Editor’s note: In the April issue, the team from Practice Compliance Solutions addressed why social media can be critical to building a business today. In June, PCS shared some guidelines for social media content. And in this article, Dr. Cass suggests some guidelines for effective ways to respond to online reviews and summarizes the legalities of patient communications via social media.
An eye care professional’s digital message is often your first point of contact with potential patients and an important component of the doctor-patient relationships. You may not think about it much—but your patients definitely do.
In 2023, 69% of U.S. adults used Facebook, and 57% and 45% respectively said they used YouTube and Instagram. The popularity of social media and its use by the practice and staff raises several issues in health care. These issues include what your practice posts on social media, how your employees use social media (even on company time), and how you communicate with patients through social media.
In this column, we’ll be looking more at the communications with patients on social media—which can include what you put on your blogs, social media and websites, as well as how you respond to patient comments and reviews.
As practices cultivate a large and engaged patient base, posts and shares by patients bring your content and awareness about your practice to a larger group of people. You and/or your designated social media staff member can create content that people like by sharing links to interesting news, updates on the office or staff, events or special sales—as long as you follow HIPAA guidelines.
Responding to reviews
Whether you are involved in it or not, your patients and potential patients are talking about you on social media. Monitoring those reviews and mentions is important. While most well-run practices receive mostly positive reviews, it’s important to monitor them all—good and bad. The way you respond can be a great practice builder.
For good reviews, consider thanking the reviewer and acknowledging the comment. Be careful to use generic language when responding and keep it brief. Something like “Thank you for the kind words. We strive to be thorough” or “So glad to see this posted. We love our optician Natalie.” If it’s appropriate, consider reaching out to ask the reviewer to post the same message on other social media sites.
For bad reviews, try to reach out to the patient by phone. The first two actions are the same: thank the person and acknowledge the comment. Ask them to give you as much information as possible about the issue and take notes. Then summarize back to them what was said. Accept responsibility for anything that you did wrong (nobody is perfect) and ask them what you can do to resolve the situation for them. Try to let them offer a solution. Patients appreciate being heard and having the opportunity to tell you what they want done. You will often be surprised how reasonable they can be when they realize you sincerely want to fix the problem for them. If appropriate, you can ask them to remove or change the review.
If you are unable to connect with them by phone or if they are still upset, you can respond online. For HIPAA compliance be careful and respond in nonspecific terms. It is usually best to just simply state policy. For example: “Our office policy is to collect co-pays at the time of service” or “Lens warranties are only for 1 year.”
Definitely don’t get into an argument with them. You won’t look good, and you might make them angry enough to file a complaint.
Communicating with patients
In general, it is not a good idea to use social media to communicate with patients other than on generic topics that are relevant to your patient base. This could include marketing or ocular health education, for example.
And while it seems obvious, it bears repeating. Do not ever post any personal health information (PHI) on your digital platforms.
If a patient posts and includes some of their PHI in their question or comment, your team needs to follow all HIPAA rules in any response. An appropriate response could be to ask them to call the office or suggest that someone from the office will call to discuss.
If your office emails patients, it should be through encrypted and secure emails. The same goes for text messaging. But patient portals are generally the best option and may be required in the future.
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