Hospital Use of Mobile Technology - A MedTouch Bench Marking Study(1)

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  • 8/2/2019 Hospital Use of Mobile Technology - A MedTouch Bench Marking Study(1)

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    January2012

    HospitalUseofMobile

    Technology

    AMedTouchBenchmarkingStudy

    inassociationwiththeSocietyforHealthcareStrategy&

    MarketDevelopmentoftheAmericanHospitalAssociation

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    2

    AbouttheSurveyInthefallof2011,MedTouchpartneredwiththeSocietyforHealthcareStrategyandMarket

    DevelopmentoftheAmericanHospitalAssociation(SHSMD)tofindouthowhealthcareorganizations

    areusingmobiletechnology.Some2,950SHSMDmembersfromhealthcareorganizationsaroundthe

    countrywereinvitedtocompleteabriefonlinesurveyonhowtheirorganizationsarecurrentlyusing

    mobiletechnology.

    The

    purpose

    of

    the

    survey

    was

    to

    help

    identify

    industry

    trends

    and

    provide

    asnapshotofplansforimplementingmobiletechnologyinhealthcareorganizations.

    Atotalof241responseswerereceived,foraresponserateof8.2%andamarginoferrorofplusor

    minus6percentagepointsatthe95%confidencelevel.

    RespondentProfileWhattypeoforganizationdoyourepresent?

    AsshowninExhibit1,almost90%ofrespondentssaidtheyworkedforahospitalorhealthsystem.Of

    allrespondents,37%wereemployedbyahealthsystem,while29%workedinahospitalwithmorethan

    200bedsand23%inahospitalwithfewerthan200beds.Respondentsemployedbyhealthplans,

    rehabilitation

    hospitals,

    physician

    groups,

    and

    integrated

    delivery

    networks

    accounted

    for

    the

    remaining

    11%.

    Exhibit1.RespondentOrganizations,byType[N=221]

    Inwhichgeographicregionisyourorganizationlocated?

    AsshowninExhibit2,threeoutoffourrespondentsworkforhealthcareorganizationslocatedinthe

    Midwest(34.2%),Southeast(20.9%),orNortheast(19.2%).TheSouthwest,WestCoast,MidAtlantic,

    andMountainStatesregionsaccountfortheremaining30.2%.(Percentagessumtomorethan100%

    becauseofmultipleresponses.)

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    Exhibit2.RespondentOrganizations,byUSRegion(Top3Responses)[N=234]

    Whichbestdescribesyourdepartment,andwhatisyourroleintheorganization?

    AsshowninExhibit3,amajorityofsurveyrespondents(61%)identifiedthemselvesasmarketing

    professionals,followedbycommunications/publicrelations(21%)andbusinessdevelopment/strategic

    planningprofessionals(13%).Only1.4%ofrespondentsidentifiedthemselvesaspartofawebteam

    separatefrom

    the

    marketing

    department,

    with

    0.5%

    representing

    IT

    and

    0.9%

    interactive

    and

    digital

    marketingdepartments.Severalrespondentsworkfordepartmentswhoseresponsibilitiesinclude

    businessdevelopment,publicrelations,orinteractiveweb.Thisprofilesupportstheobservationthat

    healthcaremarketingandcommunicationsprofessionalswearmanyhatsandcontributetomany

    differentfunctionswithintheirorganizations.

    Fortythree(43%)percentofrespondentsreportingemploymentasmarketersheldthetitleofdirector,

    22%weremanagers,20%wereatthevicepresidentiallevelorhigher,andtheremaining15%identified

    themselvesascoordinators,specialists,orassistants.

    Ofcommunications/publicrelationsprofessionalsrespondingtothesurvey,56.8%weredirectors,

    22.7%weremanagers,13.6%werevicepresidents,and6.8%werespecialists.NoCsuiteexecutives

    wereidentifiedinthecommunicationsgroup.

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    Exhibit3.DepartmentalAffiliationofRespondents[N=216]

    OrganizationalStructureWhichdepartmenthandlesthewebfunctionatyourorganization?

    Themajorityofrespondents(65%)saidthatmarketingwasresponsibleforthewebfunction,while21%

    identifiedcommunications/publicrelationsasresponsiblefortheweb.Only14%reportedthatITowned

    thewebfunction,asignthatinternalroleshaveshiftedwithinhealthcareorganizations.Asthewebhas

    maturedintoanimportantmarketingandcommunicationschannel,responsibilityforithasshiftedfromITtomarketing.Inaddition,somerespondentsreportedanoverlapinownershipofthewebfunction.

    Forexample,thereweremultipleinstancesofjointwebownershipbetweenITandmarketingaswellas

    betweenmarketingandcommunications.

    Whichdepartmenthandlesthemobilefunctionatyourorganization?

    Whenitcomestomobiletechnology,theinternallandscapechanges.Marketingownershipofthisnew

    functiondroppedtoonly45%(from65%forthewebfunction),andITmoveduponlyslightlyto16%

    (from14%forthewebfunction).Partofthereasonmaybethatthereisnoclearownershipofthe

    mobilefunctioninmanyhealthcareorganizations.Accordingtoonequarterofrespondents,nosingle

    departmentownsthemobilefunctionintheirorganization.

    Eveninorganizationswithdedicatedweborinteractive/digitalteams,only14%havedesignatedasingle

    departmentasownerofthemobilefunction.AfewrespondentsnotedthatITand

    marketing/communicationscoownthemobilefunctionintheirorganizationsbecauseoftheirdesireto

    developnotonlymobilesitesbutalsomobileapplications.

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    MobileWebsitesDoesyourorganizationcurrentlyhaveawebsitethatisoptimizedforamobiledevice?

    Sixtysixrespondents(38%)reportedhavinganoptimizedmobilesite,definedasaversionofthemain

    hospitalwebsitethatisspecificallydesignedforasmartphone.Ninetyeightrespondents(57%)said

    theirorganizationdoesnothaveanoptimizedmobilewebsite,andnine(5%)wereunsure.

    Thelikelihoodthatahealthcareorganizationwillhaveanoptimizedsitevariesaccordingtowhich

    departmentownsthemobilefunction.Inorganizationsinwhichmarketingownsthemobilefunction,

    40%haveanoptimizedmobilesite.Wherecommunications/publicrelationsownsthemobilefunction,

    33%haveanoptimizedmobilesite.InorganizationsinwhichITownsthemobilefunction,28%havean

    optimizedversionoftheirsite.Thisfindingmayindicatethatmarketingandcommunicationsaremore

    concernedaboutimprovingtheirorganizationsmobilevisitorexperienceorthatIThaslessabilityor

    budgettomakesuchchanges.

    Ifyourorganizationhasanoptimizedmobilesite,whichfeaturesdoesitoffer?

    The66respondentswhoreportedhavingoptimizedwebsitesweregivenalistofeightfeaturesand

    askedtoindicatewhichwereofferedontheirmobilesites(Exhibit4).Eightypercent(80%)of

    respondentswith

    amobile

    site

    offer

    aFind

    aDoctor

    search

    feature

    on

    their

    site.

    OrganizationsinwhichITownsthemobilefunctionweremorelikelytointegrateoperationalmodules

    (e.g.,BillPay,CalendarofEvents,AppointmentRequest,ERWaitTimes,Preregistration)intotheir

    mobilesites.Wheremarketingownsthemobilefunction,consumer andproviderorientedfeatures,

    suchasFindaDoctor,electronichealthrecord(EHR)Access,andatoolforreferringphysicians,were

    moreprevalent.Surprisingly,noneoftheorganizationsinwhichITrunsthemobilefunctionofferedEHR

    access.

    Someadditionalfindings:

    Morethan25%oforganizationswithmobilesiteshadanAppointmentRequestfeature. Slightlyfewerthan25%oforganizationsofferedatooltoallowreferringphysicianstoreferinto

    thehospitalviathemobilesite.

    12%providedaccesstothepatientsEHR.

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    Exhibit4.PrevalenceofSelectedMobileWebsiteFeatures[N=51]

    Whichfeaturesofamobilesitearemostandleastimportanttopatients?

    AsshowninExhibit5,Directions,withanaverageratingof9.1ona10pointscale,wasratedthemost

    usefulmobilefeatureforpatients,followedcloselybyFindaDoctor,withanaverageratingof8.5.

    ContactUsandAppointmentRequestcameinat8.4and8.2,respectively.Afterthesefeatures,there

    wasasignificant

    drop

    off

    in

    average

    rating.

    Pre

    registration

    was

    given

    an

    average

    rating

    of

    7,

    and

    Bill

    Payreceiveda6.8.OtheroptionsreceivinglowusefulnessratingsincludedCalendarofEvents,at6.6;

    SymptomChecker,at6.4;andPrescriptionRegimen,at6.3.

    EventhoughERWaitTimeswasoneofthemorepopularfeaturesonhospitalmobilewebsites(more

    than25%deployedthisfeature),ithadthelowestaverageusefulnessrating(6).Similarly,41%of

    organizationshavedeployedaCalendarofEventsdespiteconsensusthatitisoneoftheleastimportant

    optionsinamobilesite.Asthemobilemarketcontinuestomatureandmoreresearchisconductedinto

    whatiseffective,wemayseenewmobilesitesdevelopingdifferently.

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    Exhibit5.UsefulnesstoPatientsofSelectedMobileWebsiteFeatures[N=211]

    (1=notatalluseful,10=veryuseful)

    AsshowninExhibit6,respondentswhosemobilesiteswereownedbythecommunications/public

    relationsfunctionratedalmostallofthefunctionalityhigherthandidtheircounterpartsinmarketingor

    ITatotherorganizations.Wecomparedthethreetopownerswithorganizationsthatdonothavea

    mobilepresence(lastcolumn)andfoundthatallfourhavesimilarviewsoffunctionalityusefulness.

    ERWait

    Times,

    Prescription

    Regimen,

    and

    Symptom

    Checks

    were

    not

    highly

    favored

    in

    organizations

    in

    whichmarketingownsthemobilefunction.AlmosteveryoneagreedthatDirectionsareanimportant

    mobilesitefeature,buttherewaslessconsensusontheContactUsfunctionality.

    Therewasafullpointdifferenceintheaverageusefulnessratingbetweenthetopfourfeatures

    (Directions,FindaDoctor,ContactUs,andAppointmentRequest)andtheremainingsix.

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    Exhibit6.UsefulnesstoPatientsofMobileWebsiteFeatures,byDepartmentOwningtheSite

    [N=152]

    (1=notatalluseful;10=veryuseful)

    Marketing

    IT

    Communications/PR

    No

    Mobile

    Here

    ERWaitTimes 5.68 6.50 6.84 6.07

    FindaDoctor 8.76 8.45 8.78 8.51

    CalendarofEvents 6.67 7.00 7.00 6.69

    AppointmentRequest 7.99 8.17 8.73 8.22

    Directions 9.05 9.07 9.60 9.07

    ContactUs 8.34 8.23 9.56 8.16

    Preregistration 6.65 7.54 7.40 7.27

    BillPay 6.46 7.07 7.50 7.18

    PrescriptionRegimen 5.80 6.57 7.29 6.21

    SymptomChecks 5.98 7.29 6.54 6.43

    BudgetforMobileTechnologyAs

    shown

    in

    Exhibit

    7,

    38%

    of

    organizations

    that

    are

    currently

    in

    the

    mobile

    space

    do

    not

    have

    adedicated2012budgetformobiletechnology.Attheotherendofthespectrum,morethan10%havea

    budgetof$50,000ormorededicatedtomobileinitiatives.Overonequarterhaveabudgetranging

    from$1,000to$10,000,and22%haveabudgetrangingfrom$10,000to$50,000.Twelvepercent(12%)

    ofrespondentsdidnotknowiftheirorganizationhasa2012budgetallocationformobile.Several

    respondentsnotedthatdespitenothavingaspecificbudgetformobiledevelopment,theycouldpull

    fundsfromthegeneralmarketingbudgettopayformobileinitiatives.

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    Exhibit7.BudgetforMobileTechnology[N=179]

    Almost3%ofrespondentshaveallocatedmorethan$100,000tomobilein2012.Thisgroupconsisted

    oflargehealthsystemswithhospitalsinmultiplestatesandtheirowndedicatedwebteamsor

    interactive/digitalmarketinggroups.

    Organizationsinwhichmarketingownsthemobilefunctionhaveahighermobilebudgetonaverage

    thanthoseinwhichITorcommunications/publicrelationsownsthemobilefunction.

    MobileApplicationsHasyourorganizationdeployedamobileapplicationinthepastyear?Ifyes,onwhichplatformdid

    youdeployit?

    Sixtyonepercent(61%)ofrespondentshavenotdeployedamobileapplication(app)inthepastyear,

    34%have,and6%werenotsure.OrganizationsinwhichITmanagesthemobilefunctionweremore

    likely(44%)tohavedevelopedamobileappinthepastyear,comparedwith30%oforganizationsin

    whichmarketingleadsthemobilefunction.Only2%oforganizationsinwhichcommunications/public

    relationshandles

    mobile

    deployed

    an

    app

    in

    2011.

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    AsshowninExhibit8,the70organizationsthathavedeployedmobileappsspentmostoftheirtime

    developingthemfortheAppleiOSplatform(77%),followedbytheAndroidplatform(57%).BlackBerry,

    at31%,wastheonlyotherplatformtoshowsignificantdeployment,withWindowsappsbeingdeployed

    byonly16%.TheresponsespointtoasignificantamountofjointdevelopmentbetweentheAndroid

    andAppleiOSplatforms.Themoreprogressiveorganizationsdevelopedformultipleplatforms,

    including

    BlackBerry

    and

    Windows.

    One

    organization

    developed

    an

    app

    for

    the

    Symbian

    operating

    system.

    Exhibit8.PlatformsonWhichMobileAppsDeployed[N=61]

    Whichtoolsdidyourorganizationdeployasmobileapps?

    Manyofthetools/optionsdeployedasmobileappsweresimilartofeaturesofferedonmobilewebsites

    (Exhibit9).FindaDoctorwasthemostpopulartoolinamobileapp,deployedby60%ofresponding

    organizations.Hospitalsappeartohavedevelopedfewmobileappsforwellness,healthtracking,or

    EHRs.

    Theonlytoolsrequiringanappthatwerelistedinthesurveyinstrumentorvolunteeredbyrespondents

    wereGPS(globalpositioningsystem)DirectionsandWayfinding,whichcanonlybebuiltinanappand

    cannotbereplicatedbyamobilesite.Fortysixpercent(46%)ofrespondentshavedeployedGPSintheir

    mobileapps.

    ER

    Wait

    Times

    and

    Appointment

    Request

    showed

    similar

    levels

    of

    usage,

    at

    29%

    and

    21%,

    respectively.OneorganizationdeployedEHRaccessviaanapp,andseveralalsodeployedaSymptom

    Checkertool.

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    Exhibit9.PrevalenceofSelectedMobileApps[N=48]

    Hasyourorganizationintegratedpushnotificationsintoitsmobileapps?

    Only7%oforganizationshaveintegratedpushnotificationsmessagessenttouserswhohaveoptedin

    toreceivethemintotheirmobileapps.Thisisnotsurprisinggiventhatonly70havebuiltmobileapps.

    Nearly30%saidtheyareplanningtodoso,and18%didnotknowwhatapushnotificationis.

    Willyourorganizationdeployamobileappinthenext12months?

    Askedwhether

    their

    organizations

    would

    deploy

    amobile

    app

    in

    the

    next

    12

    months,

    45%

    were

    planningtodoso,and43%wereunsure.Only12%saidno.

    Acrosstheboard,52%oforganizationsinwhichITmanagesthemobilefunctionarehopingtolauncha

    mobileappinthenext12months,comparedwith48%formarketingand37%for

    communications/publicrelations.

    Ifyes,onwhichplatformwillyoubedevelopingthemobileapp?

    Ofthe93respondentswhosaidtheywereplanningtodeployanappduringthenext12months,32%

    indicatedtheyplantodeployintheWindowsenvironment,upfromthecurrent16%ofWindowsapps

    deployments.Bycontrast,thenumberoforganizationsplanningtodeployappsintheAppleiOSand

    Androidenvironments73%

    and

    49%,

    respectivelyis

    down

    slightly

    from

    current

    deployments

    (77%

    forAppleiOS,57%forAndroid).

    Trendingwithitsdecreasingpopularityincorporateenvironments,BlackBerryfellfrom31%ofactual

    deploymentsin2011to16%ofplanneddeploymentsin2012.Twentythreepercent(23%)of

    respondentsdidnotknowtheplatformtheywouldusetocreateamobileappduringthenext12

    months.

    60.4%

    45.8%

    29.2%

    20.8% 18.8% 18.8%

    6.3% 6.3% 4.2%

    Didyoudeployanyofthefollowingtoolsonyourmobileapplication?

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    Howwouldyouratetheusefulnessofmobiletoolstopatients?

    Weaskedrespondentstoratetheusefulnessoffourmobiletools:mobiledischargeinstructions,mobile

    appointmentreminders,mobilemedicationreminders,andmobileoriPadpreregistrationforusein

    waitingrooms.AsshowninExhibit10,mobileappointmentreminders,witharatingof7.8ona9point

    scale,toppedthelist,followedcloselybymedicationreminders,at7.3.Mobiledischargeinstructions,

    with

    an

    average

    usefulness

    rating

    of

    6.1,

    were

    not

    considered

    particularly

    useful

    for

    patients

    with

    mobiledevices.

    Exhibit10.UsefulnesstoPatientsofSelectedMobileTools[N=196]

    (1=notatalluseful,9=veryuseful)

    Responsesshowthatmobileappointmentremindersattractedthemostinterest,whilemobile

    dischargeinstructionsreceivedtheleast.

    ApplicationsforTabletsHasyourorganizationdevelopedanyappsspecificallyfortablets?Ifnot,doesitplantodosowithin

    thenext12months?

    Thevastmajority(87%)oforganizationsrespondingtothesurveyhavenotdevelopedappsfortablets

    (e.g.,iPad,GalaxyTab).Theremainderwassplit;5%havedoneso,and8%wereunsure.Thesmall

    numberof

    hospitals

    that

    are

    building

    tablet

    apps

    are

    focusing

    more

    on

    tools

    for

    physicians

    than

    for

    patients,whileahandfularebuildingappsforbothaudiences.

    Sixteenpercent(16%)ofrespondentswhoindicatedtheirorganizationsdidnotbuildatabletappinthe

    past12monthssaytheyareplanningtodosointhenext12months.Fiftytwopercent(52%)are

    unsure,and32%saytheywillnotbebuildingatabletappinthenext12months.

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    MobileAdvertisingIsyourorganizationcurrentlyparticipatinginmobiledisplayadvertisingormobilepayperclick

    advertising?]

    Advertisingonmobileplatformshasnotyettakenoffinthehealthcarefield.Outof200responses,only

    19%(38respondents)saytheirorganizationsareparticipatinginmobiledisplayadvertising,andonly

    14%

    (28

    respondents)

    are

    participating

    in

    mobile

    pay

    per

    click

    advertising.

    Some

    respondents

    were

    not

    surewhethertheirorganizationswereadvertisingonmobiledevices.Thisresponsemayillustrate

    uncertaintyaswellasalackofawarenessofavailablemobileadvertisingopportunities.

    OrganizationsinwhichITleadsthemobilefunctionwerethemostlikelytohaveconductedmobilepay

    perclickordisplayadvertisingcampaigns.Organizationsinwhichmarketingleadsthemobilefunction

    wereaclosesecond.Organizationsinwhichcommunications/publicrelationsrunsthemobilefunction

    weretheleastlikelytohavemadetheirfirstforayintomobileadvertising.

    QRCodesDoesyourorganizationuseQR(quickresponse)codesonitsprintmaterialsoronsignsonthehospital

    campustodrivetraffictoyourwebsite?Ifso,howdoesyourorganizationusethem?

    Outof

    201

    responses

    to

    this

    question,

    63%,

    or

    126

    respondents

    have

    used

    QR

    codes

    on

    their

    print

    materials,32%(64respondents)havenot,andaround6%(11respondents)didnotknow.Thoseusing

    QRcodeshaveusedtheminmagazineandnewspaperads(81%),followedbydirectmail(68%)and

    patientbrochures(54%).SmallernumbersoforganizationsusedQRcodesinbrochuresforphysicians

    (20%)andpublicplaceslikemallsandairports(19%).TheuseofQRcodesonbillboardsbarelyoutpaced

    theiruseinhospitalwayfinding,6%to5%,respectively.

    MeasuringReturnonInvestmentHowdoyouplantomeasureROIfromyourmobileandtabletinitiatives?Whatkeyperformance

    indicatorswillyoubetracking?

    AsshowninExhibit11,increasesinpatientvolume,mentionedby62%ofrespondents,arethemost

    frequentway

    organizations

    plan

    to

    measure

    the

    success

    of

    their

    mobile

    advertising

    initiatives.

    Increases

    inpatientreferralsandineventandclassregistrationweretiedat49%,followedcloselybyincreased

    appointmentrequests(47%)andimprovedbrandrecognition(42%).Improvedaccesstomedical

    recordsbarelyregistered,withonly3%ofrespondentssayingtheywoulduseEMRaccesstomeasure

    thesuccessoftheirmobileinitiatives.Ninepercent(9%)ofrespondentswereunsurehowtheywould

    measuremobileadvertisingsuccess.

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    Exhibit11.PerformanceMetricsforMobileInitiatives[N=133]

    Wealsonotedthatsomerespondentswillbemeasuringhowsatisfiedemployeesandpatientsarewith

    thedeployedmobilesiteorapp.

    WishListsIfmoneywerenotanoption,whatmobilestrategywouldyoudeploytomorrow?

    Inresponsetothisopenendedquestion,severalrespondentstoldusabouttheirdreamsformobileat

    theirorganizations(Exhibit12),including:

    Bettermobilehealthrecordandpatientportalintegration,includingappointmentschedulingandreminders

    Wayfindingdirectoryforuseoncethevisitorisoncampus MobileERandurgentcarecheckin Tabletsinthewaitingroomforpatientstofilloutpreregistrationpaperwork Easyphysicianportalaccess Mobiledischargeinstructions(Respondentsweredividedonthisstrategy;severalwouldliketo

    havemobiledischargeinstructions,whileothersdidnotbelievetheywouldbethatuseful.)

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    Exhibit12.MostFrequentlyMentionedWordsandPhrasesinResponsetoQuestionaboutFuturePlans[N=112]

    AboutMedTouchForthepastsevenyears,MedTouchhasfocusedexclusivelyonhelpinghealthcareorganizations

    succeedonline.Bycombininginteractivemarketingstrategywithcreativeandtechnicalexcellence,

    MedTouchensuresitsclientsachievespecific,measurable,andmemorableresults.Thoseclientsinclude

    dozensofnationallyrankedacademicmedicalcenters,communityhospitals,rehabilitationfacilities,

    healthplans,andhealthcarerelatednotforprofitsinmorethan20states.Fromconsumerfocused

    websitestopatientcentricsocialmediaandmobilechannels,onlinephysicianrecruitmentprogramsto

    resultsdrivensearchmarketing,CRMintegrationtoenhancingpatientportals,MedTouchmakes

    healthcareinteractive.Formoreinformation,visitmedtouch.com.

    AbouttheSocietyforHealthcareStrategyandMarketDevelopmentThe

    Society

    for

    Healthcare

    Strategy

    and

    Market

    Development

    is

    the

    premier

    organization

    for

    healthcare

    planners,marketers,andcommunicationsandpublicrelationsprofessionals.Apersonalmembershipgroupof

    theAmericanHospitalAssociation,SHSMDservesmorethan4,000membersandisthelargestorganizationin

    thenationdevotedtoservingtheneedsofhealthcarestrategyprofessionals.TheSocietyiscommittedto

    helpingitsmembersmeetthefuturewithgreaterknowledgeandopportunityastheirorganizationsworkto

    improvehealthstatusandqualityoflifeintheircommunities.Formoreinformation,visitshsmd.org.

    2012MedTouch

    Cambridge,MA|Houston,TX|CedarRapids,IA|WallaWalla,WA

    866MDTOUCH|8666386824

    www.medtouch.com

    [email protected]

    twitter:@medtouch