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Healthcare Compliance: the relevance and impact for PCO’s and
Medical Association Clients
Caroline Mackenzie, Commercial Director
CONTENDAM Ltd
Consider how increased and changing healthcare
compliance is impacting the role of a PCO, the advice
and the guidance needed to medical association clients
Personal Background
1989 – 1990

Graduate Hotel Management Trainee

1990 – 1994

The Medicine Group
Medical Communications and pharma event
management

1994 – 1998

Concorde Services
PCO – mainly medical associations

1998 – 2006

PPSI / Parexel
Medical Communications – Pfizer Inc

2006 -

Congrex / Contendam
PCO – mainly medical associations
Some Basics
So What is Compliance?

It is the regulations and codes that determine
how commercial healthcare companies
(pharmaceutical or medical technologies)
interface with Healthcare Professionals (HCPS)
So What is an HCP?
ABPI definition is:

The term ‘health professional’ includes members of the
medical, dental, pharmacy and nursing professions and any
other persons who in the course of their professional activities
may administer, prescribe, purchase, recommend or supply a
medicine
Structure of Codes
Government
Tradebody

Corporate

Compliance Factors that Associations
and their PCOs need to consider
Why does it matter?
What we already know
Not Permitted
What’s Driving Change?
Companies Ruled in Breach of Codes
Annual Meeting of an All Ireland Medical Society – held in Belfast (UK)
Companies Ruled in Breach of Codes
Annual Meeting of an All Ireland Medical Society – held in Belfast (UK)
Perception is Reality
Perception is Reality
Perception is Reality
Current Game Changers
Congress Vetting
EUCOMED

EFPIA
New EFPIA Code On Disclosure of Transfers
New EFPIA Code

• Apply to interactions with Healthcare Professionals (HCPs)
taking place within Europe
• Changes are effective on 1 January 2014 or according to
national implementation plans (no later than July 2014)
New EFPIA Code
Article 9
INFORMATIONAL OR EDUCATIONAL
MATERIALS AND ITEMS
OF MEDICAL UTILITY
New article that sets out
requirements for the value and
purpose of informational and
educational materials and items of
medical utility
Examples
• Only ‘inexpensive’ materials, e.g.
no tablet to contain presentation, no
branded materials without purpose
of education
• Memory stick with materials, a
model ‘inexpensive’ brain etc. could
still be acceptable.

Article 10
EVENTS AND
HOSPITALITY

Article 17
PROHIBITION OF GIFTS

Revised wording of companies’
possibilities to offer meals and
beverages at events, and
establishment of national
monetary limits for the value of
meals and beverages

New article clarifying that no
gifts or pecuniary advantage
(in cash or benefit in kind)
may be supplied, offered or
promised to an HCP

Examples
• Clear guidance on country
level of acceptable monetary
limit for meals and beverages

Examples
•This includes brand
reminders such as pens,
binders, briefcases, bags etc.
that could include product or
company brand

• Companies shall not provide
any meals or beverages,
unless, in each case, the value
does not exceed the monetary
threshold set by the relevant
Member Association in its
national code
Considerations for PCO’s and their
Association Clients
Balancing Needs
Association

Company

Speakers

Speakers

Delegates

Delegates

Members

Staff
Likely Impact of HCP Payment Disclosure
• Greater number of self funding
delegates
• Reduced delegate numbers?
• Greater importance of selecting
right destination:
• Accessibility
• Affordable travel and Accom
• Registration and out of
pocket costs etc
Likely Impact of Prohibition of Gifts
• Will hit support of traditional
sponsorship items
• PCOs and associations – new
creative ideas for sponsorship
revenues
• Need to ensure that sponsor
achieves ROO
Smaller Exhibition Stands
Content is King
• Top quality science
• Education and development paramount
• Engaging and varied learning formats
• Latest cutting edge research
• Key opinion leaders / renowned speakers
• Accreditation / CPD
• Enduring content with greater out reach
• How will attendance improve delegates’ ability to treat patients?
The Role of the PCO?
Advisor and
guidance

Solutions
and
outreach

Reducing
costs / New
revenue
streams
Recommendation to Stakeholders
Thank you and discussion

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ICCA UK and Ireland Winter Debate 2014 - Healthcare Compliance the impact on PCOs and Medical Associations

  • 1. Healthcare Compliance: the relevance and impact for PCO’s and Medical Association Clients Caroline Mackenzie, Commercial Director CONTENDAM Ltd
  • 2. Consider how increased and changing healthcare compliance is impacting the role of a PCO, the advice and the guidance needed to medical association clients
  • 3. Personal Background 1989 – 1990 Graduate Hotel Management Trainee 1990 – 1994 The Medicine Group Medical Communications and pharma event management 1994 – 1998 Concorde Services PCO – mainly medical associations 1998 – 2006 PPSI / Parexel Medical Communications – Pfizer Inc 2006 - Congrex / Contendam PCO – mainly medical associations
  • 5. So What is Compliance? It is the regulations and codes that determine how commercial healthcare companies (pharmaceutical or medical technologies) interface with Healthcare Professionals (HCPS)
  • 6. So What is an HCP? ABPI definition is: The term ‘health professional’ includes members of the medical, dental, pharmacy and nursing professions and any other persons who in the course of their professional activities may administer, prescribe, purchase, recommend or supply a medicine
  • 7. Structure of Codes Government Tradebody Corporate Compliance Factors that Associations and their PCOs need to consider
  • 8. Why does it matter?
  • 11.
  • 13. Companies Ruled in Breach of Codes Annual Meeting of an All Ireland Medical Society – held in Belfast (UK)
  • 14. Companies Ruled in Breach of Codes Annual Meeting of an All Ireland Medical Society – held in Belfast (UK)
  • 15.
  • 21. New EFPIA Code On Disclosure of Transfers
  • 22. New EFPIA Code • Apply to interactions with Healthcare Professionals (HCPs) taking place within Europe • Changes are effective on 1 January 2014 or according to national implementation plans (no later than July 2014)
  • 23. New EFPIA Code Article 9 INFORMATIONAL OR EDUCATIONAL MATERIALS AND ITEMS OF MEDICAL UTILITY New article that sets out requirements for the value and purpose of informational and educational materials and items of medical utility Examples • Only ‘inexpensive’ materials, e.g. no tablet to contain presentation, no branded materials without purpose of education • Memory stick with materials, a model ‘inexpensive’ brain etc. could still be acceptable. Article 10 EVENTS AND HOSPITALITY Article 17 PROHIBITION OF GIFTS Revised wording of companies’ possibilities to offer meals and beverages at events, and establishment of national monetary limits for the value of meals and beverages New article clarifying that no gifts or pecuniary advantage (in cash or benefit in kind) may be supplied, offered or promised to an HCP Examples • Clear guidance on country level of acceptable monetary limit for meals and beverages Examples •This includes brand reminders such as pens, binders, briefcases, bags etc. that could include product or company brand • Companies shall not provide any meals or beverages, unless, in each case, the value does not exceed the monetary threshold set by the relevant Member Association in its national code
  • 24. Considerations for PCO’s and their Association Clients
  • 26. Likely Impact of HCP Payment Disclosure • Greater number of self funding delegates • Reduced delegate numbers? • Greater importance of selecting right destination: • Accessibility • Affordable travel and Accom • Registration and out of pocket costs etc
  • 27. Likely Impact of Prohibition of Gifts • Will hit support of traditional sponsorship items • PCOs and associations – new creative ideas for sponsorship revenues • Need to ensure that sponsor achieves ROO
  • 29. Content is King • Top quality science • Education and development paramount • Engaging and varied learning formats • Latest cutting edge research • Key opinion leaders / renowned speakers • Accreditation / CPD • Enduring content with greater out reach • How will attendance improve delegates’ ability to treat patients?
  • 30. The Role of the PCO? Advisor and guidance Solutions and outreach Reducing costs / New revenue streams
  • 32. Thank you and discussion