Pixels & Pills

The Woes of R&D

March 9th, 2010 · Knowledge, Opinion

STOCK PHOTO - Time Money

By Russ Ward (@russcward)

The most recent McKinsey Quarterly offered a report called “The Road to Positive R&D Returns.” Essentially, it said that traditional small molecules are no longer a viable business plan for pharma companies, and that they can’t hang their hats on biologics either, because they’re running into many the same issues with development vagaries and generic competition.

What they should do instead, the report offered: work cheaper and faster. Well… yeah. A slightly anticlimactic conclusion, no? (Although it is a good article.) But is it possible to get at least a little more specific?

R&D often includes in-licensing, out-licensing and other types of deal-making. It’s not really a question of not being able to get the information to make a good decision to be successful at licensing and acquisition; it’s more about the intake and synthesis and processing of all that information.

  • Is there a pharma L&A network for the executives, lawyers, researchers and analysts involved in this field? You should be building one. Gather them up, get them together, get them sharing best practices. The challenge is to do that with the knowledge that they’re all in an ongoing sprint to the next great deal – but it’s possible to learn from each other while still competing with each other.
  • How mobile is the access to all of this information? To borrow the tagline, is there an app for that? If not, why aren’t you working on one?
  • Take a look at all of the research analysis services and products – and then talk to the people who use them. What’s on their wish list? What’s the killer app for L&A – and why haven’t you made it yet?

But R&D is, of course, fundamentally about research and development – scientists in labs. What are the opportunities there?

  • Have you ever spent a day in a research lab? You probably haven’t, and moreover, your clients probably haven’t, either. Do some networking, make some connections, sign some NDA’s, and see where the magic really happens. Speak to the men and women who spend their careers doing miraculous things. Find out what has changed the most in their careers, what now takes half the time it used to, and what still slows them down. You’ll probably be surprised how similar to a clinically practicing physician these problems are. Paperwork, paperwork, paperwork.
  • Go to where scientific passion intersects with an inborn use of technology – youth. Visit students. They may very well be rigging up technology-enabled solutions to help them through school that their professors and role models would benefit from.

How can your creative development meet the needs of R&D?

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Back to Basics: The Doctor Will See You Now

March 8th, 2010 · Opinion, Trends

MPP0093690(3)This new series on Pixels & Pills will focus on the importance of revisiting traditional ways of thinking.

By Sven Larsen (@zemoga)

Dr. Jay Parkinson is at the bleeding edge (pun intended) of an entirely new way of thinking about doctoring.

Except that it isn’t new at all.

Dr. Parkinson has an MD and a master’s of public health. He went into practice in Brooklyn in 2007, but in a startling new way. He had a website, Google Calendar, an iPhone and PayPal. House calls, IM, email and video chats. No insurance, no office, no staff of scrub-clad nurses and receptionists. Since then, his experience has ballooned into an extremely successful business model. And of course: he had 10% overhead costs, not the more usual 70%.

Oprah’s favorite Dr. Oz has this to say about him: “His system gives supremacy to the covenant between doctor and patient, and the bonus is that it’s a better value to you. By cutting out the middlemen who often distort that relationship, Parkinson is putting the doctor-patient relationship back where it should be. It’s slick and it’s smart. You might say it’s like living in the twenty-first century.”

But even more telling, Dr. Parkinson has this to say about his business model: “Is that innovative? Man, I don’t know. It’s paying attention to what’s awesome about Flickr and then doing it.”

He’s exactly right, and this is one of our mantras. We in the pharma industry need to stop being so elitist and thinking we’re so special. This industry is not utterly different from any other industry. No, we’re not making comic books or snack cakes or cardboard boxes. Yes, our work can literally be a matter of life and death. Yes, of course there are rules and regulations.

But find me an industry that doesn’t have regulations. We have got to break with the mindset that the way we’ve been doing it is always for good reason. And sometimes, what we find when we’re able to break with it, is that the way we used to do it was pretty great in a lot of ways.

House calls were wonderful. Sitting in a busy practice for two hours, filling out reams of insurance paperwork and inching away from the germ factories slumped around you? Not so wonderful. Of course Dr. Parkinson’s model worked. He looked at what was great about other technology-enabled situations in his life and applied them to healthcare, in order to make the best of the old ways possible again.

We must move away from tradition – the recent traditions that aren’t working – in order to look back and regain the benefits of the older traditions, amplified via technology, for both patient and provider.

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Your Front Row (sort of) Seat at Social Media Week

March 5th, 2010 · News

It’s usually never good when someone sends you an e-mail saying “I’ve got you on video.”

Fortunately, when we received an e-mail saying just that, it was all good: Exactly a month ago, it was Social Media Week in New York, where our very own DJ Edgerton spoke on a panel about “Navigating Social Media Technology in Healthcare,” addressing the challenges of meeting FDA regulations, joining consumers’ conversations, empowering patients, leveraging existing technology, and helping HCPs adopt a mobile infrastructure.

Listen to the conversation–watch fullscreen video from the event by clicking on the following links:

Part 1: http://64.202.162.213/fullscreenvideo/flash.php?url=MOV001.flv
Part 2: http://64.202.162.213/fullscreenvideo/flash.php?url=MOV002.flv

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Patient 2.0: The Hospital

March 4th, 2010 · Knowledge, Opinion

STOCK PHOTO - Doctor Sleep

In a recurring series, Patient 2.0 posts look at what goes on outside the marketing company and the exam room. Where are the other links in the healthcare chain and how can digital technology help them?

By Sven Larsen (@zemoga)

We’ve talked about the pharmacy, the outpatient center, even the medicine cabinet, in terms of where the patient has healthcare experiences. What about the acute setting – when the patient is admitted into the hospital itself?

As former med students ourselves and having had numerous conversations with physicians some issues are glaringly obvious. and The biggest problem we see, which could be fixed completely using technology, is a simple one: sleep.

Residents are routinely pressed into 30-hour shifts in hospitals, yet truck drivers aren’t allowed more than 11-hour shifts and pilots aren’t allowed more than 8. Why? Is it somehow worse to think about people dying or being injured by accidents on the road or in the air than from a misdiagnosis or an accidental overdose? It doesn’t make any sense to have patients’ lives in the hands of student doctors – hands that are not only untried, but beyond exhausted. Hazing isn’t allowed in frats anymore, so why is it still allowed in med school? This is madness. It isn’t about tradition. It’s about championing the patient’s health and safety. It literally is a matter of life and death.

This is a field exquisitely attuned to data, always striving to better patient outcomes. The idea of residents (or their patients) benefiting from working nonstop from daybreak Monday to lunch on Tuesday – surely that belongs in the days of leeches and bloodletting, of using whiskey and a stick as anaesthesia.

Hospital staffing and demand can be tracked and predicted with the precision with which it such forecasting is done in any other large facility. Processes and paperwork can be automated and digitized, minimizing the need for paperwork and maximizing the time spent learning and treating patients.

Technology can keep doctors in training healthier, and keep patients in less danger – and we should be working on that. Not only does it keep our patients safe, but it champions the well-being of our future physician customers. They need to get through their training safely and effectively, and we can help.

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Relive the ePharma Summit 2010!

March 3rd, 2010 · Knowledge, News, Trends

Missed the 9th Annual ePharma Summit?  Shame.

So you didn’t get to see Chris Anderson from Wired talk about digital marketing or attend social media boot camp…you can still join in the conversation by checking out video from the sold-out event!

Conference Director Kristin Paulick welcomes us to the ePharma Summit 2010!

Implementing New and Innovative Communication Channels with Dennis Urbaniak, VP Customer Channels & Innovation, sanofi-aventis

Learning how today’s HCPs prefer to learn from Peter Frishauf, Chairman, Crossix, Founder, Medscape and Peter Shaw, MD, President, MDMindset

Bill Drummy, CEO, Heartbeat Digital talks about physician portals and just saying no

Dennis Urbaniak, VP, Customer Channels & Innovation, sanofi-aventis talks about his panel discussion

Thought Leader Panel—The Evolving HCP and Consumer Media Mix

Bill Drummy, CEO, Heartbeat Digital talks about his presentation

Prolific YouTube Video Creator Kevin “Nalts” Nalty, and Clare O’Brien, Sales & Business Development, You Tube/Google talk about the pharmaceutical presence on YouTube

Maximizing Your Returns Online with John Mangano, Vice President, comScore Marketing Solutions

Paul Grant, Head of Strategy Implementation for Creation Interactive, also has video from the event on his blog.

Beginning March 15th, full video presentations will be available courtesy of  Klick Pharma at the following link: http://www.klick.com/pharma/en/home

And you can always access behind-the-scenes action on the Pixels & Pills Vimeo channel: http://vimeo.com/channels/85120


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Healthcare Is Going HITECH – And Pharma Should, Too

March 2nd, 2010 · News, Trends

STOCK PHOTO - Tech Doctor

By Kimberly Reyes (@CommDuCoeur)

When 4 out of 5 doctors agree on something, people pay attention.  So when 4 out of 5 doctors say that mobile technology and software is crucial to ensuring the efficiency of their practice, the government took notice.  On February 17th, 2009, President Obama signed The Health Information Technology for Economic and Clinical Health (HITECH) Act as part of his federal stimulus package, and the message was clear: America needs to modernize its healthcare system. [Read more →]

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More on the Decision Tree

March 1st, 2010 · News

Conversations on Healthcare

By Sven Larsen (@zemoga)

We’ve written before about Thomas Goetz’s The Decision Tree: Taking Control of Your Health in the New Era of Personalized Medicine (in our opinion it’s going to be one of the most important Health books of the year). So we were delighted when our own DJ Edgerton was invited to be part of  Conversations on Healthcare, a radio show dedicated to Goetz and the uses of social media in healthcare.

Check out the audiolink here:

http://www.chcradio.com/index.html

And (as always) let us know what you think about the subject.

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Why You Shouldn’t Abandon Your Sales Force

February 26th, 2010 · Opinion

sales force

We were lucky enough to interview Damon Caiazza of GSW at the e-Pharma Summit a couple of weeks back. Damon’s insights generated a lot of buzz in the industry and he kindly offered to follow up on our conversations with a guest blog post. Read on for some lively and insightful observations from the sales trenches!

By Damon Caiazza

This post is in response to several inquiries about my comments made in a recent interview at the e-Pharma Summit 2010 related to the sales force.

In the wake of a continuing trend that sees drastic reductions in the pharma sales force taking it from a peak of 102,000 in 2007 to 75,000 by 2012, I beg and plead that pharmaceutical companies and their army of agencies don’t abandon the sales force.  Instead, EMBRACE the sales force in innovative ways that put a new face on the personal selling model that has existed for decades in the industry.  If me begging and pleading isn’t enough (which is probably isn’t) then allow me to make a case for further consideration.

The sales force isn’t stupid

Have you ever heard this or even worse, said it?  “My sales force can’t learn this new technology” or “My sales reps can’t deliver such a complicated mess”.

One thing that drives me absolutely crazy is the marketing team’s insistence that their sales force is incompetent.  Furthermore, that any solution that is developed should be done so with the lowest common denominator in mind.  Let’s think about that for a second.  What would life be like if we approached other aspects of our lives with the “lowest common denominator” mentality? [Read more →]

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What Business Are You In?

February 24th, 2010 · Opinion

Customer service

By DJ Edgerton (@wiltonbound)

Are you a products or services company?

Some of the Pixels & Pills braintrust has been meeting to discuss company strategies within their organizations and that’s a big question that’s been raised.

It also got me thinking about the future of Pharma.

Right now the industry is product based. We spend hundreds of millions of dollars on new drugs, pray for FDA approval, and then hope that we’ve got a home run. It may not be as chancy as playing the lottery but there’s no question that the blockbusters have to cover the costs of a lot of less successful products. [Read more →]

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Do You Feel Your Customers Pain?

February 22nd, 2010 · Opinion, Trends

Empathy Do You Feel Your Customers Pain?

By Sven Larsen (@zemoga)

The medical community is learning a hard lesson: empathy. Doctors that are better at connecting are having higher success rates in treating patients. Med schools have figured out that their current methods of preparing young doctors can actually remove it. So we have medical researchers studying, measuring, tracking empathy.

The healthcare industry needs to learn this lesson too: they must bring empathy into their organizations. Pharma companies must see themselves as champions of the people taking their drugs. Guy posted about a practical example of this last month – improving package design for a better patient experience. But here are two ideas for how to make it work.

First, empathy driving accessibility.

We know that we must work on making our buildings accessible to everyone, regardless of physical limitations, and making our drugs available, regardless of financial or geographic condition. This is, of course, admirable. But what about making our information available – regardless of handicap or poverty or geography? The World Wide Web Consortium (W3C)’s Web Accessibility Initiative is a great resource for helping to make sure that your sites are easy to use for people with a variety of disabilities. Perhaps you haven’t paid much attention to it since it was launched in 1997. But here’s a great example of its precepts in action: when you visit Lucentis.com for Genentech’s treatment for wet age-related macular degeneration, you’re first prompted to choose a larger type or an audio tour. This is a great example of empathy informing practical work: thinking about what your patients’ daily lives are like before creating anything.

Second, empathy created by true experience.

We can sit and think, we can read, we can interview. But if we are fortunate enough not to have a serious medical condition, we do not know what it’s like. Imagine as hard as you can what it’s like to live with chronic pain, hearing loss, vision loss, schizophrenic hallucinations. As creative as you might be, you just can’t get there. But there’s an astoundingly simple way around this: to seek the counsel of people who can. Patients helping patients professionally – the concept marries the ideas of patient support with for-profit healthcare. What if a patient’s diagnosis didn’t just doom them to a medical condition, but could open up an empowering, meaningful career for them? Obviously there are privacy regulations within which it must be handled – but how can you get these hugely knowledgeable people on your team? As employees, as consultants, as volunteers – get the people with the condition to create the goods and services for people with the condition, and you can’t help but succeed.

Now what?
Interesting ideas, but what do we do with them now, you ask? Do you want me to march into HR and demand that we start screening new hires for a battery of diseases? Not quite. Here are two practical steps.

Consider how you can bring information to your patients, and to those around them. For example, what about a diabetes education initiative to help children in high-risk inner cities learn what they can do, as part of their family, to help their parents with diabetes live a long and healthy life – and what they can do for themselves to reduce their risk of developing diabetes? Imagine how that might look, and how you could do something similar.

And consider how you can involve patients in your work. You’ve probably come into contact with patient spokespeople, with support group leaders, or even with people in your personal life who live with a condition, the treatment of which your job focuses. But how can you get their help to see what you’ve been missing – and what you can offer them? How can you invite people with that condition to become part of the process?

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