Crossroads: Building a Community or Distribution Mechanism – A Self Examination

It is my humble opinion that there are two types of use of Social Media outlets, those who use it to connect with a community and those who use it as a distribution mechanism.

Building a Community
Wiki defines: “The word “community” is derived from the Old French communité which is derived from the Latin communitas (cum, “with/together” + munus, “gift”), a broad term for fellowship or organized society.” We are human creatures and we feel the need to connect with other like minded individuals. We use technology as a means to connect with this community. This technology to socialize with a community is what I define as Social Media. They use these technologies as facilitators to exchange language, common discourse.

Distribution Mechanism
Using “Social” Media outlets to only push information as mass communication. No interactivity, just one direction flow of information. Open an account, and broadcast…no reciprocation. This can be on a global basis where a account is used specifically to broadcast information, or even on a very local situation where a campaign only delivers information over Social Media accounts, information one way for a finite period of time.

Can you do both and still be social…and it still be considered Social Media. Why should we define this? Well, because  we are users of this media…we should think about how we use it when interacting with a community. Think about it, do you get annoyed when someone continually updates their “Status” yet when you try to communicate…there is no response? Some even consider that Spam?

Wiki defines: “Spam is the use of electronic messaging systems (including most broadcast media, digital delivery systems) to send unsolicited bulk messages indiscriminately.” Do we spam the community each time we send out links, content, etc. without engaging in conversation within the community. Or is it when we broadcast over and over again, in bulk?

Marketers each day are beginning to include “Social Media(s)” as a distribution mechanism, another place to increase the SEO for their sites…is it all about SEO? Is it all about the massive homogenous linkage system we call the web to make Google happy on our behalf. Noise?

Now, I realize (that if anything) this is a self reflection to better understand an rationalize this medium. To better understand how we can use it more for the community engagement and less for the marketing, one-way pushing of information.

Social Networking Spam
Wiki also defines: “Social Networking Spam is spam directed at users of internet social networking services such as MySpace, FaceBook or LinkedIn. Users of social networking services can send notes, that may include embedded links to other social network locations or even outside sites, to one another. This is where the social network spammer comes in. Utilizing the social network’s search tools, he/she can target a certain demographic segment of the users, or use common fan pages or groups to send notes to them from an account disguised as that of a real person. Such notes may include embedded links to pornographic or other product sites designed to sell something.”

Do we Spam our friends everyday with our latest blog posts, our marketing links, our causes, our clients messages? It really does not feel like a conversation. I do it…write a blog post like this, and update my status so that I can share it with the world. I do it in bulk…because I update my status(s) multiple times in a week with a link. Do I create the noise that I am trying to resist?

Do we encourage our clients to use it as a distribution mechanism? Or do we eloquently phrase it so they feel like it is another touch point. Is this community really opting in to conversations when they freely click “Follow” or “Like”?

Sometimes I think we have to define and self examine our practices so that we better serve our clients and our community we so generously cherish. We are humans you know.

Blogging is about K.I.S.S – Keep It Simple Stupid…and do it Passionately

Blogging…what an interesting topic to write about. There are so many people out there who have better things to say about this platform…but I cannot hold back anymore. I am hearing and reading so many people struggling with this idea. I have so many clients who want to blog, or have tackled the idea…and they are struggling. So what is blogging? Well, if I could define it in one post…then something is wrong. Blogging is a personal experience. Blogging is about community. Blogging is about writing with passion. Blogging is about letting the technology give us a platform to articulate our thoughts for public consumption, then connecting with those who share in that passion. Yes…passion.

Over four years ago, my wife started a blog as a journal. She kept it semi-private without sharing her full name and her location. It was her journal. It was her place to write about her mother fighting breast cancer and loosing that battle. Her writing was candid and raw. Her blog was also about infertility. You see, we have experienced three miscarriages. This was her tool to write and greave. She has pissed people off by writing candidly about family and personal experiences during this time of grief. She has thought about moving the blog and going completely anonymous. But, she has stuck to her guns, wrote with passion, and built a community of people who share the same thoughts. We could not have paid for a better therapist than WordPress.

She writes with passion and she writes with focus. She shares her inner most thoughts, experiences, and ideas. She did not spend money designing some beautiful blog. She did not spend time paying someone optimizing for the SEO. She writes with passion. She also reads with passion. She seeks out other bloggers to learn about them. When she sees someone new commenting, she goes to their blog to learn more about them. She uses her blog as her social space to build friendships all over the country…and she knows more about them than some of our friends right around the corner. She does all of this for free on WordPress.

We marketers spend so much time thinking about the number of clicks, whether this logo should be bigger or smaller, the right web URL, commenting system, etc. What we forget…write with passion. Find a focus for your blog and write with passion. Then, go out and find similar people and read what they are writing. Use commenting as an opportunity to take a genuine interest in people. If we are business bloggers, find that business focus and write with passion. Show something personal about you so people have something to connect.

Sarah also does something very interesting. She password protects certain posts, only allowing certain people to read certain posts. Talk about generating interest…she has more people asking for the password than I have hits in a day for my business blog.

We think way to much. We also think if we just set-up a blog on WordPress, Blogger, Tumblr, Posterous, etc…that people will just come and money will start flowing. UHH…HELL NO. Blogging is about writing…articulating thoughts, your thoughts. Blogging is that editorial place to share opinions, facts, information….through our eyes. What is your passion…write about it! Write about it consistently! Then, go out and find others that interest you…read their blog. Comment with passion and be authentic. Do not worry about technology, let the technology be the provide the platform to allow your writing flow freely.

Fall cleaning, raking leaves, and cleaning-up the social space.

Today…it was a day of cleaning. After a good weekend of social gatherings, thanks givings, and reflection…I spent time with family and less time with my online, social relationships. So, after the Christmas tree was picked…it was time to go outside and tidy up the yard for the winter season. I have three big oak trees around my house and a beautiful Japanese Cherry in my front year…boy do they shed some leaves. Time to pull out the rake and find the beautiful centipede underneath all those leaves. Thinking, raking, comtemplating…time to clean-up other areas as I move into the winter months, preparing for the New Year.

Social Media is just plain out getting noisy. It is about as noisy and overwhelming as those layers of leaves that needed to be raked. It is starting, well has become like a corporate minefield of noise. As more and more people, business, and applications dive into this new competitive playing field…it is becoming just as much like a machine as that corporate job I used to have.

Piles of leaves and a lots of raking to go…

Logging onto TweetDeck used to be fun. You could reach out to any person, anyone and more than likely get a response. Now, so many celebrities, corporate brands, big name CEO’s and people thinking they are celebrities have created noise and created the silos that these Social Media platforms were built to break down.

Now…the beating of the “man-chest” is about how many followers you have. These followers are not really followers, just people that have the opportunity to listen but not necessarily engage. They are like  those piles of leaves just hanging out and covering what is green, what is fruitful.

The past year has experienced a tremendous amount of  discussion on measurement and ROI…whatever the hell that means. We have lost the social…and yet implemented the business aspect of Social Media(s). Those who argue for the social, community aspect have sold out and are just as guilty as those they criticize…they are making a premium off speaking engagements and hefty social media retainers.

Disclaimer: Yes…I have a retainer with an organization to help with management of Social Media platforms. Yes, I get paid monthly. No, I do not Tweet and update Facebook on their behalf. It is their community and I just advise them on the best approaches and platforms to use to connect their communities. So, do I add to the problem…maybe, but trying to stay as pure as possible (whatever that means).

I need some water…and a new set of gloves.

I have totally locked down my personal Facebook account to people that I consider personal friends. I have un-followed one-third of the people I follow on Twitter a few weeks ago. I will do a cut list again. I am getting back to community. I am searching for a core community of people that want to grow both socially and professionally.

There are people on these platforms that used to answer questions, reply to mentions, and even carry a conversation…now they will not even answer a thought even when I ask with overly-nice tones. I used to tell my students that these Social Media platforms were a place that at anytime, you could have a conversation with a big corporate CEO…I barely believe that anymore. Reaching out in this space has turned into the same blackhole as trying to call them on the phone and getting an assistant or even talking to multiple customer service representatives at AT&T.

Social Media platforms are turning into true marketing platforms, another place to push information and less engagement. This is a rant, but I also think it is a sign in my mind that  it is time to re-define why I use these platforms and who that I really want to connect with daily.


A few months ago, I found tons of merit in Spike Jones approach to get rid of the noise; close his Twitter account for two weeks, then re-open and start over. I like this so much…this was his way of getting through the noise. There is a lot of it. A lot of leaves. See…these leaves used to be green. On some of the trees that had beautiful blooms. Now, after they have changed so many colors…they pile up in my yard. They have piled up in my Facebook account, my Twitter account, my LinkedIn account, and even in my contact lists. Raking is a good thing, pushing them to the street for the city to pick-up.

So how do we get through the noise? How do we rake-up for the winter and get ready for new relationships?

1 – Write a mission statement for each Social Media account. What do I mean, write out how you want to use each account. How you will communicate with each account; who you want to allow or engage with using these accounts; if you will use it for business, personal, passion, cause, or all the above; and how often you want to use these accounts.

2 – Apply this mission statement to the people you follow and who follow you. Seriously, who do want to connect with daily? Use this as a barometer when you follow and also when you clean out your account.

3 – Clean-up your followers and who you follow. Go through an CLICK DELETE, UNFOLLOW, or BLOCK. Have that mission statement beside you when you clean-up, clean-out, block, and add back in.

4 – Clean-out all those many applications that connect through your social media accounts. We have so many different applications that connect and re-connect through out platforms from TweetDeck, Hootsuite, TwitPic, Seesmic, TwitVite, Farmville, Mafia Wars, etc., etc. Clean out those you do not use…these are platforms you have granted access to your accounts. This is the same as allowing tons of different people and companies having access to your email and bank accounts.

5 – Pick the right platform for you. It is not necessary to use all the platforms if it brings noise to your life. By us creating and starting an account, barley use this account, and leave it live without closing and not using it…we bring noise.

6 – Find and engage like minded people. Treat this online, social experience the same as an in-person social experience.

To be quite honest, I wrote this for myself. I needed to articulate for myself what was necessary for me to continue using and engaging with these platforms.

Bobby’s 5 Links of the Week | November 28, 2010

Hello friends, here are my links for the week. As you can see…they include social media, Facebook commenting, and hospital social media. I hope you enjoy and let me know your thoughts about any of these articles!

Why Social Media for Doctors Doesn’t Make Sense
November 19, 2010 | Bryan Vartabedian, MD of
When I discuss social media with physicians they often giggle and look confused.  It’s as if none of it makes sense. And probably for good reason.  Doctors have changed. CLICK HERE to read more.

Should OSHA create work rules for physicians in training?
October 2010 | Richard Leff, MD for Blog
Recent rules issued by the Accreditation Council for Graduate Medical Education (ACGME) for resident work hours have further limited the consecutive and total number of hours that medical trainees may work.  These measures, originally created because of safety concerns, are intended to decrease the number of fatigue-related errors made by physicians in training. CLICK HERE to read more.

Four ways to get more value from digital marketing
MARCH 2010 | David C. Edelman
Companies that make the deep strategic, organizational, and operational shifts required to become effective digital marketers can become more agile, more productive, and accelerate revenue growth. CLICK HERE to read more.

Facebook Comments: Protected Speech or Personal Branding Nightmare?
November 24, 2010 | Dan Schawbel of
We all know that people overshare. It’s easy to write a quick status update when someone bothers you at work or you’re frustrated. And in today’s world of social media and instant communication, it’s not surprising that quite a few people are taking heat for posting inappropriate content—especially when it comes to their careers. CLICK HERE to read more.

5 Reasons Facebook Will Be the 2012 Marketing Requisite
November 24, 2010 by Patsy Stewart of
Facebook has generated a lot of BUZZ lately with its unveiling of a new location based “Places” with local deals. Successful companies are integrating Facebook into their marketing strategies. Fortune 500 companies are racing to see who can get the most “likes” and companies like WalMart are banking that you will share their deals with your friends. CLICK HERE to read more.

Thankful for my mentor, my business mentor…my Pop!

This is me on graduation in 1997 from Clemson. From left to right, my mom – Linda, my Nana – Judy, me, my sister – Jennifer, and my Pop – Joe. My Pop the business man…the only thing that is not seen in this picture is my Pop’s cell phone, which he had close to him all the time. I remember he had the first mobile phone in his car in the 1980’s and it was a rotary phone…he was an innovative business man. He was the first realtor in Anderson to have a mobile phone. He and I have lots in common. We love technology and gadgets.

Today…on this Thanksgiving, I went up and sat for about an hour with my Pop. This is my grandfather…my mother’s father. He is in a rehabilitation home after a few trips to the hospital. I am the oldest grandchild and my mother is the oldest of her siblings. In a way, I am like a son to him.

As a business man, it is good to find someone whom you can call a mentor. One that you can sit down, share honest thoughts, and receive honest feedback. But when the talk is over, that positive feedback makes you want to get up and keep on moving ahead.  My Pop was a self-employed business man..for most of his adult life. He grew-up in Spartanburg, son to a police officer who died when my Pop was a teenager. It was my Pop and his mother (my Granny) trudging through life for years. He went into the Marines and afterwards met my Mimi, my grandmother. She died when I was only four years old. He became a medical sales guy…then stepped away to tackle the world of real estate. My grandfather sold real estate here in the Anderson, SC area most of his adult life. He has probably sold the same house numerous times. His photographic memory of each house combined with his relationship building skills made him successful leader in this Anderson community.

Now during the later years of his life, I think he is beginning to reflect and share his wisdom. He has seen recessions, he has seen the real estate market flourish. He has had to balance an entrepreneur’s life with the life of a family that encompassed  four children and tons of grandchildren. My oldest memories of Pop is going on a house showing with him, sitting in the car, then watching him guide the people (his clients)  through the contractual process. He loved what he did. I am sure he loved selling real estate because the of the financial benefit of a sale, but most of all he loved dealing with people. He loved building relationships. He loved hearing stories from his clients, connection with people from different backgrounds, sharing relationships which led to sharing business. Relationships led to strong economic development in his opinion.

Each time I get to sit with Pop, we share stories. He loves to hear my stories of a new client, a new person I met, new ideas, and my vision for my business of tomorrow. He also wants to hear the struggles, the fear, the disappointments, and the challenges. He wants to keep it real, because business is not always about the pluses…it is about weathering the storms and finding positives in the challenges. He has had to endure the downswings, so he sees the value in sharing both sides…but finding ways to understand and move forward to a brighter tomorrow.

My Pop loves to be called my mentor. He is…in so many ways. I seek his wisdom, his advice, his thoughts, his laughs, his positive thinking…but most of all his approval. I want to do it right in his eyes.

Mentors are necessary in this world of business. Mentors bring perspective, bring wisdom, en-still positive thinking, and prepare us to move thoughtfully for a brighter tomorrow. Mentors are awesome…but they are even better when they are your grandfather! One who has found success in his passion…not just selling real estate but building wonderful relationships.

On this Thanksgiving 2010, I am thankful for my mentor…my Pop.

The average household has 5 TV’s, hmm? Reason for thankfulness?

So I was sitting in the board meeting for the Anderson Area Chamber of Commerce and the closing remarks from board chairman Bill Manson has me thinking. He told us that the average American home has five televisions. Think about that for a second, five televisions. He goes on to reflect that we Americans live in the richest nation in the world. We have so much to be thankful for this holiday season. Now I am not using the television as a barometer to measure wealth in totality here in America…I am looking at it as a small fact that makes you sit back and think.

One year ago this month, I decided to break away from another company and start my own business. For the past year, Sarah and I have been able to achieve more in one year than we have in the last four years of marriage. We have rid ourselves of all our medical debt, we have really started focusing on saving, we have spent more time thinking about giving not only money but time to causes we believe, we have helped our sister-in-law get through college, and we are closer than ever to starting a family. My little business is only a small part of this freedom of choice, but it has been more about empowering our future. Taking an active role in where we want to be tomorrow. So, I am thankful.

This past year, my mother has finally found her mate…one she can spend the rest of her life with; and I do not have to worry any longer. My sister has found someone who makes her day happy, and it is our hope that this relationship will flourish. Sarah has began to find the new her, after loosing her best friend…her mother to breast cancer three years ago and suffering three miscarriages over the last two years. Grief is a tough road.

I am not sure where business will take me next year? I have a good plan in place and focus on growth and continue to find the right people to work with…ones who want to do some fun stuff. I am looking forward to continuing teaching at Clemson…this is one area that I find the most joy. There is nothing better than walking in a room of tomorrow’s leaders and knowing that one day they will be taking care of me, in some capacity…why not help them along the way. For this I am thankful.

What do I want the most next year…not the gadgets that everyone knows I love, not the new car, not some crazy trip for vacation…I want to start a family. If it is our place to be able to have our own child this year…I think I will write about it every day on this blog. If it is our place to adopt, I will open my house with joy. I am 36 years old, turning 37 next March. If we have a child next year, I will be 57 when they turn 20 and in college. I will be 67 when they have kids…if they do so by 30. I want the opportunity to see my legacy. I want to see my tomorrow. I want to be able to support my family and do it with the passion I have for everything I put my heart into.  I want to be able to tell the story of my family just as much as telling stories for my clients. I want to start teaching my legacy just as much as I teach our legacy in Clemson’s classroom.

So I am humbled and thankful. This is not some cliche blog post where I am going to sell you a bunch of thankful stuff about turkey and world peace. I am thankful that I can get up in the morning, in the house I pay for everyday, working with the clients I love, next to the woman I adore, and share life with the family and friends that make breathing air so complete. We should be so thankful to be able to freely express our opinions, fight for our passion, share our values and ethics, and do it in a country…a place we can call home regardless how many televisions sit in our households. Thankfulness is contextual and this is my little thankful thought for the day.

Thanks Bill for helping me think and articulate why I am thankful this holiday season! We should be so thankful.

What is your story? What is your legacy? How are you sharing it with your tomorrow?

Finding stories in your organization. Where are they?

As the year begins to come to a close, what are the stories you have told over the last year. Now, I do not necessarily mean what book have you read out-loud to a group of people…but stories have you sought out to find and share? In the world of marketing, branding, and pr…we find ourselves wrapped up in mission statements, branding guidelines, and style guides. Stories break all conventions…they tear down the walls of the status-quo.

I recently connected with a talented photojournalist on Twitter. Her name is Debbi Morello (@debmorello) and she is one hell of a photojournalist. Take a few minutes to check out her website here: To me, it is hard to find people that share the same visual interests in the visual storytelling medium, taking a documentary style approach to marketing and pr…to bring the human element into the visual medium, provide a voice for those who know the story best.

When I was a young journalist, I attended many workshops with the National Press Photographers Association ( and Poynter Institute. These groups helped break down all the conventions and instill in me the need to always listen for the story. Think about it for a second, how many times did you think you wanted to tell a story one way, and it ends up taking an evolution of it’s own. The subjects/people shape the story.

When I walk into situations, I always listen for the story…not just look for the story. Now I realize that I am visual storyteller, but our ears are the most powerful sense. I remember going out to Wenden, Arizona after hearing reports of a town being flooded after a big rain. You see…when it rains for an extended period of time in the desert, the dry ground does not soak up the water…it has to flow somewhere. It typically flows into the valleys of the desert where southwestern towns are centralized.

I remember pulling out my camera and and listening for people, people struggling to figure out this disaster. They shaped the story. There was no need for some fancy writing, just real people telling real stories.

We can apply these same concepts inside the walls of our organizations. We can use our social skills and our senses to listen for the stories that reinforce and strengthen our organization’s message. We can move away from marketing backgrounds and become more PR/journalistic. We are storytellers inside. We like to document life. Why do you think Facebook is so successful? It is because we want to share, share our story with our friends, family, and colleagues. We take pictures, video, write our thoughts, and upload for all to see. We are writing our life story. We like to share stories.

What if we took that same initiative within our organizations. Listen for the stories within the organization and share them. Imagine just taking one or two hours a week, and walk through the halls of your workplace. Listening to the conversations, the stories. Imagine writing them down and sharing them with the world. They might want to share with their friends…more stories…bigger community of like minded people. Stories are fun. So…what stories have you told this year?

What are the stories you are telling within your organization? Please share…I am interested!

Bobby’s 5 Links of the Week | November 21, 2010

Hello friends, here are my links for the week. As you can see…they include social media, mobile technology, physician marketing, and hospital social media. I hope you enjoy and let me know your thoughts about any of these article!

5 Mobile Technologies Retailers Should Be Using Now
November 15, 2010 | Houston Neal of Software Device
Mobile commerce is driving the next major shift in retail, and retailers that can learn to harness this technology stand to gain a competitive advantage. To learn about 5 mobile technologies retailers should be using, visit the Software Advice blog. CLICK HERE to read more.

The one sure-fire way to get more clicks and RTs for your blog posts
November 16, 2010 |
Write better headlines. That’s no big relevation, and there’s a lot that goes into writing better headlines.  I’ll refer you to someone like @Copyblogger who has written a great series on writing better headlines. But there’s one area I wanted to focus on when it comes to headlines.  I share a lot of links on Twitter because I am trying to find helpful information for my followers. CLICK HERE to read more.

Calling Bullshit on Social Media

November 18, 2010 | Tamsen McMahon
1) There are tools. There are people who use the tools. And then there are people who are tools. Know the difference.
2) Ass-kissing will get you anywhere, but where is that, exactly? Where do you actually want to gofrom there? Think long-term.
3) Speaking of long-term, “asshole” is not a long-term strategy. Neither is “edgy” or “off-putting.” What do you really want to achieve? And for how long? Build a strategy on that.
CLICK HERE to read the rest of the 32 points! – Video Repository
November 18, 2010 | Newberry County Memorial Hospital
Looking for a doctor and your in Newberry County, South Carolina…here is a cool portal providing videos of doctors talking about what they enjoy to do the most, practice medicine. Pretty cool idea to allow physicians to speak in-their-own-words by wrapping the searchable power of YouTube and a brand-able portal for Newberry County Memorial Hospital. CLICK HERE to learn more.

Woz: Apple Almost Launched A Phone In 2004, Android Will “Win The Race”
November 18, 2010 | Robin Wauters
Apple cofounder Steve Wozniak was being his fascinating self again this morning, revealing in an interview with Dutch newspaper De Telegraaf that the company he helped get off the ground actually developed a smartphone in partnership with a well-known Japanese electronics company as early as 2004, but shelved the project prior to its debut (via Engadget).

Cramming too much into a story?

Sometimes we just want to tell too much! We do…we want to cram so much into one little story. If we have to create a 30 second video/tv spot, we cram as many words into the voice over as possible. Why…because we do not know how to keep it simple and put in terms of the audience. We are so worried we are not going to say everything we need to say, and our audience is going to miss the point. Oh yeah…maybe we are missing the point?

Storytelling is a craft…it is an art…it is stepping inside of the audience’s mind and seeing their perceptions and realities.

Let’s take a resume for just a quick second. How long is your resume? Is it one, two…three, five pages? We cram every little accolade, honor, and simple nothings that do not mean a hill of beans…except we can beat our chest and feel a little more closer to our ego. What is a resume? I think it is just a guide, and reference tool. I have yet to get a job based on my resume…seriously!  You know why, because every resume looks just a like. Hell, there are people inflating that resume just a bit….pushing the limits to make ourselves seem special.

That resume is really a document that allows us to organize our thoughts and prepare us for an interview. It is a conversation piece, a study guide for the interview. Heck, it really is just a reference document when filling out a job application. But, why do we cram it full of stuff that means nothing.

We have a chance to tell a story…a real story.

Let’s take this little video from Apple. The new MacBook Air. By the way, my wife is dying to get one!

After watching this tv spot just one time, she understood everything she needed to know to make a purchasing decision. It is thin, sleek, and powerful. Did you see Apple craming a bunch of information about this little computer into 30 seconds? NO! They could have told you the dimensions, the processing power, the fact it has a solid state hard drive, or even abut that Intel processor inside. Nope…just a happy little tune and these two fingers pinching it and holding it up in the air. Enough said. Apple told a story…well actually a teaser. They told us enough to make the wife and I to get into the car, drive 40 miles to the Apple store so we could see if it was real.

It is not about cramming all the information into one piece of communication…it is about telling a story that engages the audience to see the message through your eyes. My students always ask me…how long should my paper be for this assignment? I tell them…it is not about length, it is about you telling me your story in way that I can see the whole argument (beginning, middle, and end) through your eyes. Whether it is one paragraph or a hundred paragraphs, as long as you tell the story.

Bobby’s 5 Links of the Week | November 14, 2010

Hello friends, here are my links for the week. As you can see…they include social media, hospital leadership, Medicaid, and hospital social media. I hope you enjoy and let me know your thoughts about any of these article!

Allay fears and build loyalty by using social media during crises
October 20, 2010 |
Hospitals are not exempt from the economic woes our country is facing. More and more, we hear of hospitals facing layoffs to address budget deficits. This can undoubtedly cause concerns among patients and members of the community. They may worry about whether they will be able to get the care they need if your hospital appears to be downsizing. CLICK HERE to read more.

How to turn around a failing hospital by Richard Smith
November 11, 2010 | BMJ Group
England is said to have 30 hospitals that are failing so badly that they may be taken over by the private sector. So there might be a lot of interest in a case study posted this week on the Health Foundation website that describes how a major academic hospital in Boston was saved from failure. CLICK HERE to read more.

Medicaid managed care programs; so do issues
November 13, 2010 | USA Today – Phi Galewitz of Kaiser Health News
After Tonya Bauserman slipped in a grocery store and hurt her right knee last July, an emergency room doctor prescribed painkillers and told her to see an orthopedic surgeon. But Bauserman, 27, who’s insured by a Medicaid managed health care plan called HealthCare USA, says she had trouble finding an orthopedist in her plan who would see her. Finally, she drove 2½ hours to Columbia from her home in a northwestern suburb here to see a physician, who fitted her for a brace and recommended physical therapy. HealthCare USA later said it wouldn’t pay for the brace. CLICK HERE to read more.

Company accused of firing over Facebook post
November 8, 2010 | Steven Greenhouse of
In what labor officials and lawyers view as a ground-breaking case involving workers and social media, the National Labor Relations Board has accused a company of illegally firing an employee after she criticized her supervisor on her Facebook page. CLICK HERE to read more.

12 Fun Hacks for getting more out of YouTube
November 13, 2010 | Amy-Mae Elliott of
There’s no doubt that plain old YouTube can be tons of fun, but when you get bored of watching clips the traditional way, there are a ton of sites that can help enhance the experience. CLICK HERE to read more.