Why you are seeing censorship banners today:
Presentation by Sharon Boston and Ed Bennett
Note – the following essay was included in Mayo Clinic Social Media Residency Handbook
My passion for social media was sparked by two events separated by ten years.

In the late 1990’s, back when the commercial web began, I helped dozens of organizations develop their first web presence.
Many business leaders understood the radical changes a web site could bring, but they were in the minority. Most belittled the idea, sticking with business as usual. (“Our customers use the Yellow Pages.”) Sadly, the most skeptical industry was healthcare. Some major hospitals didn’t have a web site until 2006.
The second event was more personal – watching my daughter grow up as texting, MySpace and then Facebook became the glue holding her friends together. As I explored these services two things became clear and by 2008 I was convinced that:
1. Social media was redefining the web – providing tools people wanted and were using at extraordinary rates. It wasn’t going away and seemed to be in the early stages of something big.
2. Hospitals would, once again, stay behind.
That’s what motivated me in 2009 to build the Hospital Social Network List. A tool for hospital marketing communications (aka, marcomm) folks, it answered the critical management question, “You want our hospital to be on Facebook? Is anyone else doing it?”
Three years later, a significant percentage hospitals are active on social media and we’re just starting to understand the value for our patients, community, and organizations.
These trends are now converging within the healthcare industry:
- Workforce demographics – staff who grew up with social media are getting into more senior management positions.
- Patient expectations – patients use these social media to connect with hospitals and healthcare professionals for themselves and families.
- Patient communities – empowered patients use social media to take charge of their own health and encourage others to do the same.
What can you do to prepare for these changes?
- Learn these tools and become comfortable with the communities they build.
- Prepare your organization for change. Educate and encourage the participation of your peers and management.
- Healthcare has hundreds of topics/areas, what’s your special interest? Find your niche and become knowledgeable and passionate.
- Build a network of trusted colleagues beyond your organization. Share ideas, answer questions, and don’t be afraid to ask for advice. (You are always welcome to call me – the telephone is still my favorite social media tool)
But most of all – have fun! There’s a reason 800 million people use Facebook
(photo credit – How It All Begins, by Greg Fallis)
Three years of hospital list data summed up in two charts. Any questions?
(Thanks to Josh McColough for the graphs)


Last week I presented at the Mayo Ragan Social Media Summit and shared data on hospital use of social media. One data source was the Ubicare Healthcare EQ Chart. This post provides more detail about the chart methodology and its results. (Full disclosure – I am a paid adviser to Ubicare)
Ubicare is a content and communications vendor for healthcare organizations. For the past six months, they’ve monitored activity on the Facebook pages of 1,000 hospitals, calculating the interactions, and publishing the results. The goal is to go beyond simple fan counts and look for robust, active communities:
This Engagement Quotient (or “EQ”) Chart details activity on more than 1,000 hospital and healthcare-related Facebook pages. It offers a measurement of fan interaction with those pages by culling data from Facebook, which is then used to calculate an EQ percentile.
Because more fans does not equal more conversation, this calculation is used:
EQ = Likes + (7 x Comments) + (7 x Fan Posts) + (2 x estimated Clicks) / Fans (min. = 500)
…which balances out results between large and small communities. (the FAQ has a deeper explanation of the formula)
Each week the chart gets updated, the top 50 hospitals identified and links provided to their Facebook pages. Take a look at the leaders. They are usually not large, well-known institutions but smaller facilities with close connections to their physical community and internal staff:
Some Stats:
Ubicare is currently tracking 1,078 healthcare Facebook pages.
- 67% of these pages have < 1,000 fans, 41% have < 500 fans.
- Fan bases are increasing – about 1 percent per month for those with over 500 fans: The median of fans per page is now about 625, up from about 470 in March/April.
- The average likes per comment is 7.4 to 1
- Posts on these pages consistently get about 3 likes per 1,000 fans.
- Pages in the top 10th percentile of EQ average nearly 8 posts per week.
- Pages below the top 10th percentile average < 4 posts per week.
During the first 22 weeks of tracking healthcare’s engagement on Facebook:
- 120,464 posts were made on the pages being tracked.
- These posts garnered 651,053 “Likes and 104,321 “Comments.”
What’s Working for the Top Communities
- They post at least 4 times per week, and up to as often as 3 times per day.
- They post “eye candy”: videos and photos of people.
- They post “interactive” things such as quizzes and contests.
As always, I welcome your comments and feedback.