A presumption is a belief or hypothesis about something. An assumption is taking a piece of information (as in knowledge about a topic) as a given fact. When you put them together, a presumptive assumption is troublesome because you can assume in error.
The question today for healthcare facilities isn't, "Does your facility use social media?" It's more like, "Who is using social media, for what purpose, and what are your hospital's policies and procedures around it?" It's good to have a strong social media policy and procedure in place for your organization, says Phyllis A. Patrick, MBA, FACHE, CHC, president of Phyllis A. Patrick & Associates, LLC, in Purchase, N.Y. She developed this accompanying checklist for those looking to beef up their policies on social media use in the hospital setting.