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Successful Digital Collaboration Cases –
Online HCP Communities

Peter Gannon
Within3, Inc.
pgannon@within3.com
http://www.linkedin.com/in/petermgannon
Twitter: @within3
                                           1
Sinus Headaches
Integrating digital collaboration into the
HCP relationship

Extending engagement beyond the “traditional”




               Face-to-Face


                              Community
   Telephone
                              Discussion




     Email                     Webcast




                                                3
What is an Online Community?

•   Network of people with a specific
       Background/interest
       Business objective

•   Unique platform which
       Engages members through an
        array of interactive capabilities
       Enables health professionals to efficiently
        connect, collaborate, and share information
        on a 24/7 basis




                                                      4
Digital Collaboration Ecosystems
                                                                       Maturity
Building of HCP ecosystem
over time via online
community channels.
                                        Launch



         Clinical                                               Broad HCP Communities
                                                                Association Partnerships
                                                                    Advisory Boards
                                    MSL Communities                 Label Expansion
                                  Speaker Communities
                                    Advisory Boards
       Multi-Site Trials
    Steering Committees
    Publication Planning



                            Core Digital Collaboration Capabilities
                                   Technology & Expertise
The MLR Pendulum




        Uber -       Slightly less than
     Conservative   Uber - Conservative
Med/Legal/Compliance – Common Issues

Most Common MLR Concerns              Additional MLR Concerns

     Off label / Claim Expansion
                                         International Concerns
             Discussion

 Content/Response Approval Process   Promotional Content Distribution

           Adverse Event               Information & User Security


           Discoverability                  Fair Market Value


           Data Retention                     Anti-kickback

        Member Contracting                    Sunshine Act



                                                                        7
Best Practice: Three-stage Approach to Risk
Management


     Education & Avoidance            Risk Monitoring                Risk Mitigation


      › User education plan       › Specified community roles   › Content and post insertion
                                    and authorizations            and inline deletion
      › Moderator training
                                  › Real-time monitoring        › Adverse event link visibility
      › Terms of use
                                                                › Off-label mitigation
      › Custom community          › Subscriptions per             scenario implementation
         guidelines                 discussion area
                                                                › User removal
      › “Plain English” user      › Subscriptions per
         agreements                 moderator                   › Private user responses
      › Moderated post queuing
      › Community guideline
         reminders

      › Identity verification
      › Credential verification

Risk Mitigation
Case Study:
Advisory Board Community Programs




                                    9
Challenges Common to Many Advisory
Board Programs:


                                      1. Quality of feedback is not sufficient for
               Advisory Board            optimal planning
                                      2. Broader set of advisors needed to gain
                Clinical Trial           required insight
                                      3. Cannot access advisor input “as
             Speakers Bureau             needed” throughout the year
                                      4. Sunshine Act / HCP time pressures
                                         making recruitment difficult
         Medical Science Liaison
                                      5. Advisory programs are too costly

    Medical Association Sponsorship


   Custom Engagement Communities



Example: Advisory Board Programs                                                     10
Better Outcomes Can Be Achieved by Properly Integrating
Digital Collaboration Solutions Into Advisory Board Programs.



      Traditional Live Meeting Venues      Digital Advisory Venues




                                                Online Community Discussion




                                           Compliant, multi-    Real-time Web
                                             device access      Conferencing




                Traditional Live Meeting       Digital Advisory Venues
              Processes & Best Practices     Processes & Best Practices



Advisory Board Programs                                                         11
Case Study #1, US Global Pharmaceutical


    Client Situation:
    Preparing to launch diabetes drug with a high revenue expectation in a market with
    near-term competitive threats


Key Objectives:
1. Competitive advantage– broaden insight by including more MD specialties and
   allied health professionals in program
2. Better market reaction– Allow the ability to quickly and compliantly reach back
   out to the advisory group as needed based on changing market developments
3. Keep costs controlled– keep costs the same as previous year’s budget




Case Study: Advisory Board                                                               12
Case Study #1, US Global Pharmaceutical


      Results:


      Increased advisory board faculty from 10 to 40 contracted participants, adding
      three additional MDs specialties and nurse practitioners to program


      Enabled regulatory approved process for ad-hoc advisor feedback throughout
      the year


      Kept costs flat vs. previous year’s 10-person, 1-time advisory board




Case Study: Advisory Board                                                             13
Case Study #2: US Global Pharmaceutical


    Client Situation:
    Compliance restrictions have caused the budgets being allocated to advisory board
    programs to decrease


Key Objectives:
1. Lower costs– aggregate savings across a portfolio of commercial advisory board
   programs
2. Ensure quality– Maintain existing quality of feedback available to brand teams
   from advisory board programs
3. Conduct a broad pilot– implement 5 advisory boards crossing commercial and
   clinical functions to prove go-forward viability for the enterprise




Case Study: Advisory Board                                                              14
Case Study #2: US Global Pharmaceutical


      Results:

      Five advisory board pilot effort provided $250,000 in savings vs. previous year’s
      advisory board spend


      Participating brands reported high satisfaction with quality, quantity, and
      timeliness of advisory board feedback


      Post program survey showed that 83% of participating advisors preferred the
      experience of using digital solutions vs. live-only advisory meetings




Case Study: Advisory Board                                                                15
16
Case Study: Medical Association Sponsorship




Case Study: Medical Association Sponsorship   17
Common Challenges Engaging
Medical Associations



               Advisory Board

                                              1.   Diminished booth traffic lowering ROI
                 Clinical Trial                    of annual meeting support
                                              2.   Few options for safely engaging
                                                   association members
              Speakers Bureau                 3.   Heavy competition dilutes visibility
                                                   within association programs
                                              4.   Looking for ways to increase
          Medical Science Liaison                  collaboration and sharing within
                                                   association ranks
                                              5.   Looking to improve relationships with
    Medical Association Sponsorship                key KOLs who are also within the
                                                   association’s leadership


   Custom Engagement Communities



Case Study: Medical Association Sponsorship                                                18
A Major Pharmaceutical Company
Wanted To:

› Enhance brand awareness with key HCPs

› Improve engagement with KOLs

› Gain a foothold in an important new channel

› Explore alternatives to traditional association support

› Provide valuable venue for peer interaction




Case Study: Medical Association Sponsorship                 19
Key Visibility “On” and “Off” line
Online Visibility                                    Offline Visibility

Activity Measures
                                     Growth Rate –   ›   Referenced in
                                        Year 1           multiple conference
Registered Users - 1800
                                              72%        sessions
Logins per Week - 300
                                              20%    ›   Intra-conference
                                                         signage
Abstracts Claimed - 515
                                              22%    ›   Handouts in attendee
New Discussions
per Week - 10
                                              25%        bags

Private Messages
                                              9%     ›   Abstract “now
per Month - 600                                          available” stickers
Online Searches - 3109
                                              60%    ›   Joint Press Release
P2P Networking Connections -
444
                                              19%    ›   Specialized Signup
                                                         Booths
P2P Invitation
Acceptance Rate – 50%
                                              13%
                                                     ›   Remember Log-In ID
                                                         Cards

Case Study: Medical Association Sponsorship                                     20
Our Proven Approach is Designed to
Deliver Key Results:



               Advisory Board


                 Clinical Trial               Proper Partner Selection
                                              Sponsorship Package Definition
              Speakers Bureau
                                              Proper Compliance Safeguards
                                              Proper Community Design
          Medical Science Liaison
                                              User Adoption

    Medical Association Sponsorship           Ongoing Participation


   Custom Engagement Communities


Case Study: Medical Association Sponsorship                                    21
Blueprints for Success


  Strategy &          Solution         Rollout &         Analyze &
    Setup              Design          Execution          Refine

  Goals Review &                        Association
                   User Experience &
   Association                         Integration &
                      Site Design
    Selection                             Launch


                                                        Monitor, Assess,
                                                         and Improve



  Project Setup,                         Content,
                   Compliance Review
   Alignment &                         Orientation, &
                       & Design
      Kickoff                           Execution




                                                                           22
Finding the Path to Success

•   Find a champion
•   Define the business use case
•   Align internal stakeholders to the objective
•   Eliminate/manage perceptions of “social media”
•   Plan for avoidance and mitigation of risks
•   Use industry precedents
•   Include cognizance of FDA recommendations on social media
•   Ensure the technological and “human element” to moderation and monitoring
•   Ensure accessibility via web/mobile devices
•   Utilize tested onboarding and cultivation plan for community members
•   Align with integrated communications plan

                                                                                23
Discussion/Questions


Peter Gannon
Within3, Inc.
pgannon@within3.com
http://www.linkedin.com/in/petermgannon
Twitter: @within3
GO GIANTS!!!!!
                 25

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Successfully Collaborating with Healthcare Professionals through Online Community Programs: A Case Study Approach - BDI 1/26/12 Mobile Healthcare Communications 2012: Case Studies and Roundtables

  • 1. Successful Digital Collaboration Cases – Online HCP Communities Peter Gannon Within3, Inc. pgannon@within3.com http://www.linkedin.com/in/petermgannon Twitter: @within3 1
  • 3. Integrating digital collaboration into the HCP relationship Extending engagement beyond the “traditional” Face-to-Face Community Telephone Discussion Email Webcast 3
  • 4. What is an Online Community? • Network of people with a specific  Background/interest  Business objective • Unique platform which  Engages members through an array of interactive capabilities  Enables health professionals to efficiently connect, collaborate, and share information on a 24/7 basis 4
  • 5. Digital Collaboration Ecosystems Maturity Building of HCP ecosystem over time via online community channels. Launch Clinical Broad HCP Communities Association Partnerships Advisory Boards MSL Communities Label Expansion Speaker Communities Advisory Boards Multi-Site Trials Steering Committees Publication Planning Core Digital Collaboration Capabilities Technology & Expertise
  • 6. The MLR Pendulum Uber - Slightly less than Conservative Uber - Conservative
  • 7. Med/Legal/Compliance – Common Issues Most Common MLR Concerns Additional MLR Concerns Off label / Claim Expansion International Concerns Discussion Content/Response Approval Process Promotional Content Distribution Adverse Event Information & User Security Discoverability Fair Market Value Data Retention Anti-kickback Member Contracting Sunshine Act 7
  • 8. Best Practice: Three-stage Approach to Risk Management Education & Avoidance Risk Monitoring Risk Mitigation › User education plan › Specified community roles › Content and post insertion and authorizations and inline deletion › Moderator training › Real-time monitoring › Adverse event link visibility › Terms of use › Off-label mitigation › Custom community › Subscriptions per scenario implementation guidelines discussion area › User removal › “Plain English” user › Subscriptions per agreements moderator › Private user responses › Moderated post queuing › Community guideline reminders › Identity verification › Credential verification Risk Mitigation
  • 9. Case Study: Advisory Board Community Programs 9
  • 10. Challenges Common to Many Advisory Board Programs: 1. Quality of feedback is not sufficient for Advisory Board optimal planning 2. Broader set of advisors needed to gain Clinical Trial required insight 3. Cannot access advisor input “as Speakers Bureau needed” throughout the year 4. Sunshine Act / HCP time pressures making recruitment difficult Medical Science Liaison 5. Advisory programs are too costly Medical Association Sponsorship Custom Engagement Communities Example: Advisory Board Programs 10
  • 11. Better Outcomes Can Be Achieved by Properly Integrating Digital Collaboration Solutions Into Advisory Board Programs. Traditional Live Meeting Venues Digital Advisory Venues Online Community Discussion Compliant, multi- Real-time Web device access Conferencing Traditional Live Meeting Digital Advisory Venues Processes & Best Practices Processes & Best Practices Advisory Board Programs 11
  • 12. Case Study #1, US Global Pharmaceutical Client Situation: Preparing to launch diabetes drug with a high revenue expectation in a market with near-term competitive threats Key Objectives: 1. Competitive advantage– broaden insight by including more MD specialties and allied health professionals in program 2. Better market reaction– Allow the ability to quickly and compliantly reach back out to the advisory group as needed based on changing market developments 3. Keep costs controlled– keep costs the same as previous year’s budget Case Study: Advisory Board 12
  • 13. Case Study #1, US Global Pharmaceutical Results: Increased advisory board faculty from 10 to 40 contracted participants, adding three additional MDs specialties and nurse practitioners to program Enabled regulatory approved process for ad-hoc advisor feedback throughout the year Kept costs flat vs. previous year’s 10-person, 1-time advisory board Case Study: Advisory Board 13
  • 14. Case Study #2: US Global Pharmaceutical Client Situation: Compliance restrictions have caused the budgets being allocated to advisory board programs to decrease Key Objectives: 1. Lower costs– aggregate savings across a portfolio of commercial advisory board programs 2. Ensure quality– Maintain existing quality of feedback available to brand teams from advisory board programs 3. Conduct a broad pilot– implement 5 advisory boards crossing commercial and clinical functions to prove go-forward viability for the enterprise Case Study: Advisory Board 14
  • 15. Case Study #2: US Global Pharmaceutical Results: Five advisory board pilot effort provided $250,000 in savings vs. previous year’s advisory board spend Participating brands reported high satisfaction with quality, quantity, and timeliness of advisory board feedback Post program survey showed that 83% of participating advisors preferred the experience of using digital solutions vs. live-only advisory meetings Case Study: Advisory Board 15
  • 16. 16
  • 17. Case Study: Medical Association Sponsorship Case Study: Medical Association Sponsorship 17
  • 18. Common Challenges Engaging Medical Associations Advisory Board 1. Diminished booth traffic lowering ROI Clinical Trial of annual meeting support 2. Few options for safely engaging association members Speakers Bureau 3. Heavy competition dilutes visibility within association programs 4. Looking for ways to increase Medical Science Liaison collaboration and sharing within association ranks 5. Looking to improve relationships with Medical Association Sponsorship key KOLs who are also within the association’s leadership Custom Engagement Communities Case Study: Medical Association Sponsorship 18
  • 19. A Major Pharmaceutical Company Wanted To: › Enhance brand awareness with key HCPs › Improve engagement with KOLs › Gain a foothold in an important new channel › Explore alternatives to traditional association support › Provide valuable venue for peer interaction Case Study: Medical Association Sponsorship 19
  • 20. Key Visibility “On” and “Off” line Online Visibility Offline Visibility Activity Measures Growth Rate – › Referenced in Year 1 multiple conference Registered Users - 1800 72% sessions Logins per Week - 300 20% › Intra-conference signage Abstracts Claimed - 515 22% › Handouts in attendee New Discussions per Week - 10 25% bags Private Messages 9% › Abstract “now per Month - 600 available” stickers Online Searches - 3109 60% › Joint Press Release P2P Networking Connections - 444 19% › Specialized Signup Booths P2P Invitation Acceptance Rate – 50% 13% › Remember Log-In ID Cards Case Study: Medical Association Sponsorship 20
  • 21. Our Proven Approach is Designed to Deliver Key Results: Advisory Board Clinical Trial Proper Partner Selection Sponsorship Package Definition Speakers Bureau Proper Compliance Safeguards Proper Community Design Medical Science Liaison User Adoption Medical Association Sponsorship Ongoing Participation Custom Engagement Communities Case Study: Medical Association Sponsorship 21
  • 22. Blueprints for Success Strategy & Solution Rollout & Analyze & Setup Design Execution Refine Goals Review & Association User Experience & Association Integration & Site Design Selection Launch Monitor, Assess, and Improve Project Setup, Content, Compliance Review Alignment & Orientation, & & Design Kickoff Execution 22
  • 23. Finding the Path to Success • Find a champion • Define the business use case • Align internal stakeholders to the objective • Eliminate/manage perceptions of “social media” • Plan for avoidance and mitigation of risks • Use industry precedents • Include cognizance of FDA recommendations on social media • Ensure the technological and “human element” to moderation and monitoring • Ensure accessibility via web/mobile devices • Utilize tested onboarding and cultivation plan for community members • Align with integrated communications plan 23