Hey Doc, Meet Dr. Google


According to Pew Internet Research, nearly 35 percent of U.S. adults turn to "him" for answers to health concerns. And that number doubles when you consider those who look to his less specialized brothers Google and Bing. However, they can't turn to any of them for empathy or integrated care. They don't know if he shares their core values. And he will never be at a their civic club or PTA meeting.

Still, there's much to be learned from Dr. Google’s existence.  Such as:

1.       Some things are hard to talk about.

Many adults leverage the anonymity of the web to search for answers to those hard to ask questions about their health. Some of the questions are just too uncomfortable to discuss with even the closest of friends, family or a spouse. Do you know what those hard to ask questions are? Do you offer any sort of local, personal insight in a way that's easy to access even without or before an appointment?

2.       I can take care of myself. Maybe.

About a third of those who seek help from Dr. Google, his colleagues at WebMD, or by peeking through some other health portal, end up handling the problem on their own. That represents some risk for their well-being and frankly, your bottom line. Oh you're probably not going to turn that number around completely. But you’re in it for the sake of the patient. A connection with you might lead to an eventual appointment and could subsequently help them to identify some peripheral issue that led to their health concern. This could make a genuine difference in their health.

3.       I have this friend who, no really.

Many of Dr. Google’s inquiries are from those who are trying to learn more about an issue that's affecting their family or friend. Some 60 percent of U.S. adults from the Pew Internet Research piece say they’re looking to gain an understanding of a friend or family member’s condition in an effort to provide comfort or some other form of support.
Are you enabling a support network with answers that don't compromise patient confidentiality but inform those who give care at home?

Look, Dr. Google exists because there is a need. And many of your peers agree with his diagnosis 4 out of 10 times.

But you know what? You can make Dr. Google and the lessons learned from this exercise work for you. Here are two things that you can do right away.

1. Build a website. Yes, these are still relevant. But it must address the difficult issues and most common concerns of your patient community not just physician profiles and office hours. If you really want to make a relevant site, enhance it with a utility that enables interaction with you or the appropriate person on your staff. Maybe that Nurse Practitioner who sees the first tier of patients can now interact with others online.

2. Create a social media presence and use it. Building is not the same as doing. Your presence need not offer diagnosis or dispense medical advice. And it shouldn’t be one that copies content from everyone else. However, it should share information that is helpful to others, demonstrate your core values, and present the culture within your practice.

Hey Doc, here’s the best news in all of the hype about Dr. Google - patients with serious concerns still consider doctors the main and best source of information

Be encouraged but not complacent. The best of both worlds would find you available online to, if nothing else, direct patients and those who care about them toward trustworthy resources. Do that and Dr. Google becomes just another part of your team. He’s a health information partner. Meanwhile you tend to the 70 percent of us who say that what we want when it really matters is – you.

Want to talk about it? Find me at www.twitter.com/timbigfish 

Hey Doc, Follow the Yellow Brick Road


Dorothy, the Tin Man, the Lion and Scarecrow each had a need. To know the way home, to have a heart, to have courage and to have a brain were the things each thought if achieved would make their situation better. They were delighted to learn that there was someone who might have within his know-how the ability to see those hopes fulfilled. To find him, they had to know the way. To achieve their goals, they had to connect with him.

Finding You

The yellow brick road isn’t what it used to be. In the past, the way to find you might have been through the phone book, a web search or the occasional referral.  Dorothy had the Good Witch and Munchkins on her side. “Follow the yellow brick road,” they said. Your patient’s yellow brick road is social media.

Healthcare research tell us that:
  • Over one-third of consumers use social media for health-related activities
  • 40% seek reviews of treatments, physicians, and other patient experiences
  • 45% say information from social media sources affects their decisions
The Tin Man, Lion and Scarecrow heard about The Wizard through Dorothy as she made her way along the yellow brick road. Hey, one good referral begets another. Today those referrals happen at the speed of “like” and the yellow brick road that your patient is traveling is social media.

Overcoming Adversity

Like Dorothy's journey, the road to your patient’s goal is wrought with challenges. These include bad information sources, consumers with negative experiences and others with special interests (no, I’m not going to call the pharmaceutical companies the Wicked Witch or insurers her flying monkeys). Dorothy would occasionally get a word from the Good Witch to keep her going. Dorothy trusted her. Likewise, your patients need an ongoing connection with someone. They trust you.
  • 73% would welcome social media based tools to make appointments or ask a question
  • Consumers are much more likely to trust social media information from their doctors or hospital, less likely to trust insurers or drug companies (oops, I wasn’t suppose to mention them).
  • Patients want you there for them in sickness and health. Yet 70 percent say their doctor has never checked on them when they weren't sick in order to help them stay healthy. 
Social media is driving these expectations and could be the avenue for meeting it.

Knowing You’re Real, Involved and Have Answers

At first, the Wizard tried to bluff Dorothy and her companions. Of course we know that’s not you. But the 21st century version of this is the unwillingness to share information – even if the information is tough to reckon with. Heck, the Wizard told Dorothy and her friends that they’d have to kill the Wicked Witch to achieve their goals. Your patient is often fighting no less real an advisory in the form of some chronic disease. But like Dorothy and company, they’re up to it if that’s what you prescribe. Don’t send them out alone. Your being involved will improve the likelihood of their success and could even impact your bottom line.

Keep in mind these folks aren’t simply social, they’re social and on-the-go. Communicating along the yellow brick road requires some connectivity. What’s that mean?
  •  Surveys say 25 percent of people forget to take medications as prescribed. You can have a  positive impact on health and reduce costs with something as simple as a text message.
  •  Nearly 20 percent of patients cancel or miss appointments, at an average cost of $236 per. You can improve this via mobile and social connections for patients who are hard to reach and want varied modes of interaction
  • With 50 percent of U.S. citizens on smartphones today and 40 million U.S. consumers coming under coverage with the Affordable Care Act, you have to make social/mobile part of your strategy.
We know how the story ends. Dorothy makes it home. The Lion gets his courage. The Tin Man his heart. And the Scarecrow his brain. Thriving patients with realized expectations. But the good news doesn’t end there. The Wizard gets what he wants as well. A little less time behind the curtain and a little more time to see the world.

Let's talk. I'm on twitter as @timbigfish or email me tim@gobigfishgho.com

Giving & The Intangibles


We give away ideas and that makes some people nervous. But we do so because we're in an era when the willingness to share is evidence of progress toward a more social form of business. A way of doing things that says, "we know that our success truly is tied to yours. So, we're going to share some ideas. We're going to hear some from you. And then we're going to do something that matters, together."

I get that this is an intangible notion. But, we’re involved in four marketplaces that revolve around intangibles. We serve membership organizations, health care providers, educators and philanthropies. Intangibles. But let’s be careful. Intangible doesn’t mean it can’t be built. It doesn’t mean it can’t be measured. It doesn’t mean it can’t be segmented. And, it doesn’t mean it can’t be monetized. But it does mean you’ll have to live it.

You’ll have to live it because often times the only evidence of a brand’s intangibles is how they manifest in the lives of those who represent or who have a relationship with the brand.

I think it’s pretty clear to the community when you’re living your brand’s intangibles and when you’re not. And if you’re brand is about helping others connect in ways that might lead to their personal development, enable their well-being, drive toward achievement of their aspirations or empowerment them – then you better be practicing what you believe even when it doesn't translate into business.

One of our intangibles revolves around people, their ideas, and what we give away. This past week I was challenged regarding the logic of that. One expert told me, “Your ideas, like mine, are inventory. You need to make people pay for them.” I said, “You don’t know me very well. Most of my ideas serve only to demonstrate to others that like them we have ideas. And then through conversation they learn that unlike many of them, we have the know-how to do get ideas done (our ideas and theirs). 

Still with me? Well, I have an idea for you. We’ll call it “giving to be social”. It's risk free and it might be good practice. By social I mean to benefit others. By giving I mean sharing intangibles. And by “we’ll” I mean all of us.

Consider this list of things that my friends at Bigfish suggest could be given freely, without spending any money:


Give love
Give a hand
Give a pat on the back
Give a word of encouragement
Give Hope
Give yourself
Give someone a chance
Give all you have
Give your best
Give your heart
Give a hug
Give a smile


We can all do that. Right? Each of the items on the list requires putting ourselves out there a bit. Sort of like sharing an idea but without having to actually have an idea. You're just sharing something that might prove of value to them.

At Bigfish, we have ideas. We share them to start a dialogue. We give in part as a response to the shared interests found in conversation. And we're learning that no matter have much of it we do, we never run out of it.

A Risk Worth Taking


This is the tale of two people. Each with an entirely different take on the idea of risks and rewards when using social media in the context of health care. And each with much to be gained when the two strike a balance.                                                       

The first asks, “What’s the ROI of adopting social media in my practice?” then adds, “Can I be reimbursed for the time spent there? It seems after all that the risk of a HIPAA violation is greater than the return on investing in its use.”  He’s a health care provider.

The second is among the about 80% of patients in a recent survey who said, “I’d give up chocolate, eating out, my cell phone even sex to be healthy.” You’ll find them on social media looking for answers from people who share their ailments and those who might help him get better.

It’s natural. Each of us is inclined to think about risk and reward from our individual perspective, but for healthcare providers it may be time to consider this issue from the patient’s point-of-view.

For health providers, reward means return on investment and is associated with dollars and cents. Meanwhile risk is often associated with maintaining HIPAA requirements and avoiding malpractice suits (also dollars and cents).

Reward is seen as, “How will it drive revenue?” Risk is seen as, “How do we protect earnings?”

But patients view risk and reward in a much different light. It’s all about their health.

A patient’s greatest asset is their wellness. If using social media to improve their health requires some risk, then they’ll take it. 

Reward is seen as, "having someone or learning something that might improve my health." Risk is seen as, "What do I need to do to get better?"

As for how that applies to social media, rewards are found in strategies that revolve around the patient experience and specifically what they value from you. Your knowledge of issues that affect their wellness. Your patients are your ambassadors. And don’t you want a healthy ambassador? After all, their experience with you determines the value of your brand. And it seems that their satisfaction with your services has even become a factor in determining your reimbursement. More rewards.

But don’t take my word for it. Consider Pediatric Otolaryngology specialist Dr. Russell Faust. He is a health care provider with a social presence. In a recent article for Physicians Practice he said this about ROI:

“I achieve many returns from my presence in the digital world, things that are difficult to assign a number-value to: enhanced connection with my patient community; enhanced recognition by my referring physician community for my areas of expertise; significant improvement in operational efficiency in my clinics; improved patient advocacy.”

“Besides that,” he adds, “30 to 50 percent of new patients report that they learned about me online.”

Rewards for Dr. Faust are evident even though “returns” aren’t why he developed his social presence. He started so that his patients could spend less time sorting through misinformation and more time focusing on the real reason they were at his office – their wellness.

In the meantime, Baylor Medical reports no HIPAA violations in the year since their decision to open access to social media sites for all employees. It seems that risk is being somewhat mitigated by experience and good policy.

So while our tale of two people may have started with them being at odds, there’s still hope for a happy ending. And it looks like this:

Risk? Not getting better - neither the provider’s balance sheet or the patient’s condition.

Reward? Getting better - on the provider’s bottom line and the patient’s health prognosis. 

Let's talk about it. I'm on Twitter as @timbigfish or email me.