HIMSS Social Conversation Report 2015 HIMSS 15 Report

HIMSS Social Conversation Report 2015 #HIMSS 15 • Report Data: April 12 – April 16, 2015 • Report Publication Date: May 6, 2015 By: @W 2 OGroup

Conversations at HIMSS: Yo. Y growth slowdown #HIMSS 15 Volume Analysis +11% +55% 82, 496 +109% 74, 444 48, 170 +120% 23, 043 Source: Radian 6 +58% -11% Between 2012 -2014, the HIMSS social conversation rose consistently year over year. While 2015 saw continued growth in social conversations overall, it also saw a steep decline in the number of unique individuals who were a part of that conversation. Further, the rate of Yo. Y conversation growth slowed from 55% between 2013 -2015, to 11% between 20142015. Could the astronomical rise of social conversation at HIMSS be reaching a plateau? We’ll find out at #HIMSS 16!

A select few individuals drive the conversation #HIMSS 15 Volume Analysis 50% of the HIMSS social conversation was driven by 4% of the individuals engaging in the conversation. Just the top 1% drove 30% of the conversation. At HIMSS 2014, 50% of social conversation was driven by 3% of accounts. Most Vocal Source: Radian 6 Least Vocal This is slight a change from 2014, which saw 50% of the conversation driven by 3% of the individuals engaging in conversation, and the top 1% of individuals driving 35% of the conversation.

W 2 O’s 1 -9 -90 rule to systematically increase reach #HIMSS 15 -Our findings at HIMSS’ 15 reflect this trend; a small portion of users create content and have influence. -Takeaway: Targeting of and engagement with these groups is critical for social impact. 1% Create Content 9% Share and Repackage 90% Lurk and Learn 1 9 90 Opinion Leaders Influencers The Market Individuals who drive ideas that fuel conversation share with current/potential customers. Focus content and relationships here. Individuals who carry the message, and where top influencers sources ideas. Important to surround with paid & earned media. Reflects what customers read, search and discover online every day. Important to listen, educate, share and provide unique experiences.

For physicians, HIMSS remains relevant #HIMSS 15 Volume Analysis +36% +64% +55% +139% +86% Source: MDigital. Life In spite of the slowdown in social conversations overall, physician participation in the HIMSS conversation continues to steadily rise, both among physicians who have participated in the HIMSS conversations in past years, as well as among newcomers to the conversation. As a point of comparison, in the past year* the #MGMA 14 hashtag was used by 22 unique practicing physicians, #ACHE 2015 was used by 21 unique practicing physicians, #ACC 2015 was used by 52 unique practicing physicians, and #ASCO 2014 was used by 441 unique physicians. *Duringpracticing the timeframe of those conferences

Who stepped up to the microphone this year? #HIMSS 15 Trend Analysis (Sorted by YOY change) A few highlights Michael Crone Clinicspectrum Bill Bunting Tru. Clinic Fortinet Health BYOD News HIT Conference Guy Pharmacy Podcast Justin Hipps, MBA Segue. Health Candace Henley Unifi. Health egaudet Regina Holliday Brittney Wilson, BSN New. Youngs Dell Healthcare Kat. Q Pioneering HIT Nick van Terheyden Shivam Mundra, MPH Nick Adkins Max Stroud Dell Software PRITAM POTNIS HIMSS HIMS 2015 2014 2013 S 2012 947 0 0 0 764 0 0 0 717 3 0 0 591 1 0 0 465 0 0 0 438 0 0 0 326 0 0 0 302 330 472 267 211 202 359 3 35 190 0 0 3 161 0 15 177 0 0 3 105 0 0 0 51 0 200 2 0 0 191 249 0 68 0 30 0 90 181 0 0 0 485 309 122 10 176 0 0 0 165 156 152 160 0 12 0 0 0 0 For data Inquires, contact rcronin@wcgworld. com Carly Medosch Charles Webster MD SBMI synsormed Thug Metrics News Bill Kelly Paulo Machado Galen Healthcare John H. Daniels HIMSS Christopher Lotito Gabriela Wilson Gurdev Singh SONIFI Health Get. Healthy Lisa Pettigrew Shana Suwankornsakul Vocera Raza Jaffri Douglas Goldstein Amanda The Merck Manual Wolters. Kluwer. Healt h Healthcare IT agent HIMSS HIMS 2015 2014 2013 S 2012 135 1 0 0 1073 940 0 0 678 143 132 181 132 133 346 124 127 117 124 113 138 545 11 0 0 51 2 5 219 0 7 0 8 0 28 256 0 0 0 94 0 0 165 0 0 0 3 0 0 0 57 0 0 96 0 0 0 112 4 0 0 106 119 97 97 0 0 15 0 0 49 3 0 0 0 2 0 0 123 27 48 0 121 26 0 0 Individuals: • Michael Crone: New to the HIMSS scene. Business development at Emids. RTs were a majority of all engagement. • Bill Bunting: Went from near zero to hero this year. Director of Healthcare Solutions at EMC. • HIT Conference Guy: Also a new kid on the HIMSS block. Active content curator. • La Lupus Lady – Well known patient advocate. Minor participation a couple years ago, but active this year. • Regina Holliday: Not new to the space, but Regina more than doubled her participation in the HIMSS social conversation since last year. Data access for all! Vendors: • Clinic. Spectrum: Medical billing services provider new to the HIMSS conversation. Took first place for vendor participation growth. • Tru. Clinic: Telehealth platform. Active social participation. • Dell : The computer company stepped up its social presence at the conference, engaging attendees and encouraging them to stop by their booth. • *Intel Health: Account has existed since 2008, yet this was their first time participating in the HIMSS conversation. • *Mayo Innovation: First time tweeting at HIMSS as well. Demonstrative of Mayo Clinic’s increasing digital footprint and growing social reach. *Not shown; not in top 50.

#HIMSS 15 Which social handles were mentioned most in 2015? (Count of unique users mentioning) Mentioned HIMS by % DH S S Influencers* 2015 2014 2013 2012 HIMSS 21% 2932 3861 1396 655 Healthcare IT News 10% 875 306 254 209 Brian Ahier 15% 838 2624 235 239 Farzad Mostashari 22% 724 276 194 0 Deloitte Health 3% 678 221 85 45 Care ONC 13% 550 1427 300 136 Mandi Bishop 19% 547 372 230 0 Wen Dombrowski 12% 509 1160 409 145 MD Walgreens 15% 506 41 0 1 Karen De. Salvo 13% 475 1113 11 0 Vala Afshar 2% 470 287 56 0 Daniel Kraft, MD 11% 418 4 0 22 Bruce Broussard 9% 409 1 0 0 Sherry Reynolds 13% 404 270 322 94 CMSGov 11% 400 961 132 93 Charles Webster 10% 393 331 74 0 MD Nick van 13% 351 234 51 13 Terheyden Regina Holliday 24% 344 262 205 62 Humana 8% 341 3 0 0 Rasu Shrestha MD 8% MBA 337 257 41 0 HX 360™ 8% 293 0 0 0 HIT Consultant 8% 291 608 12 17 Media For data Inquires, contact rcronin@w 2 ogroup. com Microsoft in Health 1% 285 277 60 14 Jan Oldenburg Med. City News Colin Hung Robert Wah Intermountain Jane Sarasohn-Kahn Dell Healthcare SMhimss Healthcare IT Expert Air. Strip Gregg Masters Intel Health Dave de. Bronkart AMA Health. IT Policy Paul Sonnier HIMSS Analytics John Lynn Fierce. Health. IT Dell CDW Healthcare Brittney Wilson, BSN Modern Healthcare Geeta Nayyar, MD MBA Eric Topol Mentione d by % DH Influence rs* 12% 8% 10% 6% 5% 15% 2% 0% 2% 2% 8% 2% 13% 2% 0% 3% 1% 7% 2% 2% 2% 3% 3% 11% 14% HIMS S S 2015 2014 2013 2012 255 105 43 250 94 51 248 180 71 241 119 0 235 58 24 231 367 115 228 75 34 222 0 0 218 81 0 218 509 182 215 267 209 211 94 43 211 1155 209 30 3 205 3357 20 201 50 66 186 130 15 183 182 155 178 174 31 172 54 11 166 130 119 162 1 0 160 145 74 18 7 12 0 2 68 85 0 0 0 134 0 114 10 0 8 12 70 47 3 54 0 8 159 158 36 48 101 31 73 740 While HIMSS, Healthcare IT News, Brian Ahier, Farzad Mostashari and Deloitte garnered more social mentions from individual accounts tweeting at HIMSS, Regina Holliday garnered more mentions among leading digital health influencers, including: Wen Dombrowski, Dave de. Bronkart and John Sharp – a further indication that patient engagement is becoming an increasingly integral part of the health IT conversation.

Hashtag trends: Top hashtags in 2015 (Count of unique users mentioning each hashtag) HIMS S 2015 1855 1739 1044 949 749 668 HIMSS 2014 2013 2012 #healthit 2418 993 #healthcare 1395 657 #himss 788 1038 #mhealth 575 650 #ehr 556 451 #himssanity 1227 264 #patientengageme nt 601 593 345 #interoperability 573 289 164 #hit 557 469 362 #digitalhealth 555 190 150 #hitsm 521 340 #physicians 486 62 35 #Chicago 455 4 0 #analytics 442 210 101 #engage 4 health 435 0 0 #hcldr 406 155 36 #drhit 402 315 0 #bigdata 394 284 179 #ihearthit 392 0 0 #dataindependenc eday 334 0 0 #health 316 244 167 #cio 15 312 0 0 #hitchicks 273 59 53 #emr 273 163 148 For data Inquires, contact rcronin@w 2 ogroup. com #hcsm 268 212 228 561 337 814 237 275 135 3 37 203 28 196 13 1 41 0 0 0 35 0 0 73 0 0 107 231 #innovation #populationhealt h #applewatch #iot #data #Telehealth #pophealth #hie #patient #hitsecurity #meaningfuluse #hipaa #cloud #security #fhir #icd 10 #airstripprizes #telemedicine #ibmwatsonheal th #hitworks #mobile #himsselfie #wearables #cybersecurity #nurses 4 hit HIMSS 2015 2014 2013 2012 254 209 210 37 250 236 234 233 232 225 211 204 203 202 201 197 195 192 182 168 128 0 35 176 54 52 251 152 9 283 126 76 78 27 415 277 52 19 0 0 92 49 1 272 91 0 237 75 74 43 0 153 125 25 0 0 1 15 23 10 177 25 0 216 24 76 40 0 145 0 23 165 164 162 160 159 156 154 0 54 95 2 29 15 0 0 0 105 0 0 0 45 0 0 1 0 #HIMSS 15 Topic Analysis Not surprisingly, #EHR and #m. Health took two of the top spots, followed by #HIMSSanity, #patientengagement and #interoperability. Other notable hashtags include #HITsm, which stands for healthcare IT social media – and corresponds to a weekly chat on Friday’s at 11 CT – as well as #hcldr, corresponding to a weekly chat addressing healthcare leadership. #engage 4 health and #Iheart. HIT are two others hashtags worth noting, supporting and celebrating patient engagement, industry transformation and personal and professional growth through health IT. And #Dr. HIT is centralizing the conversation around physician use of health IT (and supports our key takeaways on slide #4).

Hashtag trends: Top hashtag growth in 2015 (Sorted by change between 2015 and 2014) HIMSS S 2014 2013 2012 2015 455 4 0 1 435 0 0 0 486 62 35 13 392 0 0 0 949 575 650 237 555 190 150 28 1739 1395 657 337 #chicago #engage 4 health #physicians #ihearthit #mhealth #digitalhealth #healthcare #dataindependenced ay 334 0 #cio 15 312 0 #interoperability 573 289 #himss 1044 788 #hcldr 406 155 #applewatch 236 0 #analytics 442 210 #hitchicks 273 59 #iot 234 35 #hitsecurity 204 9 #ehr 749 556 #telehealth 232 54 #pophealth 225 52 #fhir 195 27 #ibmwatsonhealth 165 0 #himsselfie 160 2 #nurses 4 hit 154 0 147 0 For#hitsmind data Inquires, contact rcronin@w 2 ogroup. com 0 0 164 1038 36 0 101 53 0 0 451 49 1 0 0 0 0 37 814 0 0 41 0 275 23 10 0 0 #hx 360 #hitmc #whymhealth #rethinkrcm #cybersecurity #wearables #cloud #hcldrs #populationhealth #nomuwithoutme #security #telemedicine #bigdata #emr #hitworks #hitsmcio #ibmmobile #himss 16 #healthdata #hit #drhit #healthtech #histalkapalooza #ptengagement #mobiletech HIMSS 2015 2014 2013 2012 146 0 0 0 146 1 0 0 145 0 0 0 144 0 0 0 156 15 0 1 159 29 0 0 201 76 74 76 125 2 0 0 250 128 19 0 122 0 0 0 197 78 43 40 168 52 25 23 394 284 179 35 273 163 148 107 164 54 0 0 105 0 0 0 97 0 0 0 91 0 0 0 111 22 89 13 557 469 362 203 402 315 0 0 100 13 11 3 107 21 32 15 103 19 4 0 95 11 3 0 #HIMSS 15 Topic Analysis When looking at hashtags that had the biggest spikes in use as compared to previous HIMSS’ conversations, #engage 4 health and #physicians saw growth in number of mentions. While the former supports the increased focus on – and importance of – patient engagement, the latter highlights physicians’ increasing alignment with and participation in the health IT conversation. Another hashtag to note is #dataindependenceday, the popularity of which is a testament to the strength of Regina Holliday’s message of enabling health record data access for all. #HITsm. CIO was another new-to-the-scene hashtag for this year, a @W 2 OGroup hashtag focused on health system CIO engagement in social media and celebrating how health IT leaders are using So. Me to drive improvement throughout the industry. Additionally, it is worth noting that #HITchicks usage grew this year, a hashtag that supports women leadership and female participation in healthcare IT and the HIT conversation.

#HIMSS 15 Link sharing trends: Which sites were shared most? (Count of unique users mentioning) HIMSS 2015 Unique Sharers 1002 healthcareitnews. com himssconference. org 816 548 deloitte. com 503 hitconsultant. net medcitynews. com 440 378 youtube. com 349 himss. org 299 forbes. com 237 healthcare-informatics. com 225 modernhealthcare. com 209 healthit. gov 204 fiercehealthit. com 144 symplur. com 143 healthdatamanagement. com 119 chicagotribune. com 104 dupress. com 100 healthit. gov 99 businesswire. com 89 medicalbillersandcoders. com 88 mobihealthnews. com 87 ibm. com 85 insights-on-business. com 83 uptodate. com 78 prnewswire. com For data Inquires, contact rcronin@w 2 ogroup. com HIMSS 2015 Unique Sharers healthleadersmedia. com 76 76 cerner. com 74 74 73 medpagetoday. com 73 wsj. com 73 73 healthitanalytics. com 72 72 ehrintelligence. com 70 70 healthinfolaw. org 69 69 herox. com 68 68 67 cdwcommunit. com 67 64 sas. com 64 63 hhnmag. com 63 63 beckershospitalreview. com 63 63 jamanetwork. com 63 62 blog. himss. org 62 61 histalk 2. com 61 61 linkedin. com 61 61 communities. intel. com 61 60 searchhealthit. techtarget. co m 60 60 docgraph. org 60 59 share. kaiserpermanente. org 59 57 56 microsoft. com 57 55 sparkblog. emc. com 56 55 huffingtonpost. com 55 55 blogs. perficient. com 55 teksystems. com 55 Trend Analysis In terms of health IT solutions providers who stepped up their website-engagement-via-social game, Deloitte was highly successful at driving users from social media onto its own digital properties. Conversely, although Walgreens and IBM successfully garnered conversation, they were not nearly as successful at driving individuals to their respective sites via their #HIMSS 15 social participation. A few highlights: • Healthcare IT News: The premier publication of HIMSS. Created substantial content during the conference. • HIMSS Conference: A highly shared, in-conference resource. • Deloitte: The content winner of the conference – by a long shot. Created highly sharable content that drove attendees to share infographics, blog posts, research findings and poignant social media posts. • HIT Consultant: Created a mix of sharable and rich conference-focused content throughout the conference. • Med City News: Conference-focused materials drove shares. • You. Tube: A mix of interviews and promotional videos were shared more this year. • Forbes: Bruce Japsen, John Osborn, Larry Husten, Louis Columbus, Matthew Herper and Nicole Fisher drove numerous articles shares within

Link sharing trends: Biggest gainers (Count of unique users mentioning) 2015 Uniqu 2015 2014 e Totals Unique deloitte. com 548 722 108 hitconsultant. net 503 801 177 medcitynews. com 440 776 211 himss. org 349 469 138 healthcareitnews. com 1002 1818 798 healthit. gov 209 216 40 chicagotribune. com 119 152 3 healthcare-informatics. com 237 440 136 dupress. com 104 123 3 medicalbillersandcoders. co m 89 95 0 healthitanalytics. com 72 85 0 ibm. com 87 114 18 healthinfolaw. org 69 79 0 herox. com 68 68 0 businesswire. com 99 146 32 docgraph. org 60 126 0 youtube. com 378 752 319 cdwcommunit. com 67 174 8 jamanetwork. com 63 75 4 sparkblog. emc. com 56 279 0 cerner. com 74 128 20 mydailyblogposts. com 54 54 0 communities. intel. com 61 77 8 mhealthintelligence. com 53 67 0 For data Inquires, contact rcronin@w 2 ogroup. com 2014 Totals 219 221 324 169 1037 55 3 236 3 MORE in 2015 +440 +326 +229 +211 +204 +169 +116 +101 0 0 24 0 0 56 0 748 18 4 0 38 0 10 0 +89 +72 +69 +68 +67 +60 +59 +59 +56 +54 +53 2015 2014 MORE in Unique Totals 2015 airstrip. com 51 73 0 0 +51 healthleadersmedia. com 76 349 26 32 +50 chicagoinno. streetwise. co 49 68 0 0 +49 healthcarefinancenews. co m 54 96 6 8 +48 hx 360. org 48 77 0 0 +48 hhs. gov 52 57 6 6 +46 uptodate. com 83 138 38 55 +45 teksystems. com 55 63 10 14 +45 sas. com 64 167 21 93 +43 share. kaiserpermanente. or g 59 69 16 18 +43 beckershospitalreview. com 63 76 21 27 +42 diagnosticimaging. com 41 50 0 0 +41 blogs. gartner. com 40 46 0 0 +40 boozallen. com 38 86 0 0 +38 infor. com 51 215 15 38 +36 wsj. com 73 77 38 44 +35 healthcaredive. com 43 70 8 12 +35 venturebeat. com 39 45 4 6 +35 e-patients. net 35 39 0 0 +35 linkedin. com 61 122 27 30 +34 computerworld. com 38 40 4 5 +34 hp. com 38 38 5 7 +33 realbusiness. com 33 57 0 0 +33 nytimes. com 38 43 6 8 +32 transformhealthit. com 32 41 0 0 +32 #HIMSS 15 Trend Analysis The data shows the domains which garnered the greatest gains – in shares per user – from 2014 to 2015. Once again, Deloitte was highly successful at driving shares of owned digital properties, but also improved significantly since its efforts in 2014. Other significant improvements include, HIT Consultant, Med City News, HIMSS, Healthcare IT News and Health. IT. gov.

Meaningful use: Who drove the conversation? (Sorted by unique users mentioning. Includes conversations on the draft rule announcements) Who talked about it most? 1 CMSGov 12 Bernadette Keefe Paul Mulhausen, 2 Regina Holliday Sherry Reynolds 13 MD 3 ONC Mandi Bishop 14 Susan Woolner 4 Sherry Reynolds Susan Brown 15 Casey Quinlan 5 Brian Ahier Charles Webster MD 16 Doc. Graph 6 Farzad Mostashari Healthcare IT 7 Dave de. Bronkart Wen Dombrowski MD 17 Expert 8 Fred Trotter Mark Savage 18 Catherine Coste 9 Healthcare IT News Michael Crone 19 Unifi. Health 10 Med. City News Luis Saldana 20 ilovebenefits 11 Telligen Rasu Shrestha MD MBA 21 Tectonic. Online (Sorted by Unique Users Mentioning) Sean Erreger Dave de. Bronkart 22 LCSW 1 Regina Holliday 2 3 4 5 6 7 8 9 10 11 Who was mentioned most? For data Inquires, contact rcronin@w 2 ogroup. com 12 13 14 15 16 17 18 19 20 21 22 National Partnership Fierce. Health. IT Wen Dombrowski MD Doc. Graph Susannah Fox Ted Eytan, MD Nadine Robin Dr. Val Jones Charles Webster MD HIT Consultant Media Sameer Badlani #HIMSS 15 Topic Analysis A few highlights: The Centers for Medicare and Medicaid Services' draft meaningful use rule (to reduce the requirement that providers have 5% of their patients use technology to electronically download, view and transmit their medical record—to just a single patient) released days before HIMSS drew a lot of conversation on the topic. Regina Holliday, Sherry Reynolds, Mandi Bishop, Susan Brown, Charles Webster and Wen Dombrowski, among many others, were all active participants in the meaningful use conversation at HIMSS 15.

#HIMSS 15 Patient engagement: Who drove the conversation? (Sorted by unique users mentioning) Who talked about it most? 1 2 3 4 5 6 7 8 9 10 11 Clinicspectrum Jan Oldenburg Regina Holliday Get Real Health Michael Crone Healthcare IT Expert LHCQF Mandi Bishop Nadine Robin Susan Hull Segue. Health 12 13 14 15 16 17 18 19 20 21 22 For data Inquires, contact rcronin@w 2 ogroup. com Blue. Print HIT Brian Eastwood John Sharp Inter. Systems Tectonic. Online Topic Analysis Who was mentioned most? Healthcare IT 1 Expert 2 ONC 3 Healthcare IT News 4 Jan Oldenburg 5 Fierce. Health. IT Bill Bunting 6 Brian Ahier Nick van Terheyden 7 Linda Stotsky Care Navigator 8 Farzad Mostashari Get. Healthy 9 Regina Holliday egaudet 10 Med. City News Charles Webster MD 11 LHCQF (Sorted by Unique Users Mentioning) 12 13 14 15 16 17 18 19 20 21 22 Charles Webster MD Shahid Shah Microsoft in Health Inter. Systems CMSGov National Partnership Stephen Wilkins Lana Moriarty Blue. Print HIT Mary Griskewicz Marc Probst A few highlights: Not surprisingly, patient engagement strategist and health technology consultant, Jan Oldenburg, drove the conversation around patient engagement, followed closely by patient data rights advocate Regina Holliday. Clinicspectrum and Get Real Health were two of the solutions providers most active in the patient engagement conversation.

The 2015 patient trend: Patient empowerment #HIMSS 15 (Sorted by unique users mentioning the below terms along with patient(s) and #HIMSS 15) 2014 Volume Engagement/Engag e Health Care Healthcare Booth Data Improve(ment) Records Health. IT Providers Access Support Right/s Mhealth/Mobile Own Experience Need Survey Electronic ONC For data Inquires, contact rcronin@w 2 ogroup. com 3202 1476 1026 909 714 841 449 299 524 431 237 126 136 499 109 247 382 40 30 262 2015 Volume 3522 2527 1763 1343 1220 1170 958 800 799 726 724 626 610 571 567 545 513 422 397 370 % Change 10% 71% 72% 48% 71% 39% 113% 168% 52% 68% 205% 397% 349% 14% 420% 121% 34% 955% 1223% 41% Topic Analysis A few highlights: Not only has the conversation around patient engagement as it relates to healthcare IT increased at this year’s event, but note the words surrounding patient/patients are heavily rooted in the trend of empowerment and information access. Access, support, rights, own and need are all among the top terms used in the patient and patient engagement conversation at HIMSS 15. And with data and records appearing near the top of the list as well, it becomes clear that patients are increasingly associating empowerment and engagement with health data and EHR/EMR records access.

HIMSS Social Conversation Report 2015 #HIMSS 15 • Report Data: April 12 – April 16, 2015 • Report Publication Date: May 6, 2015 By: @W 2 OGroup For additional information, please contact Rob Cronin, Technology and Digital Health Practice Leader, W 2 O Group, at rcronin@w 2 ogroup. com or @robcronin. NY