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International Healthcare Congresses (3) #ICCA12 WEDNESDAY 24/10/2012


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Presentation held at the 51st ICCA Congress which took place in San Juan, Puerto Rico from 20 - 24 October 2012. For more information on ICCA please visit

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International Healthcare Congresses (3) #ICCA12 WEDNESDAY 24/10/2012

  1. 1. 51st ICCA Congress International Healthcare Congresses: funding issues, compliance, pharma guidelines, and Continuing Medical Education – big changes, big dangers, big opportunities? (WE103) 51st ICCA CONGRESS - San Juan, Puerto Rico Wednesday October 24, 2012International Congress and Convention Association Session sponsored by:.Twitter: #ICCA12
  2. 2. Healthcare ConferencesEthics and ComplianceJohn T. McLoughlinChairman Eucomed Compliance PanelInternational Congress and Convention Association.Twitter: #ICCA12
  3. 3. What is Eucomed?European Medical Technology IndustryAssociation (EUCOMED) is composed of: • 62 Direct Corporate Members • 26 National Associations • 5 Associated National Members • 22,500 business which are “indirect” members via their national associationsInternational Congress and Convention Association.Twitter: #ICCA12
  4. 4. EUCOMED’S GOALSPrimary goals:• Engage with European regulators, politicians and other policy makers to develop and propose patient-centered policies that enable people to live healthy and productive lives and provide solutions that significantly drive the productivity and efficiency of healthcare systems.• Demonstrate the value of medical technology• Provide membership services• Promote Ethical Business PracticesInternational Congress and Convention Association.Twitter: #ICCA12
  5. 5. Eucomed Code of Ethical BusinessPractice• In September 2008 Eucomed revised its code of ethics which is now called the Eucomed Code of Ethical Business Practice (the “Eucomed Code”)• As part of the Code, Eucomed has also produced a Guidance Document (Q&A) which is updated periodically and which explains the Code in more detail through a series of Questions and Answers• Ethics & Compliance Resources: Congress and Convention Association.Twitter: #ICCA12
  6. 6. Scope of the Eucomed Code• The Eucomed Code covers all types of interactions with healthcare professionals (HCPs), including research and consulting agreements, gifts as well as the sponsorship of healthcare professionals to attend company events and third party professional and educational conferences.• It applies to direct and indirect Eucomed members.• National Associations must incorporate the provisions of the Eucomed Code into their own codes.International Congress and Convention Association.Twitter: #ICCA12
  7. 7. The Eucomed Compliance Panel• Independent body created by Eucomed to ensure consistent interpretation of the Eucomed Code of Ethical Business Practices• Complaint resolution and enforcement function• Supervise the EthicalMedtech Conference Vetting System created by Eucomed and managed by a Compliance OfficerInternational Congress and Convention Association.Twitter: #ICCA12
  8. 8. Need for a single conferencevetting system• The problem was that every Eucomed member company had to make its own decision as to whether or not a conference was compliant with the Eucomed Code• To solve this problem, the Eucomed Board created a centralised decision-making system under the supervision of the Compliance Panel to assess third party educational conferences• The Board also decided not to follow the EFPIA route - The Eucomed EthicalMedtech Conference Vetting decisions are binding on Eucomed membersInternational Congress and Convention Association.Twitter: #ICCA12
  9. 9. The Conference Vetting System(CVS)• The system operates independently of Eucomed to ensure objectivity in conference assessments• Separate website & visual identity:• Pilot phase began on March 21, 2012• The full operational phase started on October 1, 2012• Assessment decisions are made by the EthicalMedTech Compliance OfficerInternational Congress and Convention Association.Twitter: #ICCA12
  10. 10. Who can submit conferences forassessment?• Eucomed members: • Direct corporate members • National associations • Associated national associations• Conference organizers • Including medical and scientific societies• Members of the national associations (indirect members) • have to file a submission through their national association• Extension of the CVS will take place over timeInternational Congress and Convention Association.Twitter: #ICCA12
  11. 11. What conferences are subject toassessment?• Currently only European conferences  Participants from more than one European country  Europe: EEA countries (EU 27 + Iceland, Liechtenstein, Norway) Switzerland Associate members’ countries (Russia, Turkey and the Middle EastN.B: The Compliance Panel may, exceptionally and atits discretion, extend the scope to national and/orinternational conferences.International Congress and Convention Association.Twitter: #ICCA12
  12. 12. The Assessment Criteria• Geographic Location & Conference venues• Scientific Program• Hospitality, Social Events and Entertainment• Accommodations• Spouses, partners, family and guests• Brochures and CommunicationsInternational Congress and Convention Association.Twitter: #ICCA12
  13. 13. PRE-CLEARANCE OF LOCATION &VENUE• The Eucomed EthicalMedTech Conference Vetting System will be extended shortly to allow conference organizers to obtain “pre- clearance” of conference geographic locations and facility venues.• The Pre-Clearance submission may be made years in advance of a conference in order for conference organizers to make sure that before contractually committing themselves (and the organizations that they represent), the geographic location and facility venues are compliant with the Eucomed Code.International Congress and Convention Association.Twitter: #ICCA12
  14. 14. What Companies Must Do• Inform the superiors or organizations who employ the sponsored healthcare professionals about the financial support provided to attend a conference• Comply with other provisions of the Eucomed Code not covered by the Conference Vetting System• Avoid any conduct which gives the appearance of being inappropriate• Comply with local laws, regulations and codes of conductInternational Congress and Convention Association.Twitter: #ICCA12
  15. 15. COMPLAINTS AND SANCTIONS• Complaints regarding alleged violations of the Eucomed Code are handled in the first instance by National Association Compliance Panels.• National Association Compliance Panels and parties to a complaint procedure may refer questions of interpretation of the Eucomed Code to the Eucomed Compliance Panel during the complaint procedure or after the National Panel has issued a ruling.• Sanctions may include: inspection and audit of the offending company, the recovery of items given in connection with the promotion of products, publication of corrective information, withdrawal of accreditation by the National Association or Eucomed.• Publication of Panel decisionsInternational Congress and Convention Association.Twitter: #ICCA12
  16. 16. Martin N. JensenIPCAA Vice PresidentInternational Congress and Convention Association.Twitter: #ICCA12
  17. 17. History of IPCAA• Formed in 1989, originally as the European Pharmaceutical Congress Advisory Association (EPCAA)• First active members - Astra, Bayer, Ciba- Geigy, Glaxo, Hoechst, ICI, Janssen, Organon, Roche , Sandoz, Schering and SmithKline Beecham.• Today, 70% of world healthcare market (IMS) represented via most major global pharmaceutical companies• 80 percentage of member companies are EU based rest is US or Japan based, although all members are truly globalInternational Congress and Convention Association.Twitter: #ICCA12
  18. 18. IPCAA regular activity• Dissemination of information• Interaction within healthcare meetings industry• Therapeutic area task forces• Education sessions, workshops etc• Review and reporting on regulatory issues• Monitoring and review of congress-related CME developmentsIPCAA activity is increasingly involved in aspectsof compliance – communication, education,reporting etcInternational Congress and Convention Association.Twitter: #ICCA12
  19. 19. Internal vs external meetings:is there a distinction?• International Meetings organised by 3rd parties are always subject to pharmaceutical industry codes.• The type of internal meeting may influence rules to be followed: • e.g. medical advisory board, research meetings etc. involving HCPs, are always subject to compliance rules• Individual corporate policies may also impact: • internal company meetings may be run according to company compliance rules and/or official compliance guidelinesInternational Congress and Convention Association.Twitter: #ICCA12
  20. 20. IPCAA and compliance:Spreading the wordCommunication• Healthcare Congress Guidelines• Internal (members) and external presentations• Increased Exchange with medical associations and othersEducation• IPCAA seminars/workshops –most recently March 2012 – next in April 2013• Participation in joint activities – IAPCO, HCEAInteraction• EFPIA, IFPMA, EUCOMED etc.• Between IPCAA members’ compliance depts etcInternational Congress and Convention Association.Twitter: #ICCA12
  21. 21. IPCAA and compliance interpretation:complexity• In- Consistency use of compliance within IPCAA memberships companies – • EFPIA • IFPMA • Local • Company compliance • Delegate• Aim for agreement to use only EFPIA or IFPMA codes at international events• HCA (Healthcare Congress Alliance) • IPCAA • IAPCO • HCEAInternational Congress and Convention Association.Twitter: #ICCA12
  22. 22. IPCAA and compliance:Is not just accommodation and destination The guiding principle is responsible for promoting of educational science: • Promote scientific education and networking in a compliant environment • Ensure that congress-related activities create a value for patients • Even dissemination of science through virtual/hybrid events and activities needs compliance, which must be communicated and understood International Congress and Convention Association . Twitter: #ICCA12
  23. 23. Changes ahead• Company sponsored delegates vs individual • Number of individual delegates are increasing• Delegate spend • Average industry sponsored delegates spend more per night • Average individual delegate stays fewer nights• Exhibition is changing• Destination used to be Association driven now it is delegate driven• Transparency • 3rd party suppliers • Delegate spendInternational Congress and Convention Association.Twitter: #ICCA12
  24. 24. Transparency ahead- Delegate Spend tracking• Existing regulation • Various local regulations• Possible future obligations • Each company within the membership of EFPIA shall document and disclose, direct and indirect, payments and transfers of value it makes to or for the benefit of healthcare professionals (HCPs/HCOs)• Categories including: • Donations and Grants; • Sponsorship, Events and Hospitality; • Fees for Service and Consultancy;International Congress and Convention Association.Twitter: #ICCA12
  25. 25. Ideal Medical Congress?• Need to look at the start• How is the congress booked• How big is the congress• Which intermediates are involved – tries to benefit • Societies & Association • CVB • PCO • Local PCO/DMC• IPCAA recommend societies to work closely with CVB’s form the start in order to obtain as many rooms as possible at “reasonable” rates in compliant hotels!International Congress and Convention Association.Twitter: #ICCA12
  26. 26. Word of advise- to all suppliers• 4* hotels with business facilities at reasonable rates• Don’t try to sell something which is not what it is • Unrated 5* Spa and Luxury properties are 5* properties Spa and Luxury• Think long term and strategically • A congress is 3-4 days • Pharmacuetical companies place meetings and events every day all year round • A wrongly priced congress can devalue your destination as a future host• Think of the delegate• Work very closely with the CVB – they have (most often) gotten the business to the destination – they will get you more businessInternational Congress and Convention Association.Twitter: #ICCA12
  27. 27. For a copy of the IPCAA HealthcareCongress Guidelines, please visitwww.ipcaa.orgInternational Congress and Convention Association.Twitter: #ICCA12
  28. 28. 51st ICCA Congress International healthcare congresses Continuing Medical Education Challenges & opportunities Lewis A. Miller, MS, CCMEP WentzMiller Global Services, LLCInternational Congress and Convention Association Session sponsored by:.Twitter: #ICCA12
  29. 29. The way it is … 28,000 at European Society of Cardiology 2012 Pharma paid expenses for manyInternational Congress and Convention Association.Twitter: #ICCA12
  30. 30. The way it will be…  Live streaming video and podcasts  Doctors meet in regional sessions or watch at homeInternational Congress and Convention Association.Twitter: #ICCA12
  31. 31. What are your venues capabilities?1. We have advanced technology and skills for in-house and interactive web broadcasting2. We have advanced technology and skills for in-house interactivity but not via web3. We have limited technology and skills4. We have no technology or skills for interactivityInternational Congress and Convention Association.Twitter: #ICCA12
  32. 32. Why provide latest technology?• Streaming video goes anywhere in the worldInternational Congress and Convention Association.Twitter: #ICCA12
  33. 33. Why provide latest technology?85% of physicians in US & Europe use smartphones62% have tablets – and more every dayTrend accelerating in rest of the worldInternational Congress and Convention Association.Twitter: #ICCA12
  34. 34. Why provide latest technology? Limits on physician time & money Travel costs up, income down Work pressures reduce time for meetings And pharma may cut costs by sending fewer delegates to congressesInternational Congress and Convention Association.Twitter: #ICCA12
  35. 35. More on reduced pharma supportMarketing/sales budgets are being cutNew products are very targeted to specialists and subspecialistsIn US, support for CME down from 53% to 37% of $2 billion annually •Tighter new International Code of Practice for the industryInternational Congress and Convention Association.Twitter: #ICCA12
  36. 36. And CME is moving away from giant lecture halls toward …More interactivity More small group sessions Connectivity to wider audience through technology Use of Audience Response Systems in large meetings International Congress and Convention Association . Twitter: #ICCA12
  37. 37. How aware are you of new CME goals? 1. Our group keeps up with trends in CME, both in format and purpose, so we can meet organizational needs 2. We have some knowledge of CME trends but probably are not up to date 3. We are not aware of any changesInternational Congress and Convention Association.Twitter: #ICCA12
  38. 38. Performance, not knowledge, is key• Evidence of The new goal: knowledge Change physician change is no behavior to longer enough improve patient careInternational Congress and Convention Association.Twitter: #ICCA12
  39. 39. Where are the opportunities for you?1. State-of-the art technology in all meeting rooms to enable a. streaming video (webcasts) b. Audience Response Systems c. Hands-on sessions on computersInternational Congress and Convention Association.Twitter: #ICCA12
  40. 40. Where are the opportunities for you?2. Plenty of smaller rooms for … a. Breakout sessions of 10-30 physicians b. Hands-on workshops c. Building relationshipsInternational Congress and Convention Association.Twitter: #ICCA12
  41. 41. Where are the opportunities for you?3. Simultaneous meetings in sites in the region, e.g., US and Europe a. Broadcast live from the experts in central location b. Technology to enable interactivity c. Archive for global distributionInternational Congress and Convention Association.Twitter: #ICCA12
  42. 42. Where are the opportunities for you? Identify additional opportunities for marketing your capabilities Conduct research to determine … a. Which new drugs are being developed b. For which specialty or subspecialty groups – and their numbers c. Likelihood of local/regional presentations by pharma d. Contacts for sponsorship and fundingInternational Congress and Convention Association.Twitter: #ICCA12
  43. 43. What is your competitive edge?Some ideas: a. Knowledge of what physician organizations want b. Knowledge of what the pharma and device companies want c. Advanced technology d. Offer to train attendees in tech use e. Ability to identify offbeat funding sources e.g., government, foundations, banksInternational Congress and Convention Association.Twitter: #ICCA12
  44. 44. How likely are you to adapt to thenew directions for CME? 1. Very likely 2. Somewhat likely 3. Need to give it more thought 4. Not very likely International Congress and Convention Association . Twitter: #ICCA12
  45. 45. 51st ICCA Congress Thank you! And visit our website to keep up with changing trends in CME at www.wentzmiller.orgInternational Congress and Convention Association Session sponsored by:.Twitter: #ICCA12
  46. 46. 51st ICCA Congress DiscussionInternational Congress and Convention Association Session sponsored by:.Twitter: #ICCA12