Hospitals should not ban access to social media

“Instead of focusing on treating him, an employee said, St. Mary nurses and other hospital staff did the unthinkable: They snapped photos of the dying man and posted them on Facebook.”

What can you say about an article like this? I bet there is not a single physician or nurse who are not reasonably conversant about the basic tenets of the health care privacy laws under which they practice.

Stupid is as stupid does. Perhaps more appropriately, stupidity is demonstrated by the actions of the one — or in the case, the many.

It still amazes me that people do not realize what the implication of hitting the “Enter” or “Post” or “Like” button is in our connected global society. In the health care space it is obvious that there are still a handful of doctors, nurses, orderlies, and ancillary providers who still don’t get it.

But what should an institution’s policy be? Ban access on the network? Perhaps naive, but my answer to that is a resounding no. Most people still have smart phones with WiFi or 3G access and can just as easily post to Facebook or Twitter and I doubt that the hospital’s liability is diminished.

Hospitals need to embrace social media, develop a comprehensive social media engagement policy, educate their staff, set acceptable parameters, track or monitor usage, remain vigilant and continue with the education process in perpetuity as social media is fluid and evolving and changing everyday.

Education, clarity, transparency and engagement is the key.  Not banning access.

Howard Luks is an orthopedic surgeon who blogs at The Orthopedic Posterous.

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  • http://medicalpastiche.blogspot.com Peter

    I think social media, especially Facebook and its social game “FarmVille”, should be banned from all hospital computers. Millions of man-hours are wasted in the hospital from hospital staff, particularly nurses, who are spending significant amounts of time raising virtual sheep and taking care of virtual crops, instead of taking care of actual people.

    The author says that banning Facebook from work computers will only cause people to use their phones and PDAs to access it. I would welcome such a change! At least the work computers can be freed up to be used for actual work on the computers, for say, using an electronic medical record to access lab values or read an X-ray or write a note.

  • http://www.howardluksmd.com Howard Luks

    Peter, your point is well taken… but somehow I can’t imagine waiting behind an employee playing Farmville so I can post an order or look at an Xray.

  • http://patientprivacyreview.blogspot.com/ Doug Capra

    Let’s be honest. After the Wikileaks does anybody out there really belief that our personal medical files are really protected? If nearly a million Pentagon and State Department confidential memos, wires and reports can be so easily leaked, that doesn’t leave much hope for the rest of us, does it? I don’t have the answer. I don’t think anybody does right now. The technology is all too new. But something has to be done, and soon.

  • http://www.nuesoft.com David

    Wow, hadn’t heard about that story. Physicians definitely have to be careful with social media, but they can definitely use it to their advantage as well. Some interesting links:

    AMA Social Media Policy Guide – http://www.ama-assn.org/ama/pub/news/news/social-media-policy.shtml

    PR for Physicians Podcast – http://www.nuesoft.com/news-events/podcast/july-2010.html

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