Mark Stinson

Author Archive for Mark Stinson

mark.stinson

What’s it like to be a PCP today–and what does it mean to our brand strategies?

Our job in Strategic Planning is to help clients gain a real-world insight into the customer’s world.  It’s easy to get too focused on our particular product category and forget how diverse, complex, and challenging today’s primary care practice has become.

To get an idea of what it is like to be a PCP today compared to 10 years ago, here’s how one physician described his daily schedule then and now:

Then:

7:00 a.m. — Meet your colleagues in the doctor’s lounge at the hospital for coffee, donuts, and conversation

7:45 a.m. — Made rounds to see patients

8:30 a.m. — Back to the lounge for more colleague interactions

9:45 a.m. — Saw patients in your office

Noon — Lunch with colleagues or a sales rep

1:45 p.m. — Back in the office to see patients

5:45 p.m. — Saw last patient

6:30 p.m. — Dinner meeting or meet up with colleagues for more interactions

Now:

7:00 a.m. —  Start seeing patients in your office

6:00 p.m. —  Conclude last patient of the day

After 6:00 p.m. —  Try to catch up with . . .

  • Paperwork
  • More paperwork
  • Case notes
  • Patient calls
  • Reading articles
  • Search for info on specific patient problems
  • Time with family

To understand the changes taking place, our Strategic Planning group worked with our colleagues at sister company, Campbell Alliance, to conduct an environmental scan that revealed 12 trends affecting PCPs today:

  1. The average face time for each patient is not always optimal.
  2. A generational gap among physicians leads to different treating behaviors.
  3. Sales reps are too product-focused and biased.
  4. Limited sales rep access to physician offices has a detrimental impact
    on sampling.
  5. The diabetes explosion has tremendously impacted the role of the PCP as well as their workload.
  6. The diagnosis and treatment of depression is very subjective and complicated, with a lot of trial and error.
  7. PCPs are expected to know more.
  8. There are more treatments for previously ignored conditions than ever before.
  9. Legislation will mandate the use of EMR, yet the systems are expensive and cumbersome.
  10. Public health policy and pressure to develop Accountable Care Organizations (ACO) continues to grow.
  11. Supply and demand will force PCPs to change the way they deliver patient care.
  12. Retail health clinics are encroaching on the PCP market.

To gain further insight, we conducted primary market research.  The purpose of the market research was to validate the impact (both emotionally and practically) of these current macro trends facing physicians.  We wanted to understand how their practice has changed, and also explore barriers to future change.  We uncovered their level of comfort within various therapeutic areas.  We also documented gaps and unmet needs of the “underserviced” physician.

Here are a few important observations that can be leveraged in solution development:

  • PCPs feel that less is more. They want to be better at what they do, but they don’t need more barriers to get there.
  • PCPs believe there is no single great source of credible, practical, and cutting-edge information on diagnosis and treatment they can access in a  timely manner
  • PCPs feel the primary value of sales reps is realized when a new product is introduced but could live without them. It’s the therapeutic approach they value.
  • PCPs want to do the best job they can for their patients in the limited amount of time they have to spend with them
  • PCPs are feeling more isolated than ever from their colleagues, limiting their learning from each other

photo credit: jasleen_kaur via photopin cc

mark.stinson

Could “recommendation algorithms” have a greater role in pharma marketing?

Recommendation algorithms are best known for their use on e-commerce Web sites, where they generate a list of recommended items based on input about a customer’s interests.

One of the best known examples is Amazon.com, which uses recommendation algorithms to personalize the online store for each customer. The online store radically changed based on customer interests, searches, wish lists, and purchases. It shows programming books to a software engineer, and baby toys to a new mother.

No wonder that when you compare two important measures of Web-based and email advertising effectiveness – click-through and conversion rates – these personalized suggestions perform vastly better compared to untargeted content (such as banner ads and top-seller lists).

Now the framework is so commonplace that even new fall TV shows are being publicized based on “what you like.”

  • Like The Big Bang Theory? Try New Girl.
  • People like you who watch The Mentalist have also watched Unforgettable.
  • You have Modern Family on your DVR, so why not try Man Up!
  • You ordered every season of Mad Men on iTunes, so you should watch Pan Am.

We have seen the retail industry more broadly apply recommendation algorithms for targeted marketing, both online and offline. While e-commerce businesses may have the easiest vehicles for personalization, the technology is also compelling to offline marketers for use in postal mailings, coupons, and other forms of customer communication.

In healthcare, one example similar to Amazon’s is the Web site for Edward Hospital & Health Services in Naperville, Illinois.  Last year, Edwards started using real-time behavioral targeting to tailor its Web content to current and prospective patients based on individual health needs.  It uses consumer and patient data stored in the hospital’s CRM database to interactively and incrementally customize the content presented to individuals to enhance and personalize the consumer “conversation.”

From our pharma marketing viewpoint, I’ve been pondering the health, medical, and wellness applications of such recommendations:

  • If you have this condition, you should pay attention to these associated risk factors.
  • If you’re taking this prescription, you might consider this companion product/food to make it more tolerable.
  • If you are seeing this kind of doctor, you could also benefit from these supportive healthcare services.

These CRM-enabled Web messages could be displayed as dynamically created, real-time content that contains customized copy, imagery and offers for individual visitors.

Most of all, these relevant health messages would create a more personalized experience that could improve patient engagement.

mark.stinson

Using Practice-Focused Research for New Product Conception

We all must keep up with trends – and even attempt to stay ahead – of new developments in health science, patient management, technology, evidence-based guidelines, reimbursement, and regulations.

That’s what makes the understanding of a physician’s practice such a critical component of product innovation.

With the array of information available now through journals, seminars, societies, textbooks, and online searches, it is understandably difficult to determine on your own what constitutes relevant current practice and what does not.

The first step in approaching this task may be to clarify the differences among basic research methodologies, and then to align different methodologies to answer different types of practice questions.

That said, qualitative research contributes a great deal of essential information.  With many of the techniques we use, it’s possible to explore attitudes, opinions, beliefs, perceptions, interactions, practice structure, and behaviors in various settings.

There are a variety of types or approaches to practice-focused research, here are a few types of qualitative studies I’ve found the most value from:

  • Case studies – the case study approach generally involves an in-depth examination or exploration of a single example. A case may be based on:
  1. an individual doctor’s established routine
  2. a group of physicians or researchers, who have created common protocols
  3. a hospital that uses a documented treatment algorithm or formulary
  4. a professional society which has published practice guidelines
  5. an event that exemplifies the experiences of the group

For example, we worked with a client with a treatment for a rare medical condition and reported an analysis of eight cases of practices. Specifically, we collected reports of in-office activities, interviews with generalists and specialists, patient notes, videotapes of interactions, and other materials. We gained valuable insight into the nature of diagnosis, patient communication, most important, ideas for product packaging and training before the brand launch.

  • Monitoring blogs and social media – with the emergence of blogs as a mainstream medium, it is wise to keep track of the blogosphere in your category.  You can gain real insights from the unedited comments and ideas from customers, competitors and influencers.
  • Online research – the infinite information available on the web makes it a central element of external idea sourcing. Key targets will include companies, university research, media, patent applications, and industry association events.
  • Non-customer analysis – considering their feedback as to why they do not select existing products, along with their suggested improvements, can often be more valuable than that your satisfied customers.
  • Advocate community – even though setting up an advocate community can be a major undertaking, it can allow users to interact naturally.  It offers an environment in which they can suggest valuable improvements.  And if you can’t create your own communities, look to leverage third-party sites where users congregate and interact.
  • Observational research – in this ethnographic approach, we gain a deeper understanding of the customers by watching their day-to-day process.  We can identify key drivers of both successful and sub-optimal protocols and product use.  It helps us develop a clearer picture of the future expectations and requirements for new products.  And we can explore actionable parameters for implementation. We go beyond asking the customer what they want, to seeing what they need to make life easier – and may not know they need it.

Using several sources (like interviews, site visits, internet postings, and case studies), you can create a rich description of practice.  And that can lead to understanding perceived strengths and weaknesses of current offerings, as well as essential components of prospective improvements.

That’s the value of practice-focused research as a start to the brand innovation process – and ultimately to brand liberation.

mark.stinson

$450 billion worth of unpaid family care – and 5 questions prompted by the AARP study

The conclusion of a recent AARP study is that families provide $450 billion worth of unpaid care. That’s how much it might cost for the care that roughly 1 in every 4 adults provide – helping loved ones get dressed, take medications, and myriad other tasks.  You can read the full article here.

With the wide diversity of family settings and career experiences among us at GSW Worldwide, this is certainly a trend that affects us personally and professionally.  So today, instead of just one person’s view, I’d like to offer some questions:

  • Caregiving is getting more medically involved, due to shorter hospital stays and more home-based medical technologies. Caregivers often have little training or preparation for performing these tasks, which include bandaging and wound care, tube feedings, managing catheters, giving injections, or operating medical equipment.
    • What are the implications to bio-pharma brands of a supportive caregiver now becoming an active care-provider?
  • About 42.1 million individuals are caring for relatives and close friends at any time during the year — and about 61.6 million provide care at some point during the year.
    • What is an example of a new communication tool or media channel that might be needed to engage this group?
  • The average caregiving individual is a 49-year-old woman with an outside job, who spends nearly 20 hours per week caring for her mother for nearly five years.
    • This describes a demographic profile, but what word might describe her EMOTIONAL persona?
  • The study includes recommendations for involving family caregivers to improve care for the aging patient.
    • What perils would face the bio-pharma brand manager who ignored this group?
  • AARP is an advocacy group, and this study certainly helps support its position and brand.
    • What other organizations, companies, or institutions could also embrace the cause of caregivers?

I hope you’ll join the “liberating conversation” and share your comments below.

mark.stinson

Creating an ideal profile of “practice influencers”

Among healthcare marketers, we often use the term “KOLs” to describe key opinion leaders.  What we’ve found, though, is that clinical supporters must have more than opinions – they must be able to leverage change in practice behaviors.

A more desirable group of advisors could be described as “KPIs” or key practice influencers.

We’re looking for a far-reaching scope of expertise and decision-making influence in the clinical area.  Further, with the significant variances between protocols and guidelines, it’s key to identify advisors who have the most power to influence change within their institution or organization.

In the search for KPIs, we can define common characteristics among disciplines and between institutions.  So we create an ideal profile from which to assess desired qualifications and criteria of the advisor group.

As an example, the KPIs I’ve been recruiting lately for our N-of-8® research groups fit a screening profile that includes:

  1. Regularly sought out by their colleagues for opinions or advice
  2. Speak often at regional or national conferences
  3. Published articles in a major journal (during the past two years)
  4. Consider themselves early adopters of new products
  5. Help establish protocols (locally, regionally, even nationally)

That’s just the start in your search for KPIs.  Now, we add another component – brand innovation potential.

Strategy prompts us to identify “Where we are” from the customer’s point-of-view.  So, for advisors in N-of-8 groups, you can focus on situation analysis in three areas:

  • How are the products used within the institution?
  • Who are the likely users?
  • What are the key issues in adoption?

Based on our knowledge of the market and experience with identifying experts within institutions, I believe this is quite different from simply conducting a KOL search. The operative difference being the word “opinion” contrasted with “practice.”

In summary, your search for brand innovation advisors will lead you to “application” influencers who can help get your new product on formulary and “protocol” influencers who can impact institution guidelines.