-web20-visual-differences

WEB 2.0

“… web associations that facilitate interactive information sharing, interoperability, user-centered design and collaboration on the World Wide Web…”

Concept of web evolution, coined in 1999 by Darcy DiNucci

Repopularized in 2004 by O’Reilly Media with first Web 2.0 conference

Source: http://en.wikipedia.org/wiki/Web_2.0; Markus Angermeier, Web 2.0 Mindmap

WEB 2.0Blogs

Photos

Videos

Audio

Social Networks

Event Networks

Wikis

Microblogs

Source: blog.milestoneinternet.com

Web 2.0

Source: fasticon.com

Social Media1. Concept

2. Media

3. Social interface

Social media is a “group of Internet-based applications…that build on the foundations of Web 2.0, and that allow the creation and exchange user-generated content.”

Social media uses Internet and web-based technologies to transform broadcast media monologues (one to many) into social media dialogues (many to many). It supports the democratization of knowledge and information, transforming people from content consumers into content producers.

Source: http://en.wikipedia.org/wiki/Social_media

Web 2.0 tools allow 20% increase in production

innovation and 20% decrease in communication and travel

costs.


Social Media is Changing Our Lives

Social media sites, like Facebook and Twitter, are becoming trusted sources of information and communication.

New relationships are being created and old ones maintained.

Average citizens have the opportunity to influence public opinion and policies.

Shift in communication to focus on honesty and transparency.

New possibilities have been opened for those launching and/or promoting a business.

Source: mashable.com/2009/10/16/social-media-changing-lives/

“Social media is NOT a fad, it’s a fundamental

shift in the way we communicate.”

Social Media: Reaching out and having a conversation.

Source: www.telegraph.co.uk

One in five Americans uses a social media networking service. (Pew Internet & American Life Project)

By 2010, Generation Y outnumber baby boomers

96% join a social network

Source: Social Media Revolution by Socialnomics.net, Beyond.com Poll

RADIO: 38TELEVISION: 13

INTERNET: 4 IPOD: 3

Years to Reach 50 Million Users…..

Source: Social Media Revolution by Socialnomics.net

Facebook added 100 million users in less

than 9 months!


Approximately 2 Billion Google searches occur

each day.


Health 2.0“…the use of a specific set of Web tools (blogs, Podcasts, tagging, search, wikis, etc.) by actors in healthcare including doctors, patients, and scientists, using principles of open source and generation of content by users, and the power of networks in order to personalize healthcare, collaborate, and promote health education.”

Source: http://en.wikipedia.org.wiki/Health_2.0, health20.org/images/ c/c1/Virtuous_Cycle.png

61% of American adults look online for health information- Pew Internet & American Life Project, June 2009

Information: resources and sharing

Medical education

Collaboration and practice

Disease management

Research & data sharing

Professional Development & Networking

Source: health20.org/wiki/ Health_2.0_Definition

Personal Health Records (PHR)

GoogleHealth: privateMicrosoft HealthVault: privatePatientsLikeMe: viewed with user consentMedHelp.org: viewed with user consent

Hospitals in the United States

Source: http://ebennett.org/hsnl_11_15_09, www.healthcareos.com

HITECH ActSecurity of Health IT

Patient-Centered Cognitive Support

Healthcare Application and Network Platform Architecture

Secondary Use of Electronic Health Record Data

On December 18, 2009, David Blumenthal, M.D., Department of Health and Human Services National Coordinator for Health Information Technology, announced plans to make $60 million available to support the development of Strategic Health IT Advanced Research Projects (SHARP).

Source: http://healthit.hhs.gov

Social Networking Sites

Facebook

MySpace

Friendster

LinkedIn

Ning

Hi5

Bebo

MocoSpace

MyLife

Source: emarketer.com, June 2009

More than 350 million active users50% of active users are logged on in any given dayFastest growing demographic is age 35 and older;

second is 55-65 year oldsMedian user age: 33Average user has 130 friendsWorldwide, more than 8 billion minutes a day spent on

Facebook, yielding 45 million status updates each dayMore than 2 billion pieces of content shared every weekMost popular site to share photos (comScore 2009)3rd most popular site to view online video (Nielson

VideoCensus, Nov 2009)

Facebook

Source: www.facebook.com/press/info.php?statistics

5.5% of all time spent online in the U.S. during the month of November

2009 was spent on Facebook.

Source: comScore, December 2009

If Facebook was a country, it would be the

4th largest in population.


No good deed goes unpunished.

Elphaba Thropp, The Wicked Witch of the West

Global network with over 25 million experienced professional in 150 industries

Average age is 41 yearsOver 50% users have income >$100,000Over-representation of those who attended graduate school,

compared to all internet users64% male34% own a Smartphone/PDA80% of companies use LinkedIn as their primary tool to find

new employeesSearchable by Google

LinkedIn

Source: www.linkedstrategies.com/blog/tag/linkedin-statistics

“No one physician is as knowledgeable as physicians working together.”

Largest online physician communityOver 110,000 community members68 specialties, 50 statesFree to practicing physiciansFree of advertisingFacebook, Twitter and monthly Sermo Blog

Source: www.sermo.com/node/11/

“The Business Model”: “For physicians, ..unique online environment in

which clinical observations can be exchanged in real-time… build consensus on products and issues, take advantage of financial opportunities, and improve patient care by working directly with colleagues…”

For Sermo clients, .. a way to target and engage physicians… capture real-world physician insights into treatments, medications and devices…

Source: www.sermo.com/node/11/

Social: Physician-specific

SermoDoctorsHangoutStudentDoctor.netHealthevaDoctorNetworkingRelaxDocSocialMDClinicalVillageOzmosis99nicu.org

NICU-NetMD LinkMedscape

Physician ConnecteMedicineMedicSpeakiMedExchange:

practicing MD onlyFacebookGroups

Twitter Old home page: “ Twitter is a service for friends, family, and co-

workers to communicate and stay connected through the exchange of quick, frequent answers to one simple question: What are you doing? Join the conversation!”

“Share and discover what’s happening right now, anywhere in the world.”

unique visitors increased by 1,382% in a year 475,000 in Feb 2008 7 million in Feb 2009

As of Feb 2009, largest Twitter group 35-49 year olds (42%) Median user age: 31 80% usage on mobile devices Twitter.com primarily visited from work

62% assess from work only 35% assess from home onlySource: http://blog.nielson.com/nielsonwire/online_mobile/twitters-tweet-smell-of-success/

Ashton Kutcher and Ellen Degeneres have more

followers than the entire population of Ireland, Norway

& Panama.


Twitter Directories

WeFollow

Twellow

Just Tweet It

Twibs: businesses

Tweeter tags

Twitter Fan Wiki

GovTwit

Twitter Forge: 10 directories

Twubble: find people

TwitterectorySource: tugagames.com

Twitter: Search conversations

Tweeter Search: Twitter’s official search page

Tweet Scan

Twitterment

TwitScoop

Tweetmeme: Social bookmarking site

Twemes: hashtags, keywords

TweetVolume

Tweet CongressSource: twittertweettweet.com

Real-time Updates

February 2009:Surgeons at Henry Ford Hospital, Detroit,

Michigan, used Twitter “To let people know that a tumor can be

removed without taking out the entire kidney,” said

Craig Rogers, MD, lead surgeon, to CNN.

140 Healthcare uses for Twitter

BY PHIL BAUMANNBLOG, “HEALTH IS SOCIAL”

Top Twitter Topics of 2009

Iran ElectionSwine FluGazaIranTehran

Source: http://mashable.com/2009/12/15/twitter-reveals-most-discussed-topics-of-2009/

Most Popular Twitter Users

Ashton KutcherThe Ellen Degeneres ShowBritney SpearsCNN Breaking NewsBarack ObamaOprah Winfrey

Source: www.blog.newwave.net.au/?p=76

iPhone application downloads hit one billion

in 9 months.

Mobile Media


Mobile Media

Over 30 social networking sites available for mobile devices

64% of U.S. physicians use a smartphone (Manhattan Research April 2009, http://tinyurl.com/clojeb)

Facebook MobileTwitter.comMyspace MobileWikipedia MobileFriendstribe.comHobnobsterBroadtexter.comZinadoo.comDodgeball.comMocospace.comZyb.comBrightKite.com

Free!Free! For-a-FeeFor-a-Fee

EpocratesMedscapeMedical EncyclopediaMuscle Head and Neck

SystemDiagnose the Disease

gameStress checkMedCalcPsych DrugsWirdy Medical

Instant ECG GuideDoctor’s AidDrugs & MedicationsNICUNeonatal NurseHuman Body 3D AnatomyApgar ScoreMedical CalculatorACLS AdvisorDue Date Calc OB

iPhone applications

Social Bookmarking and News Aggregates

CiteULike

Connotea

Delicious

Reddit

Technorati

Newsvine

SlashDot

StumbleUpon

Digg

The Clinical Reader

DiigoSource: doublejdesign.co.uk

There are over 175 ways to bookmark

and share information!


“Try not. Do or do not, there is no try”- Yoda

SLIDE SHARING

SlideShare

SlideBoom

SlideServe

Scribd

280 Slides

SlideRocket

Zoho Show

Slide

Source: sethpickens.files.wordpress.com/2009/02/luke-yoda

Media SharingYou Tube

rrripple

Flickr

Daily Motion

Vimeo

Videoegg

vSocial

Jumpcut

Source: www.freesocialicons.com

As of October 2009, YouTube reached one billion views per day.

YouTube: the world’s 2nd largest search engine

Source: youtube-global.blogspot.com/2009/10/y000000000utube.html

20 hours of video are uploaded to YouTube

every MINUTE.

Source: youtube.com/t/fact_sheet

Social Network Aggregation

Consolidates multiple networking profiles into one profile

Provides tools to consolidates messages, track messages, combine bookmarks and search across multiple social networking sites

Source: Dion Hinchcliffe, http://web2.socialcomputingmagazine.com

Social Aggregators

ProfilacticMinggl: invitation-onlyiStalkrCorrelate.usExplode.us: social

search toolSpokeoProfileflyPeopleAggregatorSocialURLSocialstreamTabber

Naymz8handsSecond Brain:

invitation onlyUpScoopProfileOMatMyLifeBrand:

invitation onlyProfileLinkerSnagSocialnetwork.inMyMashable

Individuals, business or organizations

“Real-time feed aggregator that consolidates the updates from social media and social networking websites, social bookmarking websites, blogs, and microblogging updates…”

Average of one million visitors/month

Source: friendfeed.com

ON AUGUST 10, 2009, FRIENDFEED WAS ACQUIRED BY FACEBOOK, INC. FOR $15 MILLION IN CASH AND $32.5

MILLION IN FACEBOOK STOCK.

Source: www.businessweek.com/technology/ccontent/aug2009/tc20090810_284380.htm

RSS= “Really Simple Syndication”

RSS is “a family of web feed formats used to publish frequently updated works- such as blog entries, news headlines, audio, and video- in a standardized format.”

RSS feeds “benefit readers who want to subscribe to timely updates from favored websites or to aggregate feeds from many sites into one place.”

Source: http://en.wikipedia.org/wiki/Rss

READERGoogle Reader

Bloglines

NewsGator

My Yahoo!

Source: rssboard.org

Trends, Tags, and Alerts in Medicine

PubMed Save Search functionPubMed ReaderPeRSSonalized Medicine from Webicinia.comBioWizardGoogle AlertsREEmemeAllTopWatchThatPageDailyMeTweepBeep

Source: www.webicinia.com/journals_and_sites/step_1_tools_that_help_you_keep_yourself_up_to_date_trend_trackers_84/

“We no longer search for news, the news finds

us.”

Wiki= “Quick” in Hawaiian

Over 85,000 active contributors

Over 14 million articles

Over 260 languages

Over 3 million articles are in English

Over 10,992,799 registered users ( 1,696 administrators)

Over 156 articles posted every hour

Source: http://en.wikipedia.org

You…“… the millions of anonymous contributors of user-generated content to Wikipedia, YouTube, MySpace, Facebook and Second Life…”

Source: http://en.wikipedia.org/wiki/You_(Time_Magazine_Person_of_the_Year_2006)

AAP in Social Media

Section on Perinatal Pediatrics

WebsiteDiscussion Board

YP Connection AAP Perinatal Trainees

Twitter AAPperinatal AAP news NCE Pedialink

Facebook groups AAP Perinatal AAP Perinatal Trainees

Facebook pageso AAP Perinatalo NeoReviews

• Blog by AAP President, Judith Palfrey• 12/15/09 AAP SmartBrief

2010: Web 3.0??

Source: ahi.cl/blog/category/ uncategorized/2009/10/ socialmediacampaign1

Potential Risks

Social networking is online= Public domain, no longer private

Posting online is permanent; can be deleted, but may be archived

Professional liability risks (violations of medical code of ethics, HIPAA, employer or medical staff policy)

Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.

Minimize Risks

Use common sense. “The least common thing in the world is common

sense.” – overheard from Istvan Seri

Review the terms of service of the online communities.

Review your professional liability policy.Review your employment agreement.Review your posting before you post.Be aware that you may not remain anonymous.Include a disclaimer.

Source: Armon, Keller. Who is Dr. Wiki and Why You Need to Know. Unique Opportun. 2009.

“In an e-mail to students and faculty of Harvard Medical School, Dean for Medical Education Jules Dienstag wrote:

‘Caution is recommended . . . in using social networking sites such as Facebook or MySpace.

Items that represent unprofessional behavior that are posted by you on such networking sites reflect

poorly on you and the medical profession. Such items may become public and could subject you to

unintended exposure and consequences.’”

Source: Jain. Practicing Medicine in the Age of Facebook. NEJM. 2009.

Future doctors share too much on Facebook

Source: news.ufl.edu/2008/07/10/facebook/

“The NBA fined Brandon Jennings $7500 for a tweet written after a double-OT victory in Portland on

December 12.”

The tweet, “Back to 500! Yes!!! ‘500’ means where doing way good. Way to Play Hard

Guys.”

Source: www.huffingtonpost.com/2009/12/18/brandon-jennings-twitter_n_397401.html

Life is what happens while you’re busy making

other plansJohn Lennon

Time you enjoy wasting, was not wasted.

John Lennon

THANK YOU!

[email protected]

establishing a virtual team in the nicu

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