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Market Trends and Drivers
What’s Happening and How Should You Respond?
Minnesota Health Strategy and Communications Network
            Spring Conference 2010
                   April 16, 2010


                        Daniel Fell
                 Executive Vice President
               Neathawk Dubuque & Packett
                  dfell@ndp-agency.com



                                                  COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010




                                                2

                               COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Market Trends and Drivers
What’s Happening and How Should You Respond?

 ! The New Healthcare Environment
 ! Six (Interconnected) Trends and Drivers
  - The Frontiers of Medicine
  - Being Digital
  - Generations Rule
  - Quality is Job #1
  - A Social World
  - The Doctor is In?
 ! The Marketer’s New Clothes

                                                                3

                                               COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

The New Healthcare Environment
Patient Protection and Affordable Care Act

  ! 24 Days Into Reform
  ! Strategic Implications for Providers Deloitte Health Solutions
      "Increased Coverage (and Revenue)
      "Cost Structure
      "Physicians Relationships
      "Quality
      "Access to Capital
      "Market Strategy
  !   Meaningful Use and $19 Billion for Heath IT


                                                                                 4

                                                                COPYRIGHT 2009 ND&P
The Frontiers of Medicine




                            COPYRIGHT 2009 ND&P
The Frontiers of Medicine
From Genetics to Robotic Medicine




                                    COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Ten High-Impact Developments
Source: Heath Tech Center

  !   Pharmacogenomics
  !   “Paired” Imaging Modalities
  !   CT Enhancements (64, 256 slice)
  !   CyberKnife
  !   CT Angioplasty
  !   High-Resolution 3-D Ultrasound
  !   Predictive Testing, Asymptomatic
  !   Cell Therapy
  !   CT Colonoscopy or Virtual Colonoscopy
  !   Proton Beam Therapy

                                                               7

                                              COPYRIGHT 2009 ND&P
23andMe
Personal Genetic Testing at a Store Near You




                                               COPYRIGHT 2009 ND&P
Being Digital: Bits, Bytes and EMR’s




                                       COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Consumers Seeking Health Information Online
2009 Pew Internet and American Life Project Stats

  ! 66% have looked online for information on a specific disease
      or medical problem
  !   52% of Internet users watch videos online
  !   47% have looked online for information about doctors
  !   47% use social networks (1 in 4 with a chronic condition)
  !   41% of “e-patients” read about someone else’s experience
      with a health/medical issue on a news group, site or blog
  !   38% have looked online for information about specific
      hospitals or facilities
  !   37% share photos online
  !   5 in 10 people living with chronic illness have Internet
      access (vs 8 in 10 U.S. Adults)                                      10

                                                           COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

 Health Care Consumers
 Interest in Online Tools and Services Provided by Hospitals

                 Online Tool or Service             Have Used   Interested In   Would Pay
       Health conditions and treatments                 14           59            11
       Same day appointment                             11           68            23
       Information about quality of hospital care       11           64            11
       Educational classes or meetings                  9            51            20
       Online scheduling of appointments                8            60            19
       Online access to medical records/results         6            71            24
       Information on prices of services                6            62            10
       Assistance from patient rep after stay           6            51            15
       Assistance from care coordinator                 4            48            11
       Assistance from patient billing rep              6            48             9
       Online access to integrated medical record       5            68            26

Source: 2008 Deloitte Survey of Health Care Consumers                                                   11

                                                                                        COPYRIGHT 2009 ND&P
An iPhone App for Jewish Hospital in Louisville




                                            COPYRIGHT 2009 ND&P
Electronic Health Records
Google, Microsoft and Others




                               COPYRIGHT 2009 ND&P
Switch2Health
Rewarding Healthy Behavior




                             COPYRIGHT 2009 ND&P
COPYRIGHT 2009 ND&P
Generations Rule: How Demographics
     Change the Conversation




                                 COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Consumerism Takes Hold




                         Source: Economist, January 19, 2002
                                                                               17

                                                               COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Health Care Consumers
Profile of Six Health Care Consumer Segments (Deloitte)




                                                                     18

                                                     COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Not Your Father’s AARP




                                                     19

                                     COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Consumers Are Using Quality Data ...




                                                       20

                                       COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

... And Perceptions Are Changing




                                                      21

                                      COPYRIGHT 2009 ND&P
Quality is Job #1




                    COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010




                                               23

                               COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

10 Years Since the Groundbreaking IOM Report




                 Image: Hospitals & Health Networks Magazine, www.hhnmag.com



                                                                                               24

                                                                               COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

A Few of the Organizations Rating Healthcare




                                                          25

                                          COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

The Media’s Impact on Healthcare Quality




                                                           26

                                           COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Hospitals Compete to Be #1




                                                     27

                                     COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Marketing the Best Care




                                                     28

                                     COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

So Are Hospital Quality Ratings Good of Bad?




                                                          29

                                          COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010




                                               30

                               COPYRIGHT 2009 ND&P
A Social World




                 COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010




                                               32

                               COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010




                                               33

                               COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

 Social Media a Key Channel for Health Info
          General Search Engine                                                   67%

               Healthcare Portal                                      44%

                Social Media Site                               37%

Disease/Condition Assoc Website                           28%

     Insurance Provider Website                     22%

                       News Site                18%         Six in ten e-patients access
   Health Specific Search Engine              15%           peer-generated health
                                                            information such as blog
           Government Website             12%
                                                            posts, doctor/hospital ratings,
       Pharma Company Website            9%                 podcasts or customized
          Hospital/Clinic Website    8%                     health news updates.
    Drug Advertisement Website      5%
                                                            Pew Internet, 2009
                                                                                                        34

                                                                                        COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Patients Increasingly Share Experiences




                                                          35

                                          COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

And Rate Their Caregivers




                                                     36

                                     COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

And Sometimes Organize Against Us




                                                     37

                                     COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

And Social Sites Capitalize on the Trend
Plumbers, Painters and Now ... Doctors




                                                           38

                                           COPYRIGHT 2009 ND&P
The Doctor Is In?




                    COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

A Severe Shortage of Physicians




                                                     40

                                     COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Most Practices Are Now Owned by Hospitals




                                                        41

                                        COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

Physicians Embrace Social Media




                                                     42

                                     COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

The Marketer’s New Clothes
What is Most Important?




                                                       43

                                       COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010

The Marketer’s New Clothes
Four Things to Focus on in the New Environment

  !   Accountability and ROI
  !   Finance 101
  !   New Media Skills
  !   Brand Me




                                                                 44

                                                 COPYRIGHT 2009 ND&P
MHSCN Spring Conference 2010




                                               45

                               COPYRIGHT 2009 ND&P

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Fell.mhscn 2010 2

  • 1. Market Trends and Drivers What’s Happening and How Should You Respond? Minnesota Health Strategy and Communications Network Spring Conference 2010 April 16, 2010 Daniel Fell Executive Vice President Neathawk Dubuque & Packett dfell@ndp-agency.com COPYRIGHT 2009 ND&P
  • 2. MHSCN Spring Conference 2010 2 COPYRIGHT 2009 ND&P
  • 3. MHSCN Spring Conference 2010 Market Trends and Drivers What’s Happening and How Should You Respond? ! The New Healthcare Environment ! Six (Interconnected) Trends and Drivers - The Frontiers of Medicine - Being Digital - Generations Rule - Quality is Job #1 - A Social World - The Doctor is In? ! The Marketer’s New Clothes 3 COPYRIGHT 2009 ND&P
  • 4. MHSCN Spring Conference 2010 The New Healthcare Environment Patient Protection and Affordable Care Act ! 24 Days Into Reform ! Strategic Implications for Providers Deloitte Health Solutions "Increased Coverage (and Revenue) "Cost Structure "Physicians Relationships "Quality "Access to Capital "Market Strategy ! Meaningful Use and $19 Billion for Heath IT 4 COPYRIGHT 2009 ND&P
  • 5. The Frontiers of Medicine COPYRIGHT 2009 ND&P
  • 6. The Frontiers of Medicine From Genetics to Robotic Medicine COPYRIGHT 2009 ND&P
  • 7. MHSCN Spring Conference 2010 Ten High-Impact Developments Source: Heath Tech Center ! Pharmacogenomics ! “Paired” Imaging Modalities ! CT Enhancements (64, 256 slice) ! CyberKnife ! CT Angioplasty ! High-Resolution 3-D Ultrasound ! Predictive Testing, Asymptomatic ! Cell Therapy ! CT Colonoscopy or Virtual Colonoscopy ! Proton Beam Therapy 7 COPYRIGHT 2009 ND&P
  • 8. 23andMe Personal Genetic Testing at a Store Near You COPYRIGHT 2009 ND&P
  • 9. Being Digital: Bits, Bytes and EMR’s COPYRIGHT 2009 ND&P
  • 10. MHSCN Spring Conference 2010 Consumers Seeking Health Information Online 2009 Pew Internet and American Life Project Stats ! 66% have looked online for information on a specific disease or medical problem ! 52% of Internet users watch videos online ! 47% have looked online for information about doctors ! 47% use social networks (1 in 4 with a chronic condition) ! 41% of “e-patients” read about someone else’s experience with a health/medical issue on a news group, site or blog ! 38% have looked online for information about specific hospitals or facilities ! 37% share photos online ! 5 in 10 people living with chronic illness have Internet access (vs 8 in 10 U.S. Adults) 10 COPYRIGHT 2009 ND&P
  • 11. MHSCN Spring Conference 2010 Health Care Consumers Interest in Online Tools and Services Provided by Hospitals Online Tool or Service Have Used Interested In Would Pay Health conditions and treatments 14 59 11 Same day appointment 11 68 23 Information about quality of hospital care 11 64 11 Educational classes or meetings 9 51 20 Online scheduling of appointments 8 60 19 Online access to medical records/results 6 71 24 Information on prices of services 6 62 10 Assistance from patient rep after stay 6 51 15 Assistance from care coordinator 4 48 11 Assistance from patient billing rep 6 48 9 Online access to integrated medical record 5 68 26 Source: 2008 Deloitte Survey of Health Care Consumers 11 COPYRIGHT 2009 ND&P
  • 12. An iPhone App for Jewish Hospital in Louisville COPYRIGHT 2009 ND&P
  • 13. Electronic Health Records Google, Microsoft and Others COPYRIGHT 2009 ND&P
  • 16. Generations Rule: How Demographics Change the Conversation COPYRIGHT 2009 ND&P
  • 17. MHSCN Spring Conference 2010 Consumerism Takes Hold Source: Economist, January 19, 2002 17 COPYRIGHT 2009 ND&P
  • 18. MHSCN Spring Conference 2010 Health Care Consumers Profile of Six Health Care Consumer Segments (Deloitte) 18 COPYRIGHT 2009 ND&P
  • 19. MHSCN Spring Conference 2010 Not Your Father’s AARP 19 COPYRIGHT 2009 ND&P
  • 20. MHSCN Spring Conference 2010 Consumers Are Using Quality Data ... 20 COPYRIGHT 2009 ND&P
  • 21. MHSCN Spring Conference 2010 ... And Perceptions Are Changing 21 COPYRIGHT 2009 ND&P
  • 22. Quality is Job #1 COPYRIGHT 2009 ND&P
  • 23. MHSCN Spring Conference 2010 23 COPYRIGHT 2009 ND&P
  • 24. MHSCN Spring Conference 2010 10 Years Since the Groundbreaking IOM Report Image: Hospitals & Health Networks Magazine, www.hhnmag.com 24 COPYRIGHT 2009 ND&P
  • 25. MHSCN Spring Conference 2010 A Few of the Organizations Rating Healthcare 25 COPYRIGHT 2009 ND&P
  • 26. MHSCN Spring Conference 2010 The Media’s Impact on Healthcare Quality 26 COPYRIGHT 2009 ND&P
  • 27. MHSCN Spring Conference 2010 Hospitals Compete to Be #1 27 COPYRIGHT 2009 ND&P
  • 28. MHSCN Spring Conference 2010 Marketing the Best Care 28 COPYRIGHT 2009 ND&P
  • 29. MHSCN Spring Conference 2010 So Are Hospital Quality Ratings Good of Bad? 29 COPYRIGHT 2009 ND&P
  • 30. MHSCN Spring Conference 2010 30 COPYRIGHT 2009 ND&P
  • 31. A Social World COPYRIGHT 2009 ND&P
  • 32. MHSCN Spring Conference 2010 32 COPYRIGHT 2009 ND&P
  • 33. MHSCN Spring Conference 2010 33 COPYRIGHT 2009 ND&P
  • 34. MHSCN Spring Conference 2010 Social Media a Key Channel for Health Info General Search Engine 67% Healthcare Portal 44% Social Media Site 37% Disease/Condition Assoc Website 28% Insurance Provider Website 22% News Site 18% Six in ten e-patients access Health Specific Search Engine 15% peer-generated health information such as blog Government Website 12% posts, doctor/hospital ratings, Pharma Company Website 9% podcasts or customized Hospital/Clinic Website 8% health news updates. Drug Advertisement Website 5% Pew Internet, 2009 34 COPYRIGHT 2009 ND&P
  • 35. MHSCN Spring Conference 2010 Patients Increasingly Share Experiences 35 COPYRIGHT 2009 ND&P
  • 36. MHSCN Spring Conference 2010 And Rate Their Caregivers 36 COPYRIGHT 2009 ND&P
  • 37. MHSCN Spring Conference 2010 And Sometimes Organize Against Us 37 COPYRIGHT 2009 ND&P
  • 38. MHSCN Spring Conference 2010 And Social Sites Capitalize on the Trend Plumbers, Painters and Now ... Doctors 38 COPYRIGHT 2009 ND&P
  • 39. The Doctor Is In? COPYRIGHT 2009 ND&P
  • 40. MHSCN Spring Conference 2010 A Severe Shortage of Physicians 40 COPYRIGHT 2009 ND&P
  • 41. MHSCN Spring Conference 2010 Most Practices Are Now Owned by Hospitals 41 COPYRIGHT 2009 ND&P
  • 42. MHSCN Spring Conference 2010 Physicians Embrace Social Media 42 COPYRIGHT 2009 ND&P
  • 43. MHSCN Spring Conference 2010 The Marketer’s New Clothes What is Most Important? 43 COPYRIGHT 2009 ND&P
  • 44. MHSCN Spring Conference 2010 The Marketer’s New Clothes Four Things to Focus on in the New Environment ! Accountability and ROI ! Finance 101 ! New Media Skills ! Brand Me 44 COPYRIGHT 2009 ND&P
  • 45. MHSCN Spring Conference 2010 45 COPYRIGHT 2009 ND&P