Leigh Householder

Author Archive for Leigh Householder

leigh.householder

Slideshare highlights iQ’s 2012 predictions

Our crazy-talented innovation team here at GSW (iQ) spends a lot of time looking ahead at the technology and trends that will change our industry. Their work includes analyzing specific categories, emerging technologies, best-in-practice strategies and publishing monthly perspectives that our core teams leverage when creating their next great campaign.

Back in November, iQ collected all our best content and insight and started to formulate what 2012 will look like for the healthcare marketing world.

The result was a presentation highlighting the first moves that healthcare is making to embrace the latest trends and the changes that iQ sees ahead. We were honored when Slideshare recognized the presentation as a Top 12 for 2012 presentation and recently highlighted it on their own blog.

We look forward to see if our predictions are correct–to keep up with all the latest in digital healthcare marketing check out www.whatsyourdigitaliq.com.

leigh.householder

Rethinking rep tools: best practices for creating a digital detailing plan

By Leigh Householder and Sean Cowan. Originally published at www.pharmaphorum.com.

2011 may be remembered as the Year of the Apple in health care. Almost 1 in 3 physicians brought an iPad into the practice.1 The app stores offered 10,000 health and wellness apps. And, pharma and biotech leaders adopted the iPad in amazing numbers.2

Those tools have begun to change both healthcare and self-care. Now, they’re changing the frontline of sales and marketing.

Physicians welcome the shift. Forty-nine percent have already received a detail on an iPad or another tablet. They were able to name the details they remembered most – Pfizer, Merck, AZ, Abbott, GSK.3

Reps know how intrigued physicians are by the new tools – many report that their iPads have been plucked out of their hands by curious doctors who just want a test drive.

“Those tools have begun to change both healthcare and self-care.”

New questions from brand managers

This Spring, Digital Pharma East’s advisory board debated what critical topics attendees would be looking for this year. The conversation kept coming back to detailing: what tools should teams adopt, how will they change frontline conversations, what’s the right ROI model, how do we build our plan?

That got us thinking about the new best practices. We wanted to take what we’d learned launching and supporting e-detailing programs around the world and create a repeatable approach for launching sustainable digital detailing programs.

We identified four key elements at the foundation of the most successful plans:

• Content

• Training

• Measurement

• Integration.

Best practice #1: content – go native in the medium

All too often when a new tool arrives or a channel opens, the first question around the conference room table is: what do we have that we can repurpose?

But, the real opportunity on the tablet is creating something we could have never created before. The tablet details that docs remember have been reimagined, not repurposed.

“The tools we carry are changing the experiences we can create.”

Sixty-eight percent of physicians who have received a tablet detail said they were satisfied or very satisfied with the new experience. Those who were not said the detail appeared to be “optimized for another medium.” In other words – if you’re going to put your print detail on the screen, you might as well just bring the print detail.4

The tools we carry are changing the experiences we can create. Maybe more importantly, they’re changing the experiences physicians expect to have.

So, what can we create that we could have never created before?

Details that are custom, not canned

The iPad can support true scenario selling to allow our reps to customise the detail to the practice.

The rep can use what they know – or ask simple questions to fill in the blanks. That information can generate a more personalised experience.

Figure 1: Physicians can move five slider bars to show what topics they’re most interested in

In this simple example, physicians can move five slider bars to show what topics they’re most interested in.

Their answers dynamically change the content they’ll see on the next swipe. The options can be limitless, or carefully curated to be responsive to specific kinds of med legal review.

Conversations that are about tools, not talk

In digital and mobile mediums, people want to use our brands, not just read and learn about them. In our consumer lives that might mean getting a real-time quote, downloading a recipe or even completing an outfit.

In the practice, it means tools that make running the business easier, make conversations with patients more powerful, or just solve for everyday aggravations.

With a tablet in hand, reps can easily demo the great apps and tools the brand has created. The rep can even show the doc how to immediately install the tool on his own device.

Opportunities to shop, not drop

We think the days of trunk stock are short. Today’s physicians want more flexible leave-behinds – ones that include just the information they want and can be delivered any way they prefer.

The iPad’s touchscreen interface makes it easier to shop and select together. In this example, the rep is sharing a wide range of patient support tools.

Figure 2: The rep is sharing a wide range of patient support tools with the physician

The physician can click into anyone he’s interested in to see more detail and add it to a personalised cart. At the end of the detail, the practice’s name can automatically be added to most of the materials and the physician can choose which to send by email or text message and which to have shipped to the office.

“In digital and mobile mediums, people want to use our brands, not just read and learn about them.”

Interactions that are logical, not linear

Conversations never follow the path we sketch out on a white board. In the field, they’re much more like those ‘choose your own adventure’ books – even when they start in the same place, they have many possible endings.

The touchscreen interface can make navigating those meetings a lot easier.

Hot spots and callouts let reps drill down into the data or ideas the physician is most interested in. Toggles turn on or off levels of detail.  One tap can reorder a map or a chart to look at a question from a different angle.

Multiple paths create a sense of discovery (to replace the page flip). And, make it easier to get to the most relevant answers within the two-minute call window.

Stories we build together, not just tell to each other

The iPad can create a virtual lab, an interactive operating room, or any other space we might want to collaborate in.

That dramatically changes the interaction. Now we can build scenarios together that reflect the practice’s real patients and demonstrate the impact of a therapeutic.

In this example, we use pinch and zoom to pull apart and rotate a device, letting the physician see how it’s built and how it’s implanted.

Figure 3: Pinch and zoom can be used to pull apart and rotate a device, letting the physician see how it’s built and how it’s implanted.

Best practice #2: take the time to train

When an interface is as intuitive as the iPad, it’s easy to think: anyone could do it. But, when we’re rolling out to a diverse sales force, nothing could be further from the truth.

We recently came across this great quote from Dave Mihalik, senior director of marketing at EKR Therapeutics, which illustrates how adoption really works: “We thought we were being so creative in the way that we were delivering the training materials. But, the very first follow-up I got was, ‘Hey, can you send me a Word document with five clear steps so that I can open my iPad?’”5

The reason behind the gap is a little something called the adoption curve. The curve (below) illustrates how new technologies move from early adopters to mass adoption.

Figure 4: The curve illustrates how new technologies move from early adopters to mass adoption

“…if you’re going to put your print detail on the screen, you might as well just bring the print detail.”

Today, only 1 in 20 US consumers own a tablet. Most of us who do have been trained by Steve Jobs for years.  We learned a little about how the iPad would work from our first iPod, a little more for our first iPhone and a lot more from the changing iOS.

When we arm an entire sales force with iPads, we’re connecting with people who would have naturally been at many different points on the adoption curve if they were to buy an iPad themselves.

Another trick of the curve is that, the further we move across it, the harder adoption can become. Think of every single point on that curve as a ‘plus one’ – a person who’s never picked up the device before, trying it for the first time. If you’re an early adopter, it’s easy to admit you don’t know how it works. If everyone around you is an expert in how to use it, it can be a little harder to take the risk.

One successful strategy to help reps feel confident with the tools is releasing the technology before the content. Give reps one to three months to play with the tablet and make it part of their lives before you  mandate it for work.

Training on the content is essential, too. When tablet details take true advantage of the medium, the opportunities to change and guide the conversation can be endless. We’ve seen as much as a 50% gap in adoption between teams that just got an implementation guide and ones that got a guided tour.

Best practice #3: build a measurement plan upfront

There is one critical question brand managers should answer before undertaking any strategy: what do you want to accomplish? The answer will guide both what we create and how we measure.

Return-on-investment models are still emerging for the iPad. Some companies are measuring their cost savings (paperless workforce), others are looking to productivity (particularly access).  Whatever the brand’s larger goal, there are three emerging measurement models we’re tracking:

• Longitudinal measurement: cost per engagement pre-/post-launch

• Test-and-roll modelling: launching the iPad with a key segment first and tracking the test group versus a control group against existing metrics and goals

• Satisfaction tracking: field feedback (from physicians or reps) and overall access.

Best practice #4: create a truly integrated sales kit

The iPad offers new kinds of interaction and interactivity so reps can answer physicians’ questions on demand and engage with both marketing and operations in real time. An ideal sales suite makes the tablet the centre of a full set of tools:

Figure 5: An ideal sales suite makes the tablet the center of a full set of tools

References
1. Manhattan Research, 2011
2. First Word report, The Impact of iPads on Pharma, July 2011
3. Manhattan Research, 2011
4. Intouch Solutions & Harrison Group, 2011
5. First Word report, The Impact of iPads on Pharma, July 2011
leigh.householder

Inspired By TedMed: How 14 Leaders Would Change Healthcare

This week is the annual TEDMED conference in San Diego. It’s where the world’s most creative minds meet healthcare’s most innovative science. Where public health meets personal care, and where today’s theory meets tomorrow’s technologies.

We’ve been watching the tweets and snippets from the floor of the conference and they’re inspiring a lot of great conversations around our hallways for how we could fundamentally improve healthcare – what are the barriers to take down, what has great promise, and what could we rethink – and recreate – to bring better health to more people:

“When we think ‘patient,’ we picture a person in a gown being shepherded through the system by healthcare authority figures. Newsflash: Patients are consumers–more demanding, more informed, more unified than ever before. Today, the physician’s opinion is only part of the decision. With less authority, we must find new ways to influence.” – Marcee Nelson, The Well

“Inspire and reward wellness through people’s wallets: have insurance companies create quantified wellness structures that deduct cost from premiums. Clearly outline attainable goals and associate a cost deduction with each accomplishment– i.e., hit the gym three days a week, $x off; no smoking $x off; BMI in check, $x off; plant based diet, $x off; and so on. Enroll in the program and get validation/documentation through annual check-ups at the MD. Maybe this way we can start having positive conversations with physicians and payers instead of arguments, trepidation, confusion and avoidance. Better behavior. Better healthcare.” – Christina Blosser, Accounts

“I see a vicious circle that involves healthcare, co-morbidity, and digital behavior. As pressure for productivity on healthcare providers increases, the result is less time to provide ‘whole body assessments.’ All while non-infectious diseases (such as diabetes, hypertension, etc.) continue to rise and are now coupled with depression, obesity, and anxiety. The result is an under served patient. In addition, most healthcare materials provided to healthcare professionals are wordy and time consuming and do not reflect the manner in which people consume information in a digital age.” – Leah McDougald, Engagement

“Make it mandatory for food/beverage industry to make/market their retail products following stricter nutritional guidelines (i.e. must not exceed 500 mg of sodium, 10 g of sugar, 20 g of carbs). What if we could dedicate more than one aisle to health/organic foods in grocery stores like Kroger, Giant Eagle?  Model all grocery stores to be more like Whole Foods, Trader Joes.” – Dawn Marinacci, Communications

“Focus more attention to healthy food education and access. Something like fair balance on food packaging. I know, it seems a bit socialist but right now the packaged food industry is out of control.” – Sean Cowan, Digital

“Adopt a European approach by offering and mandating 8 weeks of vacation time annually to all full-time employees, which will help to relieve stress, foster better well-being and overall happiness, and lead to a more energized and more positive society. Make cigarettes illegal. Provide a “well-being credit” on your annual tax return for having an annual check-up and receive additional credits for staying within all specified laboratory ranges for diabetes, hypertension, and hypercholesterolemia.” – Kevin Stone, Accounts

“Coin operated elevators, escalators, and moving walkways (with passes for those in need of assistance).” – Joe Daley, Leadership

“A simple change that we can make to dramatically improve the health of our nation is to shift the nation’s paradigm in regards to healthy eating. One example is to develop more “farm to dinner table” support initiatives to provide affordable natural/organic alternatives to fast food. Food is the new pharma!”  – Jude Divierte, Innovation

“Expanding health care options while reducing the red tape generated by payer groups. Some HMOs/PPOs do recognize the benefits of traditional eastern medicine, but aren’t structured to accommodate their holistic, long-term approach. And ease up on denying newer treatments and calling them out as “unproven” – if the doctor feels it could benefit their patient (especially when it comes to life-threatening illnesses) then they should be able to move forward with it.” – Alex Bragg, Planning

“I think one of the biggest challenges facing healthcare will be reducing cost. Hospitals, physicians, and other providers will have to squeeze every penny out of their operations, including renegotiating contracts with suppliers on everything from food to medical devices and pharmaceuticals. This will mean increasing reimbursement pressure, with physician practice models beginning to adapt and Pharma will be more intensely restricted in its marketing activities.” – Christine Crooks, The Well

“Incentivize good health through lower taxes, for example; the rationale being that healthier citizens are less of a burden to the resources of the community and so should be rewarded for the decisions they are making that not only help them but also the health of the greater good.” – Todd Hodgman, Strategy

“Our disengaging use of language. For example, patient, compliance, adherence. Tape adheres; prisoners comply. From the moment a person is diagnosed with a chronic illness, healers and the people they treat must persevere: steady persistence to create a state of well-being, especially in spite of stigma, barriers, or low health literacy.”         – Kathryn Bernish-Fisher, Engagement

“I would incorporate shorter work weeks to allow a third day off. This country’s current state of 50, 60, 70 hour work weeks is coming at a price. We spend less and less time with our families in order to put in our time at work and make our money. Life is too short to have work be the central part of our lives. Our friends and families are ultimately what we’d all love to have more of. I believe this re-shifting of priorities will make us and our children healthier…physically and emotionally.” – Cheryl Foley, Medical Director

“The labeling we’re putting on processed foods is good – more transparency from the companies and an incredibly simplified way for consumers to weigh their options. I hold a processed food next to a natural food and can easily answer the question: is it worth it?” – Ben Harben, Innovation

leigh.householder

Try it first –

Tonight, attendees at the MedAdNews Manny Awards will rest their drinks on QR-tagged coasters from GSW. Anyone with a smartphone and a QR reader can snap a picture of the code to access a great little Facebook-connected app our digital and creative teams cheffed up. But, you get to try it first – grab your smartphone, launch your QR reader and follow the prompts. Don’t forget to post your custom results to Facebook.

leigh.householder

Global trends in digital healthcare marketing

I recently had the opportunity to collaborate with colleagues in Tokyo and Freiburg to talk about the trends that are changing digital marketing in each of our really unique regions. The leading tactics to engage HCPs and patients all hinge on the key tenets of relevance and personalization, but beyond that there are deep differences in what our clients are asking for around the world. For all the details, check out our article in MedAdNews:

leigh.householder

Essential 2011 healthcare marketing strategy: activate internal subject matter experts

The big headline on Edelman’s annual Trust Barometer was a jarring one this year: The devaluation of friends has renewed our trust in experts.

The study found that our confidence is rising in credentialed experts (70%, an increase of 8%) and technical specialists inside a company (64%). Meanwhile, our trust in the opinion of “someone like me” is falling.

You may remember circa 2006 when bloggers like me started talking in earnest about those numbers. That year, the value of peer opinion had risen to surpass that of doctors and academic experts for the first time. In the USA alone, trust in “a person like me” increased from 20% in 2003 to 68% in 2006. In those boom years between dot-bomb and the most recent recession we looked to each other for what to expect and what to buy.

That friends-first number is 43% today. That doesn’t mean we’ve stopped looking for a peer opinions, it just means the way we use them is more nuanced. Today, we look to experts for direction and peers for confirmation and context.

This is particularly important to brands because it means activating a new kind of spokesperson and relationship builder: the internal expert. We’re not talking an average employee (only 1:3 trust the business card alone), but a thought leader or subject matter specialist.

It’s a trend we’re watching revolutionize the sales force – with hiring managers prioritizing people with hands-on experience in their therapeutic category and a growing sales focus on connecting physicians with relevant-to-them opinion leaders.

It’s now set to change how we market to all kinds of people – from heads of household to new moms to patients to caregivers. Giving consumers access to these internal experts requires a content strategy – one focused on curating your brand’s best ideas through a few compelling voices.

These experts will be an interruptive new touch point. One we desperately need. The Trust Barometer also found some depressing news on what it really takes to get through to people in this saturated media market: media consumers need to hear things three to five times from just as many sources before it sinks in. In the most developed countries like the US and UK it’s even higher – a staggering nine times or more.

Read more about the new role of peer opinion in our article in MedAd News

leigh.householder

On speaking plainly

What if – for the rest of the week – you didn’t say anything to your colleagues that you wouldn’t say to your friends? What if you had to explain your most complex projects and products and ideas in a way that a stranger at a cocktail party could both understand AND find interesting?

Would it be freeing? Or painful?

I think a lot of us would say the latter. Speaking plainly is quickly becoming one of the lost arts of communication. Shoved aside by management speak and corporate colloquialism. Exchanged for our very own secret decoder rings of tangled acronyms and mystery monikers. You know the big offenders:

Buzz words (and other office-ease): We touchbase, circle back and get face time about the big picture, benchmarking, deltas, and what’s on our collective plates so that we’re up to speed with our action items and time frames and can feel incented, leveraged and ready to operationalize (or maybe even spearhead!) the bleeding edge, synergized, high priority marketing initiative for Q1 11. I can practically feel the lethargy seeping out of every word.

Professional parlance (i.e. industry lingo): Perhaps the best example of this is from the very industry I market to. It’s the go-to emergency room diagnosis: lacerations and contusions. Meaning, of course, cuts and bruises. But, said in a way that’s infinitely more official and professional. Honestly, the only real reason to use words like those is to create space between the speaker and the listener by obfuscating the simple meaning with a mask of complexity (which, btw, is the same reason people like me use big unnecessary words like obfuscate) It’s a code, a right of passage. A merit badge in the meritocracy.

Acronyms (and abbreviations): I worked with our CD on a DTC POP and a JAMA ad to CCU HCPs that’s ETA was EOM but it needed DDMAC and MLR ok so we got on it ASAP. *enough said?* I’m all for skipping big ugly hairy words (I happily exchanged hyper text markup language for HTML, for example), but, I promise – there’s a limit to what acronymns can say.

So, I have this idea. This big crazy messy idea.

Let’s trade it in.

Let’s use communication to communicate. To trade ideas and information. Not to volley buzzwords.

Let’s take back the meaning of words and speak with creativity and passion. Not give up our intentions to a shorthand shortlist.

Let’s open it up and make it easy to collaborate and share. Not use words to build up walls and barriers.

Let’s talk.

leigh.householder

Car industry proves advertisers can innovate – when they have to

One of the toughest blows TV and print publications took during the recession was doled out by Detroit. As new car sales plummeted, so did advertising dollars. The Big Three alone slashed their budgets by almost half between 2004 and the height of the downturn in 2008.

Now they’re coming back. Selling more cars, building up budgets, and – importantly – trying a lot of new ways to connect with consumers. In fact, I’d argue that some of the best advertising out there today is from car companies. And, interestingly, little of it looks like traditional advertising.

It started in 2009 with Ford’s Fiesta Movement, the investment that gave 100 bloggers and other “culture creators” a car for six months and asked them to complete a different mission every month.  The effects of the campaign were remarkable. Fiesta got 6.5 million YouTube views and 50,000 requests for information about the car—virtually none from people who already had a Ford in the garage. Ford sold 10,000 units in the first six days of sales.

Single Mom Blogger Alaina Sheer in her custom Fiesta, taking off on one of her first Fiesta Movement missions

That same year, Prius launched its beautiful Harmony campaign – the TV and print ads we couldn’t help but smile at.

This year, Kia launched the addictive sock money music video – earning millions of social media clicks. Then, Toyota trumped them with them by re-imagining the mini van as a Swagger Wagon. Over 10 million people have clicked their agreement.

But the most break-through ad of all – the one our industry can’t seem to stop talking about? Toyota’s surprise. Tearing a page from Home Depot and Extreme Makeover: Home Edition, Toyota takes us into the life of a cake maker trying to run her business without a car. They show us her friends, her day, her struggles. And, just when we are as about attached as America gets, they give her a car. Not a dry eye in the living room.

What’s different about these commercials than everything else we see on TV? They’re not strictly advertising. Instead of selling us, they’re engaging us. With delight, with entertainment, with the voice of our peers.

A similar challenge is ahead for pharma as we enter an era of generics and industry reform. What will our industry do to change everything?

leigh.householder

Everything’s bigger in Texas: Vote for our big, BIG SxSW ideas

Great news: Three panels we’re involved with have made it to the live vote at SxSW Interactive.

That means we need your help. The votes of people like you account for 30% of the total judging criteria.

Here’s how it works -

Thousands of people and companies submit panel and presentation ideas for SxSW, the annual interactive summit that CNN calls “one of the most important events in the international new media landscape.”

The team at SxSW reviews the proposals and sends some of them to the live vote.

Then, you weigh in. Just go to the site, login and start reviewing proposals. We hope you’ll comment on and vote on these three:

  1. Agency Be Nimble: Why We Need Innovation Labs
    Awesome panel about the competitive advantage that can be gained by dedicating resources to innovation. Jude (Innovation Engineer) and Sean Cowan (Digital CD) from our team will be joined by Leah McDougald, an amazing consumer insight miner at Lextant, and John Boese from Ogilvy’s global innovation lab + there are two unannounced guests that I look forward to telling you about soon.
  2. “Turn Your Head and Click”: Practicing Digital Medicine
    Kathryn Bernish-Fisher and I are teaming up to look at how technology is changing the way physicians make decisions. Kind of a peek behind the exam room curtain at what digital resources docs turn to and how those choices impact diagnosing, prescribing and patient care.
  3. Explosive Discharge: Digital Advertising for Big Pharma Clients
    You know you love that title, right? This panel – conceived by our very own David Sonderman (EVP/Creative Director) – is all about what it’s like to advertise for the prescription drug industry. It’s $3.2 billion ad spend is second only to automotive’s – so, very desirable for any client roster. These guys are going to look at what it takes to succeed in this highly regulated industry and just how good creative still gets done. We’re still recruiting for this panel, but already we’ve got leaders from the healthcare marketing industry as well as some great client-side thought leaders.

After the vote, SxSW and its advisers make a final decision on the agenda.

So, as they say: PLEASE GO VOTE!

leigh.householder

Shareworthy: Four “can’t miss” clicks

(Co-published at WhatsYourDigitaliQ.com)

My inbox was overflowing last week with great finds from my colleagues and friends. Here are four of the best to start the week:

Facebook: The Movie

This is how it happens: You invent something amazing. You fight along the way. You get a little rich, a little too fast and act like a fool with your money. You get everything figured out. And, just then – they make a movie about your bumpy road to getting there. The Apple founders had Pirates of Silicon Valley and now the original Facebook friends have The Social Network.

The movie itself isn’t the big deal, though; it’s the trailer. Check it out – a seamless blend of entertainment and advertisement; an excellent example of a new generation of ads that are at once more native and more culturally resonant:

If you’re following Facebook trends, also check out As Facebook Users Die, Ghosts Reach Out from this weekend’s NYTimes. Incredible new challenges for social networks to address.

(Thanks to Tim Ryan)

An Empathetic Website

How many healthcare websites have you visited with patient testimonials? 50? 100? And, how many of those have felt real and human to you (vs. edited within an inch of their lives)? I’m guessing it’s a pretty tiny number.

MSLivingWell is one website that really held the line – the stories there are delivered in a truly creative way and are so real and honest that you get caught up in them. Click Watch Carrole’s Story on the right for a great example.

(Thanks to Sean Cowan)

New Knowledge About Nurses

Our well-financed friends over at Manhattan Research just released another fantastic report: Taking the Pulse Nurses. One of their analysts – Maureen Malloy – wrote a summary for MedAdNews.

A couple of highlights:

  • More than 80% of online nurses direct patients to health-related websites for additional information
  • Additionally, nurses impact patient healthcare decisions. A majority of online nurses report that they are influential over their patients’ adherence to treatment regimens
  • The majority of nurses online for professional purposes use the Internet multiple times throughout the workday, with the uptake of smart mobile devices fostering an “always on” culture in the medical field
  • Nearly 90% of online nurses have visited a pharmaceutical, biotech, or device corporate or product Website in the past year, with Merck and GlaxoSmithKline leading the pack in terms of visitation

Today, few healthcare and pharma websites contain nurse-specific content. Is it time for that to change?

(Thanks to Tyler Ransburg)

AstraZeneca TWEETS

In the category of “I didn’t know we could do that!” comes this great find from fellow blogger Jon Richman. In his mini-white paper 10 Things I’d Like to Start Hearing About Pharma Social Media, Jon shares this very cool search and response Twitter campaign by AstraZenaca:

The brand listens for people with complaints about its products and then directs them to its customer service line to find help. Great way to show you’re listening and find new ways to use big investments (like a call center)

(Thanks to Dawn Marinacci)