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Mevo Creative Presentation 1
Behind the CurtainSocial Media
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Kortney Nordrum, Esq., CHC, CCEP
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I am a lawyer, but I am not your lawyer –nothing in today’s presentation is legal advice or should be construed as such.
Standard Disclaimers
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I work for HCCA, but everything you’re going to see and hear in the next 2 hours is my own opinion and does not reflect the
views of HCCA or it’s leadership.
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“…in 2005 Facebook didn’t exist for most people, ‘Twitter’ was still a sound, the cloud was something in the sky, 3G was a parking space, applications were what you sent colleges, and
‘Skype’ was a typo…” – Thomas Friedman
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What is Social Media?Websites and applications that enable users to create and share content or to participate in social networking
Facebook, LinkedIn, MySpace
Social Networks
YouTube, Vimeo, Hulu
Video
Yelp, Amazon, Trip Advisor
Reviews & Ratings
WordPress, Blogger, Twitter
Blogs & Streams
Tumblr, Instagram, Pinterest
Pictures
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Why Should I Care?
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>40% consumers say info found via social media affects how they deal with their health
Surprising Stat #1
60% of doctors says social media improves the quality of care delivered to patients
Surprising Stat #2
30% of adults share information about their health on social media sites (47% with doctors)
Surprising Stat #3
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Your friends use itYour employees use it
Your clients/customers/patients use it
Power in Numbers
Help them find it and establish yourself as a resource
Others are Searching for Information
A solid social media presence will help drive google to your
website or business
Google Cares
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PREPARE FOR CRISIS
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Photo Sharing Join Groups Events Chat
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Interactive Business Cards Share Projects & Goals Network in Groups Be a Writer
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Follow Others Search Hashtags Join the Conversation Retweet
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Search Share Tag Analytics
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Pinning Boards Following Maps
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Photos Filters Hashtags Video
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Watch Videos Create a Channel Share Monitor
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Discussion Groups Social News Support Blogs
Other…
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Security & Privacy of PHI and ePHI, Breach
Notification.
HIPPA
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Security & Privacy of PHI and ePHI, and Breach Notification
with Business Partners & Contractors
HITECH
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NLRB DECISIONS
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Endorsement, testimonial and
employee disclosure rules.
FTC GUIDELINES
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Record retention, privacy, employment,
and anything else your state wants to
regulate.
STATE LAWS
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Lobbying & political activity.
IRS
01 02 03 04 05 06
Employee rights and actions. Employment
decisions.
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Record Retention.
ACA
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Record Retention.
ERISA
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EEO LAWS
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Copyright infringement.
IP LAWS
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Privacy & Ethics of medical professionals.
AMA PRINCIPLES
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Anything your organization chooses to regulate or monitor.
INTERNAL POLICIES
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Discrimination in employment decisions.
Accommodations.
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HIPAA
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HIPAA Violations
Disclosures made on social media
concerning a patient’s PHI without that
patient’s authorization.
Use of PHI by covered entities
Privacy Rule
3 Safeguards for ePHI –administrative, physical, and technical.
Security Rule
Civil penalties for breach, procedures for investigations and hearings.
Enforcement Rule
Addition of Business Associates along with covered entities
Omnibus Rule
Breach notification and security rule updates.
HITECH Act
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Patient attempts to “friend” an attending
physician on Facebook
#1
A lab tech blogs that his lab equipment is
unreliable and should have been replaced
years ago
#3
Medical students take photos of a shark
attack victim with their phones and then email
them to friends
#5
A peds nurse posts pictures of babies in
the nursery
#2
A marketing rep tries to “defend” the hospital
against a patient’s angry rant
#4
Potential HIPAA Violation Scenarios
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Apply to most private sector employers, including manufacturers, retailers, private universities, and health care facilities.
NLRB Decisions
You may not be able to tell employees not to discuss drinking benders or strip clubs on their social media – you can ask them not to identify themselves as an employee of your company on social media.
FYI
Any social media post which can be construed as about wages, hours, or working conditions and are discussed with other employees or targeted to an audience that may include other employees are PROTECTED.
Concerted Activity
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Under recent decisions, employers are not allowed to restrict employees from the following on social media: gossiping, complaining, using profanity, making disparaging remarks about the employer, posting while at work, communicating with the media about the company…
Virtual Water Cooler�
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Harassment IssuesEmployees will talk to and about each other on social media
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Harassment comes in all forms…
� Facebook – 62%
� Email – 20%
� Sexual – 44%
� Professional Character – 28%
� Snapchat – 5% � Classist – 13%
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Intellectual Property Issues
infringement
D M C A
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Regulations for tax-exempt organizations
IRS Issues
Candidates Campaigns
Employee Participation
Lobbying
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Federal Trade Commission Issues
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Tweeted to 20,000 followers
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Doesn’t disclose employment relationship
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Nordrum North is NOT the best heart hospital in MN
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Data about Generic Heart Center is false
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Retweeted by @NordrumNorthHosp to
20,000 more followers
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“Nordrum North is the BEST heart hospital in MN!
1 in 3 patients die at Generic Heart Center!”
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Doing It Wrong
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Doing It Wrong
4 Kansas Nursing Students Expelled
for Posing with Placenta
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Doing It Wrong
Man vs. 6 Train
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Doing It Wrong
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Doing It Wrong
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Doing It Wrong
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Doing It Right
The Navy-Marine Corps Relief Society asks patients to follow certain professional Facebook
pages. The nurses watch over their Facebook flock, intervening when
they see troubling behavior.
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Doing It Right
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Doing It Right
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Drafting a Social Media Policy
There’s No “One Size Fits All
Provide employees with a clear understanding of what constitutes appropriate, acceptable, and lawful business behavior in plain English. Look at existing policies for similar organizations (Mayo Clinic, Intel, etc.)
Don’t Be Vague
The NLRB has determined that vagueness is never good. Give explicit examples of acceptable and unacceptable behavior. Be very careful about telling employees what they can and can’t do with their own personal social media accounts
You Can’t Control, But You Can Manage
Trust is cheaper than Control. Aim to create policies that support, protect, and empower your employees to engage on social media in a responsible manner. Emphasize education
Consider Two Policies
Best practice is to have separate social media policies for employees using social media as part of their job and one for employees using social media in their personal lives
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Avoid the 3 D’s
Disclosure Discrimination Defamation
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P O S
What are people looking for?
People
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What are you trying to accomplish? What are
your goals?
ObjectivesHow do you want your relationship with others
to change?
StrategyWhat channel or media should you use? Why?
Technology
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Where do your people live?
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Become a Trusted Resource
Add Value, Information & Guidance Be Helpful, Honest & Engaging Interact – Community & Audience Use Several Platforms
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Give Your Staff, Leadership &
Community a VoiceSolve a Problem Answer Questions
Humanize Your Organization
Make an Existing Process Better
Share Interesting & Relevant Information
Share the Importance of a Common Mission
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Twitter users meet at a pre-determined time to discuss a certain topic, using a designated hashtag (#) for each tweet contributed.
Twitter Chats
They provide a chance to network and grow your community.Focus on connecting and learning, showing your expertise, not “selling”.
Why Participate?
Always include the hashtag.
Include a “.” in front of @ to show in all feeds
Tips
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Nurph – A comprehensive chat tool with rooms for chats, replays of chats, chat analytics, and RSVP functionality
Storify – Easy and effective way to create a recap of each chat
Twubs – Register your hashtag for a new chat
Chat Salad – great site for finding chats to join
Resources & Sites�
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Start making educational videos and posting them online for anyone to watch anywhere, for free
Start a YouTube Channel
It’s a relatively easy and cheap way to promote your program and share your compliance resources. By integrating your channel with Facebook & Twitter, you get more bang for your buck
Why?
Upload new content regularly
Respond to comments on your video in a timely manner
Stick to a schedule – it builds loyalty & credibility
Tips
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Fotor – Create an eye-catching banner for free
Audio Swap – an app that let’s you change audio on existing video (avoid copyright issues)
Remixer – Edit videos already loaded into YouTube
Resources & Sites�
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Allows people to come together around a common cause, issue, or activity to organize, share goals, discuss issues, post photos, and share related content
Create a Facebook Group
Empower others to rally around your community is a real, human way. New posts by a group are included in the News Feeds of all members
Why?
Privacy settings allow you to control who can join
Create events tied to the group
Authenticity is the core of Facebook
Tips
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Fotor – Create an eye-catching banner for free
HCCA’s Group
Steal ideas from groups you’ve already joined
Resources & Sites�
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Allows users to share and save content to virtual boards. Build your reputation by repinning, commenting on and liking other pins.
Create a Pinterest
Pinterest is a visual platform that offers a user experience other platforms don’t. Combined with your other efforts, use it to create content balance.
Why?
Invite others to pin to your group boards
Strike a balance – share information for your target audience and build boards about your business
Use Rich Pins to add details
Tips
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Mayo Clinic – Pinterest
HCCA - Pinterest
Constant Contact - Pinterest
Resources & Sites�
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Users upload pictures with a specific hashtag – and are entered to win a prize
Run an Instagram Contest
Contests are a great way to generate engagement with your followers, gain new followers, and get some great photos to help market your compliance program
Why?
Ask for content that deepens the emotional connection between your participants and your program
Keep your hashtag as short and simple as possible
Tips
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Iconosquare – Search common hashtags and browse current Instagram contests
Wishpond – Instagram contest ideas
Social Media Examiner – Great site for ideas, examples, do’s and don’ts
Resources & Sites�
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Target your audience and let them take your information and training with them anywhere – make learning more convenient for your audience
Start a Podcast
Instant credibility. Grow your audience. There’s no spam. No commercials (unless you add them). Everyone has a smartphone and/or computer.
Why?
Publish regularly and be reliable
Interview experts, thought leaders, and “celebrities”
Edit, edit, edit – make sure it’s pleasant to listen
Tips
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DavidJackson.org – Podcasting Consultant & Coach
Great Podcasters: Michael Stelzner, Pat Flynn, Jay Baer Freakonomics Radio, and NPR’s Serial
Resources & Sites�
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The secret to good communication is varying delivery
Start a Compliance Blog
Help build internal ethics conversations through a public forum. The world wants to feel connected and wants authenticity – you can build both through a blog.
Why?
Publish regularly
Get ideas from your audience
Be humble, honest, and authentic
Tips
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ComplianceAndEthics.org – SCCE & HCCA’s blog
WordPress – The most popular blogging platform
BufferSocial – Great tips for beginning bloggers
Resources & Sites�
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Additional Resources
Mayo Clinic Social Media Health Network
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HCCAnet
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Healthcare Hashtag Project
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Your Peers
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