You read about them almost everyday.  Somebody makes a mistake and posts something that’s inappropriate or is potentially damaging to the brand.  From the Red Cross, Chrysler and Southwest Airlines companies face uncomfortable situations.  Some handle it well and some don’t.  More damaging than the original blunder is when a company doesn’t address the issue or doesn’t handle it well.

Michelle Ponto with News10 in Sacramento  wrote a story quoting Josh Morgan of Edelman Digital  and Lori Bertelli of Augustine Ideas about steps to take to help minimize the damage if you are faced with a social media nightmare.  The steps are very applicable to healthcare marketers who face such critical issues.

1. Before you say anything on social media, take into account everyone who could be in your audience, not just the people you know for sure are in your audience. Remember, not everybody thinks exactly the same way you do.

2. Before you open up any type of social media forum, have a policy in place that lets people know that certain types of speech aren’t going to be tolerated and that the platform is being moderated.

3. If you find yourself getting emotionally involved in something online, take a step back. Don’t let commentators get you riled up as you could end up saying something that you regret.

4. Think about who is doing your social media postings. An intern may be comfortable using Facebook and Twitter, but are they the right person to be representing your brand online? It is easier to teach someone who knows your brand/business about social media than it is to teach someone who only knows social media about your company.

5. Set up multiple administrators on all social media accounts just in case you can’t get in touch with someone when you need to – or they leave the company.

6. Make it easy to do the right thing when you are setting up your policies.

7. Own a mistake and do it quickly. Don’t try to hide from it. It’s not going away.

8. Have a friend or an editor check things out. It might seem funny to you, but it may not be to everyone.

9. Understand that you can’t control social media. Instead, be ready to react and take ownership when something does happen.

10. Don’t be insulting or come off defensive. All it takes is one bad post to create a social media nightmare.

Very sound advice.  Advice that could be very helpful if your hospital or healthcare organization faces social media missteps.

Are moms important to healthcare marketers?  If so, then you better get social.  Moms use social media to communicate, stay in touch with family and friends, exchange information, be entertained and a host of other reasons.  eMarketer estimates that 23 million US moms are on Facebook…moms with children under the age of 18 use the site at least once a month.  That’s well over two-thirds of all online moms in the country compared to just over 50% of all online users.

Overall 26.5 million moms use some sort of social media.  That’s almost 20% of all social media users.

Females are the primary decision makers when it comes to healthcare decisions, and moms are usually the chief decision maker for their family’s healthcare needs.  That being true, healthcare marketers need to get social.  Moms are on social media sites interacting and gathering information.  And of course they are extremely interested in health information for themselves and their families.

So we need to be engaging those moms where they are.  On social media sites.  It certainly requires work.  And it requires more than just setting up sites to post ads or promotions for the hospital.  It requires engagement.  It’s not easy.  It requires quality content.  It requires responsiveness.  And it requires the efforts and cooperation of more than just the marketing department.

Moms are definitely social.   They are proving it everyday online.  And it provides great opportunities to connect and build brand loyalty.  Healthcare marketers should take notice.

QR Codes are becoming more and more popular but they aren’t appropriate for every use.

QR codes are everywhere.  And aren’t they cool?  They are great at providing additional information and for engaging consumers.  Brands like Starbucks and Lady Gaga are using QR codes very effectively to build loyalty and many retail brands are using QR codes to provide additional product information.

In fact, worldwide usage of QR codes is growing at more than 20% annually and barcode usage in North America is growing at a 42% clip.

But despite this rapid growth and the usefulness of QR codes there are some uses, which make no sense at all.  B.L. Ochman writing for Ad Age  gave some examples of some poor uses of QR codes.

1.   QR codes on billboards, too high ad too far away to get a clear scan.

2.   QR codes in subways and places where there is no cellphone reception.

3.   Barcodes in TV spots when by the time you can grab your phone and find the scanner the spot is over.

4.   QR codes with no instructions.  Not everyone knows how to use a QR code. 

5.   Using a proprietary code so you need a specific type of QR reader.  Most people will not bother to download a scanner just to read one particular scan.

There are many other bad uses of QR codes.  Some that don’t make sense at all.  You probably have seen some yourself.

So the point for hospital marketers is that QR codes can be very useful. But it is not something to use just because everyone’s doing it.  Not just because it’s a new fad. Its use should be strategic and it should be easy and useful.   Clear instructions and the benefits of accessing the scan are imperative.

QR codes is a technology that should be used and can be extremely useful in healthcare advertising.  Perhaps in more than any other industry, within the healthcare arena, QR codes can be the mechanism to deliver very valuable information that can’t be delivered in an ad or flyer or poster.

Do we use QR codes in hospital advertising?  Of course!  But make sure it makes sense and delivers a true benefit to the user.  Not just because it’s cool.

1. “In early March, Google removed from its Android Market more than 60 applications carrying malicious software. Some of the malware was designed to reveal the user’s private information to a third party, replicate itself on other devices, destroy user data or even impersonate the device owner.”

2. “Groupon is on track to bring in between $3 billion and $4 billion in revenue this year alone. Facebook’s 2010 sales were reported to be only around $2 billion in its sixth year of existence.”

3. “A study of 24,000 consumers across the 16 largest countries found that those who are most connected, living on the cutting edge of social media tend to be more ‘prosocial’ than average, being more likely to do volunteer work, offer their seats in crowded places, lend possessions to others and give directions.”

4. “99 percent of Android devices are vulnerable to password theft.”

5. “Recent estimates put less than 10% of the population using Twitter, far less than other social sites.”

6. “More than 3.34 million mentions were recorded over a one-month period of people making social asks.”

7. “David Poltrack, CBS Corp., announced that, based on a new research study, ‘age and sex don’t matter when it comes to increasing TV ad effectiveness.’”

8. “An average of 40 percent of the traffic to the top 25 news sites comes from outside referrals, the study found, with Google Search and, to a lesser extent, Google News the single biggest traffic driver.”

9. “Almost one-in-four South Africans use social media as a tool to look for work, but are concerned about the potential career fallout from personal content on social networking sites.”

10. “The percentage of US parents who allow their children between ages 10 and 12 to use Facebook or MySpace more than doubled from 8 percent a year ago to 17 percent now.”

11. “33% of Facebook posting is mobile.”

12. “Fully 69% of visitors to news.google.com ended up 3 places: nytimes.com (14.6%), cnn.com (14.4%) and abcnews.go.com (14.0%).”

13. “85% of media websites now use online video to cover news.”

14. “”Social media advertising spending will increase from $2.1 billion in 2010 to $8.3 billion by 2015.”

15. “Facebook is approaching 700 million users and Google handles over 11 billion queries per month. World-wide there are over 5 billion mobile subscribers (9 out of 10 in the U.S.) and every two days there is more information created than between the dawn of civilization and 2003.”

16. “Twitter reported that the network saw more than 4,000 tweets per second (TPS) at the beginning and end of Obama’s speech [re: death of Osama Bin Laden]“

17. “65% of all social media related to the royal wedding has come from the U.S. in the past month [April]. The U.K. has been responsible for just 20%.”

18. Re: the Royal Wedding: “911,000 wedding-related tweets were tracked in the past 30 days. That’s about 30,000 per day and accounts for 71% of all social media.”

19. “According to NPR’s internal usage data covering January 1 through mid-April, users who request audio — maybe a station stream, a national newscast, or NPR Music content — view twice as many pages as those who only read the apps’ content. On average, audio streamers rack up 4.2 pageviews per visit versus 2.4 for the text-only crowd.”

20. “Twitter penetration rates in Canada are among the highest in the world, according to new data from online tracking firm comScore Inc., which suggests that nearly one in five Canadian Internet users over the age of 15 regularly visit Twitter.”

21. “Traffic from social media has highest bounce rate. [...] If you’re looking for ‘hyper-engaged’ readers, those that click through five or more pages on your site, forget the guy who came from Twitter. A link from another content site is three times more likely to be engaged, and someone coming in from search, is also above average.”

22. “”Digital services accounted for an estimated $8.5 billion (28%) of the $30.4 billion in 2010 U.S. revenue generated by the 900-plus advertising and marketing-services agencies that Ad Age analyzed.”

23. “Total Facebook spent on lobbying, Q1 2010: $41,390. Total Facebook spent on lobbying, Q1 2011: $230,000″

24. “Nearly seven in 10 tablet owners reported spending at least 1 hour per day using the device, including 38% who spent over 2 hours on it. And while just 28% consider it their primary computer, 77% are spending less time on desktop or laptop PCs since they got a tablet.”

25. “According to a Network Solutions survey, the use of social media among SMBs has grown over the years, rising from 12 percent in 2009, to 24 percent in 2010 to 31 percent currently.”

In her social media and PR blog, “Commentz“, Sarah Evans and her staff compile a lot of interesting stats. She cherry-picked the most relevant for marketers and recently shared them with Ad Age. They can be quite useful to healthcare marketers.

1. “Social media accounts for one out of every six minutes spent online in US.”

2. “Seventy-seven percent report that they use social media to share their love of a show; 65% use it as a platform to help save their favorite shows; and 35% use it to try to introduce new shows to their friends.”

3. “Facebook users are overall more trusting than non-internet others. Pew reported, 43% of survey participants were more likely than other internet users to feel that most people can be trusted.”

4. “22% of all grandparents in the UK are using social networks, according to Mashable. The study, which collected results from 1,341 grandparents from the UK, showed that 71% of grandparents who use a social network use Facebook, 34% are on Twitter and 9% use the business social network LinkedIn.”

5. “In the first four months after its January 2010 launch in Russia, Facebook use grew by 376%, and today more than 4.5 million people use the site regularly.”

6. “The ‘Weinergate’ scandal caused a significant drop in tweeting politicians. According to VentureBeat, after the scandal ‘the number of tweets by Republican members of Congress dropped by 27 percent, while those of Democrats dropped by 29 percent.’”

7. Instagram “currently has a user base of 4.25 million in only seven months, with ten photos being posted a second.”

8. “It only takes 20 people to bring an online community to a significant level of activity and connectivity.”

9. “Nearly twice as many men (63%) as women (37%) use LinkedIn.”

10. “In the last election Google was the largest player — the Obama campaign directed 45% of its online campaign dollars to the search site.”

11. “59% of adult Facebook users had “liked” a brand as of April, up from 47% the previous September. Uptake among the oldest users appears to have been a major factor in this rise.”

12. “In 2010, 29.3 million readers read some 270 million pages of Post journalism each month, a record for The Washington Post. Of that, 28.1 million did so online and, while [Washington Post] brought in 4.2 million new readers on average each month compared to the previous year, [they] also lost some 35,000 print subscribers in 2010 alone.”

13. “25% of hotels [are] still ignoring social media.”

14. “Businesses are paying Twitter $120,000 to sponsor a promoted trending topic for a day. [...] That’s up from $25,000 to $30,000 when the feature was launched in April 2010.”

15. “AOL’s newsroom is now bigger than The New York Times’.”

16. “Mobile is one of the fastest-growing platforms in the world. With 40% of U.S. mobile subscribers regularly browsing the internet on their phone and a projected 12.5% of all e-commerce transactions going mobile by the end of the year, it’s a channel that you need to be aware of. According to Google, mobile web traffic will surpass PC traffic by 2013.”

17. “Twitter is 6-7 times smaller than Facebook.”

18. “There are now 54 million active Mac users around the world.”

19. “130 million books have been downloaded from iBooks.”

20. “Users say they’re more likely to buy if a business answers their questions on Twitter.”

21. “Nearly half (42%) indicated that if they’ve already allocated a portion of their marketing spend to social media, they would increase this spend over the course of the year. Only 8% of those surveyed indicated that they would decrease social media spend.”

22. “13% of online adults use the status update service Twitter, which represents a significant increase from the 8% of online adults who identified themselves as Twitter users in November 2010. 95% of Twitter users own a mobile phone, and half of these users access the service on their handheld device.”

23. “According to HubSpot, small businesses plan to spend 19 percent of budgets on social media vs. only 6 percent in larger businesses. A similar gap is shown for blogging with 10 percent of budgets for small business vs. just 3 percent for large.”

24. “33 percent of its worldwide traffic is inside the United States.”

25. “Facebook has three times as many accounts as Twitter, and 20 percent of Twitter’s users produce at least 80 percent of the site’s content.”

It’s worthwhile to look at these myths as they apply to healthcare marketing.  

• Myth 1: “Social Marketing is great because it’s free.”

Even if social media doesn’t cost very much, it does require a tremendous investment of time and energy.  And healthcare marketers have very little time to commit to new projects.  Especially ones that will be ongoing and continual.

• Myth 2: “Everyone’s doing it, so I need to.”

Even though so many have jumped on the social media bandwagon, many are not doing it well.   Doing it half-hearted or without a clear objective and strategy could do more harm than not participating at all.

• Myth 3: ” I can just post our press releases on social media.
”

Not really.  It requires much more. The social environment is not another platform for you to promote your hospital.  Rather it’s a place to take part in a conversation, in people’s everyday conversation and be there to provide useful information to your readers on their terms.

• Myth 4: “I need to be everywhere, dominating every type of social media.”

Not true.  Be present where your patients and potential patients are.  And do only what you can do well.  The best thing healthcare marketers can do is to invest your time and energy into one or two sites your audience use regularly.

• Myth 5: “Twitter is a tool for egomaniacs to tell people what they had for breakfast.”

This a myth coined accurately by journalist Eric Rice. However, as her research has found, tweeting gives your hospital a more “human” face.  They can see your brand personality.  Twitter helps turn your organization.  Appealing and engaging.

•  Myth 6: “Facebook is more for my kids, not for my business.
”

Facebook ‘ fastest growing audience is women 40+ It has become a very adult medium. It allows you to enhance that “human” feeling with photos, helpful healthy tips and ongoing discussions with your customers.

• Myth 7: “Social media won’t take much time.
”

An estimate of 1-2 hours per day may be required to actively participate in the conversations being conducted and created on social media. A busy healthcare marketing director will not likely be able to effectively maintain a social presence if it becomes just another task on the “to do” list.

• Myth 8: “The threat of receiving negative public posts and complaints is too high
.”

Consumers are already commenting in their offline and online social circles. It’s better to be part of the conversation so you can strategically defend your brand and respond in a timely way to problems. Being where the discussion is allows you to address existing problems and discover brewing issues before they get out of hand.

• Myth 9: “This thing’s useless – I tried it for a month and it didn’t work.”

Social marketing doesn’t give you instant, measurable results.  It will take time for people to find you, warm up to you, and start adding to your conversations.

• Myth 10: “Our customers don’t use social media sites.”

The audience is there and they’re going to have their conversations with or without you.  Take your primary target demo and look how many within your marketing area use social media.  It’s easy to research and you might be surprised.

For healthcare marketers, participating in social media is not easy.  It requires a commitment of time and energy.  And perhaps dispelling some of the myths will be helpful. 

There seems to be a rush on high-profile, epic-proportion weddings as of late. Some royal and some not (as in Kardashian), but what do they have in common other than seven figure budgets? The use of social media to promote, organize and disseminate information of course! 

Even The Royal Wedding was a social media savvy event proving that even the most traditional institutions can embrace social media.

The British Monarchy is about as traditional you can get.  Established, stuffy, outdated, staid, clinging to the past and resistant to change would be some of the was you might describe the British Royals.  And it might sound very similar to your hospital.  And that’s why you can’t fully embrace and use social media.

But the Royal Wedding certainly proved even highly traditional institutions can embrace and effectively use social media.   Shonali Burke  outlined some of the ways the royal family used social media to promote the wedding between Prince William and Kate Middleton.

• Clarence House (named for the official residence of the Prince of Wales) released a steady and strategically timed stream of information from who’s doing the flowers to photographs of those arriving for the event.
• Created a hashtag to keep tract of wedding wishes coming to the bride and groom via Twitter.
• Established a Facebook page where one can like the page by sending a RSVP to the wedding.
• Their Flicker stream was constantly updated.
• Live-streamed the wedding on YouTube and invited viewers to leave their own video message for the couple.
• An official Royal Wedding website.

Quite an unexpected turnabout for the kings, queens, princes and princesses of tradition.   They obviously wanted to engage the public and they certainly accomplished that.  And they used the popular mediums of the day.   Certainly there was tremendous traditional media coverage.  That was a given.  But the extensive use of social media is certainly a lesson to learn.

So your hospital and its leadership are traditional.   Let the Monarchy set the example.  True, the royal family has the resources to do it well.  But with a little time, and not much money, healthcare marketers can choose a few of the social networking tools to build relationships and reach an audience that is getting more and more difficult to reach with traditional media.

Surely if one of the most traditional institutions in the world can embrace social media, even the most traditionally-minded hospitals can say “I do.”

Coke or Pepsi?  That is an age-old question.  The battle between the two soft drinks has been the longest running and, at times, the most competitive marketing battle in the history of branding.  And last year the battle took an interesting turn.

Pepsi announced that after 10 years they were dropping their investment in the Super Bowl and were putting half their budget into social media.   The strategy was their Pepsi Refresh Project.   They committed to Facebook, Twitter, live Ustream video and iPhone apps and encouraged consumers to suggest social causes that would “refresh the world”.  Using social media, consumers could vote for their favorite causes and Pepsi would donate millions to the ones chosen and use social media to promote the positive impact of those donations.  Traditional media was used to promote the social media effort.

Mark Ritson recorded the results for Marketing Week  and they were impressive.

Eighty million votes were cast; Pepsi accumulated 60,000 followers on Twitter and 4 million “likes” on Facebook.  In contrast Coke stayed with traditional media and advertised in the Super Bowl and on American Idol.

Great success right?  Well after all the conversation about Pepsi’s revolutionary marketing approach, Pepsi’s sales began to decline.  And Coke’s didn’t.  Pepsi lost 5% market share which translated into a decline of a half billion dollars in sales.  And perhaps for the first time in history, Pepsi gave up the number two position and fell behind Diet Coke. 

So what does this mean for healthcare marketers?  Does it mean social media is worthless?  No.  There are far too many social media successes to make such a conclusion.  But I think it does mean the advantages of social media have been significantly exaggerated.  And it also means traditional media is not dead.

Social media is a tool, a very useful one – in a brand’s integrated marketing mix. It should be considered, and in many instances, part of the marketing mix.  But social media is not the ONLY real thing.

The pressure is on.  Social media is here and here to stay.  It is a new way of doing business and if you are not doing it, you are behind.  And there are so many things to do. Facebook, Twitter, blogging, YouTube and viral marketing just for starters.  And as healthcare marketers we need to be engaged in all of these to be successful.  At least that’s what we are led to believe.

But the fact is that each of these social networking options requires time and effort but few of us have a larger staff or more resources.   Healthcare marketers still have all the responsibilities they’ve always had…and more – in most cases.  And social marketing requires time.  So we are left overwhelmed and confused.  We feel the pressure to become engaged but how do we get it all done?

A bit of advice is to relax a little.  And start small.  It’s impossible to do everything at once.  Even more impossible to do all of them well.  And still keep up with your other important responsibilities.   We all have the long list of things to do and the daunting task of getting them accomplished.  And that list includes multiple social media tactics. But maybe this is the wrong approach.  Perhaps the best thing to do is to start with one thing and do it well.

Brian Sheehan, associate professor of advertising at the Newhouse School Syracuse University gave this advice in a recent article in Ad Age, “since most companies have no new people, just do one thing.  And then do it really well. Once you have mastered this, then – and only then—think about doing a second social media program.”  Forget about the list of 10 things to do to be successful in social media or the seven steps in mastering social media.  For most healthcare organizations that’s totally impractical because it will lead to either paralyzation, because you can’t get it done, or a very weak effort, because you are spread too thin.

Social media is about engaging consumers in meaningful conversations.  That’s it!  And if you do a really good job of that, social networking can be very effective.  And if you don’t do it well, you are better off not doing social media at all.  If we are trying to do too much, more than we can handle, it will not be successful.

Choose what you think would work best for your organization.  The thing you think would engage your audience and best meets the needs of your organization.  The one thing that has the best chance of success.   Choose one thing and do it as well as you can. So let’s get started.  But keep it simple.  Keep it small. Do one thing and do it well.  And if you can’t do it well, don’t do it at all.

Here are six basic strategies for using social media effectively without being overwhelmed. 

Healthcare marketers are wading in and getting their feet wet in social media.  There is a very large audience on social media and many of them are open to establishing meaningful and useful relationships with brands.  Especially around topics that are important to them.  And healthcare is certainly one of them.

But there is so much noise in social media.  Like practically all mediums, it’s difficult to be noticed, to be heard above all the noise.  And marketers are also finding, as they begin to utilize social media, it can be all consuming.  It can become a monster that constantly needs to be fed.

So how can you establish or enhance your brand and build meaningful relationships, breaking through the clutter but not letting it consume you?  Dave Olsen, the Community Marketing Director at HootSuite,, writing for TalentZoo.com, outlined several tips for social media effectiveness.  Here are six strategies drawing from his comments.

1.    Start by Listening

Listen to those active on social media.  Listen to what they are saying.  Learn about their desires, concerns, behaviors and attitudes.  Listen with a discerning ear to learn.  And you can respond to relevant comments with advice, information, tips, concerns, etc.  Do not try to sell.  Just engage them when appropriate.

2.    Reach out to Influencers

Engage those who can be influencers.  Build relationships with them and then ask them to share their experiences with others.

3.    Instant Focus Group

You can get instant feedback to just about any question you may have.   New service, proposed changes, patients’ concerns can all be discovered by asking for feedback.  It can provide very valuable input.

4.    Learn about Competitors

Listen to what’s being said about your competitors.  Set up a system to retrieve comments being made about your competitors.  This information can be very helpful intelligence alerting you to changes, new initiatives and issues concerning your competitors.  And it can help you identify new opportunities.

5.    Early Warning System

Rumors, negative comments, criticism, bad reviews can all be very damaging.  You need to be listening to the conversations and weigh in appropriately.  By being aware of what being said about your brand, you have the opportunity to address falsehoods, correct misconceptions and squelch rumors.

6.    Play Party Host

There are all types of people who comment on social media.  Your role is to keep the conversation going.  Make sure everyone is civil and behaves appropriately.   Create the tone.  Make sure it’s helpful and consistent with your brand.

These tips are simple strategies that can help you utilize social networking sites.  They can be implemented without requiring a burdensome amount of effort – but yet be very effective.