The document provides guidance on developing a Twitter strategy, including when to tweet, what to tweet, how to find people to follow, how to get people to follow you, how to be engaging, and how to measure success. It discusses topics like using hashtags and photos, following those who follow you, responding to others, and starting conversations. The document also includes a case study on using Twitter for a patient advisor group and emphasizes regular communication, promotion, and using analytics to measure engagement.