HCSM Twitter Converstation - 6/14/09 9PM to 10:10PM EST!

6:00 pm HealthSocMed: Welcome to #hcsm. Let's get started. First, let's have healthcare attys @danielg280 and @healthblawg introduce themselves. #hcsm (TS)

6:00 pm consultdoc: @donshep Good evening Don #hcsm

6:00 pm healthblawg: #hcsm Looking forward to a lively chat this evening. FYI, you can find me at http://harlowgroup.net and http://healthblawg.typepad.com

6:00 pm EdBennett: <--- Hospital web guy and list wrangler #hcsm

6:01 pm HealthSocMed: I'm @tstitt (TS) I'll be moderating with support from @danamlewis, cofounder and primary moderator of #hcsm.

6:01 pm ahier: Hello David thank you for joining us #hcsm

6:01 pm danielg280: Gd evning. Jst a remndr that I?m a civilian tonight. My opnions r my own, not my employer's. Also, this is gen'l info, not legal advc #hcsm

6:01 pm AbbieCitron: @EllenRichter My first too, and I have quest here for the Laker game/Dinner, but so want to participate. May just watch and read. #hcsm

6:01 pm HealthSocMed: Please introduce yourself. We're following a somewhat structured Agenda tonight http://bit.ly/mLDXj One reminder...#hcsm (TS)

6:02 pm stephaniethum: <- Independent consultant and writer focusing on health care, environmental and ops subjects. #hcsm

6:02 pm ctsinclair: Christian Sinclair, Palliative Care MD for @KCHospice, blogger for @Pallimed, Chief Strategist for @KLXMedia, Penguins Fan. #hcsm

6:02 pm ahier: Thanks for coming Daniel... #hcsm

6:02 pm ekivemark: #hcsm - dipping in tonight - Welcome my fellow HealthCamper from #hcbos @healthblawg

6:02 pm EdBennett: @danielg280 Hey wait - didn't we pay you for legal advice? #hcsm

6:02 pm ahier: Brian Ahier, Information Systems, Mid-Columbia Medical Center, The Dalles, Oregon (541) 296-7521 #hcsm

6:02 pm ahier: the informal nature of soc media tools may lead to inadvertant communication of sensitive information #hcsm

6:02 pm donshep: @bobcolimd Dr. Coli are you able to see the #HCSM chat. If you have issues please call me.

6:02 pm sarahzaenger: Hi! Sarah, wellness program coordinator for large trust fund in Western WA. Interested in creating community around health. #hcsm

6:02 pm otoole4info: Evening, Kevin aka otoole4info, advocacy loud speaker & repeater for ALD & other health items also bringing other info along the way #hcsm

6:02 pm AbbieCitron: @consultdoc I'm hear and listening to you all, Thanks. #hcsm

6:02 pm consultdoc: Mark Browne, physician exec consultant focused on quality and healthcare reform. Full time dad and part time hiker in the Smokies #hcsm

6:02 pm leonpalmer: Mid Jersey Healthcare System Webmaster #hcsm

6:02 pm stephaniethum: Is anyone from MD Anderson on the chat tonight? #hcsm

6:02 pm StevenBarley: <- Director, Internet Services for Riverside Health System (@riverside) #hcsm

6:02 pm wruenzel: Hi. I'm Wendy Ruenzel, Internet Marketing Manager at Johns Hopkins Medicine. #hcsm

6:03 pm jelosta: Hello health care & social media people #hcsm

6:03 pm EllenRichter: @consultdoc Thanks for the welcome & hi @AbbieCitron & the #hcsm group :)

6:03 pm Miz_Marie: Marie- ambulatory care RN in major university health system #hcsm

6:03 pm josullivan: James O'Sullivan, Dir. Product Development for Aptia Systems in Houston TX #hcsm

6:03 pm ekivemark: @danielg280 #hcsm Ditto - as ever my views are my own and not those of my employer. Just happy they let me get on with http://healthca.mp

6:03 pm mkmackey: Kathy Mackey, Niche Marketer from Houston, TX #hcsm

6:03 pm MeredithGould: Meredith Gould, hc communications strategy and practice.(Consultant) #hcsm

6:03 pm cindythroop: I'm a social policy researcher...new to health care within the last year...learning so much. #hcsm

6:03 pm texashealth_jen: Hi all, PR professional for a large North Texas health system. Looking forward to tonight's topic! #hcsm

6:03 pm HealthSocMed: Disclaimers & Ground Rules: No legal advice offered. @danielg280 is representing himself, not Mayo Clinic. No malpractice ?s. #hcsm (TS)

6:03 pm nickdawsonhc: <--- dir of revenue cycle for 14 hospital system, rogue SM guy for same system #hcsm

6:03 pm CharleneBurgett: Charlene FP Administrator #hcsm

6:03 pm ahier: organizations should implement policies regarding use of these soc media tools #hcsm

6:03 pm ryanblum: Ryan Blum, First time caller! Medical student in New Haven, CT with experience in bioethics and healthcare technology research. #hcsm

6:04 pm EdBennett: @stephaniethum Umm that would be @danielg280 - He's from the Mayo Clinic #hcsm

6:04 pm donshep: Hi I am Don Sheppard, former portal CTO with IBM and now independent consulting working on social media and information presentation #hcsm

6:04 pm ctsinclair: @HealthSocMed Thanks for setting ground rules. Hope everyone looks them over and behaves #hcsm

6:04 pm cindythroop: Yep, my views are my own, too! #hcsm

6:04 pm Ariafya: #hcsm Siyakwemukela! (Welcome in Zulu Language). Online Mental Health Soc. Media! Ariafya LLC http://bit.ly/1rvkxR

6:04 pm MarksPhone: Mark healthcare consulting, physician education, CME, and instructional design #hcsm

6:04 pm stephaniethum: @HealthSocMed Disclaimers and ground rules understood. Thanks! #hcsm

6:04 pm consultdoc: A big welcome to all of our first time chatters. Great crowd tonight. #hcsm

6:04 pm HealthSocMed: We'll start with 5 minutes of relevant law overview by the healthcare attorneys. Dan and David, over to you #hcsm (TS)

6:04 pm DaphneLeigh: Healthcare marketing consultant #hcsm

6:05 pm patrickmann: <- VP Software Operations @ CollaborateMD. Practice Management, Revenue Cycle Management, & Collaboration Tools #hcsm

6:05 pm SMPBoston: We're a grassroots social media org focusing on progressive causes. We have a health care Tweetup next Tues: http://bit.ly/cZezr #hcsm

6:05 pm bacigalupe: Public health researcher and counseling psychologist academician #hcsm

6:05 pm crgonzalez: Carmen Gonzalez, develops patient recruitment strategy regarding clinical trials #hcsm

6:05 pm healthblawg: Biggest areas of concern ppl have re healthcare SoMe is HIPAA and privacy law. Right area to be concerned abt. #hcsm

6:05 pm HealthSocMed: You can find relevant links to the Law overview here http://bit.ly/mLDXj #hcsm (TS)

6:05 pm healthblawg: Fed and state healthcare privacy laws interact and overlap; EU & other int'l law to think abt given global reach of www #hcsm

6:05 pm candacee116: Candac Eden Service and Clinical Consultant for Avatar International-Patient satisfaction vendor #hcsm

6:05 pm Dr_Bob: psychiatrist and online support group leader #hcsm

6:06 pm cybersibesk: Evening all! I'm Kathryn Armstrong from Lehigh Valley Health Network in PA. Glad to be here! #hcsm

6:06 pm AbbieCitron: Hi all, legal nurse consultant from Los Angeles, glad to be here for my first chat. #hcsm

6:06 pm healthblawg: Under HIPAA, 'covered entity' can't release PHI to 3rd party w/o pt consent. #hcsm

6:06 pm orlive: Bob Oakley with ORLive, the surgical broadcasting company, I'll be in and out tonight, but will check out the transcript #hcsm

6:06 pm MeredithGould: @HealthSocMed Overview is wonderfully organized. Thank youse! #hcsm

6:06 pm craigstoltz: << title="More info" href="http://wthashtag.com/hcsm">hcsm

6:06 pm FutureDocs: Vinny Arora, physician & Asst Dean @ Pritzker School of Medicine, Chicago IL #hcsm

6:06 pm healthblawg: Providers get consent up front by having pts sign notice of privacy practices (NPP); need to articulate planned use for PHI in NPP #hcsm

6:06 pm Dr_Bob: sorry about jumping the gun, i thought this wasn't until later! #hcsm

6:06 pm chimoose: Greg Matthews from Humana's innovation center, signing on! #hcsm

6:06 pm healthblawg: State law can be stricter than HIPAA (recent NV and MA general privacy laws, focused on protection against ID theft) #hcsm

6:06 pm stephaniethum: RT @HealthSocMed Find relevant links to the Law overview here http://bit.ly/mLDXj Thanks! #hcsm

6:06 pm GraftFinder: Good Evening Everyone Jen Stephens prez of ASI and founder of Graft Finder #hcsm

6:07 pm shrinkraproy: psychiatrist blogger, just starting on a CCHIT work group. #hcsm

6:07 pm healthblawg: Another area of concern: mandated reporting. St law often make providers mandated reporters of things like gunsht wnds, domestc violnc #hcsm

6:07 pm LeeAase: Mayo Clinic social media guy #hcsm

6:07 pm nanoni127: <~~Healthcare content strategist for AMC - Hi Everyone. #hcsm

6:07 pm danielg280: Laws to be aware of: State licensure laws for docs and nurses: Center for telehealth and ehealth law: http://tinyurl.com/mqwsfn #hcsm

6:07 pm MeredithGould: @LeeAase SMUG social media guy! #hcsm

6:08 pm healthblawg: I mention mandated reporting laws as example of how receiving info via SoMe may trigger obligations beyond obligs to pt #hcsm

6:08 pm irb123: ER doc, and medicolegal writer #hcsm

6:08 pm chrisboyer: HealthGrades social media specialist. Hello everyone. #hcsm

6:08 pm danielg280: Copyright law and fair use: Stanford Libraries C page: http://tinyurl.com/374b4 Disney C parody http://tinyurl.com/2mvjg2 #hcsm

6:08 pm copelandcasati: @nickdawson #hcsm IS interesting, thinking what other lawyers/doctors need to know @ it (too late for tonight, but will let them know).

6:08 pm PWestcott: #hcsm ? still learning how this works. I'm a freelance writer specializing in h/c.

6:08 pm danielg280: Defamation: Electronic Frontier Foundation Blogger?s legal guide: http://tinyurl.com/ah8rr9 #hcsm

6:09 pm GraftFinder: @MeredithGould Hi there! #hcsm

6:09 pm drval: Hi - I'm reading the stream too. I am the founder of Better Health, a medblog network and media company. www.getbetterhealth.com #hcsm

6:09 pm stephaniethum: @healthblawg Does that mean language in NPP practices documents need to change to include SM references as a "planned" use? #hcsm

6:09 pm r5dude: Working on EMR PHR technology #hcsm

6:09 pm danielg280: Trademark law: INTA trademark basics: http://tinyurl.com/bakgxb #hcsm

6:09 pm MKBarnes: good evening, entrepreneur, healthcare and pharmaceutical strategist #hcsm

6:09 pm MeredithGould: @GraftFinder I think class has begun! #hcsm

6:09 pm healthblawg: Mass. law, for example, applies to doc who is attending or treating pt w GSW http://bit.ly/qbHZz What does attending or treating mean? #hcsm

6:10 pm healthblawg: When docs offer medical advice via tweets or other SoMe I'd say they are 'treating' #hcsm

6:10 pm HealthSocMed: Thanks for that basic Law overview. Next we'll move to our Fact or Myth round. (TS) #hcsm

6:10 pm HealthSocMed: T3.1 What are the issues with *encouraging* or soliciting patient testimonials on a hospital branded social media account? #hcsm (TS)

6:10 pm danielg280: Most medical practice acts are broad and cover any attempts to heal or diagnose, whatever the means #hcsm

6:11 pm healthblawg: #hcsm But let's step back a mopment... IMHO, this is all a bit academic right no... Read More: http://is.gd/123pv

6:11 pm GraftFinder: @MeredithGould I think so #hcsm

6:11 pm irb123: My father (med mal atty for defense) told me when I graduated: "don't treat someone you don't see in person. Even me." Good advice. #hcsm

6:11 pm DaphneLeigh: RT @stephaniethum: @healthblawg Does language in NPP practices documents need to change to include SM references as a "planned use" #hcsm

6:12 pm mkmackey: RT @healthblawg: When docs offer medical advice via tweets or other SoMe I'd say they are 'treating' #hcsm Interesting....

6:12 pm Dr_Bob: @healthblawg yes have to be careful about creating an online doctor-patient relationship #hcsm

6:12 pm ctsinclair: T#: Had potential client worried about employees or patients saying" Dr. Smith is the BEST doctor!" #hcsm

6:12 pm danielg280: T 3.1, Generally this is fine, so long as its voluntary and the patient signs a hipaa compiant auth #hcsm

6:12 pm danielg280: Key is to make sure patient really understands what they're getting into. Don't want to have them surprised they're on network tv #hcsm

6:12 pm ahier: @healthblawg when would tweeting not be treating for physician/patient soc media convo? #hcsm

6:13 pm drval: @healthblawg But what constitutes medical advice? A direct suggestion to a specific person to change mgmt or DO something? #hcsm

6:13 pm chrisboyer: Re T3: why would HC providers attempt to encourage patients to participate on SM accounts? That's against what SM is all about! #hcsm

6:13 pm EdBennett: @danielg280 T 3.1 they have to sign even when they post to your Sharing Mayo blog? #hcsm

6:13 pm ctsinclair: @healthblawg What is the difference between medical advice and education about medical topics? Are there cases debating this? #hcsm

6:13 pm danielg280: Generally claims of "best" are puffing, and ok to say without support. #hcsm

6:13 pm HealthSocMed: T1.1 Fact or Myth: Patients can disclose PHI, evaluate docs, payers, providers anywhere/anytime using social media. #hcsm (TS)

6:13 pm healthblawg: 3.1 Has to be voluntary, authzn needed too #hcsm

6:13 pm CharleneBurgett: So, if patient reads and signs the NPP, the doc can Twitter Mrs. Smith her lipid panel results? #hcsm

6:13 pm candacee116: Everyone owns their own story. If they wish to share on a soc/med site-they are giving permission #hcsm

6:13 pm shrinkraproy: "advice"...it's all in what you say & how you say it. Need to speak in generalities and veer away from specific case. #hcsm

6:13 pm MarksPhone: @danielg280 doesnt signing a hippa release document only cover that patient and that one group or individual? #hcsm

6:13 pm donshep: What if just casual conversation I often mention when my kids are sick, if my followers who are Dr. respond that is attending? #hcsm

6:13 pm stephaniethum: @danielg280 So voluntary, unsolicited online pt testimonials are ok, but only if the person offering the testimonial signed a release? #hcsm

6:14 pm patrickmann: There are aspects of technology that the patient may be unaware of. Releasing info to a doc unencrypted over SM. #hcsm

6:14 pm nickdawsonhc: @chrisboyer how is inviting participation anti SM? #hcsm

6:14 pm crgonzalez: RT @ctsinclair What is the difference between medical advice and education about medical topics? Are there cases debating this? #hcsm

6:14 pm irb123: Seeing a pt in front of you is critical to making accurate diagnoses. But talking in general about nutrition, compliance,etc.isOK #hcsm

6:14 pm consultdoc: @donshep You mean like I did today? #hcsm

6:14 pm craigstoltz: "Advice" easy to spot/disclaim in "long" form online media. In a Tweet, hard to draw line between [actionable] advice & benign info #hcsm

6:14 pm r5dude: What defines a legal Doctor - Patient relationship? #hcsm

6:14 pm healthblawg: @drval Sounds about right; so need to est MD-pt rel 1st IRL #hcsm

6:14 pm Dr_Bob: @ctsinclair *big* difference between advice and education! #hcsm

6:14 pm chrisboyer: Isn't SM more about "build it and give them an oppty to comment - if they want? #hcsm

6:14 pm candacee116: I'm also wondering if a Dr/RN is treating if giving advice in social discussion that is NOT documented. Is there a difference? #hcsm

6:15 pm stephaniethum: @danielg280 @healthblawg Sorry in advance for the barrage of questions! So where does that leave testimonials given by pt families? #hcsm

6:15 pm shrinkraproy: We've already seen someone say "Dr X is the *worst* doctor at ABC General Hospital." #hcsm

6:15 pm danielg280: May not need an auth if only allowing a forum for them to do it. May need an auth of directly soliciting #hcsm

6:15 pm AbbieCitron: @shrinkraproy Yes, I think generalities is key. #hcsm

6:15 pm irb123: @shrinkraproy I agree. twitter would be good for a dr to give general useful advice and education for all pts, or updates on wait time #hcsm

6:15 pm ctsinclair: T1.1 I vote Fact. RE: Patients can disclose PHI, evaluate docs, payers, providers anywhere/anytime using social media. #hcsm

6:15 pm StevenBarley: @irb123 You can triage - for example nurse call center - go beyond advice #hcsm

6:15 pm danielg280: Worst dr. is a diff issue. Could be libel. Best to moderate and remove those. #hcsm

6:15 pm ekivemark: In preparation for HealthCampMd on Friday - Listening to #hcsm http://ff.im/3YUDW

6:15 pm otoole4info: RT @shrinkraproy: "advice"...it's all in what you say & how you say it. Need to speak in generalities & veer away from specific case. #hcsm

6:15 pm danamlewis: sorry guys, see Topic 1.1 now posted (fact or myth?) #hcsm 6:15 pm HealthSocMed: Lots to cover tonight, I'll ask the attys to respond to T1.1 #hcsm @healthblawg @danielg280 ?

6:16 pm donshep: @consultdoc Yes but you were careful just expressed concerns not advice #hcsm

6:16 pm sarahzaenger: RT @ctsinclair What is the difference between medical advice and education about medical topics? Are there cases debating this? #hcsm

6:16 pm ctsinclair: RT @shrinkraproy "advice"...it's all in what you say & how you say it. Need to speak in generalities and veer away from specific case. #hcsm

6:16 pm shrinkraproy: @candacee116 No difference. Advice is advice. "I can't give you specific advice, but in gen'l, blah-blah. Ask ur doc." #hcsm

6:16 pm healthblawg: T1.1 Pt can disclose own info; if provider sponsored forum important to have notice re lack of privacy #hcsm

6:16 pm patrickmann: How can a doc truly a patient is who they say they are over SM? #hcsm

6:16 pm MeredithGould: @ctsinclair I hope you're right. I'd like this to be FACT. #hcsm

6:16 pm ctsinclair: RT @shrinkraproy "advice"...it's all in what you say & how you say it. "Therefore tougher to defend in court..." #hcsm

6:17 pm irb123: @StevenBarley what do you mean? nurse call centers say, "if you think you are sick call 911 or go to the ER" #hcsm

6:17 pm shrinkraproy: @danielg280 How does one "moderate" Twitter? #hcsm

6:17 pm EdBennett: So it's OK if patient shares happy story on any other blog, but if they post to the hosiptal blog they need a signed release? #hcsm

6:17 pm stephaniethum: @irb123 And ignore incoming Tweets from prospective patients who ask for feedback? Honest q. What 2 do w/stuff U shouldn't answer? #hcsm

6:17 pm chrisboyer: Re: T1 - i would like to agree with @ctsinclair - I would like for this to be ffact. #hcsm

6:17 pm OSUSquire: @healthblawg re: reporting obligation... does obligation start when tweet or msg is sent, or when received? #hcsm

6:18 pm ctsinclair: RT @craigstoltz "Advice" easy to spot/disclaim in "long" form media. In a Tweet, hard to draw line between [actionable] advice/b9 info #hcsm

6:18 pm danielg280: 1.1 Fact Patient controls own PHI and can disclose.Can also say what they want re docs, subj to limits of libel Must be opinion or tru #hcsm

6:18 pm Dr_Bob: @danielg280 isn't directly soliciting kind of tacky? #hcsm

6:18 pm candacee116: If patients tweet or email and you have established relationship-you should be able to advise... #hcsm

6:18 pm StevenBarley: @irb123 There are degrees of sick ... do you or child have a fever, a rash ... if this, then that ... if serious, call 911 or go to ER #hcsm

6:18 pm ctsinclair: @Dr_Bob Can you help define the difference between advice and education? Are there written guidelines? #hcsm

6:18 pm MarksPhone: I wonder what happens when a patient begins to comment on treatment by his/her physician on SM? #hcsm

6:18 pm MeredithGould: @stephaniethum What do docs usually do with questions they should ignore? #hcsm

6:18 pm leonpalmer: @healthblawg "notice re lack of privacy" sure sounds reasonable #hcsm

6:19 pm healthblawg: @OSUSquire When MD has info in est MD-pt rel; so est pt tweeting - oblig when rec'd #hcsm

6:19 pm ekivemark: #hcsm @edbennet & what if a hospital blog pulls a stream in from another source......

6:19 pm chrisboyer: @EdBennett See where you're going with this...so what's the point of a hospital blog, if patients can't participate w/o release form #hcsm

6:19 pm irb123: @stephaniethum I guess if you shouldn't answer a ? you shouldn't be on twitter giving advice #hcsm

6:19 pm ronhekier: #hcsm For T1.1 ; I thought electronic transmission of patient data must be encrypted, so standard social media is out.

6:19 pm FutureDocs: any law re docs tweeting re patient cases they saw w/o PHI & their profile is pseudoanonymous(or at least not easily IDed) #hcsm

6:19 pm DaphneLeigh: Where is @hillarts? Do you remember when we wrestled w/ some of this stuff at AmericasDoctor?? #hcsm

6:19 pm Dr_Bob: @patrickmann on SM nobody knows if you're a dog #hcsm

6:19 pm ahier: anyone have real-life examples of pt testimonials on hospital blogs? #hcsm

6:19 pm StevenBarley: @irb123 For example: http://bit.ly/MRd89 #hcsm

6:19 pm chrisboyer: @MarksPhone I believe a patient can comment wherever they want, whenever they want on SM. That's they're right. #hcsm

6:19 pm HealthSocMed: T1.2 Fact or Myth: Providers should never follow, friend or reply to patients via social media, HIPAA absolutely forbids this. #hcsm (TS)

6:19 pm shrinkraproy: RT @patrickmann How can a doc truly a patient is who they say they are over SM? [good point] #hcsm

6:19 pm healthblawg: @leonpalmer I think it's important to educate folks about limits as well as benefits of new media #hcsm

6:20 pm donshep: I am a patient ambassador volunteer at LGH and the providers use Yahoo groups to provide general advice and respond to questions #hcsm

6:20 pm healthblawg: @ronhekier pt consent gets you out from under #hcsm

6:20 pm CharleneBurgett: @chrisboyer Absolutely! They can post their entire medical record online if they want...Covered Entities can't. #hcsm

6:20 pm irb123: @StevenBarley It is my experience in the ER that pts who call those #s are not given advice and usually come to ER. Legal implication #hcsm

6:20 pm GraftFinder: SM is an open form of communication, like speaking out loud or on the phone. Why would we want to treat it any other way? #hcsm

6:20 pm danielg280: Spoofing is a concern on SM, which is why it's generally not a good idea for true treatment relationship without a way to validate id #hcsm

6:20 pm chrisboyer: Re T1.2 - if this is true, healthcare is in big trouble. #hcsm

6:20 pm Dr_Bob: @EdBennett i'd say they need a signed release if they're going to reuse it #hcsm

6:20 pm HealthSocMed: Let's move to T1.2. Fact or Myth? What say @healthblawg and @danielg280 ? #hcsm

6:20 pm bacigalupe: T1.1. Patients own confidentiality & be able to do whatever they want with information. Is it good/bad? It probably depends #hcsm

6:21 pm macobgyn: Jeff Livingston Obgyn IRving Tx. Coming in late ot the conversation. #hcsm

6:21 pm ctsinclair: And I think there are degrees of 'directly soliciting'...From the bold direct ask, to please feel free to rate us on these sites.. #hcsm

6:21 pm nickdawsonhc: do patients have an expectation that they will be treated via SM? #hcsm

6:21 pm candacee116: Ithink you should not create a relationship separate from provider/patient on soc media such as FB or MS but reply on email to patient #hcsm

6:21 pm healthblawg: T1.2 Best practice: advance consent; online or paper, should be part of std HIPAA NPP (notice of privacy practices) #hcsm

6:21 pm shrinkraproy: @jhalamka has his whole DNA code and medical hx posted publicly. #hcsm

6:21 pm chrisboyer: @nickdawsonhc I would say "inviting participation" is disingenuous....SM should be about open conversation. #hcsm

6:21 pm Dr_Bob: @stephaniethum if U shouldn't answer, don't answer! :-) #hcsm

6:21 pm MarksPhone: @nickdawsonhc not a good medium for treatment #hcsm

6:21 pm irb123: @StevenBarley chcked it out, said this "If you are inquiring about a health related problem, it is important for you to seek timely... #hcsm

6:22 pm ronhekier: @healthblawg But I was taught you can't even email a patient's name to another treating physician in case email is intercepted #hcsm

6:22 pm ctsinclair: @MarksPhone There are lots of new ethical issues about medical obligation when patients start posting their treatment info online #hcsm

6:22 pm danielg280: Close to fact: Prvdr mst be mindful of pvcy obligations and HIPAA in all interactions. Evn Disclosing that someone is a pt is a prob #hcsm

6:22 pm nickdawsonhc: I think most PTs understand that SM is like a cocktail party. Ask general questions, not seeking treatment. seems a moot point to me #hcsm

6:22 pm ctsinclair: @MarksPhone We have only scratched the surface. #hcsm

6:22 pm chrisboyer: RT @Dr_Bob: @stephaniethum if U shouldn't answer, don't answer! :-) #hcsm (and then watch your patients go elsewhere)

6:22 pm donshep: In the secure patient/provider portals I built we had lots of click-thru disclaimers before you can send a post to a provider #hcsm

6:22 pm irb123: @StevenBarley basically they have disclaimer on website. they are referral service not advice service. #hcsm

6:22 pm OSUSquire: @healthblawg thx #hcsm

6:22 pm ahier: RT: @healthblawg T1.2 Best practice: advance consent; online or paper, should be part of std HIPAA NPP (notice of privacy practices) #hcsm

6:23 pm chrisboyer: @CharleneBurgett Thanks for validating.. #hcsm

6:23 pm candacee116: If they are in rural area, this may be only means of health info communication-they may need Dr to friend them to establish connection #hcsm

6:23 pm ctsinclair: @MeredithGould @stephaniethum What do docs usually do with questions they should ignore? "Not Ignore, but inform pt to other options" #hcsm 6:23 pm MeredithGould: But the pt can post any info about treatment the patient wishes to post, right? #hcsm

6:23 pm HealthSocMed: T1.3 Fact or Myth: Employees have no right to use social media "on company time" for personal matters. Blocking access is ok. #hcsm (TS)

6:23 pm macobgyn: How is a patient asking me questions after hours via SM any different than the pt calling me through the office paging system? #hcsm

6:23 pm Dr_Bob: @ctsinclair education is general, treatment is specific to the patient #hcsm

6:23 pm ekivemark: #hcsm Seems like we need an "I opt out of HIPAA" just like we have a "Do Not Call" Registry

6:23 pm patrickmann: 18 IDs for PHI http://bit.ly/VNr8v #hcsm

6:23 pm donshep: I use the term provider because a lot of the stuff we are talking about also applies to DOs, Nurse Pract, etc. not just MDs #hcsm

6:23 pm GraftFinder: I think we should start by referring to SM as "Communication" not "media" it portrays the wrong picture to those new to this comm. #hcsm

6:23 pm danielg280: t1.3 true No employee "rights" to do this. Employers can limit or allow as they see fit. dsnt mean it's a good idea #hcsm

6:23 pm irb123: @FutureDocs good question. we docs talk about cases all the time in anonymous fashion. #hcsm

6:23 pm MarksPhone: @nickdawsonhc the best use of the cocktail party is for learning and when linked to a strategy for outcomes #hcsm

6:23 pm MeredithGould: RT @ekivemark: #hcsm Seems like we need an "I opt out of HIPAA" just like we have a "Do Not Call" Registry

6:24 pm shrinkraproy: @nickdawsonhc Yes, but can it be ASSUMED that SM users are aware it is like a cocktail party? Legally? #hcsm

6:24 pm ahier: Provider is usually best term @donshep #hcsm

6:24 pm healthblawg: T1.2 Fan p OK w/appropriate NPP & opt-in; Patients can out themselves as often as much as they want, it's their PHI #hcsm

6:24 pm StevenBarley: @irb123 Our/my employer and more than referral - triage service (that I've used) that may refer to physician, ER, 911 #hcsm

6:24 pm candacee116: Employees deserve breaks can't they go on then? #hcsm

6:24 pm coachkiki: Hi - I'm @coachkikiSaw saw @shrinkraproy hashtag so decided to join tonight-sorry to be late. #hcsm

6:24 pm consultdoc: @macobgyn need to assure secure access, not via public SM #hcsm

6:24 pm CharleneBurgett: @ekivemark Can't allow patients to "Opt out of HIPAA". It's a Federal law...people can't opt out of Federal laws. #hcsm

6:24 pm shrinkraproy: RT @MeredithGould RT @ekivemark: #hcsm Seems like we need an "I opt out of HIPAA" just like we have a "Do Not Call" Registry [agree!] #hcsm

6:24 pm chukwumaonyeije: RT @chrisboyer: RT @Dr_Bob: @stephaniethum if U shouldn't answer, don't answer! :-) #hcsm <

6:24 pm danielg280: Prob w/ social media and hipaa is if others are listening. It's like talking with a patient about their health in a crowded elevator. #hcsm

6:24 pm CharleneBurgett: @CharleneBurgett If so, I want to opt out of paying taxes! #hcsm

6:24 pm macobgyn: RT @GraftFinder: I think we should start by referring to SM as "Communication" not "media" it portrays the wrong picture. #hcsm

6:25 pm healthblawg: T1.3 Agree w Dan. However: employee morale issue, and need to enlist employees as SoMe ambassadors now or later so why piss them off? #hcsm

6:25 pm chrisboyer: @macobgyn nice point. #hcsm

6:25 pm ahier: RT @danielg280: No employee socmed "rights" to do this. Employers can limit or allow as they see fit. dsnt mean it's a good idea #hcsm

6:25 pm mkmackey: RT @macobgyn RT @GraftFinder: I think we should start by referring to SM as "Communication" not "media" it portrays the wrong picture. #hcsm

6:25 pm Dr_Bob: RT @healthblawg I think it's important to educate folks about limits as well as benefits of new media #hcsm

6:25 pm HealthSocMed: @danielg280 and @healthblawg Is T1.4 Fact or Myth? #hcsm (TS)

6:25 pm donshep: HIPAA started to provide portability #hcsm

6:25 pm GraftFinder: The word media does not bring new users happy feelings but "Communicating" does. Words have power! #hcsm

6:25 pm ekivemark: #hcsm T1.3 Employee personal use - If employers want to go there then they should accept not being able to contact off duty employees

6:25 pm MeredithGould: @CharleneBurgett That's exactly what I was thinking. Some people do, in fact, opt out of paying taxes. #hcsm

6:25 pm chimoose: @CharleneBurgett I opted out of the law of gravity . . . but I guess that's not federal ;-) #hcsm

6:25 pm irb123: @HealthSocMed I guess that is fact. if it is for personal use. #hcsm

6:25 pm shrinkraproy: @coachkiki Welcome. Topic is legal issues w/SM in HC. 2 Health attys on line. #hcsm

6:25 pm MeredithGould: RT @GraftFinder: The word media does not bring new users happy feelings but "Communicating" does. Words have power! #hcsm

6:25 pm StevenBarley: @danielg280 Or leaving patient info on table in public library - convo is searchable #hcsm

6:25 pm DaphneLeigh: @danielg280 What if via iPhone, etc.?? Employers can't block that; can they forbid on company time?? #hcsm

6:25 pm macobgyn: @consultdoc Agree but if the patient emails me isnt there a implied HIPPA waiver since she expects that I will email her back? #hcsm

6:25 pm stephaniethum: Right. It seems like SM comm to a doctor and phone calls to a doctor are *very* different mechanisms. #hcsm

6:26 pm chrisboyer: @chukwumaonyeije Agreed - if they ask for treatment, schedule time w/them in your office. #hcsm

6:26 pm CharleneBurgett: @MeredithGould Well...not legally! #hcsm

6:26 pm ctsinclair: RT @Shrinkraproy @nickdawsonhc Yes, but can it be ASSUMED that SM users aware it is like a cocktail party? Legally? "Probably not" #hcsm

6:26 pm Aurora_Health: @healthblawg employees as ambassadors has great value if directed w/in appr. guidelines #hcsm

6:26 pm danielg280: @daphneleigh Ability and right are 2 diff concepts. Right yes, ability, no. #hcsm

6:26 pm macobgyn: @stephaniethum In what way is calling your doctor different than emailing your doctor? #hcsm

6:26 pm GraftFinder: Remember we are building this for Them first not Us! #hcsm

6:26 pm HealthSocMed: T1.5 Fact or Myth: Social media content published by employees on work or personal accounts is always property of the employer #hcsm (TS)

6:27 pm CharleneBurgett: @chimoose How's that working for ya'! LOL #hcsm

6:27 pm irb123: @StevenBarley If it is a simple algorithm,then U don't need a doctor involved,if you need a dr it is advice, and u should b in-person #hcsm

6:27 pm crgonzalez: RT macobgyn Agree but if the patient emails me isnt there a implied HIPPA waiver since she expects that I will email her back? #hcsm

6:27 pm candacee116: stealing time is not cool but if you make up time and need to make a call, check linkedin to make work connection-do not block #hcsm

6:27 pm mkmackey: I am thinking the treatment communication between provider and patient would not be over public Twitter.. #hcsm

6:27 pm MKBarnes: Medical providers, physicians, pharmacists, etc CANNOT communicate with patients electronically in a non-secure environment #hcsm

6:27 pm coachkiki: @shrinkraproy Excellent topic-worked on very early govt. tech w/health departments - the main issues were the legal ones #hcsm

6:27 pm consultdoc: @chrisboyer time in the office...sounds very pre SocMed. Isn't healthcare reform all about looking for newer better models? #hcsm

6:27 pm danielg280: Myth mostly but emplyers own stuff created "w/in the scope of emplymnt" #hcsm

6:27 pm shrinkraproy: T1.3 Agree, no RIGHT to use SM for personal use. But are what we doing here "personal" or "work-related"? Both? #hcsm

6:27 pm chimoose: @Aurora_Health Do you have great guidelines? How about training? We're trying, but long way to go #hcsm

6:27 pm danamlewis: now onto Topic 1.5 #hcsm

6:27 pm craigstoltz: Re: Employee use of SM: Employers originally banned telephones for same reason, that they would kill productivity. Ditto web. Now SM. #hcsm

6:27 pm patrickmann: Big concern for corps is info leaking out through SM. Company is liable for employee actions. #hcsm

6:27 pm danielg280: thus, If it's your job to do it, could be owned by employer, even if personal acct or equipment. #hcsm

6:27 pm CharleneBurgett: @macobgyn But, by law, the email needs to be encrypted. #hcsm

6:27 pm stephaniethum: @macobgyn I personally would never e-mail my doctor. Especially not after having my Facebook account hacked this past week! Heh! #hcsm

6:28 pm macobgyn: @MKBarnes ISnt that a problem though since patients are wanting to communicate this way? #hcsm

6:28 pm healthblawg: T1.5 Classic work for hire rule; not unique to SoMe - Matter for contractual negotiation #hcsm

6:28 pm candacee116: employers ban smoking #hcsm

6:28 pm danamlewis: #hcsm will be going past normal time tonight w/ all the great info! feel free to pop in any time :)

6:28 pm donshep: people have been fired for comments made via corporate internet connections even on secure private sites. #hcsm

6:28 pm MeredithGould: @HealthSocMed Oh please let T1.5 be myth! #hcsm

6:28 pm EdBennett: Listen to this - @craigstoltz Employers originally banned telephones for same reason, that they would kill productivity. #hcsm

6:28 pm Dr_Bob: @chrisboyer you can answer in the sense of reply, but you shouldn't answer their questions about their condition or their treatment #hcsm

6:28 pm consultdoc: RT T1.5 please #hcsm

6:28 pm ctsinclair: The tweets are blazing tonight #hcsm

6:28 pm LeeAase: @DaphneLeigh @danielg280 #hcsm I think Dan is saying "could" block not that it is a good idea. No employee "right" to SoMe on job

6:28 pm chukwumaonyeije: RT @craigstoltz: Re: Employee use of SM: Employers originally banned telephones ...web. ...Now SM. #hcsm Absolutely

6:28 pm HealthSocMed: Time to move on to two "Law School" questions. (TS) #hcsm

6:28 pm ahier: RT: @Aurora_Health @healthblawg employees as ambassadors has great value if directed w/in appr. guidelines #hcsm

6:28 pm coachkiki: @MKBarnes Is there such a thing as truly secure tech environment? IMHO must assume that every system is hackable-work frm there. #hcsm

6:29 pm chrisboyer: RT @craigstoltz: Employee use of SM: Employers originally banned telephones for same reason, Ditto web. and now SM. #hcsm great point

6:29 pm MeredithGould: RT @EdBennett: Listen to this @craigstoltz Employers originally banned telephones for same reason, that they would kill productivity. #hcsm

6:29 pm ekivemark: #hcsm Put the patient at the center -They choose/own/control/delegate - seems like it simplifies a lot of complexities in HC.

6:29 pm HealthSocMed: T2.1 Are social media tools like Twitter, FcBk, YTb redefining what constitutes intellectual property? (TS) #hcsm

6:29 pm ctsinclair: RT @craigstoltz: Re: Employee use of SM: Employers originally banned telephones ...web. ...Now SM. #hcsm

6:29 pm MKBarnes: So long as the patient communication is in a secure environment it is ok #hcsm

6:29 pm stephaniethum: RT @HealthSocMed Time to move on to two "Law School" questions. #hcsm

6:29 pm donshep: RT @HealthSocMed: T1.5 Fact or Myth: Socmed content pub by employees on work or personal accounts is always property of the employer #hcsm

6:29 pm MeredithGould: RT @ekivemark: #hcsm Put the patient at the center -They choose/own/control/delegate - seems like it simplifies a lot of complexities in HC.

6:29 pm macobgyn: I want to communicate with my patients in whatever way THEY want. Too bad the law does not agree. SM can resto the doc-pt relationship #hcsm

6:29 pm shrinkraproy: ...like drinking from a fire hose... #hcsm

6:30 pm chrisboyer: @consultdoc Hey, I am all about adopting new tech, and fitting into the constrictive current model. Until tele-med becomes mainstream. #hcsm

6:30 pm nickdawsonhc: regardless of employer vs employee ownership, thats why companies write HR policies. Mayo has great examples... #hcsm

6:30 pm r5dude: @coachkiki There are secure environments. #hcsm

6:30 pm danielg280: t2.1 Prob not. File sharing was bigr challenge and hasnt caused sea change yet #hcsm

6:30 pm CharleneBurgett: @macobgyn Patients want to get treated without seeing a physician, that doesn't make it possible or appropriate! #hcsm

6:30 pm ctsinclair: T2.1 Oh yes. Check out some legal blogs for great posts on "Who owns your LinkedIn contacts?" #hcsm

6:30 pm sarahzaenger: T1.5 Myth. no one can 'own' social media-- it's just out there #hcsm

6:30 pm crgonzalez: T2.1>> That's where I think your Terms of Use can help guide employees #hcsm

6:30 pm HealthSocMed: @healthblawg and @danielg280 - Topic 2.1 - SocMed redefining IP? #hcsm (TS)

6:30 pm irb123: @macobgyn email is a legal document that can be used against you. phone calls are not documented. #hcsm

6:30 pm patrickmann: T2.1 Is there such a thing as an original idea anymore? #hcsm

6:30 pm bacigalupe: @shrinkraproy @HealthSocMed are you making a distinction between exempt and non-exempt employees? Big difference #hcsm

6:30 pm Dr_Bob: a national Opt out of HIPAA registry would be too broad #hcsm

6:30 pm healthblawg: T2.1 Old rules like "fair use" might not seem as fair when the "use" is so instant and widely disseminated; law always plays catch-up #hcsm

6:31 pm ekivemark: @DaphneLeigh #hcsm That is irony for many employers. They block on their internet but not on company supplied blackberries etc.

6:31 pm jensmccabe: getting a ringside seat for #hcsm...

6:31 pm stephaniethum: RT @irb123 Email is a legal document that can be used against you. phone calls are not documented. #hcsm

6:31 pm MeredithGould: @irb123 Phone calls can be recorded. #hcsm

6:31 pm EdBennett: @LeeAase There is no employee "right" to telephone access, electricity, or chairs to sit on either. #hcsm

6:31 pm macobgyn: @irb123 WE document all patient phone calls in their charts. #hcsm

6:31 pm danamlewis: Topic 2.1, folks #hcsm back to Law School!

6:31 pm donshep: @sarahzaenger True but corps can punish you for what you say on Soc Media if they feel it harmful to their brand #hcsm

6:31 pm markmag: RT @ekivemark: #hcsm Seems like we need an "I opt out of HIPAA" just like we have a "Do Not Call" Registry

6:31 pm copelandcasati: #hcsm is throwing out some excellent questions. Enjoying those weighing in. Looking forward to sharing w/more in this field.

6:31 pm drval: #hcsm This type of conversation might work better on CoverItLive or BlogTalkRadio, IMO. Hard to follow stream with so many voices. :)

6:31 pm nickdawsonhc: Great point--> @sarahzaenger T1.5 Myth. no one can 'own' social media-- it's just out there #hcsm

6:31 pm irb123: @donshep I thought that was true. I was told the hospital archives everything on their network. #hcsm

6:31 pm StevenBarley: @ekivemark Our co does restrict blackberry internet access (like a VPN account, subject to same web filtering) #hcsm

6:31 pm craigstoltz: RT @EdBennett: @LeeAase There is no employee "right" to telephone access, electricity, or chairs to sit on either. #hcsm

6:32 pm consultdoc: @drval I agree Val. I think I'm having a tweizure! #hcsm

6:32 pm HealthSocMed: T2.2 Can you copyright a "Tweet" or a "Wall Post" in Facebook? (TS) #hcsm

6:32 pm jensmccabe: @irb123 phone records *may* be used as evidence in court. May not be recorded without wiretap in many cases, but ingoing/outgoing.#hcsm

6:32 pm shrinkraproy: @bacigalupe Great point! As an exempt employee, when am I ever really "off"? #hcsm

6:32 pm coachkiki: @r5dude I believe that there are....somehow....someway *insert musical notes* - but for how long do/can they remain secure? #hcsm

6:32 pm irb123: @macobgyn a very good practice...but there isn't a word for word transcript. #hcsm

6:32 pm jameyshiels: #hcsm @EdBennett isn't it a privilege rather than a right? A tool to facilitate engagment. #hcsm

6:32 pm MeredithGould: @consultdoc Whew...thought it was only me and @EdBennett #hcsm

6:32 pm danielg280: t2.2 Prob too short to be copyrightable, plus (don't shoot me) not enough creativity per copyright law. #hcsm

6:32 pm OSUSquire: @EdBennett @LeeAase good call. i think it's important to provide access to tools, and teach the proper time to use them. #hcsm

6:32 pm LeeAase: Gotta duck out to drive. DWT (driving while tweeting = legal and prudential no-no) - will look forward to catching up with convo later #hcsm

6:32 pm mkmackey: Social media for health care purpose is to help patients.. education, communication..Sad to have to deal with such red tape #hcsm

6:32 pm jensmccabe: @HealthSocMed #hcsm - can't copyright tweet yet. For IP, suggest this method: 1. creative commons info in profile, blog, facebook. 2. record

6:32 pm ekivemark: #hcsm T1.5 depends on T1.3 if Employer bans/filters SM then how can they claim ownership. Can't have it both ways

6:32 pm GraftFinder: Be wise and give the "priveledge of comm." to your responsible employees. Make it an honor to hold the highly desired "Eagle" Titles #hcsm

6:32 pm chrisboyer: @drval This type of conversation would work great in Google Wave...#hcsm

6:32 pm FutureDocs: pls send any training/tools on today's topics- we teach a seminar 4 students on professionalism & dig/social media, also have a policy #hcsm

6:32 pm healthblawg: #hcsm T2.2 Twitter TOS says Twitter asserts no claim of copyright, belongs to ac... Read More: http://is.gd/124jz

6:33 pm stephaniethum: RT @HealthSocMed T2.2 Can you copyright a "Tweet" or a "Wall Post" in Facebook? #hcsm

6:33 pm danielg280: The rare tweet that's pure creativity could be (eg haiku), most are not. Good article: http://www.canyoucopyrightatweet.com/ #hcsm

6:33 pm CharleneBurgett: @stephaniethum We document all phone calls with Talkument, voice documentation system. #hcsm

6:33 pm HealthSocMed: @healthblawg and @danielg280 - Can I put a "c" with a circle next to my Tweets or Wall Posts? #hcsm (TS)

6:33 pm EdBennett: @shrinkraproy True - all of us here are ready to work 24/7 #hcsm

6:33 pm ctsinclair: @macobgyn The NY Times article on Twitter in Medicine got some critical comments in the associated blog: http://bit.ly/tiLtz #hcsm

6:33 pm irb123: @jensmccabe yes. this happens in the ER. has helped me...documents in/out/time called. #hcsm

6:33 pm r5dude: @drval there is no thread to follow.... I agree with you #hcsm

6:33 pm wruenzel: RT @nickdawsonhc: Great point--> @sarahzaenger T1.5 Myth. no one can 'own' social media-- it's just out there #hcsm

6:33 pm coachkiki: drval #hcsm I agree - so many people saying so many good things. Hard to read and absorb and respond. #hcsm

6:33 pm jameyshiels: Having a bipolar moment with my personal and work accounts in the #hcsm conversation.

6:33 pm macobgyn: @irb123 True but there is also not a word for word transcript of an office visit. Our documentation has to suffice. #hcsm

6:33 pm jensmccabe: #hcsm write addendum to living will naming online identities, content as transferrable asset (for now include all login info)-designate heir

6:33 pm bacigalupe: @ShrinkRapRoy exactly in T1.3. #hcsm

6:33 pm MarksPhone: @danielg280 excellent #hcsm

6:33 pm consultdoc: RT@chrisboyer @drval This type of conversation would work great in Google Wave...#hcsm #hcsm

6:33 pm crgonzalez: T2.2 Under the Commons, and even under Twitter's rules, a tweet belongs to the owner and can be RT'd w/ author's consent #hcsm

6:34 pm HITshrink: Thought I'd get a couple in from this account (shrinkraproy here). I'm using this one for my more IT related stuff. #hcsm

6:34 pm ekivemark: @drval #hcsm Running coveritlive for on my blog now http://bit.ly/16gTbC

6:34 pm chrisboyer: Just because you want to limit your employees SM conversations, doesn't mean they still won't have them. #hcsm

6:34 pm healthblawg: @HealthSocMed Always can; just a claim, still subj to Dan's issue re how copyrtable is a tweet #hcsm

6:34 pm wruenzel: @nickdawsonhc @sarahzaenger No one owns soM but can own words & ideas on SM platform #hcsm

6:34 pm danielg280: @HealthSocMed You can put the circle C, but it won't affect whether you actually have a copyright #hcsm

6:34 pm HealthSocMed: Now we'll move to the Best Practices part of tonight's event. #hcsm (TS) (I'll repeat the first question that I posted earlier by mistake)

6:34 pm ekivemark: @consultdoc #hcsm http://bit.ly/16gTbC running on my blog now

6:34 pm donshep: #Healthcareisfun(c) If you want to use this tag a small license fee needs to be paid #hcsm

6:34 pm CharleneBurgett: @jensmccabe Depends on your state law...1-party or 2-party...most are one party and that would be the person in your office. #hcsm

6:34 pm coachkiki: @chrisboyer It's become the new and improved cigarette break. #hcsm

6:34 pm shrinkraproy: Daniel, your red icon makes me feel like you are watching me. Hal. #hcsm

6:34 pm PediatricInc: @stephaniethum we document every single patient related phone call #hcsm

6:35 pm Dr_Bob: maybe it's an acquired taste, but i'm not finding it easy to chat this way #hcsm

6:35 pm MeredithGould: RT @danielg280: @HealthSocMed You can put the circle C, but it won't affect whether you actually have a copyright #hcsm [That's right!]

6:35 pm macobgyn: RT@mkmackey Social media for health care purpose is to help patients.. education, communication.Sad to have to deal with such red tap #hcsm

6:35 pm drval: @consultdoc Clearly this is an impt conversation that's generated a ton of interest. Deserves discussion on more efficient platform. #hcsm

6:35 pm ahier: Rare tweet that's pure creativity could be (eg haiku), most are not. Good article http://bit.ly/7WeUr (via @danielg280) #hcsm

6:35 pm danielg280: Actually, you can't own ideas unless it's patentable (which is a very high standard) copr. protects only creative xpression, not ideas #hcsm

6:35 pm HealthSocMed: T3.1 What are the issues with *encouraging* or soliciting patient testimonials on a hospital branded social media account? #hcsm

6:35 pm danamlewis: moving on to best practices #hcsm

6:35 pm candacee116: if your picture and tweet name or facebook name are on thought/idea, do you have to add @C? #hcsm

6:35 pm craigstoltz: RT @drval: #hcsm This type of conversation....hard to follow w/so many voices. <
6:35 pm chrisboyer: @coachkiki Funny how it also make employees more productive...and SM is less lethal than cigarette breaks. #hcsm

6:35 pm jensmccabe: where permissible under TOS of each site (Twitter, Facebook, etc). Isn't foolproof, as no precedent, but best way to be preemptive? #hcsm

6:35 pm leonpalmer: RT @chrisboyer Just because you want to limit your employees SM conversations, doesn't mean they still won't have them. #hcsm

6:36 pm ctsinclair: @drval Agreed. Will be parsing out Great tweets and conversations by topic and post on @klxmedia blog later tonight #hcsm

6:36 pm chrisboyer: @dr_bob Right - and subsequently, you direct them to your office for a f-2-f consult. Problem solved, w/o legal red tape. #hcsm

6:36 pm gocatallina: gocatallina We need to triage social media. Some posts require personal attention. We can't assume patients think FB is public. #hcsm

6:36 pm EdBennett: If the Iranian government can't control SM, then what chance does a Healthcare org have? #hcsm

6:36 pm macobgyn: I am shocked to hear a lack of interest in communicating electronically with your doctor from this group? #hcsm

6:36 pm mkmackey: I think because SM is so new, the rules are just being developed. I think crowd sourcing will help to improve solutions #hcsm

6:36 pm MeredithGould: @candacee116 You can splatter that copyright symbol all over the place, doesn't necessarily mean it's copyrighted. #hcsm

6:36 pm stephaniethum: RT @HealthSocMed What R the issues with *encouraging* or soliciting patient testimonials on a hospital branded social media account? #hcsm

6:36 pm DaphneLeigh: @drval Agree with you re: platform...lotta voices making it hard to follow tonight. #hcsm

6:36 pm chrisboyer: RT @EdBennett: If the Iranian government can't control SM, then what chance does a Healthcare org have? #hcsm So, so true!

6:36 pm wruenzel: RT @EdBennett: If the Iranian government can't control SM, then what chance does a Healthcare org have? -Great Point! #hcsm

6:36 pm irb123: @macobgyn And if it for info or education i think OK, but should not dx/Rx unless in-person. #hcsm

6:36 pm drval: @Dr_Bob You're right, this conversation doesn't work well on Twitter.Too many participants. Better to use CoverItLive or BlogTalkRadio #hcsm

6:36 pm ahier: BRAVO! @EdBennett If the Iranian government can't control SM, then what chance does a Healthcare org have? #hcsm

6:37 pm danielg280: @edbennett: I can't even control this discussion thread :) #hcsm

6:37 pm jameyshiels: @HealthSocMed #hcsm life's like a box of chocolates, you never know what you're going to get. Can't filter, have to take the good and bad.

6:37 pm PediatricInc: @drval tweetchat makes it easier to follow btw. #hcsm

6:37 pm craigstoltz: RT @EdBennett: If the Iranian government can't control SM, then what chance does a Healthcare org have? #hcsm

6:37 pm Ariafya: @EdBennett Unfortunately, charging $$$ works... #hcsm

6:37 pm irb123: @EdBennett funny. true. #hcsm

6:37 pm ctsinclair: @macobgyn I think there are a lot of new voices that are moderating the general enthusiasm from past chats. Which is good! #hcsm

6:37 pm coachkiki: @EdBennett Good one. I'm not trying to be overly cynical here just really brutally realistic especially w/healthcare. #hcsm

6:37 pm macobgyn: @irb123 Agree. #hcsm

6:37 pm candacee116: I guess in SM platform, everyone grabs great phrases and ideas and runs. I now will be using tweizure when appropriate #hcsm

6:37 pm patrickmann: @drval. I use tweetdeck with tweekchat to limit the view. #hcsm

6:37 pm HITshrink: @Dr_Bob It is an acquired skill, but tonight's is particularly fast & furious. Too ambitious, methinks. #hcsm

6:37 pm CharleneBurgett: @PediatricInc We record every single telephone conversation incoming and outgoing. #hcsm

6:37 pm coachkiki: @danielg280 Even w/the magic red eye? :-) #hcsm

6:37 pm danamlewis: For those worried about keeping up, transcripts and summaries/overviews will be posted later #hcsm

6:37 pm ronhekier: RT @EdBennett: If the Iranian government can't control SM, then what chance does a Healthcare org have? #hcsm

6:37 pm healthblawg: T3.1 Voluntary testimonial, posted w consent: OK ... Q: Does pt feel pressured? ; no testimonial, no care- that could be a real prob #hcsm

6:37 pm chukwumaonyeije: @drval @Dr_Bob #hcsm Yes. This would be great on BlogTalkRadio

6:37 pm calll_: chrisboyer RT @EdBennett: If the Iranian government can't control SM, then what chance does a Healthcare org have? #hcsm So, so true!

6:38 pm chrisboyer: I am thinking that many healthcare lawyers are using the "fear" of SM as a great way to make money. what a shame. #hcsm

6:38 pm danielg280: @edbennett: at some level it's like parenting: you have to educate and empower your employees 2 make good decisions #hcsm

6:38 pm irb123: @macobgyn I think it would be cool to send Lab results by email, appt reminders, education, but not specific advice. #hcsm

6:38 pm MarksPhone: we need to differentiate SM where people are yammering and chatting vs. SM used as part of an educational strategy and learning #hcsm

6:38 pm jensmccabe: @EdBennett, can't control what patients say about you by the soda machines, so of course can't 'control' social media, right? :) #hcsm

6:38 pm HealthSocMed: T3.2 Any special issues when a hospital dr tweets vs. hosp employee who is not a dr? Personal vs. corp branded Twitter acct? #hcsm (TS)

6:38 pm chimoose: Please stop being so quotable, @edbennett! #hcsm

6:38 pm StevenBarley: @HITshrink So right ... this is a convo that must be reread at a later time to digest, reflect and respond :) #hcsm

6:38 pm drval: RT @chrisboyer I am thinking that many healthcare lawyers are using the "fear" of SM as a great way to make money. what a shame. #hcsm

6:38 pm gocatallina: The main thing is that we protect patients who don't think to protect themselves. That sounds elitist, but sometimes they don't. #hcsm

6:39 pm stephaniethum: RT @jameyshiels Life's like a box of chocolates, U never know what UR going to get. Can't filter, have to take take the good & bad. #hcsm

6:39 pm ctsinclair: RT @MarksPhone We need to differentiate SM where people are yammering and chatting vs. SM used as part of an educational strategy #hcsm

6:39 pm consultdoc: I have officially reached information saturation. I will enjoy reading the summary later. #hcsm

6:39 pm macobgyn: @irb123 Alot of EHR software systems do this, even "email" though a secure system. Ours does. Sage practice portal. #hcsm

6:39 pm leonpalmer: @HITshrink and I was expecting it to be slower while we all "listened" #hcsm

6:39 pm candacee116: if it is personal-it should remain so. Although employers search SM for potential employees-you take a chance on your posts #hcsm

6:39 pm ekivemark: @mkmackey #hcsm Cos have rules for communicating in co name.Most can be applied to SM as just another channel. Not sure more rules needed

6:39 pm PediatricInc: @macobgyn what are your thoughts on communicating electronically with your doc? #hcsm

6:39 pm jameyshiels: @HealthSocMed org SocMed. guidelines critical to make sure there is clarity in this situation. #hcsm

6:39 pm EdBennett: @jensmccabe "control" social media? That just makes me laugh. Only the old and clueless think that way. #hcsm

6:39 pm ctsinclair: @gocatallina Or it sounds like a "nudge". Which is a great book for health care reform by the way. #hcsm

6:39 pm jensmccabe: @MarksPhone why need to differentiate 'social media'? Need to differentiate way we design/use channel. Convo, writing multipurpose too #hcsm

6:39 pm healthblawg: #hcsm T3.2 Clinical communications not OK unless between clinician and establish... Read More: http://is.gd/124F6

6:39 pm danielg280: t3.2 Docs and nurses generally can't practice med across state lines. Need to be esp. careful to not cross into pract med. #hcsm

6:39 pm sarahzaenger: RT @gocatallina: The main thing is that we protect patients who don't think to protect themselves. #hcsm

6:39 pm Dr_Bob: i didn't think something needed to be creative to be copyrightable #hcsm

6:39 pm coachkiki: @HealthSocMed Perhaps personal accounts vs. work accounts - many gov. employees tweeting have "this is not work" or something on acct. #hcsm

6:40 pm ekivemark: True. RT @danielg280: @edbennett: I can't even control this discussion thread :) #hcsm

6:40 pm patrickmann: @consultdoc I use tweetdeck to limit what you see and tweetchat to comment. Hope that helps. #hcsm

6:40 pm chrisboyer: Controlling SM conversations is similar to herding cats....#hcsm

6:40 pm irb123: @macobgyn cool. #hcsm

6:40 pm HealthSocMed: @healthblawg and @danielg280 T3.2 Any important diffs/issues for doc tweets vs. admin/non-clincal staff tweets? #hcsm (TS)

6:40 pm macobgyn: @PediatricInc Love it. I think docs need to open to the ways certain pts want to communicate. Technology improving the human element. #hcsm

6:40 pm ahier: RT @chukwumaonyeije: @drval @Dr_Bob #hcsm Yes. This would be great on BlogTalkRadio @2healthguru

6:41 pm patrickmann: T3.2 Communications probably should be encrypted in this case. #hcsm

6:41 pm HITshrink: Hmm, I haven't seen any ads: "Has this happened to you? Ur doc twittered ur surgery w/o consent?" 1-800-LAWYERS. #hcsm

6:41 pm Dr_Bob: @macobgyn i email my doctors #hcsm

6:41 pm chrisboyer: @danielg280 Defin "practice" medicine, though. Is SM really a way of practicing medicine? I think not. #hcsm

6:41 pm irb123: @danielg280 good point. #hcsm

6:41 pm mkmackey: From what I have seen, large healthcare organization use many accounts for Twitter. Others are entrepreneurs who are difficult to herd #hcsm

6:41 pm Dr_Bob: how many people are chatting here right now? #hcsm

6:41 pm wruenzel: @danielg280 How so? I know docs that have moved healthcare institutions across state lines? Nurses have done so too???? Clarify? #hcsm

6:41 pm PWestcott: #hcsm ? my background is hospital marketing. I wonder if the AHA has any media relations guidelines that translate to social media.

6:41 pm craigstoltz: RT @HITshrink: Hmm, I haven't seen any ads: "Has this happened to you? Ur doc twittered ur surgery w/o consent?" 1-800-LAWYERS. #hcsm

6:41 pm coachkiki: @danielg280 Other issue is that something written in one way can be taken out of context. Looks 1 way 1 day sounds different next. #hcsm

6:42 pm donshep: @danielg280 That an interesting one T3.2 if a provider in MA recommends something to a "follower" in CA is that prohibited #hcsm

6:42 pm macobgyn: And do you like having that ability? RT@Dr_Bob @macobgyn i email my doctors #hcsm

6:42 pm StevenBarley: Employers (and rogue gov'ts) can control SM/Comm either directly (filter/blocking) or indirectly (identify,arrest,punish) - not 100% #hcsm

6:42 pm candacee116: encryption is good idea- patients want to use Soc Med to communicate and more will as this generation grows-we need to be ready #hcsm

6:42 pm crgonzalez: T3.2 There's the public expectation that what a doctor says can be construde as a medical opinion; not so with non-doc employee #hcsm

6:42 pm HealthSocMed: T3.3 What are the rational boundaries for allowing posting of negative comments on hospital social media account? #hcsm (TS)

6:42 pm chrisboyer: Said it before, said it again. The problem is not with SM tools. The problem is with how how people converse with the tools. #hcsm

6:42 pm danielg280: @chrisboyer. If patient tweets "blood sugare up to 150" and you reply "up your insulin" it's practicing med in most states #hcsm

6:42 pm ctsinclair: @Dr_Bob Last week we had 33 people, this week, I would guess 50-60 #hcsm

6:42 pm jensmccabe: @HealthSocMed eek! Dx, Rx (issues for doc tweets vs. non-clinical staff tweets), no patient IDs-EVER. If doubt-don't pull the trigger. #hcsm

6:42 pm macobgyn: @candacee116 YEs YEs Yes #hcsm

6:42 pm DrJosephKim: Good evening to everyone! Glad I can join the #HCSM conversation tonight.

6:42 pm ekivemark: Great Point RT @danielg280: @edbennett: at some level like parenting: Have to educate and empower your employees 2 make good decisions #hcsm

6:42 pm coachkiki: @Dr_Bob What kind of info do you email them and are your qs more restrained than in person? #hcsm

6:42 pm healthblawg: T3.2 Admin: none of the clinical issues; more aby good business judgment #hcsm

6:43 pm PediatricInc: @macobgyn do you charge for online communication and what do you use... Email? #hcsm

6:43 pm MarksPhone: @HealthSocMed got take the good with the bad. You cant sensor people #hcsm

6:43 pm Ariafya: @chrisboyer #hcsm New Hottness vs. Old Broke & Busted... ;o)

6:43 pm StevenBarley: @danielg280 Right and that time of communication should be private, e.g. a DM (but probably a secure comm) #hcsm

6:43 pm FutureDocs: legal woe 4 future? RT @HITshrink hmm...haven't seen any ads: "Has this happened to you? Ur doc twittered ur surgery w/o consent?" #hcsm

6:43 pm MeredithGould: @ctsinclair And that boost in attendance says something about the power of Twitter for disseminating info, if not for this chat. #hcsm

6:43 pm ekivemark: @chimoose #hcsm You can tell @edbennet is an SM guru. He types in soundbites. :)

6:43 pm macobgyn: @chrisboyer But wouldnt that be away to improve the patients care if the patient wanted to communicate that way? #hcsm

6:43 pm cindythroop: @ekivemark #HCSM live - very cool...can it do full screen? :-) http://bit.ly/16gTbC

6:43 pm irb123: @wruenzel dr license is by state. i.e. in katrina docs were told they couldn't volunteer if they didn't hav LA license - for about 1wk #hcsm

6:43 pm coachkiki: @chrisboyer I'll see your "how they converse" and raise it "what information they converse about". #hcsm

6:44 pm gocatallina: If patients want to talk directly with their physicians, they probably don't want an audience. I think email works better there. #hcsm

6:44 pm otoole4info: RT @ctsinclair: @Dr_Bob Last week we had 33 people, this week, I would guess 50-60 #hcsm - It's Grand - transcript will B long but great!

6:44 pm drsteventucker: Forget abt statelines what abt across countries? Singapore doc tweeting to usa. #hcsm

6:44 pm sarahzaenger: @candacee116 Would you ever consider DMing someone 'encryption'? #hcsm.

6:44 pm chrisboyer: @coachkiki Great point. #hcsm

6:44 pm danielg280: @stevebarley agreed, but if you're in ny and pt is in CA, you'd need 2 be licensed in CA to be legal #hcsm

6:44 pm healthblawg: #hcsm T3.3 To me, less legal, more intestinal fortitude issue. In this case (ne... Read More: http://is.gd/124U2

6:44 pm donshep: This is a fun as #HiMSSvirtual was need multiple screens to keep up with the replies and DMs #hcsm

6:44 pm macobgyn: @PediatricInc Never charge. We have been using email but only responding. Never reaching out. About to solve the HIPPA issues though #hcsm

6:44 pm HealthSocMed: @danielg280 and @healtblawg T3.3 What abt those pesky negative comments in social media toward providers, practitioners, payers? #hcsm (TS)

6:44 pm Dr_Bob: @chrisboyer i think medicine could be practiced via twitter #hcsm

6:44 pm mkmackey: @drsteventucker thanks for joining! #hcsm

6:45 pm ahier: T3 @healthblawg Does personal vs. corp branded Twitter acct matter? #hcsm

6:45 pm craigstoltz: RT @PediatricInc: @macobgyn do you charge for online communication and what do you use... Email? <hcsm chat?

6:45 pm jensmccabe: @HealthSocMed Allowing posting of critical comments required for improvement. Abusive/trolling take yer pick of best practice TOS. #hcsm

6:45 pm macobgyn: @PediatricInc though the SAGE practice portal which keeps everything secure/encrypted and documents all in the EHR #hcsm

6:45 pm StevenBarley: @danielg280 Good point #hcsm

6:45 pm coachkiki: @macobgyn Patient might give info during state of "need"(define as u wish)that might regret later when nt feeling urgency of moment. #hcsm

6:45 pm crgonzalez: RT drsteventucker Forget abt statelines what abt across countries? Singapore doc tweeting to usa. Europeans are not hip to SM in med. #hcsm

6:45 pm HITshrink: @StevenBarley So right ... this is a convo that must be reread later to digest, reflect. [will add to http://tr.im/ouuF #hcsm

6:45 pm danielg280: @HealthSocMed If from non-patient, can pursue for libel if untrue. If patient, Hipaa ties your hands in public forum #hcsm

6:45 pm chrisboyer: @Dr_Bob Hmmm, i wouldn't think of Twitter as an effective way to practice medicine. Never had a dr. diagnose me in less than 140 char. #hcsm

6:45 pm donshep: T3.3 Negative comments are a way of life whether waiting room bitching or on SM not much different #hcsm

6:45 pm Dr_Bob: @ctsinclair 50-60 is a lot, you would never have a conference call with 50-60 people #hcsm

6:45 pm healthblawg: T3.3 http://www.medicaljustice.com/ tries to get pts to agree in advance not to post negative rvws; I think that's inappropriate #hcsm

6:46 pm ekivemark: @danielg280 #hcsm Do we need cross-licensing between states for Docs/Nurses? Is this another component to take e-HC in to 21st C?

6:46 pm coachkiki: @Dr_Bob How? Securely. #hcsm

6:46 pm macobgyn: Twiezure is a great word. I am having one now. #hcsm

6:46 pm Hallicious: T3 #hcsm - I think that personal accounts are the way to go. Let people be human to one another.

6:46 pm nickdawsonhc: @danielg280 hands tied how? Can you respond Bank Of America style "can't answer here, but here is my number, call me... ? #hcsm

6:46 pm chrisboyer: RT @macobgyn: Twiezure is a great word. I am having one now. #hcsm

6:46 pm coachkiki: @danielg280 Thanks. #hcsm

6:46 pm danielg280: @chrisboyer I think many think it could be effective for chronic conditions that need minimal, but repetitive followup #hcsm

6:46 pm DaphneLeigh: @macobgyn Or twainweck...that works, too! #hcsm

6:47 pm donshep: T3.3 Lawyers are dealing with the same issue aren't they negative comments in SM? #hcsm

6:47 pm cindythroop: RT @macobgyn Twiezure is a great word. I am having one now. #hcsm

6:47 pm candacee116: Cross licensing needs to occur now-Katrina should have been the impetus-European countries will be outsourcing us #hcsm

6:47 pm macobgyn: @craigstoltz No CPT code or ability to "code." I would not want to do that anyway. I use SM as a way of "connecting." #hcsm

6:47 pm HealthSocMed: T3.4 What about targeted use of SocMedia tools by covered entities toward specific racial, ethnic, gender communities? #hcsm (TS)

6:47 pm HealthSocMed: T3.4-1 E.g. HIV/AIDS testing offers very effective at dating web sites, esp when offer is made by a trusted member of community #hcsm (TS)

6:47 pm danielg280: Tweeting or texting teens to remind re meds or other stuff wd be very effective #hcsm

6:47 pm healthblawg: @crgonzalez True -Fed and st healthcare privacy laws interact and overlap; EU & other int'l law to think abt given global reach of www #hcsm

6:47 pm ctsinclair: @donshep T3.3 Negative comments are a way of life- waiting room bitching or SM not much different - "Different when they are archived" #hcsm

6:47 pm irb123: @ekivemark they are working on that for disasters, but for some reason docs have individual state licenses, but national boards. #hcsm

6:47 pm ahier: #hcsm Doesn't even a pts name and demographics fall under protect PHI w/ HIPAA (specific to electronic comm)

6:47 pm drsteventucker: Topic for later, add to transcript-IRB approval for tweeting abt trials. #hcsm

6:47 pm chrisboyer: @danielg280 Like reminders to take medication? Or appt. reminders? Or sending them to online resources? #hcsm

6:47 pm shrinkraproy: @FutureDocs Yes a future concern. #hcsm

6:47 pm crgonzalez: @nickdawsonhc That's one strategy when it comes to raising info about clinical studies. Want more info, call here #hcsm

6:47 pm MeredithGould: RT @danielg280: Tweeting or texting teens to remind re meds or other stuff wd be very effective #hcsm

6:47 pm macobgyn: AWESOME. RT@DaphneLeigh @macobgyn Or twainweck...that works, too! #hcsm

6:48 pm coachkiki: @healthblawg Fed, State and City laws can all differ. #hcsm

6:48 pm PediatricInc: @macobgyn if you can make it work, good for you. It would me a hard sell for my docs. Overwhelmed with phone inquiries as it is #hcsm

6:48 pm gocatallina: What if patients want to videotape their entire hospital experience and put it on YouTube? What are there boundaries? #hcsm

6:48 pm ctsinclair: @donshep Have been following legal sm circles but not seen much chatter about this. Lawyers have ethics guideline re: marketing self #hcsm

6:48 pm MeredithGould: @danielg280 And permissible under law to tweet meds reminders? #hcsm

6:48 pm candacee116: @HealthSocMed this might be the best way to reach some vulnerable groups we would not see/hear from otherwise #hcsm

6:48 pm sarahzaenger: @abfdc It's a fascinating conversation. You should watch (#hcsm). I like to pull Tweets out of the conversation to get different opinions.

6:48 pm mkmackey: I would say that healthcare and social media definitely work to raise level of interest for patients and physicians #hcsm

6:48 pm leonpalmer: RT @danielg280 Tweeting or texting teens to remind re meds or other stuff wd be very effective #hcsm

6:48 pm StevenBarley: @danielg280 Texting would be valid for reminders, but tweeting? (Wouldn't you have to mention the med - and therefore cross the line) #hcsm

6:48 pm crgonzalez: @drsteventucker There has to be a set of messages that anticipate the request for more info by offering web links and phone contacts #hcsm

6:48 pm DaphneLeigh: @MeredithGould Uh...like they'd listen?? Even in text format? #hcsm

6:49 pm macobgyn: @PediatricInc Actually it dramatically decreases phone calls and makes life much better. #hcsm

6:49 pm Dr_Bob: @coachkiki i follow my own email guidelines, i'll send you a link later #hcsm

6:49 pm shrinkraproy: My hosp is opening OB in Fall. An encouraging them to open up Tw/FB/Flickr. Those new moms wont like no access. #hcsm

6:49 pm GraftFinder: @MeredithGould Absolutely and not just teens! #hcsm

6:49 pm jensmccabe: There are Twitter conventions we can try to 'activate' groups without personal identifiers. #getupandmove. #don'tsmoke #hcsm

6:49 pm healthblawg: #hcsm T3.4-1 HIV is a whole other story. Many/most states have pt privacy laws ... Read More: http://is.gd/12594

6:49 pm coachkiki: @mkmackey That's a great point and a great way to use SoMe #hcsm

6:49 pm ekivemark: Best advice - RT @jensmccabe: @HealthSocMed - If doubt-don't pull the trigger. #hcsm

6:49 pm donshep: @ctsinclair Was thinking about the response to rating sites regarding lawyers. I think some legal societies moved to have them block #hcsm

6:49 pm candacee116: @MeredithGould as long as we do not remind them to take their daily Valtrex, I would think a prompt might be useful #hcsm

6:49 pm HealthSocMed: @danielg280 and @healthblawg Topic 3.4 Targeted use of SocMed to reach specific groups/communities for specific treatment issues? #hcsm (TS)

6:49 pm danielg280: @MeredithGould Prob not tweet b/c in the clear. DM could be, though prob not smart due to lack of security. #hcsm

6:49 pm ctsinclair: RT @gocatallina What if patients want to videotape their entire hospital experience and put it on YouTube? "Great dilemma to consider" #hcsm

6:49 pm r5dude: @danamlewis wow...that was interesting...#hcsm chat room on a Sunday evening no less!

6:49 pm coachkiki: @Dr_Bob Thanks - I'd love to see them - appreciate it. #hcsm

6:49 pm PediatricInc: @craigstoltz I don't know, but maybe it is included in ICD10? #hcsm :-)

6:49 pm chrisboyer: Would hate to be a doc trying to get a patient Tweet in the middle of this busy #hcsm conversation!

6:49 pm sarahskiba: #hcsm What protects patients from hackers or stalkers posing as their health care professionals?

6:49 pm nickdawsonhc: @shrinkraproy OB is our first/most interested service line as well #hcsm

6:50 pm wruenzel: @gocatallina That is their perogative. The pt has right to disclose their own info. #hcsm

6:50 pm HealthSocMed: T3.5 Is social media msg traffic on a provider/employee acct using provider net subject to HIPAA data capture/retention requirements? #hcsm

6:50 pm danielg280: @ctsinclair No right to film on your property, or to film other people without permission. Hospital can say no. #hcsm

6:50 pm coachkiki: @danielg280 Good point - as in when DMs gone wild or misdirected to other ppl. #hcsm

6:50 pm donshep: T3.4 I know the hospital I volenteer at is look to social media to keep in touch with gastric bypass/band patients #hcsm

6:50 pm CharleneBurgett: I think the general problem here is that there are folks that know the HIPAA law and others that don't. #hcsm

6:50 pm drsteventucker: #hcsm Here in Asia I get/send SMS round the clock w patients frm VN, Indonsia, Malaya, China, very effective tool

6:50 pm coachkiki: @sarahskiba Great question. #hcsm

6:50 pm macobgyn: @chrisboyer Why would you not like that? Would you rather answer all the pages bec the questions are coming one way or another? #hcsm

6:50 pm ctsinclair: @sarahskiba What protects patients from hackers or stalkers posing as their health care professionals? "Good point-establish SM cred?" #hcsm

6:50 pm irb123: @sarahskiba good premise for a book... #hcsm

6:50 pm MarksPhone: @HealthSocMed yes target specific demographic groups with objectives and strategies and outcomes. Use SM as one tactic #hcsm

6:50 pm candacee116: I'm planning on doing research using Soc Med so wish me luck:) oh, Copywright #hcsm

6:50 pm danielg280: Provider has the right not to appear in patient's video and be on youtube. #hcsm

6:50 pm drval: @chrisboyer Yeah, and then if you neglected to respond to patient's tweet in timely fashion you could be sued too. Imagine that! :) #hcsm

6:51 pm cindythroop: :-) RT @macobgyn AWESOME. RT@DaphneLeigh @macobgyn Or twainweck...that works, too! #hcsm

6:51 pm Dr_Bob: @chrisboyer not in a single tweet, but after a conversation? #hcsm

6:51 pm nickdawsonhc: @danielg280 a la @ctsinclair's question - what if people are invited by hospitals to come photograph or film? #hcsm

6:51 pm FutureDocs: @sarahskiba scary & interesting question but same with searching web content right? #hcsm

6:51 pm MeredithGould: @DaphneLeigh What? #hcsm

6:51 pm StevenBarley: @jensmccabe I was thinking of a scenario when multiple meds were involved - that may work #morningmeds #hcsm

6:51 pm GraftFinder: @sarahskiba What protects them from bad guys posing as delivery people coming to their house? Why do we complicate things so..Yikes #hcsm

6:51 pm shrinkraproy: @nickdawsonhc Sure. All those tweetpic baby pics! Youtube also (please not the birth). #hcsm

6:51 pm irb123: @ctsinclair like they have "verified" for celebrities now. maybe need for docs too? #hcsm

6:51 pm healthblawg: T3.5 HIPAA covers PHI. Social media should not include PHI except in ltd circumstances (w consent) #hcsm

6:51 pm rhuffstedtler: #hcsm Seems like we need an "I opt out of HIPAA" just like we have a "Do Not Call" Registry (via @ekivemark)

6:51 pm mkmackey: RT @drsteventucker Here in Asia I get/send SMS round the clock w patients frm VN, Indonsia, Malaya, China, very effective tool #hcsm

6:52 pm macobgyn: @shrinkraproy For the OB people Check out Macarthur OBGYN on Facebook and see what we are doing. #hcsm

6:52 pm CharleneBurgett: @coachkiki Then you get into Red Flag Rules and identity theft issues...especially if provider is charging for service *somehow*! #hcsm

6:52 pm Dr_Bob: @coachkiki how what? practice medicine here? the practice of medicine doesn't have to be secure #hcsm

6:52 pm StevenBarley: @irb123 Agreed, esp for docs #hcsm

6:52 pm nickdawsonhc: guess I'm missing something. I don't think people want to disclose med stuff on twitter any more than bank info... #hcsm

6:52 pm HealthSocMed: T3.6 A pt (identifies self as a pt of specific hospital) makes a public comment about an inaccurate bill on a social media account #hcsm

6:52 pm HealthSocMed: T3.6-1 Can the hospital respond in the same forum? Can the hospital respond with helpful details? #hcsm

6:52 pm ctsinclair: @danielg280 Have been in patient's photos and film, but I never asked what they plan to do with it...Should I? Am I then a jerk? #hcsm

6:52 pm candacee116: Maybe you could have specific "twitter times" that you could even hold a group discussion for patients with HTN-might work #hcsm

6:52 pm HealthSocMed: T3.6.2 Can the hospital set the record straight if the patient representation is grossly inaccurate or misleading? #hcsm

6:52 pm sarahzaenger: @donshep How? Do they create a patient community? #hcsm

6:52 pm Hallicious: @ctsinclair Videotaping entire hospital experience and releasing on YouTube would sure put the social media in social media, eh? #hcsm

6:52 pm ahier: RT @drsteventucker Here in Asia I get/send SMS round the clock w patients frm VN, Indonsia, Malaya, China, very effective tool #hcsm

6:52 pm DaphneLeigh: @MeredithGould Re: texting teens med reminders. #hcsm

6:52 pm danamlewis: topic 3.5 up #hcsm

6:52 pm jensmccabe: @nickdawsonhc @danielg280 @ctsinclair - now we veer into tricky issue of 'paid' patients, vs. paid advocates, 'outreach reps' etc. #hcsm

6:52 pm danielg280: @nickdawsonhc Then I'm not sure what the issue is. If invited, there should b agreement beforehand on who owns and how its used #hcsm

6:52 pm r5dude: Isn't that part of our legal problem with no "Healthcare System"? RT @healthblawg Fed, State and City laws can all differ. #hcsm

6:52 pm MeredithGould: r: RT @drsteventucker Here in Asia I get/send SMS round the clock w patients frm VN, Indonsia, Malaya, China, very effective tool #hcsm

6:53 pm chrisboyer: @Dr_Bob I guess I get it. But an appt. reminder is not really "practicing" med, right? I mean, the office manager can do that! #hcsm

6:53 pm coachkiki: @ctsinclair FYI -my name ws PollyAnna before I did wrk I described b4 just being realistic.Believe need to take worst case hacker app #hcsm

6:53 pm leonpalmer: Think anyone else would watch if we turned this tweetchat feed into a YouTube video? #hcsm

6:53 pm ctsinclair: @macobgyn Is the leader in OB social media efforts. I have learned a lot watching their actions. #hcsm

6:53 pm irb123: @StevenBarley easy enoug to do. epocrates does this. sermo too i think. #hcsm

6:53 pm shrinkraproy: @macobgyn Thanks. Will do. #hcsm

6:53 pm donshep: @sarahzaenger Yes we have weekly support groups, fitness activities, and we have yahoo group. We want to move to more interactive SM #hcsm

6:53 pm ekivemark: @MeredithGould #hcsm Put PHR at center and let pt choose. Then Med remndr app their choice & channel to send is their choice too

6:53 pm healthblawg: @CharleneBurgett FTC Red Flags apply to creditors across all industries w access to private info http://bit.ly/2KF8X overlaps w HIPAA #hcsm

6:53 pm philbaumann: Using Twitter as a be-all tool for healthcare is insane. There's tons of ways to use it, but not w/out a brain. #hcsm

6:53 pm candacee116: patient twitter community a twimmunity-great idea #hcsm

6:53 pm nickdawsonhc: @jensmccabe curious to know more about those terms. What about inviting local bloggers to come tour a new machine/room/service? #hcsm

6:53 pm coachkiki: @Dr_Bob Doesn't it? I'm talking as far as confidentiality and other issues? #hcsm

6:54 pm macobgyn: @ShrinkRapRoy Here is our practices FB page #hcsm http://bit.ly/TGJ7y

6:54 pm sarahzaenger: @chrisboyer But an appointment reminder for what type of doctor? What kind of appointment? It's protected information right? #hcsm

6:54 pm mkmackey: I think each healthcare group will decide what part of social media fits their communication strategy #hcsm

6:54 pm jensmccabe: @HealthSocMed re: hospital setting record straight if patient account 'grossly inaccurate' exhibit A: Glenn Beck (bleck). No, counter. #hcsm

6:54 pm chrisboyer: RT @philbaumann: Using Twitter as a be-all tool for healthcare is insane. There's tons of ways to use it, but not w/out brain. #hcsm luv iit

6:54 pm macobgyn: @ctsinclair Wow. Thanks for that. Made my day #hcsm

6:54 pm leonpalmer: @philbaumann You'll probably get so many RTs for that, I won't even bother #hcsm

6:54 pm HealthSocMed: @danielg280 and @healthblawg T 3.6 - pt tweets about a bill, "too much", "not right", "outrageous" #hcsm (TS)

6:54 pm candacee116: It cannot be an be-all tool but with caution may be great way to reach those we do not reach conventionally-that is a large group #hcsm

6:55 pm stephaniethum: @HealthSocMed T3.6.2 Interesting q b/c even if they *could* set the record straight, should they, publicly, for face-saving reasons? #hcsm

6:55 pm MeredithGould: @ekivemark No disagreement from me on that one. I'm one of those "all power to the people" types. #hcsm

6:55 pm jensmccabe: Slander, libel will somehow make their way into our precedents for rating/ranting using social media sites and tools methinks. #hcsm

6:55 pm CharleneBurgett: @healthblawg But, RFR apply to physicians as creditors. #hcsm

6:55 pm GraftFinder: This is just like a short phone call sent via the internet it is not the end all. You can create private rooms via other tools. #hcsm

6:55 pm mneedham: re: videotaping entire experience, @gocatallina can't really speak for anyone else but no hospital I've worked for allows videotaping #hcsm

6:55 pm ekivemark: @candacee116 #hcsm If pt asks to be reminded is it still wrong?

6:55 pm crgonzalez: @mkmackey Youre right. This is era of social media in medicine is still in its infancy. #hcsm

6:55 pm HITshrink: T3.6.2 You could TRY to set record straight. Good luck with that. #hcsm

6:55 pm CharleneBurgett: @healthblawg "Overlaps with HIPAA" Same but different. More involving identity theft not patient's PHI> #hcsm

6:55 pm jameyshiels: @mkmackey strategic alignment and planning will drive success adoption #hcsm

6:55 pm DaphneLeigh: @drsteventucker But int'l regs, etc., different re: patient/doc communication? #hcsm

6:55 pm danielg280: Provider can't respond publicly unless patient auths in writing. response almost always will entail the disclosure of PHI #hcsm

6:55 pm danamlewis: topic 3.6 series up.... #hcsm

6:56 pm donshep: Since the earliest days of online BBS people have been threating people with lawsuits over postings twitter will be no different #hcsm

6:56 pm ahier: #hcsm @HealthSocMed pts tweeting about bill needs to be immediately personally responded to (just like other business)

6:56 pm MarksPhone: @chrisboyer spot on comment. Use it as tool not a toy. Part of a workshop of tools to education, train, teach, motivate, learn, etc. #hcsm

6:56 pm gocatallina: We have a couple expecting quints. They have a website. Would I put that on our FB page? I don't think so. Common sense. Isn't it? #hcsm

6:56 pm StevenBarley: @ekivemark I think a (educational) disclosure agreement would be required - but then great use #hcsm

6:56 pm Hallicious: RT @rhuffstedtler: #hcsm Seems like we need an "I opt out of HIPAA" just like we have a "Do Not Call" Registry (via @ekivemark)

6:56 pm ekivemark: @sarahskiba #hcsm There is a business model in Twitter authenticated feeds..

6:56 pm candacee116: I think with permission you can remind-set up a "wall to wall" opportunity #hcsm

6:56 pm HealthSocMed: T3.7 A 3rd party posts via Twitter, Facebook, MySpace: ?My grandmother has been waiting in the ER for hours, sucks!? #hcsm

6:56 pm HealthSocMed: T3.7-1 Can the provider respond to these posts via socmed since the pt did not initiate the posting? What if pt had posted instead? #hcsm

6:56 pm ctsinclair: RT @GraftFinder This is like a short phone call sent via the internet it is not the end all. Can create private rooms w/other tools #hcsm

6:56 pm FutureDocs: @irb123 @StevenBarley could also verify docs on social media w/board certification - some boards publicly available #hcsm

6:56 pm healthblawg: T3.6.2 Either without PHI, or w PHI if consent is given; can't assume/imply consent & w unhappy camper, not likely, so keep it generic #hcsm

6:56 pm coachkiki: @crgonzalez I'm going to go with SoMe is pre-natal. #hcsm

6:57 pm mkmackey: I think the idea of notifying the public on clinical trials and alerts for public health info is really a major growth area #hcsm

6:57 pm donshep: Twitter authorized accounts for healthcare providers like they do for celebrities? #hcsm

6:57 pm nickdawsonhc: We've addressed several complaints in comments in local paper's site. (was a top google hit for me). Asked concerned pts to call me #hcsm

6:57 pm Miz_Marie: 50-60 people on chat- way too many comments to follow in one sitting but great topic/posts on Health care and Social Media #hcsm

6:57 pm candacee116: I say respond immediately to someone upset with you and take control to make it right-show you are aware and willing to fix problems #hcsm

6:57 pm macobgyn: RT @ekivemark: @MeredithGould #hcsm Put PHR at center and let pt choose. Then Med remndr app their choice & channel to send is their ch ...

6:57 pm ctsinclair: RE T3.7 - if a family member intiated and named the provider,, the provider/org should be able to communicate back without ID of pt #hcsm

6:57 pm CharleneBurgett: @Hallicious Not possible per government. #hcsm

6:57 pm cybersibesk: So interesting, but gotta run...mommy duties call...until next week...#hcsm (Thanks as always, Dana!)

6:57 pm HITshrink: @danielg280 "Provider can't respond publicly" [well, they could make a general comment about how they manage xyz situations. #hcsm

6:57 pm MaverickNY: #hcsm @drsteventucker I get SMS from my PCP in US confirming Rx dial-ins to pharmacy, v useful tool

6:57 pm chrisboyer: I am thinking that today's #hcsm was great...but way too many questions to respond too... #hcsm

6:57 pm crgonzalez: @mkmackey That's what I am most exited about. Bridging the gap between new studies and patients looking for alternatves #hcsm

6:58 pm mneedham: @HealthSocMed re: T3.7 ?... waiting in the ER for hours... ? :: happens to us regularly - working on response protocol now. #hcsm

6:58 pm healthblawg: #hcsm 3.7.1 1. Send a human being to the ER empowered to cut red tape and post a... Read More: http://is.gd/125yq

6:58 pm coachkiki: @coachkiki I'm thinking there are some great tech security ppl who might be interesting to hear from on an #hcsm chat. #hcsm

6:58 pm Hallicious: RT @ekivemark #hcsm Put PHR at center and let pt choose. Then Med remndr app their choice; channel to send is their choice too

6:58 pm danielg280: @HITshrink AGreed. That's the one way to do it. Still have to be careful not to disclose something patient specific #hcsm

6:58 pm HealthSocMed: T3.8 A pt initiates a private email or public social media communication to a doctor/provider that is not solicited and contains PHI. #hcsm

6:58 pm HealthSocMed: T3.8-1 What's the best way to handle the private email or the public social media conversation? #hcsm

6:59 pm jensmccabe: @mneedham this is where we bring in @InQuickER, and hospital folks whose ERs have timing guarantees...#hcsm

6:58 pm ekivemark: @HealthSocMed #hcsm T3.6.2 This prob exists in many other industries. Don't get in a cat fight. Be reasonable. undetones will come through

6:59 pm CharleneBurgett: Patients can not waive their HIPAA rights...period. #hcsm

6:59 pm donshep: A good rule is to use your profile URL to have a FAQ about how you will interact on twitter. Providers can use it to put patient guide #hcsm

6:59 pm mneedham: @HealthSocMed re: T3.7 ?... waiting in the ER for hours... ? :: response will involve personal delivery of flowers - not social media #hcsm

6:59 pm Dr_Bob: @chrisboyer i diagnose people (with depression, for example) after conversations all the time. the conversation could be here. #hcsm

6:59 pm coachkiki: @danielg280 You make excellent and crucial points. #hcsm

6:59 pm danamlewis: extending #hcsm late, hope you can stay & continue the discussion! lots of great stuff going on, transcript will be provided later

6:59 pm WorldMedCard: #hcsm This has been like drinking from Fire Hose - would / could use 1/2 day to absorb the scope of topics tonight =)

6:59 pm macobgyn: @HealthSocMed T3.8-1 Great question. Should the provider not respond? #hcsm

6:59 pm ctsinclair: RT @donshep A good rule is to use your profile URL to have a FAQ about how you will interact on twitter. "Good tip" #hcsm

6:59 pm MKBarnes: There are systems coming, patents applied for, that encrypt patient/doc email from any platform #hcsm

7:00 pm candacee116: great best practice from donshep #hcsm

7:00 pm GraftFinder: Explain the "openness" of the comm plateform in PLAIN language to the patients and have them sign that they understand risk/reward #hcsm

7:00 pm Dr_Bob: @coachkiki patients can waive confidentiality #hcsm

7:00 pm macobgyn: @CharleneBurgett So if a doc gets a pt email how should they respond? #hcsm

7:00 pm healthblawg: T3.8 Email and other elec comm OK w est pts; "cold call" needs friendly but firm response instructing pt on how to est that rel #hcsm

7:00 pm mkmackey: RT @MKBarnes There are systems coming, patents applied for, that encrypt patient/doc email from any platform #hcsm

7:00 pm crgonzalez: RT @donshep A good rule is to use your profile URL to have a FAQ about how you will interact on twitter. #hcsm

7:00 pm danielg280: @danamlewis Just a reminder, I get overtime past 10pm :) #hcsm

7:00 pm sarahzaenger: Thank you #hcsm. Good night Twitter.

7:00 pm jameyshiels: RT @WorldMedCard: #hcsm This has been like drinking from Fire Hose - would / could use 1/2 day to absorb the scope of topics tonight

7:01 pm macobgyn: @MKBarnes Yes Sage Software Practice portal is what we are implementing. #hcsm

7:01 pm irb123: @jensmccabe my ER just started this. very controversial topic. #hcsm

7:01 pm chrisboyer: Wish I could spend more time on #hcsm, but will have to check back on the transcript later. Will blog my thoughts: http://bit.ly/T7rfK

7:01 pm CharleneBurgett: @macobgyn Depends on if the email system is encrypted; otherwise, doc calls patient directly. #hcsm

7:01 pm coachkiki: @Dr_Bob Of course they can. They can also change their minds. Not to be ornery - just thinking ahead to when they feel a bit better... #hcsm

7:01 pm sarahskiba: #hcsm The ISP or network provider may be apprehensive about taking responsibility for the https/secure connection. Who is responsible?

7:01 pm HealthSocMed: It's been a lively 61 minutes...so two Wrap Up Questions for our gracious healthcare attorneys. Here's the first one: #hcsm (TS)

7:01 pm patrickmann: T3.8 I have always recommended our users remove any unwanted PHI information when replying to a patient via email. #hcsm

7:01 pm AbbieCitron: Can't wait to read this transcript! Thanks all. #hcsm

7:01 pm macobgyn: @healthblawg So can a doc respond via email w an est patient? #hcsm

7:01 pm HealthSocMed: T4.1 What's your worst case scenario in terms of legal issues for social media in healthcare? How to avoid? #hcsm

7:01 pm Dr_Bob: signing off, time for dinner! thanks for the information overload! lol #hcsm

7:01 pm chrisboyer: Thanks to all the new HC Tweeps I met out here. Looking forward to all of our future chats. #hcsm

7:02 pm coachkiki: @sarahskiba That's a great question - and who will take the responsibility if it does get hacked into? #hcsm

7:02 pm GraftFinder: I would much rather talk to a Dr by email personally, unless I was very sick. #hcsm

7:02 pm HealthSocMed: Staying late tonight! A little left (wrap up) to go...but we will post some transcripts later! #hcsm

7:02 pm donshep: In 2000 when I built a portal for med societies the email had to be a secure inbox not web based mail #hcsm

7:02 pm danielg280: HIPAA actually does not mandate encrypted email. Doc can use regular email to correspond with patient and not violate law #hcsm

7:02 pm ekivemark: #hcsm We could learn something from @dsearls work in Vendor Rel Mgmt here. A framework for Pt to set groundrules for wrkng with HC provdrs

7:02 pm wruenzel: Thanks for organizing. Nite! #hcsm

7:02 pm macobgyn: @CharleneBurgett Isnt the pt expecting a reponse and implying consent that I should answer her? #hcsm

7:02 pm ahier: 2nites #hcsm from @healthblawg http://bit.ly/QluMY thank you very much for the tweets

7:02 pm danielg280: Need to think thru whether it's a good idea: will email be attended if pt emails time sensitive, will info get into med record, etc #hcsm

7:03 pm CharleneBurgett: @GraftFinder What a patient wants and what is allowable by law are two different things. #hcsm

7:03 pm ekivemark: @danielg280 #hcsm But provisions in ARRA do push towards data encryption

7:03 pm shrinkraproy: RT @Dr_Bob @chrisboyer i diagnose people (with depression eg) after conversations, y not here? [not std of care] #hcsm

7:03 pm irb123: like mainlining an all day conference in 1 hour...whoosh! #hcsm

7:03 pm ahier: 2nites #hcsm from @danielg280 http://bit.ly/EGOrK thank you very much for the tweets

7:03 pm macobgyn: @danielg280 The other lawyers here tonite dont seem to agree. I would really like to know the answer to this. #hcsm

7:03 pm patrickmann: I thought HIPAA stated that no unencrypted communications were allowed over the Internet. #hcsm

7:03 pm MeredithGould: @CharleneBurgett You're the voice of annoying sanity! #hcsm

7:03 pm GraftFinder: Good Night everyone and thanks for being patient with my low legal tolerance. I know we need ya but lets keep it to a dull roar! :) #hcsm

7:03 pm craigstoltz: G'night, #hcsm, I leave w/this thought: "This hashtag should not be considered legal advice. Consult with an attorney before Tweeting again"

7:03 pm healthblawg: MA regs requiring 'protection of personal information' http://bit.ly/m93vE require email encryption NV has simlr regs, other st's soon #hcsm

7:03 pm macobgyn: @CharleneBurgett Agree but unfortunate for the patient. #hcsm

7:03 pm ekivemark: You are not alone in that RT @GraftFinder: I would much rather talk to a Dr by email personally, unless I was very sick. #hcsm

7:04 pm StevenBarley: @macobgyn @CharleneBurgett When the email is received, you could quickly respond with a link to TOS, please read/acknowledge, respond #hcsm

7:04 pm danamlewis: wrapping up #hcsm. Thanks to our wonderful attorneys @danielg280 and @healthblawg for their final thoughts here!

7:04 pm shrinkraproy: When its over, can we take 5 & do a postmortem on this format? Way too many Qs to manage in 1 hr. #hcsm

7:04 pm coachkiki: @craigstoltz Fantastic! :-) #hcsm

7:04 pm leonpalmer: Tonight's format was interesting to say the least. Maybe we're expecting too much from the Twitter platform #hcsm

7:04 pm CharleneBurgett: @macobgyn Are you sure that the patient is the only person who has access to her email? What if it really isn't the patient? #hcsm

7:04 pm HealthSocMed: @healthblawg @danielg280, Worst case scenario for legal issues in hc social media? #hcsm (TS)

7:04 pm danielg280: @macobgyn I'm not an ARRA expert, so would defer. Pre-ARRA no HIPAA encryption requirement for email. #hcsm

7:04 pm nickdawsonhc: used to work for a major health IT consultancy/vendor ... most PHI is transmitted in the clear. Encryption is the exception, not norm #hcsm

7:04 pm healthblawg: #hcsm To the extent logging email etc., need to log pt-specif comm thru other ch... Read More: http://is.gd/125TJ

7:04 pm HealthSocMed: T4.2 What's the best way for marketers/web services people to communicate benefits of social media to in-house/outside counsel? #hcsm

7:05 pm ekivemark: #hcsm coveritlive used on my blog if you want some recap of tinight. http://bit.ly/Y101M

7:05 pm patrickmann: Email is extremely lacking in security unless you are using Digital IDs to encrypt communications. #hcsm

7:05 pm bacigalupe: RT @EdBennett @jensmccabe "control" social media? That just makes me laugh. Only the old and clueless think that way #hcsm

7:05 pm CharleneBurgett: @MeredithGould Thanks...I guess! LOL #hcsm

7:05 pm danielg280: Hc equiv of Dominos youtube debacle: employee creates publ brand disaster #hcsm

7:05 pm r5dude: #hcsm thanks to all

7:05 pm MeredithGould: In addition to a lot info., tonight's convo certainly revealed what works/doesn't work via Twitter. #hcsm

7:05 pm danielg280: To avoid: Make sure employees understand the rules, and their roles as brand ambassadors on and off duty. #hcsm

7:06 pm danielg280: Also mk sure they understand importance of separation btw work and play personas online. #hcsm

7:06 pm jensmccabe: @HealthSocMed would take hour alone to answer that one ;) (re: how to 'sell' social media use to internal exec team) but QUANTIFY 1st #hcsm

7:06 pm macobgyn: @CharleneBurgett Also hard to know if it is really them on a phonce call w an after hrs page?? #hcsm

7:06 pm MeredithGould: @CharleneBurgett Oh it's a compliment. I followed your insurance industry rant the other night. Loved it. #hcsm

7:06 pm ctsinclair: Thanks for all the great info tonight. Will be parsing the topics and best tweets for review in the next few days at @klxmedia #hcsm

7:06 pm healthblawg: T4.2 It's harder to advise clients living on the leading edge; need to convince atty that it's worth the added effort ... #hcsm

7:06 pm HealthSocMed: Big thanks to David Harlow and Daniel Goldman for their time tonight at #hcsm. Virtual applause/cheering! (TS)

7:07 pm GraftFinder: Controlling SM (COMM) is like trying to control the publics phone calls #hcsm

7:07 pm macobgyn: @danielg280 ok. #hcsm

7:07 pm candacee116: bye-great discussion, may need to limit discussion questions when group this big-look forward to transcript! #hcsm

7:07 pm patrickmann: Thank you guys! #hcsm

7:07 pm healthblawg: ... To do that need to show whatever 'ROI' metrics are consistent w Sr Mgmt/Org mission/values #hcsm

7:07 pm cindythroop: RT @HealthSocMed Big thanks to David Harlow and Daniel Goldman for their time tonight at #hcsm. Virtual applause/cheering! (TS)

7:07 pm GraftFinder: Good Night...Really this time! #hcsm

7:07 pm mkmackey: Appreciate @danielg280, @healthblawg,@HealthSocMed for crowd control on a very lively topic! #hcsm

7:07 pm HealthSocMed: And many thx to all who participated in this experimental format. Obviously, lots of lessons learned. Thanks for your patience. #hcsm (TS)

7:07 pm macobgyn: @StevenBarley Our upcoming practice portal solves the HIppa issues. I am just arguing for fun and advocating the doc pt relationship #hcsm

7:07 pm FutureDocs: @HealthSocMed thanks for lively discussion...look forward to more info on this topic #hcsm

7:08 pm CharleneBurgett: @MeredithGould My favorite topic! #hcsm

7:08 pm jensmccabe: @HealthSocMed, @healthblawg, @bobcoffield - snaps. Good stuff. Thank you! #hcsm

7:08 pm danamlewis: Closing up - thanks great attorneys @danielg280 and @healthblawg for their time and (personal) expertise! #hcsm thanks to all participants!

7:08 pm danielg280: Thanks everyone for the lively chat. Lots of fun, tho what little hair I have is standing on end and I'm sweating. . . #hcsm

7:08 pm HITshrink: @ekivemark Coveritlive used on my blog if you want some recap of tinight. http://bit.ly/Y101M [VERY COOL!] #hcsm

7:08 pm ahier: #hcsm Thank you all for particpating in this great social media experiment! It only gets better from here :-)

7:08 pm patrickmann: Question: How does the new HITECH act impact liability? Do docs have to report on who had access to PHI info? #hcsm

7:08 pm MeredithGould: @danielg280 That's a look. #hcsm

7:08 pm StevenBarley: @macobgyn I think its a great idea (and was offering a simple option to satisfy any legal concerns) #hcsm

7:08 pm WorldMedCard: @sarahskiba "posing as their health care professionals?" digital signatures authenticates both: ck out VeriSign® Identity Protection #hcsm

7:09 pm cindythroop: RT @HITshrink @ekivemark Coveritlive used on my blog if you want some recap of tinight. http://bit.ly/Y101M [VERY COOL!] #hcsm

7:09 pm jameyshiels: RT @danielg280: To avoid: Make sure employees understand the rules, and their roles as brand ambassadors on and off duty. #hcsm CRITICAL!

7:09 pm leonpalmer: Thanks again all - g'nite #hcsm

7:09 pm nickdawsonhc: Thanks @danielg280 and @healthblawg! great info! Thanks to @danamlewis and @tstitt as well. #hcsm

7:09 pm danamlewis: if you have comments, suggestions, and/or ideas for a future #hcsm, please feel free to DM @danamlewis @healthsocmed or @tstitt

7:09 pm chrisboyer: To all those that @ replied me during the #hcsm chat, sorry I missed your chats. My Tweetdeck went nuts!

7:09 pm nickdawsonhc: just one last question...what about the use of spymaster? (I kid, I kid) #hcsm

7:10 pm healthblawg: @ekivemark @danielg280 Yes (re push twd encryp) - but Mark it's more insurance than requirement-if breach but encrypted no notice reqd #hcsm

7:10 pm macobgyn: @StevenBarley Of course. I agree with you by the way. #hcsm

7:10 pm HITshrink: Thanks @danielg280 & @healthblawg 4 great info! TY @danamlewis & @tstitt for moderating. #hcsm

7:11 pm bobcoffield: @danielg280 agree, encrypt is not legally req under HIPAA - but requires reasonable safeguard. See OCR FAQ: http://tinyurl.com/c3zhkt #hcsm

7:11 pm MeredithGould: Just looked at coveritlive and can't quite tell the diff between that and Tweetchat. Maybe a topic for #hcmd09? #hcsm

7:11 pm ctsinclair: Signing off for the night. Thanks everyone at #hcsm

7:11 pm josullivan: Night all. Great convo like normal #hcsm

7:11 pm coachkiki: I'll have to read the transcript to get all this info - thanks all. Signing off for now. #hcsm

7:11 pm DrJosephKim: @HealthSocMed Enjoyed all these micro conversations about social media in healthcare tonight. #hcsm

7:11 pm bobcoffield: @danielg280 to date ARRA also does not require specifically require encrypt of email. #hcsm

7:11 pm donshep: Great conversation #hcsm

7:12 pm shrinkraproy: @MeredithGould I think Coveritlive is more of a historical record, Tweetchat is live? #hcsm

7:12 pm patrickmann: Biggest challenges I'm seeing with healthcare and social media are: identification, encryption and privacy. Lets try and overcome! #hcsm

7:13 pm josullivan: Thanks especially to @danielg280 and @healthblawg #hcsm

7:13 pm healthblawg: @patrickmann HIPAA and Son of HIPAA -- some of the questions raised by ARRA changes to law http://tinyurl.com/nvpd5j #hcsm

7:13 pm jacobanderic: @donshep what's #hcsm?

7:13 pm chukwumaonyeije: RT @ahier: #hcsm Thank you all for particpating in this great social media experiment! It only gets better from here :-) ditto

7:14 pm bacigalupe: Often same place conferences, the best conversations are the one to one exchanges, #hcsm virtual conversation was not different

7:14 pm AmericanNurse: Thought provoking discussion at #hcsm. Things I never thought of. Thanks all.

7:15 pm healthblawg: Thank you all - and I look forward to continuing the conversation here, there and everywhere #hcsm

7:15 pm gharsha: @laf420 there was a #hcsm chat tonight. check it out. it might help ya on your thesis. also, are you following @HealthSocMed ?

7:15 pm patrickmann: @healthblawg Thanks for the great info! #hcsm

7:15 pm HealthSocMed: Thanks everyone for participating! Ideas, topics, suggestions, comments can be sent via DM or @healthsocmed anytime. #hcsm

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