A DIGITAL STRATEGY FOR “THE MAVEN PROJECT” Lisa Carron Shmerling, JD 2014 Tufts Medical School MPH Candidate HCOM512 Digital Strategies for Health Communication August 4, 2014 1 Table of Contents I. EXECUTIVE SUMMARY...................................................................................................... 3 II. ABOUT THE MAVEN PROJECT ...................................................................................... 4 The Organization ................................................................................................................................ 4 Why MAVEN Was Chosen ................................................................................................................. 5 III. THE IMPORTANCE OF DIGITAL PRESENCE AND A DIRECTED DIGITAL STRATEGY ................................................................................................................................... 5 Digital Presence .................................................................................................................................. 5 Digital Strategy .................................................................................................................................... 6 IV. PLANNING HORIZON: ..................................................................................................... 7 V. MAVEN SWOT ANALYSIS ............................................................................................... 7 VI. PRIMARY GOALS AND MEASURES OF SUCCESS ACHIEVABLE .......................... 8 VII. PERSONAS AND SCENARIOS .................................................................................... 10 Use of Personas and Scenarios.................................................................................................... 10 Persona #1: Janice Kleinberg, MD ............................................................................................ 10 Persona #2, Juan Hernandez, MD.............................................................................................. 11 Persona #3, Ron Matthews .......................................................................................................... 12 Persona #4, Charlie Harmon, MD............................................................................................... 13 Lessons Learned From These Personas .................................................................................. 14 VIII. COMPETITIVE ANALYSIS ........................................................................................ 14 Competitive Analysis Generally ................................................................................................. 14 Selection of Competing Organizations for MAVEN’s Analysis.......................................... 15 VolunteerMatch.org. (Figure 1)............................................................................................................ 15 Volunteers in Medicine (Figure 2) ....................................................................................................... 16 Doctors Without Borders (Figure 3) ................................................................................................... 17 Encore.Org (Figure 4)................................................................................................................................ 18 The Analysis....................................................................................................................................... 19 IX. THE MAVEN DIGITAL STRATEGY .............................................................................. 25 MAVEN’s Mission .............................................................................................................................. 25 MAVEN’s Target Audience & Users ............................................................................................ 26 Technology ......................................................................................................................................... 26 MAVEN’s Organization ................................................................................................................... 27 Design .................................................................................................................................................. 27 Web Content ...................................................................................................................................... 28 Social Media ....................................................................................................................................... 36 CONCLUSIONS .......................................................................................................................... 36 APPENDICES ............................................................................................................................ 37 Appendix A – Lessons Learned From This Exercise ............................................................ 38 Appendix B – About the Author .................................................................................................. 39 REFERENCES ............................................................................................................................ 40 2 I. EXECUTIVE SUMMARY A digital presence based upon a cohesive, well-planned digital strategy is critical to a healthcare organization’s ability to succeed in an overwhelmingly technological marketplace. This is particularly true for the MAVEN Project (MAVEN), a fledging organization whose core mission is reliant upon its digital capacity. A user-friendly MAVEN website and thoughtful social media campaign will need to effectively recruit and retain volunteer physicians and engage clinics desiring staff augmentation. Volunteers and clinics must be able to easily match and connect with one another on the website. Once a volunteer and clinic are engaged, the website will serve as the gateway to the technology platform that facilitates the provision of medical services via teleconferencing and telemedicine. Equally important to the foregoing activities, the MAVEN website and select social media will need to continue to generate the “buzz” that leads to MAVEN brand recognition as the premier domestic volunteer physician corps providing needed medical care to underserved and vulnerable populations. In addition to maintaining the interest of volunteers and clinics, this branding will also support the recruitment of potential investors and other philanthropic grantmaking institutions that are critical for MAVEN’s sustainability. Digital strategies are not “one size fits all”. A digital strategy must be tailored to each organization’s business and resources. It should also include input from its key personnel and stakeholders. Moreover, given the speed at which our technology advances and new social media appear, digital strategies are by their nature, a dynamic document that needs to be periodically revisited and revamped. As such, the preliminary digital strategy described in this document is intended as a starting point for establishing MAVEN’s digital presence. To develop this document, MAVEN’s strengths and weaknesses were evaluated and primary goals and measurements were identified. Four personas were created to provide insight into anticipated users and to ensure that the digital strategy would align with the intended target audience. An analysis of the websites and social media outlets of organizations with similar missions was undertaken to understand the competitive landscape and to identify features and approaches that may bear upon MAVEN’s digital strategy. Based on the 3 foregoing activities, a preliminary digital strategy was outlined to facilitate MAVEN’s achievement of a successful online presence through the implementation of a website and the leveraging of a few, selective social media channels. II. ABOUT THE MAVEN PROJECT The Organization The MAVEN Project (MAVEN) is an early-stage public, California charitable corporation, founded by Dr. Laurie Green, this year’s past Harvard Medical School Alumni Council President. MAVEN’s mission is to create a corps of experienced, volunteer physician subspecialists aggregated from participating medical schools’ alumni base to assist primary care providers at safety net clinics to address the unmet needs of underserved and vulnerable populations. Its four key objectives are to: Match experienced volunteer alumni of accredited U.S. medical schools with rural and urban Federal Qualified Health Centers (FQHCs), Free Clinics and other safety net clinics facing serious provider shortages Facilitate communication and medical consultation via a HIPAA compliant technological platform Overcome licensing, insurance and technological challenges of U.S.-based physician volunteers Address the unmet needs of underserved populations throughout the U.S. The alumni councils of Harvard Medical School, Stanford University School of Medical and the University of California, San Francisco Medical School (and potentially Johns Hopkins and Yale) have expressed a desire to participate in MAVEN as founding members. The United Way of Miami-Dade county has agreed to serve as a business partner and fiscal sponsor until MAVEN’s IRS determination of 501(c)(3) status is received. Dr. Green has raised initial funds that will be used to operationalize 2 pilot clinics: one in rural California and one in urban Massachusetts. Several talented volunteers have been interning with MAVEN this summer to further research appropriate pilot clinics and best practices for patient engagement. 4 Why MAVEN Was Chosen I chose this organization as the subject of this exercise because I believe MAVEN has the potential to disrupt the current status quo and to make a tremendous difference in patients’ lives. Many safety clinics, particularly in rural areas, are in dire need of specialist staff augmentation. Patients who fall within the cracks of the Affordable Care Act’s insurance mandates experience long waits to see specialists and often must travel great distances for specialist care. Further, alumni associations want to engage graduates in the later stages of their career. MAVEN allows these volunteers to connect with their alma maters while providing meaningful service beyond the more typical alumni social engagements. Equally important is that the swelling tide of digital technology and a slow but steady trend towards cross-state telemedicine licensure place this project at a proverbial tipping point. It provides a path for MAVEN to prevail over challenges that previously created barriers to the development of a U.S.-based, national physician volunteer corps. MAVEN does not have a digital strategy or a digital presence. The idea of fulfilling my course requirement while providing a pro bono service to a worthy cause makes sense. III. THE IMPORTANCE OF DIGITAL PRESENCE AND A DIRECTED DIGITAL STRATEGY Digital Presence Picture a heavy-set, 6’5” man standing in a small room. He has a formidable “presence”. The same is true in the digital world. An organization has a “digital presence” when it has a palpable existence on the World Wide Web. Although the epicenter of an organization’s digital presence is typically its website, its connection to numerous social media channels also contribute to, and expand, its digital presence. Having a digital presence has become an integral part of health organizations’ business. Why? Having a digital presence is critical to engaging with an organization’s targeted population. Within the United States computers, cellphones and smart phones have become commonplace in our personal and professional lives1. We communicate, socialize and obtain information digitally. Consider the following statistics adapted from a 2014 Pew Research Center Internet Project Survey:2 5 COMPUTER USAGE IN 2014 CELL PHONE OWNERS IN 2014 SMARTPHONE OWNERS IN 2014 ALL: BY AGE: 18-29 year olds 30-49 year olds 50-64 year olds 65+ BY EDUCATION LEVEL: High school grad or less Some college College+ BY ANNUAL HOUSEHOLD INCOME: < $30,000 $30,000 -$49,999 $50,000-$74,999 $75,000+ 81% 90% 58% 89% 86% 84% 56% 98% 97% 88% 74% 83% 74% 49% 19% 66% 87% 44% 89% 94% 93% 93% 67% 71% 65% 84% 92% 96% Table 1 84% 90% 99% 98% 47% 53% 61% 81% As Table 1 points out, most U.S. individuals use a computer and own either a cellphone or a smartphone. Moreover these figures are particularly germane from MAVEN’s perspective. MAVEN’s volunteer pool will be drawn from physicians who by definition are in the higher educational level, are likely to be in the higher annual household income category and are most likely to be in the 50 to 65+ age groups. These potential volunteers have substantially higher computer and mobile device usage. In fact, it has been estimated that by next year, approximately 9 in 10 healthcare providers will use smartphones or tablets and many are “digital omnivores” who avail themselves of tablets, smartphones and computers in the performance of their professional duties.3 This trend aligns with MAVEN’s plan to use a web-based technology platform to facilitate teleconferencing and telemedicine consultations, including digital access to medical records, images, and test results. Digital Strategy A digital strategy is in essence a business plan or roadmap that strategically organizes and prioritizes an organization’s digital presence on the web. It facilitates brand-building and marketing spread and allows for the cohesive integration of various market channels.4 A digital strategy is also an important financial management tool because it forces an organization to focus on its most important objectives and target audience, avoids redundancy and highlights areas where content can be repurposed. It also facilitates a 6 comprehensive approach to capturing analytical information that is of paramount importance for evaluating and refining an organization’s marketing plan. For MAVEN, the digital strategy is an important tool for achieving success. It can facilitate MAVEN’s brand recognition as the premier domestic volunteer physician corps providing needed medical care to underserved and vulnerable populations. It will also serve as a call to action in the recruitment of volunteer physicians. Clinics in need of assistance will have a user-friendly “go to” source for staff augmentation. Lastly, but equally important it can generate “buzz” that peaks the interest of potential investors and other philanthropic grant-making institutions that are critical for MAVEN’s sustainability. IV. PLANNING HORIZON: Within the digital strategy context, a “planning horizon” is the timeline for accomplishing specific goals and objectives. For MAVEN, it is anticipated that the deployment of a website and digital strategy would commence once the two pilot clinics are successfully launched. The functionality of the website and use of social media would be phased in stages over the course of a year, based upon the availability of resources and technology. Specific timelines are described in the proposed digital strategy detailed below. V. MAVEN SWOT ANALYSIS As part of the process of developing a digital strategy it is important to evaluate an organization’s real or potential strengths, weaknesses, opportunities and threats (SWOT). The following Table 2 contains a standard SWOT analysis of MAVEN’s business model: STRENGTHS MAVEN’s mission addresses the critical shortage of specialist physicians for underserved and vulnerable patients in rural and inner cities nationwide The idea has been well received by the numerous state, federal, academic, non-profit and for-profit organizations with whom the project has been discussed Clinics and their patients will have access to specialists without charge WEAKNESSES MAVEN’s financial model is heavily dependent upon donors and grants and there is a limited budget. Despite trends towards cross-state physician licensing aimed at telemedicine, licensing and liability insurance must be addressed on a state-bystate basis for each participating clinic. The viability of MAVEN is linked to the recruitment and sustainability of physician volunteers Semi-retired, retired and other part-time physicians can partake in meaningful volunteer experiences for which traditional 7 barriers (e.g., liability insurance) have been addressed by MAVEN Medical Schools & Alumni Associations will demonstrate their innovation and community involvement. Related public relations may lead to additional donations. OPPORTUNITIES HIPAA-compliant technology for telemedicine and teleconferencing has become ubiquitous THREATS Scaling of the project beyond the initial pilots may be challenging Legislation is pending and there is precedent within the Veteran Administration and Department of Defenses’ medical system for cross-state licensure of physicians Each medical school’s infrastructure and policies may impact their ability to participate Liability issues can be addressed through a combination of federal and state laws, local state and medical society’s liability insurance programs and clinics’ wrap around insurance policies. Once laws permit cross-licensing of medical personnel there may be an increase in competing organizations Table 2 VI. PRIMARY GOALS AND MEASURES OF SUCCESS ACHIEVABLE MAVEN does not currently have a digital presence. As a result, the four (4) goals and measures of success are basic in nature. However, these goals involve significant effort and resources. They are as follows: GOAL #1: Create and install a working MAVEN website. Measure of success: A Google search for “MAVEN Project” leads a user to MAVEN’s website. Physicians and clinics can interact on the website. Planning horizon: Six (6) months from successful completion of the pilots. GOAL #2: MAVEN’s existence as a premier corps of volunteer physicians begins to gain recognition Measure of success: Google analytics indicate a significant number of visits to the MAVEN Website (“significant” to determined at the time of website launch) 8 At least 3 media/public relations channels have covered the MAVEN “story” Planning horizon: Within 12 months from website launch GOAL #3: The MAVEN website is an effective tool for MAVEN physician volunteer recruitment Measure of success: 100 volunteers sign up to volunteer via the website Planning horizon: Within 12 months of website launch GOAL #4: Measure of success: Create a social media presence for MAVEN There are a significant number of followers and social media participation (likes, comments, tweets) The exact metrics are to be determined at the time of launch. Planning horizon: Within 12 months of website launch 9 VII. PERSONAS AND SCENARIOS Use of Personas and Scenarios Personas are fabricated profiles of the intended users of the website and the social media encompassed in a digital strategy. They are in essence digital avatars that allow us to avoid the mistake of designing the digital strategy for ourselves or for the general public rather than for our target audience. They should be representative of the different types of users and backgrounds that will benefit from and use MAVEN’s digital resources. Along with each persona, “scenarios” are added to provide richness and depth to each persona. Scenarios expound upon the daily lives of the personas and include representative triggers that cause an individual to take action. Persona #1: Janice Kleinberg, MD Dr. Janice Kleinberg, is a 63-year old semi-retired dermatologist. She grew up in Bethpage, Long Island, New York. Her parents were born in Russia and emigrated to the U.S. when they were young. They met in Manhattan, where they lived until Janice’s older brother Sam started kindergarten. Although Janice’s parents are both deceased, she has fond memories of her childhood. Her parents valued education and learning and Janice remembers her family playing scrabble on Sunday afternoons. Her parents always volunteered with those less fortunate and instilled this value in Janice as well. Janice received a joint degree in biology and sociology from Barnard. She graduated from Harvard Medical School and completed her residency and fellowship at the University of California San Francisco (UCSF) medical center. She met her husband, John, a UCSF professor who was 10 years older than her, during her residency. They had a harmonious marriage, raised 2 daughters and remained in the San Francisco area. Both of Janice’s daughters are married. One of Janice’s daughters lives in Manhattan and the other nearby in a San Francisco suburb. Janice worked full-time until 2 years ago when her husband was diagnosed with liver cancer. She shifted to a 2 day a week schedule to spend more time with him. He passed away a year ago and Janice has since been working 3 days a week at the UCSF medical center. Janice owns an iPhone 5, a iPad, a MacBook Air and a Kindle. She reads the New York Times on line with her morning chai tea and checks her email and phone for messages throughout the day. She also uses Doximity to connect with 10 other physicians. When she is not at work she spends time in the gym, goes to lunch with a few close friends and reads medical journals and novels on her kindle. In the evenings she typically goes online, checking out sales at Rue la la, looking at recent activity on Facebook, and glancing at Instagrams her daughters have posted. She is addicted to Words with Friends. Sunday evenings she Skypes with her daughter in Manhattan. She has sheepishly begun looking at on line dating services for mature adults but has not established an account. Lately she has felt somewhat unproductive. She does not want to return to work full time because she likes having the flexibility to visit her daughters and her 3 grandchildren. Janice notices an article in the electronic quarterly Harvard Medical School Alumni Magazine featuring MAVEN. She notices that MAVEN continues to need additional volunteer physicians. She hits the url link and is connected with the MAVEN website. Persona #2, Juan Hernandez, MD Dr. Juan Hernandez, is a 32-year old full-time primary care physician. He is a medical director at the rural California Federally Qualified Health Center (FQHC). Juan grew up in Miami, Florida. The oldest of three children, he is the first person in his family to go to college and beyond. He is working at the FQHC as part of a public health service loan forgiveness program. He has one more year of required service. His family is extremely proud of him. His father is a retired Veterans Administration maintenance worker and his mother is a health aide. He is a graduate of the University of Miami’s Leonard M. Miller School of Medicine. Juan married his high school sweetheart when he graduated medical school and they have a two-year old son. His wife is an elementary school teacher. He is constantly behind at work. He cares deeply about his patients but he is often frustrated by the lack of resources and the difficulty finding specialists in the surrounding vicinity. Juan’s bilingual skills have been an asset because he does not need a translator for his Spanish patients, which saves time. His clinic sees a constant stream of patients and their families. Some patients don’t show up, others come in even though they don’t have an appointment. Many patients are undocumented or do not have insurance. Juan owns a laptop, a mini-iPad and a smartphone. In between patients he is on his smartphone - checking his email, Facebook, and the news and sports headlines. Juan goes for a run at 5:30 a.m. every morning and is at the office by 7 a.m. Mondays through Fridays. He tries his best to get home by 7 pm so that he can spend some time with his son. After his son is asleep he 11 catches up on emails, voicemails and paperwork while he watches HBO series he streams from Google chrome to his television. He receives an email from a fellow medical director at a San Francisco clinic who is equally swamped and frustrated. It mentions a non-profit named MAVEN that provides volunteers to clinics like his. He searches the web for MAVEN, finds the website and likes what he sees. He sends an email to MAVEN’s executive director asking for further information. Persona #3, Ron Matthews Ron Matthews, is a gregarious, 28-year old assistant director of Harvard Medical School’s alumni association, who works in Cambridge, Massachusetts. He is an only child. He grew up in Wellesley and went to Belmont Hills, a private all-boys high school. He played varsity soccer and tennis in high school. After taking a gap year as a ski instructor in Vale, Colorado, he graduated from Dartmouth with a degree in public relations and marketing. Ron is not married but often finds dates on okcupid. Ron has a smartphone and iPad of his own and uses his work laptop work when he needs a computer. He is constantly checking emails, snapchats, linkedin and his favorite blogs. He tweets a few times a week and listens to music on Spotify. Although he looks at Facebook, his interest has been waning and has been less active in posting to it. Ron arrives at work at 9 a.m. and usually leaves at 5:30 p.m. when his office clears out. His responsibilities include organizing alumni events, compiling articles for the alumni council’s newsletter and assisting the director with fundraising efforts. Ron likes the structure of his job. He is not a risk-taker. He knows Harvard’s policies and is careful to follow them. He stays late when necessary, such as publication deadlines or prepping his boss for the quarterly alumni council meetings. The theme for the January newsletter is volunteerism and giving back. He wants to feature alumni who have been active volunteers in socially worthy causes. He is familiar with MAVEN because he often prepares the materials for his supervisor’s presentation at the annual MAVEN alumni council consortium meetings. He looks at MAVEN’s website to see which medical alumni has been the most active. While there he notices in the banner that Stanford is leading Harvard in most active volunteers. He makes a note to speak to supervisor about highlighting MAVEN in their next alumni outreach campaign. 12 Persona #4, Charlie Harmon, MD Charlie Harmon is a 75-year old, retired endocrinologist who specialized in diabetes. He spends 6 months of the year at his summer home on Cape Cod in Chatham, Massachusetts and winters at his luxury condominium in Boca Raton, Florida. As a young man he served in the armed forces. The G.I. bill funded his college and he received a degree in biology from Harvard University. He went on to graduate from Stanford Medical School. During the summer after his first year of medical school he volunteered on an Indian reservation in New Mexico. He completed his residency and fellowship at Brigham and Women’s Hospital in Boston. Charlie’s illustrious career was in private practice on Beacon Street in Boston Massachusetts. He had an ongoing affiliation with the Brigham and was often invited to attend grand rounds and other hospital events because of his world-renown diabetes expertise. His trusted office manager, Thelma worked with him for over 30 years. Thelma handled all administrative matters including typing, filing, correspondence and managing Charlie’s schedule. For the last 10 years of his career Charlie took on a younger partner, Jack Drew, who brought a fresh perspective to the practice. Jack considered Charlie an esteemed mentor and the two were good business partners. Jack’s niece, Emma, spent summers helping in the office. With Jack’s guidance she established a website for their practice which brought in additional business. Charlie was appreciative of the website and marketing effort but did not use it himself. Emma would print out screenshots from time to time so that Charlie could see the website contents. At the urging of his wife, Charlie begrudgingly retired. Carol wanted them to spend more time traveling and enjoying their vacation homes, He continued to serve on a few biotech boards and from time to time consulted as an expert witness for medical malpractice cases. Charlie has a desktop at his Cape home and a flip-phone that is not Internet enabled. He has an iPad which his son bought him for his 75th birthday, but which is still in its original packaging. His friends have urged him to take the free iPad classes at the Apple Store so that he can more readily communicate with them – especially when he is in Florida. He currently checks his email erratically but rarely more than once a week and only when in Massachusetts. His son occasionally assists him in Skyping with his grandchild who is spending a semester abroad in Barcelona. On a typical day he gets up at 7:00 am. He retrieves his newspaper from the front steps, has his coffee, lets his dog out in the backyard and eats the breakfast Carol prepared for him. He often meets his golf buddies at 9:00 plays a round of golf, and has lunch at the clubhouse. When he comes home he 13 checks the mail, reads current medical journals, and often runs errands with his wife. If he has documents to review for the boards or consulting in which he is involved he often reads those in the afternoon. At 5 pm, he and Carol enjoy a glass of scotch on the rocks and have dinner. Charlie truly misses practicing medicine. It is the core of his identity and he feels a part of him is missing. As a former class president, he attends every reunion and still socializes with his medical school classmates on a regular basis. On the other hand, he is enjoying time with Carol and his family. One sunny morning he reads the alumni newsletter and notices an article about MAVEN. He learns that he could volunteer his time regardless of where he is physically located and that he can do this with his new iPad. He is excited and calls the phone number that is listed. Lessons Learned From These Personas MAVEN’s website will need to serve a number of purposes. It will need to engage potential volunteers, match and connect volunteers with opportunities at suitable, pre-cleared clinics, act as a clearinghouse resource for volunteers and clinics in connection with licensing, insurance and credentialing issues, and serve as a gateway to the technology platform that will facilitate the doctor-to-doctor curbside consultations and telemedicine consultations. The website will also have a varied target audience. From the four MAVEN personas, we learn that our target audience is a highly educated group. It is also a multi-generational population. Many of the specialist volunteers will be in their late 50s and up. Clinic personnel are likely to be in their 30s and 40s and alumni staff may be in their 20 to 30s. While all participants will likely have the means to have technology at their disposal, in practice there will be a range of technological sophistication. We need to cater to both the novice Internet user as well as the technically savvy. The website needs to be user-friendly to each level, easily navigated, engaging and intellectually crisp. VIII. COMPETITIVE ANALYSIS Competitive Analysis Generally A competitive analysis is an exercise to see what one’s competitors are doing, learn from their innovations and avoid their mistakes. It is in essence a 14 tool for “building a better mousetrap”. The public nature of a digital presence makes this relatively easy. When designing a new digital strategy, evaluating the strengths and weaknesses of like-minded organizations’ digital presences’ is particularly helpful. It allows us to visualize features and to better communicate our specifications to those involved in building and implementing the website and establishing a social media presence. Selection of Competing Organizations for MAVEN’s Analysis Each of the following 4 organizations were purposively chosen because of the similarity of their emphasis on volunteer recruitment. Each entity also brings a different perspective on its approach that provides us with a well-rounded view into the competitive landscape. A brief description of each organization is outlined below and then followed by a comprehensive comparison of all four sites in Table 3. The competitive analysis is instrumental in the preparation of this digital strategy. Features of competitor sites that are desirable or to be avoided are highlighted in the MAVEN digital strategy that follows the competitive analysis. VolunteerMatch.org. (Figure 1) 15 VolunteerMatch.org, featured in Figure 1 above, digitally connects volunteers with volunteer opportunities. This is one of MAVEN’s core requirements. MAVEN is currently focused on connecting physicians to opportunities to provide medical services with clinics. However, MAVEN may also link physicians with other medically related administrative or educational opportunities in the future. VolunteerMatch.org licenses their website software to other non-profits at reasonable rates. They also offer consulting to further tailor the software for an organization’s needs. Licensing the software and obtaining limited consulting could provide a jumpstart to the creation of a website. Volunteers in Medicine (Figure 2) Volunteers in Medicine, featured in Figure 2 above, is aligned with MAVEN in that its mission is to recruit physicians to meet the needs of America’s uninsured. However, Volunteers in Medicine’s organization is focused on recruiting physicians to start new clinics and provides guidance in their creation. They are important entity to consider because they center their attention domestically and are familiar with the challenges safety net clinics face. 16 Doctors Without Borders (Figure 3) Doctors Without Borders, featured in Figure 3 above, is a gold standard for international physicians volunteering in developing countries. They have been in existence for over 40 years, won the Nobel Peace prize for their efforts and they are serious and sophisticated in their digital presence. Their digital strategy has lends significant insight into volunteer physician recruitment. 17 Encore.Org (Figure 4) Encore.Org is directed at providing resources to baby boomers seeking an “encore career”. Encore’s website lends an interesting, although non-medical, perspective to MAVEN’s analysis because it focuses on the same demographics as MAVEN is targeting. 18 The Analysis COMPETITIVE ANALYSIS (Table 3) FEATURE COMPETITOR #1 COMPETITOR #2 COMPETITOR #3 COMPETITOR #4 URL Purpose/Mission www.volunteermatch.org Clearly articulated on the home page “We bring good people & good causes together” volunteersinmedicine.org/ The purpose and mission could be clearer. The first screen specifically focuses on retired physician volunteers but it takes a few of the photo shots and captions to figure out they help doctors start other clinics and that nurses, social workers, pharmacists and other medical staff participate too. www.doctorswithoutborders.org Clearly articulated on their home page both in words and visually “Medical aid where it is needed most . Independent. Neutral. Impartial”. Their photographs are photojournalistic and speak as loud as the words. http://www.encore.org Clearly articulated on their home page both in words and visually “Encore.org second acts for the greater good”. The carousel of photographs demonstrate the different types of “encore” positions that individuals can undertake. Target Audience Volunteers of all ages & organizations seeking volunteers Physicians who want to start clinics for the underserved Medical personnel and other volunteers who are willing to rough it and potentially take risks Organizational Branding The website consistently communicates that this organization is a key resource for volunteers, non-profits seeking volunteers and organizations desiring to partner with VolunteerMatch.org to facilitate employee volunteering The branding could be stronger. There is ambiguity between the parent organization VIM.org vs. the clinics (some of which are .com and some of which are org). They refer to “champions, patients and volunteers but champions seems superfluous. The website is completely clear about its mission, purpose, and the seriousness of the need. The mission threads throughout their website. Baby-boomers in their 50s, 60s and beyond who want to have a second career that combines personal meaning, continued income and social impact in the second half of life The websites’ words and visuals are directed to the baby-boomers Organization 19 COMPETITIVE ANALYSIS (Table 3) FEATURE COMPETITOR #1 COMPETITOR #2 COMPETITOR #3 COMPETITOR #4 Although the about section is below the fold, it is really only necessary for those wanting a deeper dive Extensively validated by impressive media outlets NY Times, WSJ, Chicago Tribute Christian Science Monitor None are listed. There are multiple international branch offices. They won the1999 Nobel Peace prize There are a number of partners represented in the stories and news presented on the site. Other well-known corporations with whom they have partnered are listed prominently The design is refreshing and pleasant to experience. It is uncluttered, colorful, exudes positive energy and purposefulness. The design is stale and looks as if an amateur put it together. The design is professional, unified, visually appealing and attentiongetting. It has an edge to it. The black, red and white colors are carried through from their logo to their webpages. The design is professional and unified and utilizes neutral earthtones. Organization External Affiliations Design The home page does not use a carousel approach to photographs Section Organization The sections are logically organized and easy to follow. It appears to focus first on volunteers, then non-profits, then other organizations They bifurcate “local” versus “virtual “volunteer opportunities The home page uses a carousel approach to photographs but the photos are not cohesively placed The sections are logically organized and easy to follow. Their newsletter button does not take you to a newsletter. The home page has a professionally curated carousel approach to photographs that is riveting The sections are logically organized and easy to follow. There are extensive sections on the 2 categories of volunteering: office vs. field. The home page uses a carousel approach to photographs but it also includes an advertisement for its book, which distracts from the portrayal of its mission. The sections are labeled with “Learn, Work, Connect” and there are sections for employers, fellowships, etc. Sections are logically organized and labeled although they rely on the subtitle for an understanding of what is behind it. For example “Work”’s subtitle is “Start your journey to your second act” 20 COMPETITIVE ANALYSIS (Table 3) FEATURE COMPETITOR #1 COMPETITOR #2 COMPETITOR #3 COMPETITOR #4 Easy to navigate and user-friendly layout. There does not appear to be a sitemap. Top causes and categories are easily parsed. Cities in which they do business are also easily identified. There is a “support” button on the home page tabs but it is neither technical support nor a donation button. It is really a FAQ section. To get to technical support you have to get to contact us and then click on a link. It is not intuitive for a novice. Resource information, including basic recruiting tools, online referral management, referrals from corporate partners, tracking and reporting and photo manager for free. Others are available monthly for $8.95 or annually for $75. There are also links to webinars. Easy navigation but poor use of photos and video. Photos and videos are cut-off. Information under the tabs is redundant and wastes valuable space as a result None is identified. Easy to navigate and user-friendly layout. They appropriately parse information that appears above and below the fold. There is a site map at the bottom of the page. There are no tabs on the top. Much of the navigational tools are on the left side of the webpage, leaving the center for news, photos, etc. None, but users can email feedback about their website None Under the physician and medical volunteer tab they have some information about the process for starting a clinic and reference their Medical Advisory Committee that develops policies and procedures on licensing and credentialing, medical liability insurance, risk, confidentiality, HIPAA and construction and outsourcing of labs, etc. But the information does not go very deep. Information is professionally curated and news articles and videos are prominently featured on the right side of the webpage. There is a lot of expert content. There are also numerous links to facilitate obtaining additional information. The intended audience of physicians and medical personnel would find the site The site assumes a baseline amount of health literacy. It is easily readable. The website seems to be geared toward individuals with prior “careers” vs. “jobs” which Organization Layout and navigation Technical Support Expert content They have stories and testimonials from various viewpoints. Literacy & readability Volunteers accessing the site would find the site to be easy to understand and written for the 21 COMPETITIVE ANALYSIS (Table 3) FEATURE COMPETITOR #1 COMPETITOR #2 COMPETITOR #3 COMPETITOR #4 layperson. Nonprofits would also find it very readable but there are more business terms – although those are still elemental. The font is large and easy on the eyes. Their website and social media are extremely current. (updated several times on the day their site was viewed). They prominently list the number of volunteers connected (8,222,643) on their screen. A donation button appears below the fold in a low-key manner on each page easy to understand with good readability. Their currency is mediocre. The website news was last updated in June 2014. They use a calendar layout that draws attention to the staleness and is hard to follow. A static donation button appears on each webpage and on Facebook as well. Their website and social media are extremely current Their website and social media are current They have an aggressive “ask” for funds, donation buttons appear prominently on all pages, the donation page is the first listing on Google and there is an entire pulldown menu devoted to financial support. They are transparent with regards to the use of the funds (87.4% program services, 11.4% fundraising and 1.2% management & general) There is not a clear donations button. However, the site promotes an Encore Book prominently in the carousel of photographs and in a few other website locations (as well as in the social media) Registration Sign in requires email and a password, it can also be accessed via Facebook. The contact tab permits submission of an email with the name, address and message. There are multiple opportunities to register for communications. Notifications Users can opt into notifications. Pop-up features encourage you to sign up. Users can opt into the newsletter (but it doesn’t appear on the site) Users can opt into notifications. There are multiple opportunities for one to sign up. One can register on the home page but it is not clear what that involves – newsletters, numerous emails? See Registrations. Organization Currency Transactions increases the level of literacy that is required. It has good readability. 22 COMPETITIVE ANALYSIS (Table 3) FEATURE COMPETITOR #1 COMPETITOR #2 COMPETITOR #3 COMPETITOR #4 Policies Privacy and other policies appear on the bottom of the page below the fold Policies were not apparent. There are standard privacy policies, standard of use. User participation Users can just search or they can build a profile. Nonprofits can avail themselves of the learning center resources. For profit corporations can also participate although that is less prominently featured. Users cannot add text to the website but they can comment on social media channels. Scaled for mobile devices and easy to navigate Their social media is current and active and they repurpose content from their website in an integrative fashion. Users really need to contact the organization to do anything other than obtain a general overview and sign up for newsletter or email a question. Users cannot add text to the website but they can comment on social media channels. Extensive policies and disclaimers, including privacy, confidentiality, use of trademarks/servicemarks, etc. They appear at the bottom of the page. Users cannot add text to the website but they can comment on social media channels. Organization Mobile Social Media Facebook link is on the top of the front page and there is a social media bar of icons below the fold on each page. Facebook 36370 likes Twitter 8,859 tweets/ 25.2K followers Utube, LinkedIn, Pinterest Scaled for mobile devices and easy to navigate Their Facebook has 770 likes and was updated in late July. There is no other social media listed and Google searches yield confusion with their clinic sites. Scaled for mobile devices and easy to navigate Their social media is extensive, current and active and they repurpose content from their website in an integrative fashion including blogs, videos, photos, news stories, etc. Their social media bar appears at the top and bottom of the home page and each other page. It includes a “more” bar as well. Participants can participate by engaging with the organization or with their social networking page and related links. They have solid social media presence and tips for those new to social networking. Facebook (37,749 likes) Twitter (5,344 tweets, 4,116 followers) Linkedin TwitterFlickr Facebook 707K likes 23 COMPETITIVE ANALYSIS (Table 3) FEATURE COMPETITOR #1 COMPETITOR #2 COMPETITOR #3 COMPETITOR #4 Organization Google Prominence: Official site came up 1st “Alias “mpact online” also directs to site iTunes, Wikipedia Contact information/ease of reachability Overall assessment Below the fold there is a “Contact Us” link that lists the phone number, address and additional links Engaging, uncluttered, “happy” site, makes one want to take the leap and volunteer Twitter 11.8K tweets 401K Followers Google+ 662,068 followers LinkedIn, Tumblr, Instagram, Utube, Vimeo, Flipboard Google prominence – donation webpage is the 1st to appear Below the fold there is a “Contact Us” link that lists the phone number and address Below the fold there is a “Contact Us” link that lists the phone number and address Below the fold there is a “Contact Us” link that lists the phone number and address Website seems outdated, amateurish and geared toward a older retired population rather than a youthful senior persona A premier, serious, informationpacked site focused on curing the world. Not for the faint at heart. A solid website, that is current and directed to its target audience. It could use space more wisely and intuitively. 24 IX. THE MAVEN DIGITAL STRATEGY MAVEN currently lacks a digital presence or digital strategy. This digital strategy is intended as a starting point for the development of a website and a social media campaign. It is anticipated that it will evolve with input from the MAVEN team as MAVEN’s business plan is refined and the pilot projects are operationalized. Once MAVEN’s digital strategy is crystalized, the pilots have been successful, and there is sufficient funding, this strategy can be used as a tool for communicating MAVEN’s vision to professionals who can implement it. MAVEN’s Mission At its core, MAVEN’s mission is simple – to recruit physicians to volunteer with safety net clinics to serve vulnerable and underserved populations. But there are a number of unique aspects that increase the complexity, set MAVEN apart from other endeavors and need to be appropriately represented in MAVEN’s digital presence. As described at the beginning of this document, MAVEN’s full mission is “to create a corps of experienced, volunteer physician subspecialists aggregated from participating medical schools’ alumni to assist primary care providers at safety net clinics to address the unmet needs of underserved and vulnerable populations.” “Experienced” is a proxy for the idea that the most likely volunteers will be baby boomers and beyond. However, younger physicians may also participate provided they have been practicing for a minimum of ten (10) years. The objective is to ensure that participants are sufficiently seasoned to provide sage advice and to invoke confidence in those they are serving. “Volunteer”, while appearing self explanatory is particularly important because offering specialty medical services to clinics eases their financial burden and in some instances increases their receptivity to telemedicine because of it does not invoke billing issues for the clinics. “Participating medical schools’ alumni”, refers to the novel idea of leveraging medical school alumni councils and associations, whom have direct access to their alumni databases, to drive volunteers to MAVEN in a collaborative, but perhaps, collegiately competitive manner. 25 “Primary care”, is highlighted because it is the primary care physicians at the clinics who would engage in “doctor-to-doctor curbside consultations” or participate in a synchronous or asynchronous “telemedicine consultation with the patient. The acute medical needs of the “Underserved and vulnerable” within the United States, particularly in rural areas needs to be underscored. Of equal importance is the idea that these activities are facilitated digitally as further described in the technology section below. Given this audacious goal, it will be important to showcase these issues in a digestible manner using words, graphics, video and photographs. MAVEN’s Target Audience & Users Figure 5 MAVEN’s core target audience and principal users of MAVEN’s website are described below and illustrated in Figure 5: Potential physician volunteers, between the ages of 40 and 75, with a primary focus of individuals between 55 and 75 years of age Federal Qualified Health Centers, Free Clinics and other safety net clinics and their practicing primary care physicians desiring to augment their medical specialty capacity Medical school alumni associations & councils and their personnel interested in increasing the engagement of their alumni by participating as a MAVEN consortium member However, it is expected that investors and the media will be ancillary users and will need to be able to readily grasp MAVEN’s mission and activities. Technology To understand the role of this digital strategy in the context of MAVEN’s overall technology platform it is important to understand the two interconnected components. The “front end” is in essence the target audience-facing website that is described as part of the digital strategy. The “back end” is the software 26 technology engine that facilitates HIPAA-compliant volunteer and clinic teleconference communications, the exchange and viewing of medical records, images, test results and in the case of telemedicine, video conferencing. The front-end needs to contain a link that approved volunteers can access to facilitate their consultations. MAVEN’s Organization MAVEN will need a comprehensive marketing plan of which this digital strategy will be a significant component. The messaging that MAVEN finalizes in its updated executive summary, business plan, and marketing collateral should be carried over to the digital strategy. This means consistency in the “about MAVEN” section, the home page, and as applicable, the other web pages. Social media usage should also be consistent, and where constrained by format, uniform alternatives be used (e.g., Twitters 140 character limitation may require shortening of certain messaging). Once a logo, color scheme, fonts and graphics have been adopted by MAVEN, the website and social media postings should mirror those choices as well. MAVEN has a number of external affiliations. The school logo for each participating medical school’s alumni association should be grouped (with proper consent for any logo use). Similarly, business partners (such as its fiscal partner United Way of Miami-Dade county or technology platform vendors) for which MAVEN has a contractual obligation to feature or where it is mutually desirable to include should also be prominently showcased. Design The “look and feel” of VolunteerMatch.org, Volunteers in Medicine, Doctors without Borders, and Encore.org provides insight into potential MAVEN design. From an overall design perspective the MAVEN website should be clean, professional and streamlined but at the same time welcoming and engaging. In areas where the medical schools are featured if would be nice to have a slight academic flair but avoid the look of a Harry Potter Hogwarts set. And, given the upcoming baby boomer population, a tiny amount of Starbucks hipster panache might also be well received. Envision Renovation Hardware meets Google. VolunteerMatch.org, featured in Figure 1, provides a good example of a simple, engaging user-friendly layout that is easy to navigate. Moreover, the ability to license the underlying software and configure it for MAVEN is an attractive idea. However, VolunteerMatch.org’s color-scheme is too much like an elementary school for a medical school-related site. In contrast, Doctors without borders’, sharp red, black and white scheme, featured in Figure 2, is crisp and 27 effective. However, the use of red may appear to favor Harvard over the other founding institutions. We also need to be careful not to make MAVEN appear as a copycat. As such, it is worth considering the earth tones present on Encore’s site, featured in Figure 4, but with the VolunteerMatch.org type layout. The readability of Encore.org’s text and font is also desirable in light of the age demographics of MAVEN users. Several of the competitors’ sites handled the layout of sections quite well. In particular, VolunteerMatch.org’s volunteer and non-profit sections could easily be MAVEN’s volunteer and clinic sections. There could be another tab for alumni associations. In addition, as seen in Figure 6, Figure 6 VolunteerMatch.org distinguishes between “local” and “virtual” opportunities. This concept can be transposed into MAVEN’s need for different types of consultation opportunities: purely curbside consultations, (asynchronous telemedicine and synchronous telemedicine consults. Drawing upon our personas, we can imagine that Dr. Kleinberg might be interested in telemedicine consultations whereas Dr. Harmon may enjoy the banter of a curbside consult with another primary care physician. Doctors without borders also draws a distinction between “in the field” and “in the office” volunteer opportunities. In addition, as illustrated by Figure 7, they take it a step further by having numerous electronic “tiles” that the type of volunteer positions they need. MAVEN could have a similar “tile” approach to describe the specialties that are needed by the various clinics (e.g., dermatologists like Dr. Janice Kleinberg or a diabetes specialist like Dr. Charlie Harmon. Figure 7 Web Content Table 4 describes proposed content and its placement. 28 CONTENT (Table 4) Content Description Further links HOME PAGE Mission Statement MAVEN’s mission: Creating a corps of experienced, volunteer physician subspecialists aggregated from participating medical schools alumni to assist primary care providers at safety net clinics to address the unmet needs of underserved and vulnerable populations” This should be represented by both words and pictorial representation. The photographs should be of professional quality (like Physicians without borders’, and unlike Volunteer in Medicine’s photographs) and showcase physicians consulting with physicians and physicians consulting with patients and their primary care doctors. Consider a photo carousel with physician volunteers from each participating school that includes a school banner at the top. We want to engage physicians and call them to action. MAVEN’s Objectives Ideally MAVEN’s objectives would be conveyed via infographics. The message to be communicated is that MAVEN’s objectives include: Match experienced volunteer alumni of accredited U.S. medical schools with rural and urban Federal There should be a link to a video of Founder, Laurie Green explaining the mission When you hover over the term “MAVEN” the first time the definition of a maven could appear Given the target audience, English is the only language currently contemplated. Ideally a search engine optimization (SEO) consultant could also provide advice to increase MAVEN’s mission appearing in Google and other searches. There could be links to a glossary that explains the differences between FQHC’s, Free Clinics and other safety net clinics 29 CONTENT (Table 4) Content Description Qualified Health Centers (FQHCs), Free Clinics and other safety net clinics facing serious provider shortages Facilitate communication and medical consultation via a HIPAA compliant technological platform Overcome licensing, insurance and technological challenges of U.S.-based physician volunteers Address the unmet needs of underserved populations throughout the U.S. Volunteer, patient and clinic stories and testimonials “Teasers” only, the rest is a link – written, photographic and video formats Expert Content/News Teaser & link to current news, white papers, government reports etc. re: uninsured & medical care Highlighting of Participating Medical Schools/Alumni Associations Further links There could be links that demos the back-end technology “how consults work” and point out the security and HIPAA protections of the technology platform Additional links could provide indepth information on licensing, insurance and credentialing for each on-boarded clinic Link to “more” stories and testimonials Social media to repurpose this information Must be kept current Their sites should have reciprocal links to MAVEN Logos and links to their sites 30 CONTENT (Table 4) Content Description Further links “Wild Idea”: A monthly contest between schools for engaging the most volunteers – that school’s banner can then fly over the association area or be featured another way Highlight Sponsors & Key Vendors with whom there is a contractual or other reason to include Donation/Sponsorship opportunities Button on far right of top tab that appears on every page. Conspicous but not relentless as with Doctors without Borders Links to MAVEN payment mechanism (interim term – United Way payment system) Description of sponsor opportunities Social Media Buttons/Links Top right corner Facebook, Twitter, LinkedIn & Doximity Others only if there are resources to regularly update Newsroom/investors/sponsors Link to useful printable Executive Summary, Fact Sheet and FAQs Contact information for media inquiries. Links to each social media source Repurpose content from the website on an ongoing basis so these do not become stale 31 CONTENT (Table 4) Content Description Glossary/Technical FAQ As seen in Encore.org where they have a blurb explaining social media sites, this would be a link to a glossary and FAQ geared towards less sophisticated senior users such as our persona Dr. Harmon History of MAVEN Address, phone numbers, and email at the bottom of each page Privacy, Confidentiality, Disclaimers Links to key bios Founder/CEO Executive Director Board Directors Advisory Committee Members VOLUNTEER PAGE Clearly articulate what registration entails with regards to notifications, etc. Enter key information to facilitate matching, track cumulative hours served, earn CME credits (where permitted - e.g., with Doximity’s model) About Contact Information Policies Leadership/Governance Register for emails & newsletters Create User Profile Further links Link to Laurie Green video Emails to MAVEN and clinics, process for interviewing & onboarding remotely There could be links to a glossary that explains the differences between FQHC’s, Free Clinics and other safety net clinics 32 CONTENT (Table 4) Content Description Further links There could be links that demos the back-end technology “how consults work” and point out the security and HIPAA protections of the technology platform Additional links could provide indepth information on licensing, insurance and credentialing for each on-boarded clinic Individual and School “Leader Board” Volunteer “Perks” Featured volunteer Register for emails & newsletters Create Clinic User Profile Volunteers earn “badges” or “stars” for # hours volunteered Schools earn logo badges for # hours their alumni volunteers work Library usage, subscription usage, vendor discounts, etc. Interview of volunteer including photo and bio CLINIC PAGE Clearly articulate what registration entails with regards to notifications, etc. Enter key information such as specialist needs & time commitment. Used to facilitate matching, track cumulative hours provided, type of specialists used, etc. Also in alumni newsletter, quarterly, magazines and website Emails to MAVEN to begin clinic approval process. 33 CONTENT (Table 4) Content Description Further links Links describing approval process and logistics.. There could be links that demo the back-end technology “how consults work” and point out the security and HIPAA protections of the technology platform Featured clinic Interview of key clinic personnel and for telemedicine consults with patients, with a consenting patient. Clinic news Opportunity to showcase awards & recognitions that the clinics have received MEDICAL ALUMNI ASSOCIATION/COUNCIL PAGE Clearly articulate what registration entails with regards to notifications, etc. Also include name and direct phone number of MAVEN personnel Photographs & testimonials regarding engagement of alumni, showcase extraordinary efforts to engage with MAVEN, If possible interviews with medical school presidents Register for emails & newsletters Email template to request that alumni association be contacted Lists of Participating Schools Additional links could provide indepth information on licensing, insurance and credentialing Also in clinic newsletter and website 34 CONTENT (Table 4) Content Description Leader board Carry over from home page GENERAL A mobile & iPad version website should be developed that is easily navigated from those devices. Mobile/Tablet Apps Further links It will be important to ensure that there is a mobile and iPad app to facilitate physicians use of the technology platform for consultations Analytics Appropriate analytics need to be deployed on a regular basis to evaluate and track utilization of the website and related social media. 35 Social Media While millennials’ social media skills may appear to be innate, MAVEN’s target population emphasizes 50+ year olds, many of whom will have learned social media skills as adults. This is important for MAVEN to understand because studies have demonstrated that in general, older people are less attuned to social media than younger populations.5 However, individuals with higher education and income, such as physicians, typically use social media more than their counterparts with less education and income.5 Moreover, physicians’ personal and professional use of social media continues to steadily increase.6,7 As the source of volunteers reaches deeper into the aging babyboomer pool, presumably more volunteers will be savvy in social media use. In view of these demographics and MAVEN’s nascent financial resources, it is proposed that MAVEN’s social media entrés be initially limited to: Facebook, Twitter, Doximity and Linked-In. Facebook is one of the most widely utilized social media outlets5 and lends itself to multi-media postings. As such, MAVEN could easily repurpose its videos, news, articles and notices of upcoming event on a regular basis. With regards to Twitter, once engrained as a daily habit, regular tweeting of relevant events and news can occur with a modest time commitment. Doximity and LinkedIn each have physician groups, with the ability to target alumni individual medical schools. These would be useful outlets for physician recruitment that do not require as much updating as Facebook does to appear current. Lastly, MAVEN may leverage and in some instances, coordinate with, participating medical school alumni organizations, clinics’ and volunteers’ social media efforts to further spread news and information. As mentioned in the Content section above, the linked buttons for each of these social media channels should be prominently displayed on each page of the MAVEN website. CONCLUSIONS A digital strategy is not a static document. It needs to evolve with the organization and keep abreast of emerging technologies. It also must be manageable within an organization’s budget and resources. As such, it is important to regularly review the analytics collected so that the strategy can be adjusted accordingly. This document is meant as a preliminary digital strategy. 36 Involving the input of other members of the MAVEN team will increase its effectiveness. APPENDICES 37 Appendix A – Lessons Learned From This Exercise This course has taught me the critical role of a digital presence in an organization’s successful outreach. I’ve learned the importance of approaching digital strategy as one would a traditional business plan – systematically and with an eye to the activities of one’s competitors. Equally important I learned to only implement what one can reasonably maintain in a timely fashion – stale social media may very well be worse than none. Lastly, I am struck by the amount of time and effort one must allow to prepare a thoughtful digital strategy. 38 Appendix B – About the Author Lisa Carron Shmerling, JD, 2014 MPH Candidate Lisa Carron Shmerling is an August 2014 MPH Candidate at Tufts University School of Medicine, Health Services Management and Policy Concentration. She is interested in areas where healthcare delivery and technology converge. Lisa is currently a business consultant for The MAVEN Project where she is working on operationalizing the business model. She is also completing her ALE with The Conversation Project (TCP) (www.theconversationproject.org). Her objective at TCP is to develop a business strategy to expand end-of-life conversations to the workplace. She was previously a Senior Health Policy Associate/Lead Legal Negotiator for the HIX/IES Project at Commonwealth Medicine, University of Massachusetts Medical School. Prior to transitioning to the public health field, Lisa was a biotech/technology counsel for 28+ years. Her roles included serving as Vice President of Legal Affairs at Momenta Pharmaceuticals, and Associate General Counsel at Millennium Pharmaceuticals. She also consulted for numerous early-stage biotech, technology and medical device companies, including Concert Pharmaceuticals, T2 Biosystems, BBN Corporation and Prime Computer/Computervision. Lisa is a former army brat who spent her childhood living in Japan, the Azores and the Philippines. She lives in Newton, is married and has two daughters, one of which graduated this year with her MD/MPH from Tufts. For fun, Lisa enjoys cycling, yoga, reading, gardening and the arts. 39 REFERENCES 1. United States Census Bureau. Measuring America: Computer and Internet Trends in America. In: United States Census Bureau, ed. Retrieved from: http://www.census.gov/hhes/computer/files/2012/Computer_Use_Infographic_FI NAL.pdf2014. 2. Fox S RL. Part 1: How the internet has woven itself into American life. The Web at 25 in the US. Retrieved from: http://www.pewinternet.org/2014/02/27/part-1-how-the-internet-has-woven-itselfinto-american-life/: PewResearch Internet Project; 2014. 3. Epocrates Inc. EPOCRATES 2013 MOBILE TRENDS REPORT. Retrieved from: http://www.epocrates.com/oldsite/statistics/2013 Epocrates Mobile Trends Report_FINAL.pdf: Epocrates, Inc. an athenahealth Company,; 2013 2013. 4. Caddell B. Digital Strategy 101. 2013. 5. Holcomb J GJ, and Mitchell, A. News Use Across Social Media Platforms. Retrieved from: http://www.journalism.org/2013/11/14/news-use-across-socialmedia-platforms/ ): PewResearch Journalism Project; 2013. 6. PL D. Nearly all U.S. doctors are now on social media. American Medical News. Retrieved from: http://www.amednews.com/article/20110926/business/309269969/2/2012. 7. Panahi S, Watson J, Partridge H. Social media and physicians: Exploring the benefits and challenges. Health Informatics Journal 2014. 40