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SCHA

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access to care…a simple idea?

According to AccessHealthSC.net, “According to the most recent data, roughly one in six South Carolinians has no health insurance. The number one reason they give for not having health insurance is that they cannot afford it.”

AccessHeathSC.net also states, “And that’s a problem for all South Carolinians. People without health insurance are more likely to delay needed medical care until they become very ill. They are more likely to go without screenings or preventive care. Often, emergency rooms are a primary – and not always appropriate – source of care. In 2007, South Carolina’s hospitals provided $1.3 billion in services for which they were not paid. Businesses with insurance are paying increasingly higher premiums to underwrite the cost of care to the uninsured. High costs are forcing many small businesses to stop offering health insurance. Today, only 33 percent of private sector employees with fewer than 50 workers offer insurance to employees.

According to a survey by the US Centers for Disease Control and Prevention (CDC), 46.3 million Americans, or about 15.4%, did not have health insurance coverage in 2009, representing a slight increase from 2008. Nearly 60 million, or one in five, had gaps in insurance coverage over the course of the year, according to the survey data.

They are all around us. They might be you and I. From small businesses, entrepreneurs, and even big-box companies; millions of Americans do not have access to care because the lack of insurance. These Americans are all around us…for every five people around you, one does not have insurance. They are in our emergency rooms, free medical clinics, places that offer services when they have no where else to go.  This hurts, it breaks my heart. I know…I had no insurance for close to six months and it was stressful.

As one of the most prosperous countries in the world, we cannot even provide affordable health care to those in need. As I worked with the Duke Endowment and the NC Association of Free Clinics to produce the video above, so may are scared. They are scared of hospitals and doctors offices not only because of the medical outcomes that surround them, but wondering if they will be turned away because of the lack of insurance or resources to afford the services.

The system is broken and there is need of reform. There are those that abuse systems with programs like Medicaid and Medicare. But for those who abuse the system, there are those that are flooding the Emergency Departments everyday with simple needs that have lingered so long it has turned into critical medical issues.

Let’s think for a second, if one person could have access to high blood pressure medication, it could save a hospital hundreds of thousands of dollars in unnecessary costs and resources. That preventative care could keep that person from a serious heart attack, which leads to CCU and ICU care in a hospital. That care for an uninsured individual could run hundred of thousands of dollars, and could be prevented with access to simple medication. This is just one of the many examples.

Did you know that in North Carolina $167,629,250 in free health care services were delivered to uninsured patients totaling more than 200,000 patient encounters during 2009, thanks to the efforts of 6,200+ volunteer health care professionals and other community volunteers donating more than 262,000 hours of service.

So how can you help?

  • Volunteer your time to Free Medical Clinics in your area.
  • Give your money to Free Medical Clinics in your area.
  • Educate yourself about how health care reform is really going to impact you and the people around.
  • Share this story with others using Facebook, Twitter, and any other outlets that you have access.
  • Write your representative on the local, state, and federal levels to let them know you care.

To learn more, go to AccessHealthSC.net or NCFreeClinics.org.

To read more about what the NC Association of Free Clinics is doing to help the uninsured, CLICK HERE to download their fact sheet.

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Bridging the gap between the “haves” and the “have nots”

For about six months, my wife and I did not have health insurance. Yes…no health insurance. This was probably the first time in my life that I walked around, drove a car, existed without health insurance. At the end of 2009, my wife and I decided it was best for me to un-invest in a company in which I was part owner. This company was my last health insurance provider before becoming self-employed. For years, I have worked for major companies, all of which offered major health coverage. But when December 1, 2009 rolled around…Sarah and I were un-insured. You never think about it until the first time you fall, get sick, or even have that one moment in the car when you think you were close to an accident.

Carrying health insurance is more than just something that is a luxury, in the world of small business…it is a line item. It is that one thing that is tough to justify, especially when building a business…trying to decide whether to pay yourself (which pays the mortgage) or have health insurance. We set benchmarks for the business, and when we felt the revenue reached a certain goal, investing in health insurance became a reality. That is why we invest in an HSA Program through Blue Cross Blue Shield of SC.

So, on August 6, 2010…I worked with South Carolina Hospital Association to find and document stories of the un-insured. AccessHealth’s SC Mission 2010 put together a free medical clinic in Greenville, SC at the Carolina First Center. Over 2000 people came from all over the Southeast, some as far as Virginia. Each one, seeking medical care.

I met a nice lady named Judy. Judy was a sassy lady, but one with tremendous conviction. She was determined to be seen and determined to seek help with her medications. She was so determined to be seen by a physician, she arrived a day early and spent the night outside the front doors of the Carolina First Center. I do not mean she slept in her car, she propped a chair against the front door and maintained her spot in line, overnight, outside, during a huge thunderstorm. She was determined to be seen the moment the doors opened. You never know what it is like to go without health insurance, until one day…you do not have that opportunity.

So many Americans today are without basic health insurance, access to care. They have no primary physician. This lack of insurance takes them to the Emergency Departments across America. Our Emergency Departments are today’s primary physician for most un-insured. Hospitals everyday write-off services because those who seek care come without insurance and the inability to pay the inflated costs dictated by insurance providers. Hospitals are struggling, trying to find the balance between providing quality care and declining reimbursements for the un-insured.

I met Sid at the Carolina First Center while waiting to have his eyes checked. Sid told me about a time he had to go to the hospital and the final bill was $13,000.00. He said, ” $13,000…I will never see $13,000.” This statement is the epitome of today’s un-insured population. America is slowly spreading the gap between the “haves” and the “have nots.” No wonder the idea of providing basic medical attention and simple health insurance is a promise of care for today’s struggling population. Imagine not having insurance, falling and breaking a bone, and then no idea what to do! So many small business survive everyday with this basic fear, the fear of the unknown.

AccessHealth’s SC Mission 2010 was just one event, bridging the gap just a little more between the “haves” and the “have nots.”

Read more about the day at SCHA.org by CLICKING HERE.

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It is a Social Media Revolution…I am still thinking!

Well it is a two days after the South Carolina Hospital Association’s Social Media Revolution and day two of synthesizing a ton of good conversations. One thing that has been re-affirmed…it is still Social Media and it needs to stay social. Seriously, they are media’s and they are controlled by the social masses.

Reed Smith finished with this parting question,” Who Owns Social Media?” My opinion, the masses. The people that are using these media’s to socialize, share information, connecting with others are the ones that own social media. Organizations are just one of the many people in this vast paradigm interacting with other colleagues,  constituency bases just like my mother sharing pictures of her Vegas trip. She has an audience, she engages with her audience, shares information, receives a level of response, and continues to engage in conversations. If people were not responding, commenting, engaging, sharing, and generating conversation…then Facebook would not be the Number One website jumping over Google (Via Ed Bennett)

We as marketers, hospitals, organizations should understand and respect the paradigm, or we will find one more way to shape a vastly growing medium into a form of one-way conversation…one more time! So, it comes back to audience…knowing our audience and finding ways to join the convesation instead of creating one more marketing stream, hoping that some mom from the age 25-34 is going to by into our poorly created message as we cram it into a medium with a sledge hammer. We have big sledge hammers!

Social Media is no longer an after thought when it comes to hospitals marketing strategies. VP’s and Marketing Directors are quickly trying to evaluate staff resources and figure out how to staff the shift.  The shift is not just Social Media, but New Media and Rich Media. We are asking questions to those large organizations how they are staffing a marketing/pr and comparing it the numbers of the web/media staff. Some do not have a web/media staff, outsourcing to a vendor in the hopes it will create a band aid until the next fiscal conversation.

Ed Bennett told the crowd of 125 at SCHA’s Conference Center that his staff at the University of Maryland Medical Center is 8 web/new media professionals servicing all social media and web outlets compared to the marketing/pr staff has 8 members as well. They are making the shift and taking control of creation and distribution of the their message. Amen brother…preach it to us, we will follow. Trust me, every decision maker in that room was jotting down that number and thinking about integrating those stats into their strategic capital requests! Bottom-line, that is where the ROI discussion should be located.

Social Media efforts are now being integrated into every aspect of a hospital’s and physician’s marketing efforts. They are learning that Social Media has another ROI point of interest, it is generating direct hits to their web portals, directing audiences to the message, reducing bounce rates, and creating strategic linkage systems that bolster rankings in the search engines. It is a search engine war as hospitals in the same geographic areas are competing for the search engine space. Not only with Google but with YouTube…why, because YouTube is the Number 2 search engine right now, today! (Via Ed Bennett) Hospitals are creating rich media that gives audiences palatable information that helps potential clients make decisions from service lines to which ER (ED) to choose.

Social Media efforts are being integrated daily into all campaigns. It is no longer the game of just creating a billboard and “brochure” and then create a totally different message for web/social media/new media outlets. Now, these efforts are being combined, where there is a conversation of consistency in design across the whole board. You no longer see the Facebook and Twitter logo as an after thought at the bottom of a print piece, it is taking over as a major position in the design and including the exact URL to find this social media outlet. Oh yeah…we are in a mode of securing our domains before someone takes over our message. Look at what happened to BP, someone created a Twitter account (@BPGlobalPR) to post off color messages about the oil spill in the gulf. Is it really a pr nightmare?

And…OH…AND…TWITTER AND FACEBOOK ARE NOT THE ONLY SOCIAL MEDIA’s! Conversations are being created on Flickr and YouTube. People like to share pictures and video. They like to be creative and find others that share their vision. So campaigns are being created so that audiences can take part in the media creation. Organizations are creating campaigns allowing audience to submit videos and pictures that lead to idea generation and community building. We all have a way to express ourselves so why not capitalize on user generated media. Plus, marketing departments know they are biased based on strategic messaging (that waters down the social conversation), it makes more sense to let the audience lead the way. Once again, the masses own Social Media.

Policies and Procedures…oh yeah, that too. It is time to dust off that HR generated web policy that we have employees signed, the one that was created in the 1980’s. It is time to realize that we cannot close the pipes much longer inside hospitals and organizations. There is this new little nifty thing called a mobile device. Yes, those phones that are now media generators and media distributors. We can now walk around hospitals until we find that service bar on the phone, take a picture, and upload it to Facebook. Do not mind the fact that I cannot log onto Facebook from my company issued computer…we will show them. Do not mind that the hospital’s Wifi is in and out, we can get close to a window, get service, and send a picture of Uncle Harry that just got out of surgery and is ok now! Oh, there is this new thing called an iPad and a Netbook that does not need Wifi anymore and it has a the ability to do more than the mobile phone. So we need to generate a policy that is more than just a social media policy, it is Media Communication Policy for not only employees but patients as well. Signs need to be put up around hospitals to remind of best practices when taking pictures and sharing information.

IT IS A SOCIAL MEDIA REVOLUTION!

So where are we now and where are we going? Heck if I know, but I know this…location based technologies like FourSquare and Gowalla are hear and gaining traction. They are the real Social Media ROI generators, when people check into a location, it provides an exact location for all the masses to see. We now can start targeting information and strategies based on where the masses (or audiences) are checking in. We should, because Starbucks is doing it, providing incentives for those who check in the most…DISCOUNTS! Hmm, this could work well for hospitals that have wellness programs integrated with work-out facilities.

I tell you what, that Reed Smith and Ed Bennett are smart peeps…and Micheal Shetterly of Ogletree Deakins Law Firm got me thinking about this Social Media Revolution. It is about audience, purpose, delivery, engagement, and right to privacy. Yes, Right to Privacy…and what is your expectation to privacy. These new policies and procedures need to include how, when, and where information is created and distributed, especially if the company is footing the bill for that Balckberry, iPhone, or Android you are carrying. If they pay, they might have a right to access the information you generate on that device.

Social Media is here to stay and we cannot avoid it…AT ALL. So it is time to find ways to staff it, generate best practices, follow the audiences that own it, and be prepared for it’s evolution. This Social Media Revolution is going to evolve into the next media revolution that has the acceleration of an “E” ratio…forward and fast!

BTW – The Adams Group had two great recaps of Social Media Revolution: Part One & Part Two

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It is a Social Media Revolution! Getting ready for healthcare panel discussion.

South Carolina Hospital Association (@SCHospitals) and Carolina Healthcare Public Relations & Marketing Society have put together a Social Media Conference in Columbia, South Carolina; a conference to bring hospitals from North and South Carolina to have a conversation. They call it a Social Media Revolution.

Thought leaders Ed Bennett and Reed Smith will be leading the discussion and providing the platform for hospital discourse to flow freely…the conversation: what does Social Media mean for my hospital. If you want to follow the conversation on Twitter…Click Here or use the hashtag #smrev via Twitter.

I have been asked to lead a panel discussion in the afternoon, so I thought I would spend a few minutes to refine some notes for the discussion.

Here are our panelist:
Dr. David Geier (@DrDavidGeier)
Director of Sports Medicine | MUSC

Ronda Wilson (@GHShospitals)
Director of PR & Marketing | Georgetown Hospital

Andrew Busam (@randolphhosp)
Public Relations Coordinator | Randolph Hospital

Sally Foister (@SallySF & @GHS_org)
Director of Marketing | Greenville Hospital System University Medical Center

Discussion Points:

Marketing
– How did you get started?
– What are your successes?
– How did you get started operationally/organizationally
– How do you manage your outlets?
– How do you find the resources to manage?
– How does SM fit into overall strategy
– Georgetown – Why did you wait “so long” to integrate?
– Dr. Geier – How do you use it under the umbrella of a bigger organization?

HR/Careers
– How is SM being used as a HR/recruitment tool
– How do you manage conversations inside an organization? Or do you?
– Can it be used to recruit nurses?
– How are you using to promote career paths?
– Is recruitment a part of your strategy?

HIPPA/Patient Information
– How do you deal with privacy?
– How do you deal with SM Diagnosing?
– Do you want to be a thought leader online but not physician online?
– How do you use SM to create conversations as a physician?

General
– How can a small bed hospital use SM to engage a community?
– How do you monitor conversations and address audience concerns/complaints?
– How do you manage accounts?
– Who wears the “Company” hat or who keeps it personal?
– What is the strategy from an aesthetic branding perspective?