Twitter Chats – Experiences, Value Propositions, Tips and Tricks

Over the last few years, the premise of the Twitter chat has gone from being perceived as an obscure and useless project to one of the fastest-growing ways to rally around ideas, share experiences and form ambient commons for publics.

Since I’ve been running two of them (RNchat being one of the first chats – and the first chat for clinicians), I thought I’d share my experiences and offer tips and recommendations.


I started RNchat as a way to get nurses to A) get up-to-speed with social media (nursing an medicine is/was really behind here, and I thought Twitter was a good gateway drug) B) I wanted to give nurses an easy and open forum to network, express themselves, trade war stories, etc.

Then I started MDchat, which was the first chat for physicians, for pretty much the same reasons as RNchat but for docs. Each had their similar and different trajectories since the general cultures have their difference.

Co-branding. Then I wanted to get the two communities to cross-pollinate. That worked well, and I wanted it to work especially for docs and nurses since there’s often a disconnect between the two professions.

Running two chats can be tough due to limitations of time and resources, but I’ve learned how to be efficient. So here’s what I’ve done, offering the value propositions, insights and business uses and purposes:


Some of you may have specific business/enterprise goals in mind. With these chats, that wasn’t my intent. BUT, there have been surprising incidental benefits which I’ve since learned to fold into my businesses and personal life.

(Update: I’m adding this post by Dennis Howlett (@dahowlett) since he articulates a reasoned acknowledgment of Twitter nay-saying while expressing the important (but perhaps hidden) value-role Twitter can play for accountants. …As a side note: having started my career in accounting, I know a ton of ways the profession could value-extract – from education to promulgation interpretation to professional development. I shall profess those in a future post.)

^ Surprising Journeys: I’ve gotten a decent amount of business as a direct result of leading the chats. Attribution management has verified that.

^ Speaking/workshop opportunities – I’ve gotten some really cool (and paid) gigs at off-the-beaten path. Not the typical social media conferences, but universities, health systems, retreats with physician practices and other leaders. I really don’t think I’d ever get those without these chats.

^ It’s been a really cool experience. For example, I’ve had IBM Watson’s team participate in two chats to discuss Waton’s role in medicine – I don’t think I’d ever have that opportunity w/out the chats. What’s more: the community at large benefits from these exchanges – think of the enormous impact Watson could have on Healthcare, Finance, Manufacturing, etc. To have physicians, nurses, HIT specialists and others involved in this unique ecosystem is truly amazing.

^ Respect. These chats have allowed me to gain respect. They’ve also honed my insights into and responsibilities to my communities.

^ Personal/professional connections – I’d say my network has grown by a large factor as a result. I’ve developed a whole CRM from people I’ve met and who’ve approached me.

^ There are others – you can set your goals and/or take advantage of serendipity. It’s all good.


^ Early on, I set up landing pages/blogs for the chats. I also set up newsletters that I’ve used for “special” chats and other updates, giving readers easy sharing options to spread the butter. (I’ve slacked, but at this point it’s fine for me.)

^ Thanking participants via email. It’s easy to get lazy and to depend on Twitter, but I took the time early on to add participants into my CRM, ask for emails if I couldn’t find them and send over a brief thank you. I’d also include content I thought they’d be interested – e.g. sending doctors lists of other docs they might want to network or other stuffs. Immense value there.

^ Transcripts. These can be kinda “Meh”, but there are people who read them. More importantly – especially for docs and nurses who wanted to get their facilities/colleagues involved, having a document to share helped spread the *offline* awareness of the brands. (I know of at least 5 cases where those hand-outs lead to in-bound prospects.) For Healthcare chats, there’s the Healthcare Hashtag Project but it’s only for healthcare-related chats. There really does need to be a solid transcript service beyond healthcare (I have ideas, so if you know any developers I’d be happy to share them). I’ve slacked on doing them every time, but they’re worth it if you’ve got nothing better to do.

^ Slideshare/Scribd/Storify – Building on transcripts, these are where their value can be enhanced. Storify is a great concept, but it’s still difficult to work with. I used it a few times to build some privately for a few clients and they loved it. Offers more context – especially to “non-savvy” C-Suiters.

^ CRM – As I said I basically converted the community into a crm. I did so both manually and by using online tools. It’s been a while, but there are tools that allow you to download the search results for a hashtag and convert it to a .csv file. Then you can create a ghetto crm from there.

^ Promotion: I didn’t promote these chats so much – a few tweets from my own account, but I wanted organic growth and I got it. But as the Twitter accounts associated with the chats grew, promotion took on its own life. RT and # can be powerful in this context.

^ Topic Suggestions Form – I developed forms for the chats where the community can not only offer topics they’d like to see discussed but also provide feedback/suggestions. Again, this helped in widening my network and enhancing relationships.

^ Time – this can be a bit hard to figure out. A lot depends on your audience – in my case , docs and nurses come from all walks of life and have weird schedules. I run mine on Tue and Thur nights. But lately I’ve thought about moving to another day/time. It’s OK to play around with times – the community will follow if the changes work for them.

^ Outsourcing: Get other moderators to lead. People love to be hit up, and they offer different styles so they can mix things up. Again, they have other followers who may be interested. This has helped me immensely. Also, cultivate those relationships. Not to mention: they have so much experience to offer – why not let them shine and add value to what you’re building for them?

^ Personality and Leadership: These are crucial. Curiously, I’d be as bold to say that personality is even more important than leadership (they’re both key). I’ve go my own personality – actually I have several online personas – @HealthIsSocial@RNchat@MD_chat@PhilBaumann), and they all are on the edgy side in their own way. I can afford to be a bit…shall we say…risky. You’ll have to decide yourself how to act, but being humorous, kind and being able to manage trolls adroitly are all important ingredients in baking a great chat.


^ Purposes: I can’t say Twitter chats “work” for most for-profit or non-profit going concerns. But they can be a great way for brands to have a regular living presence in an intimately ambient setting. It builds their responsiveness, especially if they’re relatively new to this craziness. (More about the *process* than direct results necessarily.)

^ Branded Hashtags: I think hashtags are way abused – it’s a shame, because they *do* have a lot of value. Still, it’s probably not a bad idea for a brand to have its own hashtag. This can be a two-edge blade, since it could be hijacked during a PR crisis, and triage could be a disaster. Still: if the people behind the brands have built trust over time and have the skills, they’re better off than sweating it out last-minute and ultimately reducing shareholder value.

^ Participation in other chats. Again, I do think there’s value in brands participating in chats (you all know, not in a spammy way of course). A) It’s a good way to keep a pulse on things. B) It humanizes things much easier. Rather than all that “RT others, and be human in your regular tweets” advice from social media “gurus”, the chats make it inherently human and useful.

^ Cohesion – a hashtag and its related chats/tweets can be a functional way to “tie-together” the entire online stream – and *offline* efforts too. Attribution management might be tough, but I’ve found, geolocation, conferences, etc. to be revealing info.

^ Attribution Management – I’ve found this to be difficult. Obviously helps – not just clicks from Twitter, but from your blog/site (but in my experience hasn’t been very revealing without a good amount of elbow grease). Geolocation and other metadata are often overlooked, but they can be useful depending on the business. I take issue with QR codes and MS tags (whole other post), but if a client has a heavy paper presence with a decently savvy demographic, it can’t hurt to slap one linking to the landing page for the hashtag/chat. (Think customer service, etc.)


So there’s how I’ve been doing this stuff. It’s worked for me. Not sure if it’ll work for you. If you haven’t started a chat, give it a try if you think there’s value to your audience.

Remember: Twitter *isn’t* community – but it can spur community in the true homes of community. That alone is valuable.

On one hand, this all could be totally useless. But if you’re creative and gutsy, there’s definitely a lot of value to be extracted – and, more importantly, to be provided.




Happy 5th Birthday Twitter – You Changed My Life

Dear @Twitter,

I so totally know how this sounds to write to a service, but I must confess: your little wings have changed the trajectory of my life and – for the most part – I think it’s been for the best.

I’ve been around for over 40 years, have seen many things, met all sorts of people and have – mostly – enjoyed my life. But I think every several hundred years, a tiny and almost insignificant tool comes out of nowhere and changes the world – like the wheel and zero, both of which are truly “nothing” (both are each shaped the same way). And yet the each not only changed the course of civilizations but also created them.

My son was born just before Twitter and in the last several years, my whole world-view has changed. Twitter has helped me to connect with people I *never* would have met without it. Twitter has launched me into totally different career-directions (plural) and I still don’t know where I’ll be next month because there are so many opportunities before us in today’s world. Twitter has rewired my brain, I’m sure of it.

Years ago I tried – hopelessly – to explain to people what Twitter was. I tried to convince doctors and nurses that Twitter could help them professionally by delivering relevant content and by connecting them with colleagues. But it was in vain.

It was not too long ago that it was unimaginable that doctors and nurses would be chatting in 140 characters like they do on @RNchat and @MD_chat.

I feel a bit better now that Twitter has hundreds of millions of users and is growing. I don’t know if Twitter Inc. will last, but the premise of Twitter is here to stay: the tweet is now a fundamental unit of communication in the 21st Century. It’s how we’ll connect (or disconnect) and it’s going to be the way millions of machines will follow each other and communicate and create an almost unimaginable world.

Only five years ago, nobody thought that the world would communicate publicly within 140 characters. Yes, people were text messaging – but that was between two people privately. To do so openly, globally and instantly was not even a thought.

Twitter has revealed a social construct that has been within us for a hundred thousand years which we never even knew existed.

Twitter is now a propellent for technological evolution. It’s a technology-spurring technology shifting the course of the human journey and there’s nothing we can do now to stop its curving of cultural space-time.

Twitter – and her sister-media – are so historic that there will be no history books written about them. For they are displacing the kinds of books you and I grew to know. That’s not even a claim-to-fame Guttenberg’s moveable type can make.

Am I a nut? Yes. Am I a nut to believe that Twitter is as big a deal as I think it is? Yes, perhaps – but I don’t think I’m the only one. All I can say is: Twitter, you’ve changed my life – for good or ill.

I wish I could list all of the wonderful people I’ve met via Twitter. It pains me to not mention all. But I would like to go on the public record about the people I can say I’m eternally grateful to you Twitter because without you I’d never find them:

  • @EdBennett – Thank you, Ed – you’re always doing the right thing
  • @KentBottles – Kent, you’re definitely helping to bring physicians into the 21st Century
  • @EricaHolt – Erica, you’re definitely my kind of Belgian-beer drinking buddy – you’re one smart cookie and the world needs to hear more about your views on today’s sparkly technology ๐Ÿ˜‰
  • @JaeSelle – Jae, ‘cuz you’re digilicious.
  • @DaphneLeigh – Daphne, you’re wonderful and I hope you find the happiness you’re looking for – I love your humor, your endurance and you
  • @LizScherer – Liz, I love your straight-forward way of talking people back to reality
  • @BobFine – Bob, you’re just a flat-out, stand-up good guy; a real American
  • @Loren_Feldman Loren deleted his Twitter accounts (@1938media) but Loren is one of the most passionate people about social media – he deeply understands how important it is for us to be smart about these media. I knew about him before Twitter, but it was through the lens of Twitter that I came to appreciate him through his persona as 1938media. Loren – you have one of the most important voices on and about the Internet- and you’re funny as sh*t, which is really all that matters. I wish you the best in whatever you do. Truly.

A couple years ago, my 82-year old Hungarian mother, who survived WWII, asked me: “Phee-lip, vat eez dees Tveety, Tveetar thing I all-vays hear about on zee news?” I demonstrated it to her using TweetDeck. She “got it” within about 5 minutes.

She leaned back in her chair and said “If dees Tveetar vawz around during virld var two, the var vould have been completely different! So many lives could have been saved from thatย kurva Hitler’s madness before the var even started. But it could have gone dee other vay too.”

My mom’s no dummy – a woman who witnessed and survived the worst of humanity, who came to this country, started her own business and raised five kids. When someone like that says Twitter is world-changing, you listen.

Thank you, Twitter: you’ve changed my life in ways you’ll never know. You’re bigger than the Beatles! ๐Ÿ™‚

If you ever land, may it be in a safe and warm place.



Two Hashtags

As as follow-up to my post, The Carpet Bombing of Twitter with Hashtags, I’m announcing that I launched 2hashtags (Two Hashtags).

2hashtags is a website with a simple pledge to keep Twitter clean and simple by limiting the use of hashtags to two per tweet. These kinds of pledges have been used before, I just adapted them for Twitter hashtags.

You can read more over on HealthIsSocial.

So, go check it out and take the pledge if you agree. #YeahIamAtwitterNut