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CIO Unplugged

Social Networking: Why Every CIO Must Open the Gates

Published June 30, 2009 10:56 AM by Edward Marx
The views and opinions expressed in this blog are mine personally, and are not necessarily representative of Texas Health Resources (THR) or its subsidiaries.

As the printing press fueled a transition from the Dark Ages to the Renaissance, Social Networking (SN) will be the transformation catalyst of our century. Johannes Gutenberg invented movable type to improve the production of books, which at the time were handwritten. He altered history. Seeing that SN could have the same power to enhance life as we know it -- from personal and private lives to science, business and culture at large -- I have thrown open wide the gates of SN.

As with any type of reformation, new ideas will encounter opposition, even violent reactions. Traditions and the philosophy-of-the-day are challenges to overcome. Sections of the population will fail to adjust; others will dedicate their lives to discouraging and resisting change.

I don't blame or look down on any who question today's technological advancements, or changes. SN in particular. Resistance is natural, understandable. Sometimes it comes from personal discomfort -- having to learn something new. Other times one is simply trying to make sense of SN in the confines of the corporate structure, assessing benefits, costs, risks and productivity. As with all things new, proceed with caution.

But the operative word is proceed.

I am a proponent of SN for a variety of reasons, both personal and professional. Although I will focus on the professional aspects, I do not subscribe to the theory that there is a distinct separation between the two.

Why SN?

Training. All over the country we are implementing electronic health records and other disruptive technologies. One significant barrier common to all is a lack of basic computer skills, especially amongst older workers. I speak with many clinicians and I can tell you that those active with SN have an easier time adopting computer-related technologies. The fear of the unknown has been removed. So, if it's FaceBook that helps them to grow comfortable with how computers work then let's be friends!

Recruiting. My division reaches out purposefully through multiple SN media. We have already recruited a couple individuals via FaceBook and LinkedIn. Potential candidates see our organization as innovative and our leaders as active with SN. They capture a glimpse of the culture and openness. Our institutional Fan Page has also drawn many, and sharing the benefits of a career with our organization on YouTube and Twitter is also bearing fruit.

Employee engagement. Transparency accelerates relationships and engagement. This past week, one of our 18,000 employees reached me through the chat feature of FaceBook. In summarizing her words, this person saw my profile and determined that I was safe to approach. She shared with me some circumstances in her life, and I was able to help her. This interaction significantly exemplified the promise our organization holds dear: "Individuals caring for Individuals, Together." Since we have moved toward a virtual office environment, SN keeps us connected with one another. We can see what is taking place in each other's lives so when we do meet, we can skip the small talk about weather and touch on more meaningful subjects.

Educational community. Weekly, someone reaches out directly to me for assistance. If asked questions specific to medicine that I can't address, I connect them to the proper authority. Other times, I've assisted college students with projects related to health care information technology. On the receiving end, I regularly access information about the latest in our field that helps me develop professionally and add direct value to my employer and customers. I have greater choice and flexibility in how I aide my development.

Transformation. We need constant input of various sources to enable transformation. The confluence of ideas and innovations is what often lead to a Glorious Mashup. SN is the ideal tool to receive and share a wide variety of information that will lead to the next small and big change. I process and apply what I take in on a daily basis. With SN there are no limits or boundaries.

Culture. As much as we resist, we have new generations entering the workplace and they are looking for a new kind of organization and leader. SN is an effective venue to demonstrate the transparency, flexibility, and collaboration required to successfully compete for talent.

Fear. The root motivator that causes administrators to seek tighter controls. Choruses for restrictive policies often become the norm. Critics cite loss of productivity, too much openness, and security risks as reasons to abstain. Resistance based on these judgments doesn't outweigh the benefits. Check what's happened recently in Iran. Leaders can no longer legislate values or write policies to seek control. People are relying more on influence and leadership than on strict rules and regulations.

The road to SN is frustrated by hedges of fear and hurdles of tradition, thus a CIO needs to lead the way confidently and smartly. Follow generally accepted SN guidelines as you advance through the opposition. Expose the lack of understanding in institutions stuck in conventional wisdom of the past.

Still hesitant? Consider a recent exchange I had with a CIO colleague who works where SN is forbidden. I sent him a birthday greeting via FaceBook; he replied shortly thereafter. How? Via his hand-held of course! Even where SN is shut down, people still find ways to engage. The advanced world is moving toward SN. No one can stop it.

Don't be left behind. Worse yet, don't let your organization fall behind. Lead the way!

Editor's note: Mr. Marx encourages your interaction through this blog. (Use the "add a comment" function at the bottom of each post.) You can also connect with him directly through his profile pages on social networking sites LinkedIn and Facebook, and you can follow him via Twitter - User Name "marxists."

7 comments

Great Post Ed

@Tammie-Power social networking tip. Most social networking sites have applications to download to a cell phone. This creates flexibility to access sites “on the go” and eliminates the desktop/laptop only access. In my case social networking has helped in my career enhancement/development. It has enabled me to connect and learn from individuals in various geographical areas. Without social media, opportunities like these would not have been as easily available. With the increased use of Yammer at THR it’s also been the best medium so far for me to learn what is going on in the organization. It’s a myth that only young or recent college graduates can keep up with technology. I believe any individual who wants to can.

Face to face interaction and phone conversations are very important and should not be phased out completely. However social media will have to be embraced preferably sooner than later as it’s the new trend in the future. Just like computers have evolved over time social media is only going to expand and get better.

Juliana Lubwama, Information Technology - Strategic Management Analyst, Texas Health Resources August 28, 2009 4:24 PM
Arlington TX

I think the reason facebook is blocked in many hospitals is productivity, and the high risk it poses in allowing viruses to enter the system.  With the move to EHR, how are you approaching the task of keeping personal medical information safe while at the same time allowing all of your employees to visit social networking sites?  How would you advise doctors and nurses to create personal patient care (which we are graded on through websites like patientsfirstma.org) by using a computer?  I am saddened by the amount of updating and texting that goes on, even when we are in the physical presence of people.  What happened to actually speaking to people you care about?  Why not just pick up the phone to wish your colleague a happy birthday, since he was using it anyway to respond to you?

Marie, Hospital - Marketing August 7, 2009 4:19 PM
Boston MA

Interesting discussion. SN is an enigma, many use it but only a few (like you) get it for it's transformative powers.%0d%0a%0d%0aThanks for sharing. I'm embarking on my on SN effort, not without tredpidation.%0d%0a%0d%0aBTW, we met at the Healthcare IT Summit in San Diego in November, had an excellent conversation.

David Wallace, Health Care - Business Development Manager, Maryville July 16, 2009 5:07 PM
Milwaukee WI

Our greatest challenge has been to combat the volumes of misinformation that is out there. My team started a social networking page and with no advertising at all we had 300 friends in the first hour, 500 by the end of the day, and 3,000 from around the world by the end of the month. It was the only truly interactive medium we had to connect our clinicians with our target audience.

The anonymity of the interactions allowed patients to ask us questions and receive responses from qualified healthcare professionals where they would not have do so otherwise. The stigmatism of MS has kept it underground for centuries; this new medium has opened the door for persons afflicted with this disease to get the information they need without worrying about whether or not their employer or family will find out.

To paraphrase a political slogan from a relative of mine:

FREE THE IDEAS, FREE THE TECHNOLOGY, FREE THE PATIENTS!!

Open the gates to the castle and let the information flow.

Great Post Ed.

David Stallman, HIT - Director, Information Technology, National MS Society July 10, 2009 10:50 AM
Independence OH

Edward,%0d%0aThanks for the thoughts on social media/social networking.  It's good to hear where a health system CIO stands.  We are in the process of debating and formulating the case for social media use throughout the organization.  After reading your post "It's Not About You" I assume you are for as few restrictions on access for employees to social networking as possible.  In your mind, is there an institution that has struck a good balance between setting guidelines and setting up an overburdening HQ?

Ryan Squire, Communications - Program Director, Ohio State University Medical Center July 6, 2009 4:21 PM
Columbus OH

It's hard to think of SN as career enhancement/development.  But that might be the way we need to look at it.  As you said, the newest members of the workforce are coming into the workplace with this knowledge and skill, so for those of us that are not fresh out of college, we need to catch up!

My greatest barrier is time.  Maybe I'll blog about that and someone can give me tips on "power social networking"!  

Thank you for being so willing to bring new ideas to us to help us grow as individuals and a company.

Tammie Caruthers, ITS - IM/Governance, Texas Health Resources July 1, 2009 12:10 PM
Arlington TX

Very timely discussion about a revolutionary phenomenon that is transforming our culture, just as Johannes Gutenberg's invention changed the world in the 15th century.

The resistance to SN is emblematic of "organizational immune systems" described by Michael Nielsen in his blog (http://michaelnielsen.org/blog/?p=629). As they grow and become more complex, successful organizations develop immune systems dedicated to preserve that structure. These systems serve organizations well in a period of healthy, gradual change. However, they are counter-productive during times of significant upheaval, causing even the most successful and established institutions to fail.

Ferdinand Velasco, Information Technology - CMIO, Texas Health Resources July 1, 2009 12:28 AM
Arlington TX

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