Hospitals are not exempt from the economic woes our country is facing, writes Nancy Cawley Jean, who oversees social media for Lifespan. "We increasingly hear of hospitals facing layoffs to address budget deficits. This can undoubtedly raise 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. Hospitals that use social media for marketing are often inclined to NOT use these tools during difficult times." Hospital Impact