The hammer is about to drop on marketing budgets

File under: Relationship Marketing

The hammer is about to drop on marketing budgets. While there will still be discretionary spend on mobile and tablet pilot projects, executives are looking for measurable productivity from their marketing spend. Unproductive tactics must be prepared to surrender their pound of flesh.

The unflattering ROI spotlight that outed R&D’s poor productivity and unraveled many large sales forces is now turning its stare towards marketing. Everyone has to share the pain. But simplistic all-for-one, one-for-all across the board budget cuts are absolutely wrong. I’m concerned that this habit of making room in the budget by simply shuffling the marketing deck chairs will just punish existing physician relationships and confuse new ones.

Silver Lining
The silver lining is that this greater fiscal scrutiny should lead to more customer-focused physician marketing. Unfortunately, many brand leaders may not have the data or insight to know whether poor ROI is the result of a bad tactic, the wrong target, or poor execution.

Most launch brands spend considerable money and time crafting a unique selling proposition to differentiate their product in the marketplace. Exhausted by this grueling exercise, they tend to fall back on the standard, undifferentiated marketing playbook to promote their message.

An industry executive recently asked me how she should be measuring the ROI of individual tactics in a multi-channel world. There is an answer to that question, but it wouldn’t be helpful, because the question itself is wrong. We should be measuring ROI at the physician level based on a custom basket of tactics. Few channels, a priori, are ineffective. It’s how the channels are used together. The real opportunity is to discover the right combination of messages and channels and timing for individual doctors, based on their value and their preference.

Vital Opportunity
This opens up a vital opportunity to fix the core problem once and for all by moving from an inside-out perspective (my product, my message, my tactics) to an outside-in focus (individual physicians, individual needs, unique experiences), and translate that into a fresh marketing strategy.

Sophisticated brand marketers who learn how to use physician CRM across the brand franchise and across tactics soon realize they have gathered proprietary insight that gives them a new, and highly competitive marketing advantage.

If integrated multi- (not just multiple-channel) marketing wasn’t that important in the blockbuster heyday when budgets were flush and 80% of success was just showing up, it is now. True physician CRM has been talked about for years, but few brands or agencies have done it. This is the year to build that capability.

 

Physician Marketing, meet CRM

File under: Relationship Marketing

A lot of ink has been spilled on the decline of the blockbuster and the search for a new specialty-product commercial model. But less attention has been paid to how that changes physician marketing strategy.

In the traditional PCP blockbuster model, promotional saturation was effective. The medical claim could be simple and the sales message clever. It didn’t matter if marketing tactics existed in their own silos with little or no coordination. Whether it was a leading statin or ED product, there was strong consumer demand and the marketing strategy could be share of voice.

In today’s specialty market, these old assumptions are just plain wrong. Not only is the target audience smaller, the buying criteria are more sophisticated. Writing a $15,000 oncology regimen is different from writing a monthly $150 PPI script.

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When the right platform presents itself, jump on and go!

File under: Healthcare innovation, Mobile Health

The PC and then the Internet technology revolutions disrupted nearly every industry. Sectors like travel, bookstores, and even mapmaking were turned on their heads. But one industry has been impervious to technology reengineering. Healthcare providers have been largely intransigent in their resistance to adoption of information technology solutions that could enhance care, provide transparency of information, and support better physician-patient communication. Conventional wisdom held that doctors were by nature technology laggards.

But maybe they were simply waiting for the right technology.

A new study shows that 75% of physicians now own an Apple device. Doctors who at best would hunt and peck a PC keyboard are now swiping and swishing their way through Physician using iPadmedical information databases, patient records, and therapy 3D animations for their patients. They are integrating iPads into electronic medical records to prove “meaningful use” and reviewing health apps to recommend. Apple has even announced a new section of the AppStore called Apps for Healthcare Professionals.

The latest crop of user-focused technology companies such as Apple, Google, and Facebook are all providing easy-to-use application platforms. Now is a very exciting time for entrepreneurs in every industry sector to begin building new consumer and B2B solutions on top of these platforms. Unlike the past thirty years when every new application or device required a users manual or training class, these new web, mobile and social media platforms are intuitive “out of the box.” It provides a unique opportunity to once again reengineer an industry.

If doctors were slow to embrace new ideas or new solutions, perhaps they have simply been waiting for the right idea or the right technology platform.

The internet as intelligence

File under: Relationship Marketing

In most of my conversations with health care marketers, campaign strategy is not complete unless it includes an internet strategy. Everyone wants and needs an internet strategy (and now a mobile strategy, too) to stay relevant.

Usually when people talk about using the internet for marketing, they are thinking of it as a promotional channel. Call it digital marketing, non-personal promotion, or online communication, it doesn’t matter. The point is that for a truly integrated marketing plan these days, there needs to be a set of online tactics to make it complete.

But there is something missing from this picture. Yes the internet is a convenient, cost-effective promotional channel. It doesn’t require sales reps or postage or expensive TV buys. It’s the internet, and everyone is connected. So there you go, right?

No.

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Proxies will have to do

File under: Patient Engagement

During a recent planning call for a patient disease management program the discussion turned to metrics. Key to any program design is agreement on what outcomes will be measured and what will be deemed success. It makes no sense to launch a program without developing goals about levels of engagement, target clinical results, and ultimately financial payback.

So far so good, right?

Until we moved beyond vague generalities about impact and tried to identify the actual sources of patient data that would validate the program.

  • “We only get about 10% of the patient lab results we request.”
  • “We attempt to get physicians to attest to patient check-ups in writing, and you know how that goes.”
  • “Legal has deep concerns about merging patient data sources.”

So how then do these brands continue to sell expensive patient programs without validated outcomes?

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Cryptos Unite! Lock down those iPad patient data leaks!

File under: Mobile Health

You know all those shiny iPads in the hands of doctors? The ones that are used during office visits, replacing the old paper charts? Now that doctors are embracing Electronic Health Records and working overtime to ensure that they can prove Meaningful Use, we’ve introduced a new unintended consequence. We’ve introduced another opportunity for the compromise of sensitive patient records.

In the last two years, HHS reports that there have been 116 data leaks of 500 records or more, compromising more than 1.9 million patients’ personal health information. Was there are break-in at a hospital data center? No, nothing that exciting. All these security breaches were the result of a lost or stolen mobile device that stored patient medical records… So in these cases it didn’t matter how secure the hospital or physician practice server was. Mobile devices have the ability to extend the enterprise beyond the office or hospital, and this is where data vulnerability is introduced… Read Full Article Now »

Mobile Health developers, meet the FDA

File under: Patient Engagement

During the last SXSW Interactive conference in Austin, we saw many exciting mobile health applications touting functionality that could monitor vital signs, remind patients when to take their meds, and give caregivers remote access to their loved ones. Many of these health apps were coming out of the same digital shops and start-up incubators that spawned mobile games and popular iPhone tools. What was missing, however, was an appreciation for the fact that the target consumers were also somebody’s patients. Mobile apps that could somehow influence care are no longer discretionary diversions, they are medical devices.

At least that’s what the FDA declared this morning. “The use of mobile medical apps on smart phones and tablets is revolutionizing health care delivery,” Dr. Jeffrey Shuren, director of the FDA’s Center for Devices & Radiological Health, said in a prepared release. “Our draft approach calls for oversight of only those mobile medical apps that present the greatest risk to patients when they don’t work as intended.”

Mobile apps that turn a smartphone into an ECG machine to detect abnormal heart rhythms, for example, Read Full Article Now »

Dark Night of the Pharmaceutical Soul

File under: Relationship Marketing

Tolstoy’s observation that while happy families are all alike, every unhappy family is unhappy in its own way describes the pharmaceutical selling environment today. No standard go-to-market strategy will work for every unhappy brand and every disaffected doctor.

A new focus on flashy iPad sales presentations will slow but not stop the slide in office access. Technology should enable marketers to learn about and serve the customer better and faster than the competition, not simply be a new shade of lipstick on the traditional sales pig.

Relationship Marketing, or “treating different customers differently” is finally getting the attention it deserves. Contrast RM with the more typical marketing approach of “shouting” at the audience with a single message and betting that a brand will get its fair share of the audience. Now with the perfect storm of declining physician access, pricing pressure from private and government payers and the looming patent cliff on many blockbusters, marketers are finally seriously considering the benefits of building long-term relationships with their customers.

This year, brand teams will begin to invest in physician databases and predictive analytics and digital channel integration and will start learning how to treat different customers differently.

There is a day of reckoning approaching when it will become painfully obvious which brands have created meaningful, value-based relationships with healthcare professionals and patients. Pharmaceutical companies are starting to be scrutinized by a new wave of tech-enabled professionals, empowered patients and enlightened bureaucrats intent on holding suppliers to higher standards of value and engagement. And depending on what they find, they will vote with their pocketbook.

The essence of strategy is to be ready before you need to be. This year, from brand teams to board members, there will need to be a new focus on customer strategy and on recalibrating what it means to serve our different customers differently. The way they need to be served and the way they prefer to be served.

 

 

 

2011 Outlook

File under: Healthcare innovation, Patient Engagement

2011 will be the year of the healthcare mash-up. Healthcare reform meets empowered patients, pharmaceutical firms stumble off the patent cliff, and everyone confronts the immediacy and transparency of digital and mobile communications. It actually should be good for patients if healthcare companies embrace the change and provide clear leadership. If.

Digital marketing is not just another channel

Digital marketing has been evolving from an afterthought to an important element of brand strategy. In 2011, marketers will begin to recognize that digital is actually not just another channel. It’s a new paradigm of thinking and communicating that threatens the entire advertising model. Professionals and patients are looking for tools that help them (apps), not stories that distract them. They prefer support that continuously evolves, not packaged solutions that are only updated annually. Digital opens up the possibility of personalized communication and customized transactions, and as people experience this level of interactivity in others areas of their lives (travel, ecommerce, social networks) they will demand it from the healthcare system. If pharma marketers can’t deliver, professionals and consumers will turn to their peers and independent sources for content and context.

Share of voice is less important?

Fragmented consumer attention and fragmented media channels mean it’s even harder to connect with audiences. Pharmaceutical marketers will learn to their chagrin that share of voice is less important than share of mobile memory and screen real estate. The remarkable speed at which health care professionals have adopted smart phones (72% penetration, with 95% of smartphone docs using them to download medical info) is inversely correlated to their desire to meet with sales representatives, and the traditional office visit will continue to be challenged. A new focus on account service and flashy iPad sales presentations will slow but not stop the slide in office access.

Who is eating whose lunch?

Warren Buffett’s famous quote that “it’s only when the tide goes out that you find out who’s been swimming naked” will be relevant to traditional agencies as they see more and more assignments lost to small niche agencies they’ve never heard of before. As one global agency president said to me, “they are eating our lunch and we can’t do anything about it.” Agencies that try overnight extreme makeovers into digital agencies will be hard pressed to convince brands that they really know social media and mobile, while small digital start-ups will learn how hard it is to convince risk adverse brand managers to trust them with their strategy. Niche agencies will move quickly in 2011 to hire away seasoned account executives to manage the client relationships so their 20-something digital savants can continue to create the future in healthcare advertising.

Participatory Medicine is not coming. It’s here.

When 78% of consumers report they are interested in mobile health solutions including communicating with their healthcare professionals via mobile or wireless monitoring devices and Kaiser Permanente patients send 2.6mm emails per quarter to their doctors, you can be sure that participatory medicine isn’t just coming, it has arrived. According to Manhattan Research, 80% of nurses direct their patients to trusted health-related online sources. Look for patients to increase their confidence and engagement in managing their own health care, leading to more blending of traditional and alternative medical solutions. Opportunities still lie with those who are able to create trusted online and mobile sources of content and community in which people recognize “patients like me.”

(Portions originally published in Med Ad News, January 2011, http://ow.ly/3LsS4)

Email is the killer healthy app

File under: Healthcare innovation

E-mail is still the killer app.

But it will become the killer healthy app if Dr. David Kibbe has his way.

David Kibbe is a physician with an MBA and a history as an outspoken thought leader and change agent in healthcare. And he doesn’t like what he sees from the traditional enterprise approach to health information technology.

Kibbe has a vision for using technology to support patient care, and he helped to instill the four “guiding principles” of the Center for Health IT at the American Academy of Family Physicians.

According to the Center for Health IT, electronic health record (EHR) solutions must be:

  • Affordable (for small and medium-sized practices)
  • Compatible (with other vendor products)
  • Interoperable (across offices, hospitals, labs, etc.)
  • Allow for fair data stewardship (in which the physician and patient own the data)

When Kibbe looks across the health IT (HIT) landscape today, however, he sees numerous large systems integrators and complex EHR products vying to drink at the trough of federal stimulus money. There is very little interoperability between systems, and last year Kibbe in an open letter to President Obama stated, “If America’s physician practices suddenly rushed to install the systems of their choice, it would only dramatically intensify the Babel that already exists.”

A simple, user-friendly approach
What he does want to see is a simple, user-friendly approach for doctors that will achieve the benefits of ubiquitous health information.

Is there an alternative that is cost-effective, easy to use and quick to market?

What about e-mail?

“Simplicity can be the lever that makes more collaborative things happen,” says Kibbe, and he has identified three important trends that could make a large difference in whether HIT is broadly adopted in our lifetime.

There are thousands of “non-users” practicing medicine today, physicians who find the current offerings intimidating and expensive. An industry organization called Clinical Groupware Collaborative was formed to identify affordable ways to bring HIT to this group of physicians. Their philosophy is that “there is value if there is a simple way for physicians to communicate, akin to e-mail.”

Secondly, there is a federal office called the National Health Information Network, or NHIN, that was formed in 2004 to devise secure and private standards for communicating health data. It quickly became a large, cumbersome network controlled by large enterprises with an evolutionary plan that could easily be another decade in the making. Fortunately, cooler heads have prevailed, and a new office, NHIN Direct, has developed a lightweight health information protocol using secure e-mail that provides an easy “on ramp” for providers and organizations.

Finally, there is an important provision in ACA (formerly known as PPACA, the healthcare reform law), called “meaningful use.” It provides a financial carrot to physicians over the next few years to participate in data exchange to support coordinated patient care, engagement of patients and submission of quality data. And if physicians don’t participate, then in a few more years there will be a financial stick in the form of penalties. Both doctors and HIT vendors are evaluating solutions based on whether they can quickly achieve meaningful use.

It’s like open source software
These three trends are converging around a vision of HIT that is more like the open source software movement than the old private email networks. Given the low-cost entry point of this model, it is more likely to see adoption by thousands of small physician offices.

Still, buying a system and actually using it are two different things, and to qualify as meaningful use, doctors must begin using the technology to do real clinical stuff, like contact patients, write prescriptions electronically, handle patient referrals and submit outcomes data. According to Kibbe, “adoption needs to approach 50% for a breakout scenario to become realistic.”

Not like Prodigy and AOL
Kibbe sees interesting parallels with the point in the early evolution of the internet when Prodigy and AOL were the only ways for consumers to communicate online. These were large, slow and ultimately non-scalable private networks that charged by the e-mail. They served their purpose for a few years but it wasn’t long before more nimble technologies and open networks replaced these behemoths. Soon e-mail was no longer just a novel alternative to the post office. It was a fast, cheap and safe way to communicate. It became the killer app.

If the stars align as David Kibbe and his comrades suggest they are, e-mail, a “back to the future” style of innovation may ultimately undermine the large EHR solutions. Once again it will be a killer app, but this time a healthy one.

What do you think about what David Kibbe is trying to do?

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