Table of contents for Keys to Implementing Social Media series
- Implementing social media: the adoption matrix
- Implementing social media: brand monitoring
tl;dr: First post in a series summarizing the “5 Keys to Implementing Social Media” presentation, starting with “The Social Media Adoption Matrix“
Checkpoint Charlie, Berlin, and the pharma industry
The recent EyeForPharma eMarketing Summit 2010 was held in Berlin, a fitting place to talk about social media for the pharmaceutical industry. The Mauer Museum at Checkpoint Charlie exhibits the many ways civilians and soldiers attempted to escape from East Berlin. By air, land and sea, people tried to cross the border by every conceivable method, including light aircraft, balloons, ziplines, hidden compartments in cars, underwater propulsion, and so on. Their imaginations were limitless in breaking down that great barrier to communication, the Berlin Wall.
This was my second visit to Berlin; I love the energy and creativity with which the city reinvents itself, as it distances itself from the past. Pharmaceutical firms and regulatory agencies must also reinvent their communications practices as quicker and easier to use tools allow physicians and patients to publish to vast audiences online.
The Social Media Adoption Matrix
At the EyeForPharma conference, I presented “5 Keys to Implementing Social Media.” If you’ve been tasked with looking into social media for your company, this is a suggested framework to help you define the business case and strategy, determine resource requirements and allocation, and set internal controls and performance metrics.

Let’s start with the adoption matrix. In short, it’s a representation on how active your company and your customers are in conversations online. The horizontal axis plots how engaged your customers are about your company and related products and services; the vertical axis plots how aware your company is of the social media activity surrounding your brand, products, services, competitors, and industry. In other words, are people talking, and where do you fit in the conversation?
First quadrant: The Marketing Neanderthal
Neanderthals and modern humans were contemporaneous species, co-existing with Cro-Magnon in Europe for about 10,000 years. Despite their larger physical size and brains, Neanderthals are believed to have expired due to behavioral and cultural traits not shared by their more successful rivals.
Are your company’s marketing efforts floundering while your competitors achieve milestones online? Are you aware of your customer’s online conversations about you, if they exist? If your community is not active, do you understand the trade offs you’re making?
Most hospitals (some exceptions here: Hospital Social Network List) and educational institutions fit in this quadrant, with neither the interest nor resources to devote to researching how to develop and connect with their community online. However, they are meaningful spaces which are potentially rich with conversations.
Second quadrant: The Wise Monkeys
So you suspect your customers are engaged in conversations about your brand, products, services, or customer service online, but you’d rather turn a blind eye? Maybe only Apple can get away with that, and only while their products rock. At least they no longer sue leakers. But Internet bastions Google and Amazon paid their dues recently. Motrin too.
What about Nestlé, who was absent from the conversation, and then showed snark? Here’s a summary, from imediaconnection:
Now, by all accounts it was Greenpeace that “started it” – with the creation of a snarky viral video (more on that in a moment). Then, enter Nestle legal claiming trademark infringement and asking that the video be taken down. This resulted in a fairly coordinated protest (some have called it attack) on Nestle’s Fan Page. Then, Nestle certainly didn’t do itself any favors – with a few ham fisted responses. Helpful Safety Tip to every corporate PR / Social Media Manager: deleting comments, or whipping out the “copyright/intellectual property” justifications are the social media equivalent of “let them eat cake”.
But, here’s the interesting part, whether you believe them or not, Nestle did respond to the Greenpeace report by “assuring” everyone that they will not use Palm Oil produced by the vendor that Greenpeace is asserting. Why they aren’t doing this more vociferously on their Facebook Fan Page is something of a mystery. Greenpeace then responded that their concessions “don’t go nearly far enough”.
Their conclusion is stunning:
But I wonder if, after a few more of these types of storms, we won’t see corporate brands tighten up and kill off some of the social media channels. One thing I do know (and I’m not saying this about the Nestle case in particular) is that as practitioners we are going to have to start to call bullshit on the mob as often as we do the mobbed. Just because they’re outside some company’s walls with pitchforks doesn’t mean they’re right. Or does it?
You guessed it: corporate Wise Monkeys see no evil, hear no evil, and speak no evil. Check off quadrant two of the social media adoption matrix.
Third quadrant: The Prisoner; The Thinker
Ok, so you know there’s something going on, and that you might tap into the potential of finding or developing or connecting with your community online. Unfortunately, you’re held in check, a Prisoner to your company’s restrictive policies, perhaps set in place by an overzealous legal department.
For instance, how many institutions block everyone from Facebook, like the high school I graduated from (many eons ago)? Not even the school’s administration is allowed access the platform that their students are so obviously using during the schoolday on their iPhones. Or what about Lehman Toyota, where I had my car serviced last weekend? I had many hours to spare while I waited, so I brought my laptop. The dealer had three locked wi-fi systems and informed me and another customer that access was indeed restricted. Graciously, a manager offered to hook us into landlines.
To their credit, AstraZeneca is trying out different social media platforms. The Nexium Facebook page and their AZHelps Twitter account are still a far cry from community management. Of course, part of the blame sits with the FDA (see this), which has not set out social media policies for the pharmaceutical industry.
“Thank you for all the recent comments! We are in the process of reviewing and posting them. We’ll have some new discussion topics shortly and in the coming weeks.” -Nexium on Facebook
The Thinker, on the other hand, suffers from paralysis by analysis, reading a lot about social media and attending conferences, yet not taking actionnable steps. 5 Keys to Social Media outlines a clear roadmap for implementation. Which companies are over-rationalizing social media? Here’s an interesting post comparing Ford (which “gets it”) with Chrysler. There’s a lot of room for improvement, there.
Fourth quadrant: The Pioneer
Many brands across many industries are actively engaging their community online. Kudos for taking the lead and showing the way for others to follow, and case studies abound highlighting emergent best practices. Mashable and ReadWriteWeb are good places to start for regular coverage of social media successes and failures by big brands and small.
Where does your organization fit on the adoption matrix? And where do you fit?
A warm word of thanks to Brett Petersel for retweeting (@brett) this presentation many times, driving it to thousands of views in under a week. The full deck is on Slideshare:

Only a fraction of business financing comes from Sand Hill Road. Yet entrepreneurs still obsess over traditional big meeting/big money Silicon Valley venture capital. This heated panel debates what types of companies actually benefit from VC and reviews concrete examples of alternatives to traditional venture capital.
Presenters
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Mitch Lasky Benchmark Capital |
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Mike Trotzke SproutBox |
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Jolie O’Dell ReadWriteWeb |
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Dave Mcclure 500 Hats |
Chris Wanstrath, founder of GitHub
Session:
To get funded at the Powerpoint stage, you probably need to have a track record with VCs. Otherwise you’ll need a functioning prototype or more, like paying customers.
There are companies that shouldn’t be raising venture capital, and there are many that aren’t going to get funded because demand far outstrips supply. When you build a business, venture capital should be a second order consideration. Build a solid business first and think about venture capital second … your business should not be about raising the money. On the other hand,there are companies that do require venture funding, because they do need to get the servers and bandwidth and employees to be able to scale.
“Don’t write business plans. It’s a f*ing waste of time” –Mcclure. For Dave, the trust filter is the most important, and he only considers startups who have references in common.
Wanstrath did not take Venture Capital for Github. It did take a lot of money to set the company up, but they found other ways, including friends and family. They made a lot of business deals for servers, maxed out credit cards and borrowed money and generally did whatever it took. They did not feel a $10 million valuation was fair when they were profitable making $1 million in revenues. They certainly did not want to take on a VC that was going to start setting their direction.
Lasky sees a lot of great companies that are not good venture investments, because the return profile does not fit the time or ratios that VCs are looking for. For example, a $500 million fund will invest in 30 to 40 companies and are looking at 3X return on capital in 10 years. So they’re looking for $250 million exit for all companies, or $750 million with a 2/3 failure rate. Smaller VCs with funds under $100 million can tolerate smaller exits. An example would be Mint, which is a company that did need venture backing.
Huge exits are not the median scenario by any means and the venture capital game has a huge corrupting effect on startups. A better approach is to build a cool business and then things will happen. For most businesses, the core product can be built by two people in eight to ten months. This means a $50k to $100k investment, which is not VC; it’s personal savings and friends and family. The crucial seed phase is $250k to $1 million, where it’s really hard to bootstrap to that size. The best thing to do is to look at VCs with funds under $100M.
The average Techstars deal is investing $15k to $30k for about a 7% to 10% stake on a $300k valuation — but they bring huge value in their mentorship model. However, this is good for students out of college, because they have no savings.
The typical scenario is taking a 20% to 40% dilution when funding through VCs, and probably more.
There are plenty of lifestyle businesses online where the founders can make $1 million to $2 million per year and live happily ever after without having a big exit plan.
When pitching venture capital, you have to sift through the good, the bad, and the criminally negligent. Weird term sheets, dishonesty, etc., are the pitfalls to watch out for. Venture capitalists fund the expansion of the business in anticipation of upcoming revenues. The idea is not to figure out new ways of spending the business; the fundamental concept is to spend the money in ways that grow the business. VCs are willing to fail, whereas banks are not.
What are the alternatives to VC funding? What do you do if your friends and family are broke?
The important thing about alternatives is that there is no industry based around bootstrapping, like there is around venture capital. First, figure out what you need and then start cutting. Do you need PR? Do you need an office? What can you do away with? After that, figure out where you can get the money from. Taking money from parents or going into debt is a big deal in case of failure.
A realistic alternative to bootstrapping is raising $100k to $2 million for up to 20% of the company, with an exit at $10 million.
Q&A:
European entrepreneurs a decade ago were pissed off about how difficult it was to raise money, because of hugh risk aversion. The American model of risk is migrating over and things seem to be getting better for European startups.
Customer financing with upfront discounts, customer receivable financing or factoring, asset-backed leasing are some other alternative strategies to help manage the cash flow and offset the need for fundraising.
Wanstrath would not bootstrap a consumer web company or a consumer app.
Wanstrath advises opening up as many different revenue streams as possible. Offer people many different plans and ways to pay you for your services.
For Lasky, the difference in being there six months early meant a $400 million advantage in valuation over the second mover in his market.
The venture capital industry has to contract. There are too many firms with very mediocre results. Part of the reason is there are more mature companies doing deals earlier.
If you have 20% equity in your startup and are looking for a $10 million payout, then your sweet spot for exit must be around $50 to $75 million.

This is a live post from a SXSW roundtable on ER 2.0, March 14th, 2010
Hospitals and health care providers are slowly but surely using new media and social networking software for some of their primary objectives–treatment, research, education and outreach, and patient-provider communication. This presentation will feature best practices from case studies and prescribe future uses of new media in public health.
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Ed Bennett University of Maryland Medical Center |
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Aimee Roundtree University of Houston-Downtown |
Also panelling is Jen McCabe of Contagion Health.
How does this technology complicate HIPAA compliance?
There’s a saying: “Don’t say no, just say HIPAA.” There’s a lot of fear and trepidation around what might happen, but best practices are emerging from those providers who are experimenting first. For example, some have written commenting policies that protect them, and so on.
The involvement in physicians in the social space is disappointing. They have a disinclination toward transparency because of the traditional patient — physician relationship that has been ingrained since medical school.
Why are hospitals so slow to adopt social media?
Crossing into the space where patients have direct online interaction with their physician is still a long way away, because of security issues. However, when dealing with hospitals, it is a matter of showing them how much good is possible by using social technologies. We don’t remunerate doctors for interacting with patients in this way. Also, we are legally bound by regulatory bodies, and these social channels must comply with regulations as well. Twitter feeds are admissible in court.
One of the heaviest “things” to move is human resources. For example, the question of who is the person or people who are going to address “the tidal wave” of coming complaints.
The real-world experience is that 99% of comments are positive or neutral, and there are very few complaints: “the unexpected outcomes of social media for hospitals will be positive, because we’ve anticipated all the negatives” — Lee Aase, Mayo Clinic. Monitoring is the first step to understand how much is negative, how much is positive, where are the reported variances, and who is doing the talking. One of the most efficient means of communicating is to attach a face to an institution, and to add 10% to 20% personal tweeting into these accounts. Examples are Scott Monty of Ford and Frank Eliason of Comcast. By the way, it’s great to get negative feedback, because that highlights what needs to be changed. Liability poisons the environment, but fewer lawsuits arise when people treat people like people, rather than withholding information.
What are victim’s rights online?
The place to start for patient advocates is with systemic advocacy for patient rights in general, so people start to trust you over time on a case by case basis.
What are the agents of change in hospitals and who should we work with?
Understand who holds the budgets and who is involved with patient care. Understand their community engagement strategies in the real world and show them parallels online. However, understand also that it is too early to prove that social media changes behavior, so it’s challenging to legitimize these tools.
What about compatibility with hospital systems?
Hospitals use lots of systems that don’t talk to each other. Some hospitals are blocking Facebook access, for instance, whereas patients are using Facebook to talk about the hospital. The implementation of EMR is addressing this to an extent and driving a change in behavior. Vendors need to adopt open source standards and look at innovations like microsyntax and HL7 from MIT.
What about communicating with patients through mobile devices, particularly for improving the customer service experience? By the way, hospitals provide the most opaque and worst customer service experiences.
Some hospitals and surgeons are using Twitter to provide updates during an operation, after waivers are signed. This way patients’ families can be kept up to date during the hours of waiting. It’s a small but important step in customer satisfaction.
In Africa and the Philippines, social media adoption is increasing because social tools are the most inexpensive to use for communications, compared to legacy or traditional systems.
The developing world is driving innovation out of need. Maybe the answer in developed nations is to identify organizations like freelancer’s union, irobot, and others, that have an incentive to disrupt the healthcare system. Just build really awesome stuff and you will start to see behavior change and integration.
We already have a well developed social media strategy, but our challenge now is to get the physicians engaged. Is this even possible?
Hire for that. Find physicians that are already blogging. Find a leader that sets the example. Find someone that others will follow.
What about crisis communications?
If as an institution you start to communicate and to tweet, then you start to become the source of truth (rather than the media or someone else). Go through @swhealthcare’s Twitter account to understand how they responded to crisis.
One of the best ways to drive change is to demand it as the healthcare consumers we all are.
What tools are missing? What are the new trends?
One big trend is curation of health information, which is growing at an astronomical rate. Demand will never match supply, so curation is absolutely key.

This is a live post from a SXSW panel about StoryCorps, March 14th , 2010
StoryCorps was built on the principle that ordinary people have extraordinary stories to share — you just need to ask. Social networking and hand-held technology now enables communities to capture and distribute these stories with unprecedented scale and quality. Panelists will discuss the art of blending storytelling with social networking.
| Suneel Gupta Kahani Movement |
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| Dr Sanjay Gupta Kahani Movement |
“Story”: a narration of the events in the life of a person or the existence of a thing.
Saneel and Sanjay are brothers. The panel starts off with a clip showing an family in India and the Kahani Movement: “Some stories are never told … because no one asks.”
Stories have a beginning, a middle, and an end. The ingredients of a story include a central character or a hero and this project itself has a hero. StoryCorp’s hero is Louis “Studs” Terkel, the “premier chronicler of American life,” according to John Stewart. Ordinary people have extraordinary stories to tell. More importantly, if you don’t capture these stories, there is a time limit and the stories disappear. The Guptas are taking this mission to the web. The word Kahani means story in Indian. Every community has stories worth preserving.
If technology is a catalytic, what would Studs do?
- Chronicle the story by shifting the conversation from the studio to the living room
- Expand from audio conversations to film, photos, and writings
- Everyone is a Storyteller, so they are creating a network of storytellers who are collaborating, connecting, and sharing each others’ stories — to tell one common story
- We’ve made it approachable — give clips a sense of optimism and hope. Steven Spielberg is advising Kahani Movement with the experience he garnered from his work with the Shoah project, where he captured many stories before they expired.
- We’ve made it focused. The focus is Indian Immigration to the United States from the 1960’s to the 1970’s. Creating a community around a central topic
So, where is this project headed?
As happens with any population of people, there’s a tendency to paint that people with one broad brush stroke. A project like this adds heterogeneity to a population. Things that surprise are already starting to emerge. For example, because the immigrants were not fleeing persecution or prosecution, there was no galvanizing force to tie the people together. So what helped created the community?
Technology allows for deeper engagement for each member.
Remix. Everything is licensed under a Creative Commons license. A lot of derivative works are being posted and shared on the site.
Studs passed away in 2008, so the Guptas have been doing a lot of homework to understand what he was thinking and what was driving him. “People are ready to say ‘Yes, we are part of a world’.” This could lead to broadening out Kahani, to create more Kahani’s, by archiving and spinning out other initiatives. There could be a long tail of Kahani Movements. Our call to action to you today is start, and start soon, because time is limited.
Questions:
What about controversial or sensitive stories, like about abortion?
The Kahani Movement or StoryCorps are great opportunities to share intimate and difficult conversations by recording conversations within families, as family members interview each other.
What incentives are there for people to be involved in online communities if they don’t live online?
What Kahani is trying to achieve is online but much of it happens offline, around family living room tables. Some of the gaming panels at SXSW are interesting, because some of the motivational aspects around gaming could be applied.
Are the guidelines for storytelling, particularly around the questions to ask and also about how to use technology to accumulate stories?
Skype has been a good tool. One of the most powerful tools is to pull out a picture and ask: “tell me about this photo.“
How does the social network work?
It starts with the profile and with the visual and textual elements you are sharing with others. That’s when the connections start to happen between people. Collaboration ensues from connections, which are based on shared interests.
Is there a structure or best practices about how to capture an entire lifespan? What about technical best practices? For example, my parents are not comfortable in front of a camera, so how do I capture their stories?
The top priority is the story, not the technology. As far as best practices, it traces back to you and your own comfort. Ultimately, we are comprised of moments of life, so let’s go back and explore thoroughly the moments that mattered.
Note to self: An important aspect is the creation of social capital by building credibility through mutual verification of stories.




