Educate Encourage

Enrich Advocate

Transform Empathize

Social Media: Why and How Should

Healthcare Providers Engage?

Hope Warshaw, MMSc, RD, CDE, BC-ADM, FAADE

Hope Warshaw Associates, LLC

May 19, 2016

Webinar Goals

• Set stage for social media engagement – why now?

• Describe Diabetes Online Community (DOC) evolution

and importance

• Provide rationale for HCPs to engage in social media

• Offer strategies and guidelines for HCPs to engage

5

Set the stage for social media

engagement – why now?

Affordable Care Act (ACA):

A Driver for Patient Engagement

• Triple Aim integrated into ACA

• Affordable Care Act, 2010 – 2018

• Patient engagement integrated into Triple Aim

“As humans we have an ancient

instinct to reach out and want to

share with someone like me,

now people can do this with the

internet.”

“There’s a mobile and social

earthquake happening. People

[our clients] are going to expect

to engage online with HCPs,

with someone like them.”

Susannah Fox, Chief Technology Officer, US Dept HHS. The “e” is for Engagement. AADE15

Susannah Fox, Chief Technology Officer, US Dept HHS. The “e” is for Engagement. AADE15 (reproduced)

Expert Knowledge…In the Past

Susannah Fox, Chief Technology Officer, US Dept HHS. The “e” is for Engagement. AADE15 (reproduced)

People with Diabetes, Caregivers & Community Input

Expert Knowledge Now, Plus…

Gee P, Greenwood D, et al: The eHealth Enhanced Chronic Care Model: A Theory Derivation

Approach, J Med Internet Research. 2015;7(4)

@NightscoutProj

#wearenotwaiting

#nightscout

FB: Nightscout

Lee JM, Hirschfeld E, Wedding J: A Patient-Designed Do-It-Yourself Mobile Technology System for

DiabetesPromise and Challenges for a New Era in Medicine. JAMA; 2016; 315(14):1447-1448.

“How might healthcare stakeholder leverage technologies like

social media to scale the communication and

dissemination of innovations in health?”

Polling Question:

Which social media platform(s) do you see your clients with diabetes (or their caregivers) using most to seek support for or information about diabetes?

1. Twitter 2. Facebook 3. Pinterest 4. Instagram 5. All of the above 6. None of the above

14

Describe the Diabetes

Online Community (DOC)

evolution and importance

Every year, PWD/caregivers spend…

Hours

At the docNot at the…

O’Keefe DT, Montori VM: What’s up #DOC? The role of social media in diabetes management. Diabet Med.

2015;(published online ahead of print) Link to abstract: http://onlinelibrary.wiley.com/doi/10.1111/dme.12955/abstract.

Sparling K, Tenderich A, Warshaw H: “Community as part of the prescription: Social media in diabetes care.”

American Journal of Managed Care. 2015;21(15),SP515-517 .

Used with permission: M. Hernandez

Evolution of the DOC…the early days

Large community

forums

Advocacy

organizations/efforts

100’s personal

blogs

Online e-

magazines and

news sources:

Social

media

Diabetes associations

AADE, ADA, JDRF

Government agencies:

CDC, NIDDK, NDEP

Hilliard ME, et al. Sparling KM, et al. The Emerging Diabetes Online

Community. Current Diabetes Reviews. 2015;11 (e-pub).

Why PWD Connect to the DOC?

• Get, give support

• Laugh, gain levity

• Offer practical insights to deal with diabetes

• Share challenges, stresses

• Celebrate successes

• Minimize isolation, find others in same stage of life

• Stay abreast of diabetes research, technologies,

treatments, etc

• Advocate for diabetes causes, issues and concerns

Research Conclusions*

• The DOC is used as an adjunct to regular diabetes care.

• DOC engagement is associated with better glycemic control.

• The majority of DOC users reported they had been helped

with little harm reported.

• DOC users had high diabetes self-care and Health Related

QOL scores.

• DOC users used the DOC to increase knowledge to improve

self-care and for emotional support.

*Litchman ML: The diabetes online community: A SOCIAL MEDI(c)A(l) approach to #Diabetes care. Presented

as oral research abstract at 42nd Annual Meeting of the American Academy of Diabetes Educators. 2015.

Tool/Handout: Connect Clients to DOC

Find web-based and printable versions:

AADE: diabeteseducator.org/export/sites/aade/_resources/pdf/general/Social_Media_Handout.pdf

Hope Warshaw: hopewarshaw.com/connectdiabetes (links in blog)

DHF: English: http://www.diabeteshandsfoundation.org/doc/color.pdf, http://www.diabeteshandsfoundation.org/doc/bw.pdf;

Spanish: http://diabeteshandsfoundation.org/doccoloresp/; http://diabeteshandsfoundation.org/docbnesp/

21

Provide rationale for HCPs

to engage in social media

WHY Do HCPs Engage in

Social Media?

Polling Question:

Why do you or do you want to engage in social media professionally?

1. Build your business or brand 2. Increase your name recognition 3. Increase access to timely professional news 4. Interact with your clients and potential clients 5. Advocate on professional issues, concerns 6. All of the above 7. None of the above

Twitter: @hopewarshaw

Website: hopewarshaw.com

Facebook: eathealthylivewell Blog: hopewarshaw.com/blog

Instagram: hopewarshaw MY WHY?

Why HCPs Engage or Should?

• Build your name, brand, business, practice

• Connect and share with colleagues

• Grow your professional network

• Become known, reliable information resource

• Stay up to the minute on profession-related news, news

• Know what’s happening on the DOC

• Gain insight into people with diabetes, caregivers (desires,

wants, needs)

• Advocate DOC, professional concerns (local, state, Fed)

Offer Accurate Information, Support

D-Community

(posted by RD)

Remember that #diabetes is preventable

w/light & healthy #nutrition and daily #exercise.

#rdchat @JaniceRDCDE @HopeWarshaw

(response)

Hope Warshaw RD CDE @HopeWarshaw

Type 2 #diabetes can, for some, be prevented

or delayed but not type 1. Important distinction.

Promote Reliable Resources,

Support D-Community

Kate Cornell @SweetenedKate

@HopeWarshaw This is a great resource!

Thank you, and thanks too for including my

blog and the Type 2 @TheT2Experience.

Hope Warshaw RD CDE @HopeWarshaw

Learn, Connect & Engage with the #Diabetes

community. ow.ly/4mO1PX News, blogs

resources and much more #DOC

Advocate for DOC, Associations,

Causes

Hope Warshaw RD CDE @HopeWarshaw

.@MarkWarner Plz support Medicare CGM

Access Act S 804! Bill assures access to

#CGM for people w T1 #diabetes #DOC

@AADEdiabetes

Hope Warshaw RD CDE @HopeWarshaw

.@RepDianaDeGette Tx for intro HR 1726

to increase Access to Quality #Diabetes

Education/Support. @aadediabetes

#DiabetesEd4All

Polling Question:

What hurdles do you face as you set goals to engage/engage more in social media?

1. Time to learn about the medium, various networks 2. Steep learning curve to master and limited access to expertise 3. Employer hurdles: not valued or discouraged, time not allotted 4. Don’t assess value to your practice/professional growth 5. Don’t assess value to the clients you work with 6. All of the above 7. None of the above

30

Offer strategies and guidelines

for HCPs engagement

Rules of HCP Engagement in Social

Media with DOC*

• I will not feel guilty about lurking.

• I will spread good, reputable information.

• I will not judge.

• I will be honest.

• I will be transparent.

• I will be real.

*From:Your Patients Are Online; Why Aren’t You?, Kerri Sparling, JJDI 4/14/16

Guidelines for HCP Engagement in Social

Media - Additions

• I will not play the role of HCP/diabetes educator

“information provider, expert”

• I will gain insight into PWD/caregivers’ desires,

wants, needs in diabetes care, life

• I will be supportive

• I will know my place and role

• I will have fun with PWD/caregivers, engage them to

learn, enjoy the medium

Should You Have Ethical

and Legal Concerns about

Engaging in Social Media?

Should these STOP YOU from engaging?

Ethical & Legal Guidance

• Look to professional associations’ code of ethics

– general, specific to social media

• Act ethically, within legal bounds of profession

– Share research-based content only

– Don’t plagiarize w/ out attribution

– Don’t “air dirty laundry”

• Be transparent/disclose endorsements, sponsorship,

advertising

• Respect privacy, confidentiality: Think HIPPA

– Don’t share: about patients, encounters;

no disparaging remarks; no photos w/ patients

Tips to Engage in Social Media as HCP

• Make it work for you

• Set your own “rules”

• Stick with what you know, your area of interest/expertise

• Develop, apply your “voice”

• Share your personality, vantage point – but not “TMI”

• Create a conversation

• Post photos and videos

• Be real, add value and have fun!

Discussion Question:

If you want to further engage in social media professionally, what is one S-M-A-R-T goal you are willing/able to commit to achieving within the next 30 days?

Webinar Goals

• Set stage for social media engagement – why now?

• Describe Diabetes Online Community (DOC) evolution

and importance

• Provide rationale for HCPs to engage in social media

• Offer strategies and guidelines for HCPs to engage

38

Thank You for YOUR Attention, Now to YOUR questions…