Tag Archive for 'healthcare marketing'

mnelson

A Wellness Advocate in action: LYSOL Mission for Health

As Advertisers, we’ve been taught to look for the right buyers for our products–intersecting the right individuals at the right time with the right claims to convince them to buy.  In today’s health and wellness marketing landscape, brands become relevant not by simply being different but by making a difference—by behaving as Advocates. That means finding a shared purpose with our consumers, proving it through actions and interactions and connecting stakeholders around the purpose. The goal: to create not just buyers, but ambassadors of the brand who will self-multiply.

Many brands today are saying the right things…telling consumers they have a “higher purpose.” What separates the LYSOL effort is how the brand is backing up the words with actions.  LYSOL’s campaign, Mission for Health, is a great example of applying the principles of an Advocate brand.

Like many health and wellness brands, LYSOL has a science-based differentiation: it kills 99% of bacteria.  But through Mission for Health, the brand truth is laddered up to a greater shared purpose with moms.  The campaign easily allows for new products and product improvements that continue to prove Lysol’s mission for health. It uses mass media as a mass invitation to a more involving online and grassroots experience.

How LYSOL Mission for Health puts Advocate principles into practice:

Shared Purpose: Reducing the spread of flu and colds at home and at school.

Action: Along with education around prevention, LYSOL proves its commitment to the purpose through acts of generosity, such as a $5 rebate on flu shots.

Serving: LYSOL is empowering schools, through a program endorsed by a leading pediatrician, to teach healthy habits to children and increase school attendance through the Lysol Blue Ribbon School Attendance Challenge that rewards schools for low absenteeism.

Connecting: LYSOL brings advocates for health together through its efforts in schools, humanitarian efforts and through online forums and community.

Dialogue: On lysol.com/missionforhealth, consumers can join dialogue around the greater purpose of health (including products) or can ask questions of experts from the healthcare and science community.

Citizenship: LYSOL has partnered with Save the Children, a non-profit humanitarian and disaster relief organization to support the needs of children and their families whose health and safety are affected by disasters. The difference between this effort and adjunct cause marketing is that it is directly linked to Mission for Health, so it is meaningful proof of the purpose, not just general goodwill.

Authenticity: First-time moms are provided with educational resources on keeping themselves and their infants healthy with information available at OBGYN offices, pediatrician offices, on www.lysol.com/missionforhealth and other online communities.

Ambassadors: Joining the Mission for Health cause allows moms to review products and get health tips they can pass on to others. Also, the Mission program includes a Community Heroes Contest, with winners judged on improving the health or happiness of a community, and the possible impact of a community improvement effort.

Without these Advocate principles in action, LYSOL’S Mission for Health campaign would just be another pretty Advertising tagline.  Kudos to the Advocate brand builders behind it.

*For more information on health and wellness visit thewellatgsw.com.

brizzo

Non-physician prescribers–the new marketing frontier

We seem to forget about this very influential group of prescribers who make independent decisions based on their assessment about how to treat a condition. Across all 50 states nurse practitioners (NP) and physician’s assistants (PA) are able to prescribe. Each state has their own specific rules that can limit or expand those roles, but they are all able to prescribe. So now that you have considered this audience, how do they want to be marketed to?

That depends on their specific specialty. An NP who works in long term care may be more focused on reimbursement channels and routes of administration, given the population they serve. NP’s who work in family practice may be looking for educational support for a busy and varied practice. NP’s who work in women’s health may be looking for assessment tools as they manage health concerns of women in transition to menopause. We don’t know until we have asked.

Here at GSW we have assembled a group of NPs and PAs to consult with a variety of specializations that we can contact to get their opinion. Sometimes it can be as easy as a phone call, or we can survey them as a whole. We can even get them together on a chat room online or do a focus group. This has become a very valuable tool. We have found insight into the way they practice, how they make prescribing decisions and how they would like to get information on new drugs. We have asked them to suggest tools that would be helpful to their practice and evaluate tools along the way as we develop them. We had nurses involved in advising us about an online educational tool that has been valued by several of our clients, and adapted for their use.

Our panel includes NPs and PAs from all across the country with areas of specialization from neonates to geriatrics, from inpatient settings to outpatient clinics, from doctor’s offices to operating rooms. It is a temptation to guess what they need or want from a pharmaceutical company, but when we ask them we are often surprised at what they really value. This has helped us to stay focused on creating value added materials/benefits that help them to serve their patients as well as see the value of what we are trying to sell.

Some overall themes that I have observed in working with NPs and PAs are:
They are very passionate about the patients they serve. It is not enough to put a patient on birth control; they also have to talk with her about how to avoid sexually transmitted diseases. It is not enough to put someone on an anti-hypertensive, they also educate on how to change their lifestyle to improve their blood pressure. It is not enough to treat their acne; they want to know how their breakouts are affecting their self-esteem. They tend to consider the whole patient, not just the disease state they are treating.
Affordability is a big issue. If the benefits of the drug outweigh the additional expense then they will help the patients to understand this. But if their perception is that there is an alternative that is more affordable then they probably will not consider the more expensive option. Giving a patient a more expensive drug that they can’t fill, due to the cost, when there is an alternative that is generic does not fit well with their point of view.
Patient Education is an aspect of patient care that they “own.” Tools to help them be more effective are an added value to their practice. They don’t mind if it has a brand name on it or is specifically about a particular product as long as it is not trying to tear down or bring a bad light to competing products/points of view. They do not expect all educational tools and support to be unbranded.
They value being viewed as experts in their area of specialization. Anything that can promote acknowledgement of that expertise is desired. Train the trainer, speaking engagements, certifications, or awards are valued. They feel a lack of recognition in general and when they obtain recognition it elevates their visibility in their community.

Finally each area of specialization utilizes NPs and PAs in a very unique way. You don’t gain insight in asking a NP that works with adults what a NP in pediatrics would need. Asking a PA that works in palliative care would not know what a PA in the operating room needs. So seek out insight from NPs or PAs that actually work in the area where you are interested in influencing.

NPs and PAs are organized; they belong to professional groups, both locally and regionally. Many participate in online chat rooms, or visit educational websites. But ask them, “where do you get your information?” Then you know what they want or need and where they will look for it.
Have you created any programs for non-physician prescribers? How did you develop it? Any insights from your programs that you would be willing to share? This is a rich area that needs to be explored for effective communication.

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.

mnelson

Advertiser to Advocate: Does your brand feel like the perfect gift?

It’s the gift-giving season.  Which brings to mind the quest for the perfect gift.  We’ve all received the not-so-perfect gift…it feels generic it doesn’t make us feel special.  We’ve all given not-so-perfect gifts, too…usually when we’ve got to “get it done.”

A perfect gift doesn’t have to be asked for.  It comes from listening, observing, understanding what we value and anticipating our needs. When we receive the perfect gift there is surprise and delight. It makes us feel cared about and cared for.  The perfect gift says, “you are important to me.”  A not-so-perfect gift could be really expensive.  A perfect gift could cost next to nothing.  What gives a perfect gift its value is the thought and time that went into it.

Creating a great brand experience is like giving the perfect gift.  By truly understanding what matters to our consumers and by investing our time and thought to solve it, we can create the kind of brand experiences that surprise, delight and involve them.

Six ways to make a brand feel like a perfect gift:

1) With thoughtful design

 Even the subtlest details in design can make our consumers feel more understood.  GE has put little touches in its appliances like a dishwasher with Smart Dispense that holds up to 6 months of dish soap.  This small time-saving gesture is a thoughtful feature for time-pressed moms.  Similac infant formula listened to new moms before designing the Similac SimplePac® with features like a one-hand grip so they can prepare formula with one arm while holding baby in the other.

2)  With delightful tools

We can offer tools that make our consumer’s life simpler.  Charmin shows its understanding of how hard it can be to find clean public restrooms with global sponsorship of SitOrSquat, an app that helps users find the cleanest restrooms wherever they are.

But tools don’t have to be literal tools.  Tylenol generously uses its media space to give simple tips to help people “Feel Better” that don’t include taking the medication.  The brand spends to pass on tips like eating cereal before bedtime.  Or demonstrating exercises to avoid getting a stiff neck while on long flights. Because they are not self-serving, these suggestions feel thoughtful—and make us feel Tylenol really does want us to feel better.

3) With acknowledgment

The simplest act of kindness a brand can give is attention.  It can be an unexpected thank you like the Starbucks barrista who tells a regular customer, “Today it’s on us.  Just because.”   Or Luna Bars reserving a space on every package to allow women to make tributes to other women they admire.  Or the ongoing support shown to nurses every year by Johnson & Johnson.

4)  With service

As Advertisers, we focus on selling, but ironically we might sell more by thinking about serving.  Especially in commodity categories, thinking like a service company can make a meaningful difference.  Department stores all carry similar merchandise, but Nordstrom’s has always differentiated itself through its customer service.  Pop Secret’s website has a fun movie finding guide that makes film suggestions based on mood, family type and occasion.  Topiaz is the OAB therapy that also comes with a program and a plan.

 

5)  With the gift of giving

By finding a shared purpose with our consumers we can help them to make a difference.  Pampers gives new moms the gift of caring for other new moms by donating 5 cents per pack to buy 45 million tetanus vaccinations for pregnant women in developing countries.  Buying Dawn dishwashing liquid is a way to save animals caught in an unhealthy environment.  From Gardasil moms are given the gift of giving to their daughters and sons, as HPV vaccination becomes protection from cancer.

6)  Most important, without “strings” attached

A perfect gift can’t be created with compromised generosity.  What the brand is giving in the way of support, tools or other value must feel worth more to a consumer than what the brand is asking of her.  If a “gift” feels self-promoting or inauthentic in any way, or if she has to give to get, all credibility is lost.

As Advertisers, we think of offering incentives as a way to get consumers to buy our brands. If that is all we do, we are simply buying buyers. Instead we need to put our efforts, our thinking and our spending into creating surprisingly delightful brand experiences.  Because that has the lasting value to build meaningful long-term brand/consumer relationships.   A value greater than any coupon.

The Advocate brand builder knows that through giving the brand will receive.  Happy gift-giving!

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.

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
bnasal

Jack Be Nimble, Jack Be Quick

The title of this piece is good advice for the young lad in the nursery rhyme and likely for many organizations going through change. . You’re probably familiar with the saying, “To the victor go the spoils.” Now there’s a new twist on that message—“To the nimble go the spoils”—as explained in a recent journal article.1 It’s the authors’ contention that, in the business world, the victors will indeed be those who are nimble and who adapt.

Now, at first glance, I wasn’t sure how “new” this idea really is. Don’t you and I already know this? During the last two or three decades, there are myriad examples of nimble organizations eating the lunch of their slow-footed rivals. Think of the Japanese automakers who have grabbed large chunks of the US market from their Detroit rivals. Then think about what Netflix and Redbox have done to Blockbuster (remember them?). Corporate graveyards are home to multitudes of other companies who didn’t see the signs, who didn’t move fast enough, or who resisted change. So I’m thinking, what’s new?

The authors point to several factors that are either new or increasing in scope and/or intensity. These include: new technologies, greater transparency, globalization, huge volumes of changing information, and unpredictable environments. The result? Uncertainty—and uncertainty undermines the traditional approaches to strategy, which assume “a relatively stable and predictable world.” The authors assert that it’s no longer sufficient to try to produce competitive advantages by assembling the right competencies and resources to produce desirable customer offerings. They believe that sustainable competitive advantage, which is what we’re all pursuing, is born out of rapid adaptation.

So if adaptability is the Holy Grail, how do we acquire and practice it? The authors say we need four organizational capabilities:

  1. Ability to read and act on signals of change. The organization needs to tune in to signals from outside the organization, figure out what the signals are saying, and then act on them quickly and appropriately. Although this sounds straightforward enough, experience tells us that this is much easier said than done.
  2. Ability to experiment. To gain advantages, companies need to change the way they experiment and they need to broaden their experimentation. Technology can assist here, and the authors mention Procter & Gamble’s internal open-innovation networks that are used to solve technical design problems. They also describe the importance of dealing constructively with experimentation failures, tolerating them and even celebrating them.
  3. Ability to manage complex multi-company systems. Our own parent company (inVentiv) organization is an example of this type of system. In the authors’ view, strategies need to be created at the broad system or network level, not at the single-company level. The strategies must consider and include the full spectrum of players, whether they reside inside or outside the organization. Nokia is cited as a company that has suffered big-time because, unlike its competitors, it failed to successfully apply the systems approach to its strategies.
  4. Ability to mobilize. Organizations need to create the environments that encourage all of the factors (eg, communication flows, autonomy, flexibility, and risk taking) needed to become a successful adapter. Again, this is easier said than done—not all companies are willing or able to accomplish this. The article cites examples at Cisco, Whole Foods, and Netflix to show how companies successfully mobilize.

Maybe all of this reminds you of the stark survival imperative in the real-life world of nature, “Adapt or die.” It applies to us, too. So, returning to our nursery rhyme, if Jack isn’t nimble, he’s going to get burned. Likewise, if organizations aren’t nimble, they too run the risk  of getting burned. Makes sense to me.

Reeves M and Deimler M. Adaptability: The New Competitive Advantage. Harvard Business Review July-August, 2011; 135-141.
brizzo

“Moving in” to the Medical Home Model–Is your practice considering the change?

Have you noticed a difference in the way you receive your healthcare? Does your doctor belong to a Medical Home Model (MHM)? How would you know?

In July 2011, Ohio will be converting 44 practices into Patient Centered Medical Home models. What does this mean? MHMs will move from the traditional fee-for-service model where healthcare providers (HCP) get paid based on the number of patients they see per day to a new model which requires quality, thoughtful, healthcare and promotes more time spent with the patient. Wouldn’t it be nice to know you don’t have to hurry up and get everything in that you wanted to talk to your HCP about in 15 minutes because that is all they have to spend with you?

In order to be considered at Medical Home Practice (MHP), certain criteria must be met. Providers must have same day appointments available to reduce costly ER visits, for example. Practices will have social workers call after a patient visit to make sure they have completed blood tests or X-rays. A patient advisory council must be formed to inform the practice and discuss delivery of care. MHPs will be measured on their accessibility to patients, whether or not the patient sees the same doctor with each visit and how they manage chronic conditions like asthma or diabetes.

Diabetes management will be evaluated for appropriate care on steps such as hemoglobin A1C testing, a measure of glucose control. MHMs will be expected to conduct or refer for eye exams, foot exams and assure flu shots are given for diabetic patients in their practice. They will be tracked on outcome measures such as the number of avoidable hospitalizations for long-term diabetes complications, short term diabetes complications, uncontrolled diabetes without complications or amputations related to diabetes.

Other chronic disease conditions have similar measures of quality healthcare, with similar requirements to be considered as a MHM. Disease states are not the only focus of these  models. There are models based on types of care, as in preventive, acute and chronic; based on settings of care such as home health, hospital care, nursing home care and ambulatory care. Other clinical areas can be cancer, heart disease, maternal and child, and respiratory diseases.

The Agency for Healthcare Research and Quality (AHRQ) is evaluating states performance on these measures as well. They are also looking for cost savings based on the benchmark of state employee usage of services. They do this by first determining the number of covered lives with diabetes by age, gender, and race/ethnicity.  Based on some benchmarking data they will be looking for excess costs associated with poor control of blood glucose.  Benchmarking data shows that if an HgbA1C is kept under 6%, less complication will occur. They know that carefully designed programs can expect reductions in HgbA1C by .48% and more intensive disease management programs can achieve a 1.09% reduction. So they will be looking for examples and implementations of these types of programs.

Finally AHRQ will be looking for disparities in treatment offered among non-Hispanic black, Hispanic, and non-Hispanic white groups. Currently the state of Ohio is rated at the low end of average in overall health care quality, with a very weak performance in diabetes management. Let’s hope the new models in July will help us to improve the quality healthcare for our citizens in this state.

How are these new models being paid for you ask? Insurers and employer groups are funding these new models of care and are paying doctors more for their extra work.  Their hope is that through these MHMs, health care costs will diminish and therefore they too will realize a benefit.  In Ohio, Anthem Blue Cross and Blue Shield, Humana, Medical Mutual of Ohio, Partners for Kids, OSU Health Plan, and UnitedHealthcare have all signed on to participate in this collaboration. Ask your insurer or employer group if they plan on participating in a MHM if you think it sounds like a great new model, and has potential for better healthcare.

But most importantly as we consider marketing and communication of new products for healthcare, do our strategies and tactics fit into this new model? Do we propose turnkey programs that help to educate, monitor care and provide follow-up? How can we be partners and advocates for better healthcare delivery and respond to the needs of the MHM?

For more information visit:

http://statesnapshots.ahrq.gov/snaps10/map.jsp?menuId=2&state

http://www.medicalhomeimprovement.org/projects/national.html

http://www.ncqa.org/tabid/631/default.aspx

bheffernan

Wellness is a choice we make in any state of health

I recently typed the words “health and wellness” into my favorite search engine and about 91 million results appeared. No exaggeration. These famous words– health and wellness– are hitched at the hip and travel everywhere together. Yet, if you ask people to define the meaning of this linked linguistic staple, the responses always vary:

“It’s all about fitness, popping vitamins, exercising and taking care of yourself.”

“It’s a lifestyle.”

“It means you are trying to keep away from the doctor –health and wellness is better than sick and ornery and high medical bills.”

Interpretations of the phrase “health and wellness” ping back and forth as people reconcile the distinct meanings of two different words, while the diminutive “and” ducks for cover in the middle. We sense that health and wellness don’t mean the same thing and that both words are not equally at fault. If you ask someone, “How’s your health?”, they will almost always get your meaning and quickly oblige with an inventory of their personal afflictions. If you ask people, “How’s your wellness?”, they will ask you to repeat the question.

Our research shows clients and consumers alike lack a fundamental understanding of what “wellness” means. In our work, which included both secondary research as well as primary research with consumers and professionals, we discovered a simple way to help people better understand how the concept of wellness relates to personal health. Most people (and it turns out most formal definitions) describe health as an outcome. For example, The American Heritage Dictionary defines health as “the overall condition of an organism at a given time.” This helps explain why most people have a reasonably good understanding of what health is and can describe the condition of their “personal organism” when asked, “How’s it going?” On the other hand, wellness is not an outcome. It is a way of being that involves choices we make. We can choose to live “well”, regardless of the specific state of health we experience at any one time.

We discovered this notion resonates with people across a wide spectrum of self-described physical health. The idea that “wellness is a choice we make in any state of health” is as true for athletic people in their 20s as it is for people seeking to live “well into” their 80s. When we begin to understand wellness as a choice that is relevant to a large swath of the population, it opens up exciting, new possibilities.

Interviews with patients across a variety of illnesses demonstrate that people become increasingly aware of their wellness choices as they cope with ill health and are interested in wellness support as they manage everything from rheumatoid arthritis to diabetes to cancer. Of course, there are many dimensions to wellness and the type of support required, and it varies across conditions and patient types. However, as the population ages, there is a growing need to take wellness seriously and to pursue new approaches. Why?

  • As health care reform advances and focuses on improving outcomes (the health part), it is not surprising that key initiatives include affecting better wellness choices for all.
  • As new technology and media enable truly interactive educational forums and personalized content, our ability to affect wellness choices has never been greater.
  • As health care professionals, employers, insurers, government and other stakeholders come together to address the needs of society, our understanding of wellness and its profound impact in our lives will only increase.

For all of these reasons, this is an exciting time to be working in the two, connected worlds of health and wellness. It is important work, even if we succeed in only small ways to help people aspire and choose to live as well as is humanly possible.

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: