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One way Twittering at RSNA 2009

December 19th, 2009

Overcoming the legal and regulatory hurdles associated with social technologies in MedTech is just the beginning of the battle. Companies must still segment their audience by their social-graphic tendencies in order to develop a Web 2.0 strategy that fits with their patients’ and physicians’ social technology engagement habits. I recently attended the annual meeting of the Radiological Society of North America, where social technology crossed paths with physicians and the medical imaging industry in a high-profile way. 

Conference organizers generated hype around Twitter and pre-announced that Twitterers should include the #RSNA09 hash tag to label their RSNA related tweets. A live feed of #RSNA09 tweets was posted prominently on the main RSNA conference web page. Yellow-shirted Twitter teams walked around the conference to promote the medium by drawing attention to themselves (yellow t-shirts in a sea of suits) and sponsoring Twitter-mediated giveaways. 

As a result, 163 Twitterers sent a combined 857 tweets in the nine days around the official four and a half days of the conference (see Figure 1).  The top 15 Twitterers, who generated over 55% of the total tweets, were overwhelmingly represented by commercial vendors and the RSNA staff (see Figure 2). 

 

Figure 1: Analysis of tweets containing the #RSNA09 hash tag, decomposed into tweets, re?tweets, and replies.

Figure 2: Top 15 tweeters, re?tweeters and repliers. Analysis of all tweets containing the #RSNA09 hash tag.

 

A lexical analysis showed that 141/857 (16%) of the #RSNA09 tweets were re-tweets, indicating that one person thought it worthy to repeat what another person had said. An additional 80/857 (11%) of the #RSNA09 tweets were directed at, or explicitly mentioned, another Twitterer. Using the re-tweets and referential/conversational tweets as a measure of social interaction among conference attendees and vendors, this analysis shows that there was only a moderate amount of Twitter-mediated social interaction at RSNA 2009 (27% of all tweets). 

Was Twitter an effective outbound marketing channel at RSNA09? Perhaps; the silent customers, including physicians and hospital administrators, who may have been following the #RSNA09 twitter feed, may have read vendors’ tweets and subsequently followed a hyperlink or visited their exhibit at the trade show. The entry cost for vendors to use this communication channel is negligible and their actions are immediately observable, which facilitates a rapid competitive response (see Figure 3). Yet, the modest level of social interaction suggests that the Twitter audience was not fully engaged by this social technology. 

Figure 3: Three large medical imaging vendors: cumulative tweeting by day at RSNA 2009. Philips and Siemens demonstrated a relatively consistent level of twittering, while General Electric had a surge of activity on the second day of the conference.

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Social technologies in the medical technology industry

December 16th, 2009

Medical device and pharmaceutical vendors in the regulated health care industry are feverishly trying to develop Web 2.0 strategies that leverage social technologies to connect with patients and health care providers. However, progress has been slow, in large part due to the FDA’s existing regulations on product labeling and the lack of clear guidance on how existing regulations from traditional print and television media apply to the newer, internet-enabled Web 2.0 channel.

My use of the term “social technologies” is a conscious choice over the ubiquitous “social media”. The latter connotes a communications strategy aimed at pushing out a message, as the marketing function has traditionally done through newspapers, magazines, and television. The tools that enable social interaction on the internet are capable of offering companies much more than an outbound marketing channel. When used effectively, Web 2.0 enables individuals to come together as a community. I posit that Web 2.0 has flourished in settings where individual users perceive a direct benefit from their engagement, and where they feel empowered and free to interact. Companies that can create the right environment for their customers will reap much more benefit than can be achieved from “just another outbound marketing channel”; these companies will be able to harness their communities’ collective wisdom for driving innovation processes and rely on customer-to-customer interaction for word of mouth marketing and for solving simple service requests.

One of the key, fundamental differences between the old and new channels is directionality. Print and television are largely unidirectional, allowing vendors to disseminate a carefully crafted message that complies with FDA regulations. The internet made it easier for customers and vendors to engage in instant dialogues, which can still be controlled and made to comply with regulations on labeling. On the other hand, Web 2.0 social technologies bring together groups of people so that they can interact with one another. These tools benefit from network externalities, but as the number of engaged users grows, the resulting multilogues become harder, if not impossible, to control. Further complicating matters are tools like Google’s SideWiki, which allows a user to visit any site and to leave comments in the margins of the web page. The comments are stored on Google’s servers and are adjoined to the site’s web page only in the users’ web browser. The website owners have no control over the comments that visitors leave in the SideWiki [1] but a naïve third party may go to the company’s website, stumble upon the SideWiki discussion, and think that the company is somehow involved. Legal and regulatory teams fear that a visitor may discuss an unapproved application of their medical device, and that the FDA will hold the company responsible for off-label promotion. Unfortunately, the FDA has not provided guidance and companies can’t control and don’t have the resources to respond to every SideWiki comment on every page that may be left on their websites.


[1] Last month, Google announced a webmaster SideWiki entry which allows the owner of the website to write a special SideWiki entry that will remain the top entry of that page. This may be exactly what the FDA regulated industry ordered; companies will now be able to leave a disclaimer distancing themselves from the rest of the user generated notes in the margins.

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