Latest News



November 16, 2020 0

Sponsored Content

About 29 million people in the United States rely on community-based organizations (CBOs), which provide care to low-income and uninsured patients, often living with infectious disease including HIV/AIDS and Hepatitis C [9].  Since the onset of the HIV epidemic, community-based organizations have proved vital to the United States’ HIV prevention efforts, delivering the most effective HIV prevention strategies to those who need them the most and are at the greatest risk of infection [1].  As the U.S. continues to battle COVID-19, community-based organizations are facing unprecedented demands to combat COVID-19 while continuing to deliver essential HIV prevention and treatment services [2]. 

According to Kelsey Louie, GMHC, CEO:

“COVID-19 created unprecedented challenges for GMHC in ensuring that we could sustain our services for our clients during the pandemic.  We pivoted many of our programs to remote delivery using video conferencing and implemented at-home HIV testing so these vital services could continue to be accessible to our communities.  The new technologies that we have embraced during COVID-19 including telehealth and Mesmerize’s patient education platform, will continue to be vital parts of our programming well after the pandemic ends.”  

Many CBOs shared case studies demonstrating the impact of COVID-19 on their organizations at the 2020 United States Conference on HIV/AIDS (USCHA).  Here are 5 ways COVID-19 affects community-based organizations and their efforts to end the country’s HIV epidemic:

1. Testing is the only way to know if you have HIV.  If everyone knew their status, we could protect ourselves and each other, bringing us closer to ending the epidemic.  As a result of COVID-19, however, community-based organizations were forced to think outside of the box to maintain client access to essential HIV prevention and care services including HIV, Hepatitis C (HCV) and STI testing.

Community-based organizations that have been providing long-standing and proven-effective HIV, HCV and STI testing to communities at risk have had to change their standard testing procedures to continue providing these vital services while also addressing COVID-19 [6].  As a result of COVID-19, most CBOs were forced to change their traditional methods of care to continue in-person appointments while prioritizing the safety of their staff and clients and preventing the transmission of COVID-19.  Changes to care included pre-screening prior to scheduling appointments, integrating HIV screening services into existing workflows, designating exam rooms to patients who are known to be at risk of COVID-19, and disinfecting all exams rooms after each appointment [5].  While there are options for at-home HIV testing, STI testing requiring bloodwork must be done by a practitioner on-site.  CBO staff are working hard to ensure that newly diagnosed patients are immediately linked to treatment and existing patients are adhering to their medications, while simultaneously working to prevent an already vulnerable population from getting COVID-19.

2. Community-based organizations are working to address and integrate COVID-19 with their existing HIV, Hepatitis, and STI care and prevention programs.  Their deep community roots and relationships make them uniquely equipped to handle the transition from protecting vulnerable populations from infectious disease to include COVID-19 as well.

CBO staff have reported adding COVID-19 work to their scope of usual services and are calling for additional resources to address emerging COVID-19 related needs among their clients [6]. Most organizations reported some level of involvement in COVID-19 related activities, including educating clients about COVID-19 risks and protective measures, conducting COVID-19 testing and contact tracing, and providing counseling and care for clients with COVID-19 [7].  Compared to the traditional doctor’s office, community-based organizations have deep community roots as well as strong expertise in addressing social supports such as mental and personal care within the communities they serve [10].  This makes CBOs uniquely positioned to transition their staff’s expertise from sexual health to general health and makes them well equipped to incorporate questions pertaining to COVID-19 concerns including mental health and wellness, social isolation and current events, into previously routine testing appointments [8].  Some organizations still reported the need for additional staff training and educational materials on COVID-19 to distribute to clients, which Mesmerize continues to provide to these organizations in conjunction with the Center for Disease Control (CDC) [7].

3. Community-based organizations have adopted and executed new measures and strategies to address COVID-19 related needs among their clients.

Many community-based organizations have adopted new strategies to continue providing quality service to the communities they serve.  New strategies include digitizing client forms and medical records, as well as utilizing virtual care as an additional means for providing health education and counseling [6].  While the pace at which these organizations were able to execute such new strategies is remarkable, many reported needing additional resources to properly implement these strategies, including technical assistance to integrate COVID-19 within HIV, HCV and STI services, technology training, and structured clinical support for staff [7].  Additionally, while technology has been able to solve for some of the problems facing CBOs, there are many services these organizations provide to the community that must be addressed in-person, including STI testing, affordable housing, and meal services.  In an effort to continue providing these essential in-person services, CBOs have had to purchase additional PPE for their staff, as well as hand sanitizer and masks for community distribution, requiring significant investment from these organizations [7].

4. CBOs have a history of facing financial challenges, with many organizations having few or no financial reserves, running persistent operating deficits, and having a lack of access to capital for investment in resources and technology [8].  Community based organizations have incurred immediate expenses connected to the COVID-19 epidemic [7].

Many community-based organizations have limited or no financial reserves, making them extremely vulnerable to fluctuations in expected revenue and cost levels [8].  COVID-19 has resulted in immediate expenses for CBOs, including the implementation of safety measures, infrastructure enhancement, and changes to their standard provision of services [7].  While many organizations were able to quickly and creatively implement new methods to continue providing quality HIV, HCV and STI care throughout the COVID-19 epidemic, these rapid enhancements require significant investment from CBOs, including investments in Electronic Health Records (EHR), computers, and hotspots [7].  Many organizations are tapping into their funds amidst the cancelling of fundraising events [7].  Even those with unrestricted funds are concerned about the long-term sustainability of implementing safety and procedural measures to address COVID-19 while continuing to provide foundational HIV and Hepatitis prevention and care services [6].  CBOs present at USCHA also expressed concern over their ability to strategically separate funds so that money reserved for HIV and Hepatitis prevention and care is not spent fighting COVID-19 [7].  Organizations are hopeful that the next round of government funding will provide valuable support for CBOs to continue providing these valuable services, while also offsetting some of the losses they’ve incurred fighting COVID-19, and better preparing them for the future.

5. While adopting new methods and strategies to simultaneously fight both the AIDS and COVID-19 epidemics has been costly, many CBOs believe these new practices are for the better of the organization and will be adopted long-term with lasting impact.

Many CBOs invested in technology upgrades, provision of virtual services, and HIV/HVC/STI program adaptation to continue providing essential services to their clients while simultaneously navigating new measures in place to address COVID-19.  While COVID-19 has created unprecedented and numerous challenges to community-based organizations, The Stronger Together Partnership (comprised of The Black AIDS Institute, San Francisco Community Health Center and Latino Commission on AIDS) applauds these organizations for their ability to “take on the challenges by implementing team approaches to problem solving, embracing technological upgrades, and fostering innovation.  Many leadership staff have identified lessons learned from this pandemic and are doing their best to see this as an opportunity to develop new strategies and expand their service portfolio” [6].  Many organizations also reported that the new strategies and measures put in place to respond to COVID-19 will prepare them for emergency responses in the future, allowing them to better serve their community and be prepared for whatever may impact them next.

Sources

[1] CDC NCHHSTP. “CDC Awards $216 Million to Community-Based Organizations to Deliver the Most-Effective HIV Prevention Strategies to Those in Greatest Need.” HIV.gov, 1 July 2015, www.hiv.gov/blog/cdc-awards-216-million-to-community-based-organizations-to-deliver-the-most-effective-hiv-prevention-strategies-to-those-in-greatest-need.

[2] “COVID-19 and HIV.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 10 Aug. 2020, www.cdc.gov/hiv/covid-19/index.html.

[3] “The COVID-19 Pandemic’s Impact of HIV and Hepatitis Programs.” NASTAD, NASTAD, 12 Aug. 2020, www.nastad.org/sites/default/files/resources/docs/covid19-impact-hiv-hepatitis-programs.pdf.

[4] Dreyfus, Susan, and Tracy Wareing Evans. “The Importance of Community-Based Organizations in Human Services.” Independent Sector, Independent Sector, 23 Jan. 2018, independentsector.org/news-post/the-importance-of-community-based-organizations-in-human-services/.

[5] Hadayia, Jennifer. “US Conference on HIV/AIDS.” Legacy Community Health, Expansion/Integration: HIV Testing & PrEP During a Pandemic, 19 Oct. 2020, vevents.virtualtradeshowhosting.com/event/USConferenceonHIVAIDS/en-us#!/Workshops/n820161. .

[6] Hucks-Ortiz, Christopher, et al. “COVID-19 National Rapid Assessment Preliminary Report: The Institutional Impact of COVID-19 on Organizations of Color Providing HIV/STI/HCV Services to People of Color across the U.S., Puerto Rico, U.S. Virgin Island, and Affiliated Pacific Island Jurisdictions.” Institute for Latinx Health Equity, 2020, ilhe.org/stronger-together-partnership-c19-national-rapid-assessment-preliminary-report/.

[7] Hucks-Ortiz, Christopher, et al. “US Conference on HIV/AIDS.” Stronger Together Partnership (STP), Impact of COVID-19 on Organizations of Color Providing HIV/STI/HCV Services, 19 Oct. 2020, vevents.virtualtradeshowhosting.com/event/USConferenceonHIVAIDS/en-us#!/Workshops/n820161.

[8] Shaw, John, et al. “US Conference on HIV/AIDS.” The Project of Primary Healthcare, A New Normal: HIV/HCV/STI Testing during Covid-19, 20 Oct. 2020, vevents.virtualtradeshowhosting.com/event/USConferenceonHIVAIDS/en-us#!/Workshops/n820161.

[9] Stone, Will. “Under Financial Strain, Community Health Centers Ramp Up For Coronavirus Response.” NPR, NPR, 24 Mar. 2020, www.npr.org/sections/health-shots/2020/03/24/821027067/under-financial-strain-community-health-centers-ramp-up-for-coronavirus-response.

[10] Super, Nora Mary Kaschak Elizabeth, et al. “Health Care And Community-Based Organizations Have Finally Begun Partnering To Integrate Health And Long-Term Care: Health Affairs Blog.” Health Affairs, 2 Feb. 2018, www.healthaffairs.org/do/10.1377/hblog20180130.620899/full/.

Samantha Brown


November 16, 2020 0

In mid-October, the latest wave of research tracking COVID’s impact on outpatient visits was published by Commonwealth Fund, Harvard, and Phreesia. The latest data found that overall outpatient care visits in the prior month have finally returned to prepandemic levels, after dropping nearly 60% during the spring. (This fifth wave data set tracked trends through October 10th.) Not only did overall visit counts per week return to normal levels, but they even “slightly exceed” pre-COVID counts. But, as researchers noted, “there is considerable variation by patient age, geographic area, clinical specialty, and insurance coverage.”

While all age groups are on an upward trajectory again since the spring weeks, “visits for younger children remain substantially below the prepandemic baseline,” noted the report. Those aged 6 years or older all exceed prepandemic levels (6% above baseline for ages 6-17; 4% for ages 18-64; 5% for ages 65-74; 4% for ages 75+). Children ages 0-2 years are recording at 18% below baseline and ages 3-5 are coming in at 10% below baseline.

Weekly visits to dermatologist offices and adult primary care appointments are showing the highest level of rebounds, coming in at 17% and 13% above baseline, respectively. Areas such as OBGYN and Oncology are even with baseline. While pulmonology, otolaryngology, and behavioral health visits each track well below baseline at -20%, -17%, and -14%, respectively.

The researchers also detailed that while “telemedicine use has slowly but steadily declined” after peaking in April, its usage is still “well above the prepandemic baseline of very few telemedicine visits.” The use of telehealth varies depending on the medical specialties: areas such as surgical record low level usage (2% of total visits), but behavioral health outpaces other areas significantly (41% of total visits). Telemedicine’s implementation does vary by provider organization as well. For example, “organizations of six or more clinicians use more telemedicine than practices of one to five.” Additionally, the report finds that approximately 32% of organizations “never adopted [it] at all”. Those that did, however, have seen their use of it decrease to Minimal usage in the fall after Heavy or Moderate usage in the spring.

admin


October 29, 2020 0

A very interesting campaign from Abbott has launched that promotes its wearable technology to monitor symptoms of heart disease and blood glucose levels. These are not disease education ads in the traditional sense. Nor are they the common corporate ads promoting their laboratory research. This campaign is more of a plug for technologies that Abbott developed to change how diseases are monitored.

The theme of the television campaign is that you don’t wait for life, you live it. The idea is that new technologies to monitor disease allow people to go on with the moments of life. The glucose monitoring execution shows children playing with their siblings and mom. After about 20 seconds, we see one child wearing a glucose monitor device on her arm. Then the announcer identifies the Abbott glucose monitor which he says is always on so you don’t wait for life, you live it. 

In the second ad from this campaign, we see a man coming home to a dog apparently newly adopted, and then we see him later in scenes with his new dog. In this case, Abbott is promoting a small implantable heart monitoring device. Like with the glucose monitor ad, the announcer says the heart monitor technology allows you to live life.
The purpose of these ads is not to sell the technology to patients but to promote Abbott as a corporate leader in diagnostic technology. We have all heard about Abbott being active in developing the 15 minute Covid test. These spots seem to be designed to show Abbott is a leader across many disease states in diagnostic technology.

The campaign is an interesting take on corporate ads. We see consumers shown benefiting from the technology by making it easier to live life to its fullest. Abbott’s goal appears to be raising its consumer and investor profile as an innovative diagnostic company.
Abbott is also running print ads with the headline “Life. To the Fullest.” These are running in business publications like ForbesBloomberg, and Fortune, which discuss the rapid Covid test as well as the glucose monitor in a separate ad seen in The Economist
Covid has raised the profile of Abbott through its widely publicized rapid test and the company also wanted to promote its other innovations to investors and influencers. The campaign is well done as it is visually interesting in both television and print. At a time where diagnostics is taking an important role for most Americans, the Abbott campaign is well-timed and highly relevant.

Bob Ehrlich
Chairman
DTC Perspectives, Inc.

Bob Ehrlich


October 15, 2020 0

As a marketing channel, the pharmacy turned challenges into opportunities for Rx brands

Pharmacies stepped up to help consumers through the public health crisis. And consumers responded by stepping into pharmacies. That dynamic has been an important part of getting many communities through an unprecedented challenge. And it has also helped pharma marketers reach patients in healthcare settings and generate positive ROI in several therapeutic categories at a time when few other businesses could operate in near-normal conditions.

Pharmacy in 2020: reliable, essential, more valuable than ever

The stay-at-home orders from COVID-19 response nationwide interrupted many typical doctor-patient relationships as access to clinics and hospitals was curtailed or discouraged for non-emergency, nonessential concerns and public transportation was interrupted. So pharmacies became an even more natural and logical healthcare destination.

And pharmacies leaned into that responsibility. As CVS CEO Larry Merlo said in the company’s second quarter earnings report, “The environment surrounding COVID-19 is accelerating our transformation, giving us new opportunities to demonstrate the power of our integrated offerings and the ability to deliver care to consumers in the community, in the home and in the palm of their hand which has never been more important.”

Pharmacies opened thousands of on-site COVID-19 testing centers and became de facto leaders in transmission reduction for retail stores. In concert with the Department of Health and Human Services, pharmacies expanded vaccine services by broadening the range of vaccinations approved for administration by a trained pharmacist. In hard-hit communities, pharmacies stepped up their telemedicine and delivery options, even launching drone services to minimize contact and spread. Some locations even opened customers’ eyes for the first time to the full scope of services when they applied their compounding skills to make hand sanitizer during shortages.

Stay-at-home’s impact on the pharmacy channel

Look past the headline items when evaluating the story of patient outreach in the pharmacy channel. Visits to pharmacies were undeniably down at the peak of stay-at-home orders. That resulted in a short term impediment to campaign lift and ROI.

Doing well in a tough time

Yet even during the periods of curtailed movement, pharma marketers were reaching patients in a relevant setting and an appropriate mindset. InStep Health’s media programs in 2Q 2020 operated mostly on-plan and on-schedule, even as stay-home orders were in their fullest force in most markets. Consumers still saw appropriate messaging in categories including eczema, type 2 diabetes, dry eye, and HIV. And despite the challenging operating environment, those messages were seen and acted on.

Over this period, our Media Display program continued to deliver positive results, with an average lift in total prescriptions of over 5%1 and ROIs greater than 4:12 across several therapeutic categories. Those results reinforce the pharmacy’s strength and viability as a marketing channel, even at a time when people are focused on the barest essentials.

A resilient rebound

Many of the effects of stay-at-home on pharmacy performance were short lived. Even when overall visits to pharmacies and general outlets were flat or trending down, visits relevant to pharma marketers were outperforming industry averages. As measured by IRI reporting3, while total non-edible (CPG) trips decreased to an index of 84 at their lowest point over the course of the stay-at-home period, trips for non-edible items, including health products, trended 11% higher during the same timeframe.

Basket sizes have climbed as well. So although hard-hit areas did show a drop in visits and for pharma marketing program performance, we also saw compelling data showing that consumers have pent-up demands and look for opportunities to return and shop.

New prescription volumes declined significantly, and the so-far lower propensity for telehealth visits to generate new prescriptions has slowed recovery in new scripts. But volumes have been steadily climbing since late spring 2020. At the same time, patient confidence as measured by HealthVerity quickly neared pre-pandemic levels in summer after bottoming out in late April.

Industry data analysis published on drugchannels.net found that in-store visits for refills, which account for the vast majority of visits, have nearly rebounded to pre-pandemic levels after spiking early in the stay-at-home order period and remaining depressed in spring. And concerns that the pandemic would send more customers to mail-order remain unfounded, as dispensing growth through both mail and retail channels is virtually identical year-to-date through mid-August.

What hasn’t changed

The key strengths of the pharmacy channel remain intact. So do the fundamental principles of a strong in-pharmacy marketing program.

Measurement needs to be governed by consistent standards, including the use of test and control groups for matched panel analysis. Campaign performance should also take into account when the program ran: pre-COVID-19, during stay-at-home, or post-restriction periods. Understanding differences in performance between geographies will also be more relevant than ever.

Partnerships already guided by sound measurement and long-term analysis will find it easier to incorporate COVID-19 adjustments into both evaluating campaign performance and future campaign planning. COVID-19 and related responses will undoubtedly continue to affect consumer behavior, pharmacy visits, and doctor access for a period of time. Sticking with careful, detailed analysis will reduce risk for future campaigns by providing a solid base for planning and decision making.

Most of all, what hasn’t changed is that the pharmacy is solidly positioned at the front line of community healthcare. Even as pharmacies adapt to changing needs by expanding delivery services and promoting telehealth options, the local pharmacy remains a pillar of in-person healthcare delivery. As healthcare services return to normal capacity and delivery channels continue to evolve, the pharmacy will be more relevant than ever.

Instead of speaking for the pharmacy, we’ll leave the last word to Walgreens Boots Alliance co-COO Alex Gourlay. “We’ll be relied upon in this new world to get medications and products to customers faster because of the proximity of our brick-and-mortar locations. Flexibility in supply chains and among wholesalers and delivery partners will become critical,“ he wrote in Chain Drug Review. “What won’t change? The heart of the retail pharmacy.”


InStep Health is a continuum of connections. We place Rx, OTC, and CPG brands at the center of care, wherever consumers go. Designed for the individual experience (iX), our platform reaches patients when they interact with healthcare providers or pharmacists, reaches healthcare providers and pharmacists so they’re up to date on the best possible solutions for their patients, and uses best-in-class data insights and technology to focus when and where your messages will have the most impact.


Kathleen Bonetti
EVP Marketing
Kathleen.bonetti@instephealthmedia.com

Rob Blazek
SVP Networks and Analytics
Rob.blazek@instephealthmedia.com

Sources:

1. Matched-panel research conducted by Retail Intelligence Inc. for InStep Health Media Display programs executed April – June 2020

2. Patient Value ROI calculated using script lift and client-supplied or RED BOOK™ pricing data

3. IRI Consumer Network™ Panel All Outlets (CSIA) Data for weeks ending 04/12/20 – 06/28/20 instephealthmedia.com

admin


October 15, 2020 0

Hypertargeting brings pharma marketers closer to the defined patient populations we all want to reach at the moments that matter for consumers and patients. It’s making it easier for us to address health interests, concerns, and questions with specific guidance and timely insights. We can speak to patients at actionable decision points rather than spending money on awareness campaigns and casting a wide net in an ever-growing sea of marketing messages. Ultimately, the spread of hypertargeting will build higher quality connections and lead to superior patient outcomes.

All of this is good news. But hypertargeting is more than just a messaging or delivery strategy. To make the most of the new techniques that hypertargeting enables, and ultimately invest marketing dollars where they will provide the most benefit, make sure you understand these five things about the new discipline.

Hypertargeting helps you educate

We all understand that in today’s data-driven market, there’s little reason and even less reward to simply blast a brand message far and wide in the hopes of catching a few good candidates. Hypertargeting makes it easier to refine your message and your reach so that more of the recipients are actively looking for answers. It dilutes a brand’s image and trustworthiness when it spends so much time and energy reaching people when they are uninterested and unmotivated, or otherwise consider the message irrelevant to their needs.

Now that hypertargeting can communicate more directly with the people most likely to benefit from a specific medication, it’s time to rethink the way messages are structured. Instead of awareness, brands can embrace the opportunity to start a one-to-one conversation at a deep level in a way that feels serendipitous to the patient. We’re just in the beginning stages of seeing how these new educational messages can be structured, and it’s an exciting time for strategists to experiment.

Hypertargeting unlocks the right locations

Hypertargeting’s strengths are best realized when we can reach patients in a timely manner. That includes delivering messages that reflect an understanding of where patients (and prospective patients) are on their individual treatment continuum. But it also means opening up to the idea of meeting patients in different ways and in all the locations where care decisions will be timely and relevant to their interests. This includes doctor’s offices and pharmacies, the most common places people seek remedies and pursue treatment. And as a result of the COVID pandemic, telemedicine has become an increasingly relevant touchpoint option in the care path. A hypertargeting strategy that focuses narrowly on a single channel could be just as limiting as one which relies too much on wide-net broadcast.

Icon

Description automatically generated

Hypertargeting needs credibility and transparency

The importance of industry standards for sensible, respectful practices and measurable, auditable processes will only be amplified by hypertargeting. As we gain greater ability to reach patients in new locations and with extraordinarily focused and relevant messaging, we will all collectively have to take responsibility for reaching patients with messages that do not feel invasive and are tonally matched to the environment they’re in.

And with the emergence of new targeting strategies, the need for transparent, verifiable deliveries and results will also grow. Industry players should hold each other accountable to timely deliveries of credible data, and ideally involve a third-party analyst in the validation of performance and results.

Hypertargeting requires robust data and robust strategy

To properly execute a hypertargeting strategy, pharma marketers need more data than ever before. This can include taking deeper dives into sources like retail pharmacy data and demographic insights. To optimize both physical and digital deliveries through hypertargeting, go deeper into connecting data sources including medical claims and Rx claims when possible. These data sources can help identify audiences with the greatest likely need for specific treatments and incrementally improve the focus of your hypertargeting campaigns.

Marketing strategists will also need to think about new ways to act on these deeper data pools, including integrating insights when allowed to reach potential patients at a moment of heightened need or awareness. The most coherent targeting strategy of tomorrow will be based on relationships in the data that marketers haven’t been able or motivated to discover in the past.

Hypertargeting should be measured and held accountable for results

When new strategies come to the fore, it can be tempting to rush to implementation and focus on details like tangible performance metrics later. Pharma marketers interested in hypertargeting should hold this complex strategy just as accountable to rigorous measurement and tangible impact as any other campaign or strategy. And if you are not already moving past soft impact measures like site visits or brand engagement, hypertargeting offers a new opportunity to dig for more.

Tie hypertargeted messages directly to measurement of changes in patient care and outcomes. Just as hypertargeting allows us to be more specific about our intentions and communications, it should be seen as opening a door to more specific understanding of success as seen through treatment and adherence.

________________________________

Soon enough, we’ll be able to drop the “hyper-” prefix and simply see hypertargeting as the natural evolution of communication strategies that have gone from broad to narrow at an accelerating pace. And like so many of our shared priorities in pharma marketing, hypertargeting is just another way to keep the individual at the center of everything we do.

Rob Blazek


October 13, 2020 0

Sponsored Content

Pharmacists are getting increased recognition as they continue to serve on the front lines of the COVID-19 epidemic. They are innovating quickly to offer accessible healthcare, counseling, and COVID-19 resources to their local communities. Local pharmacists see more patients on a daily basis than any other healthcare provider, and that’s particularly true in the wake of COVID-19 [4]. Pharmacies play a critical role in providing patients and customers with access to care, products and services they need [3].  TV screens and other point of care tactics installed within the pharmacy educate consumers and encourage them to speak with their pharmacist, a reliable source of counseling and information for general health and wellness concerns, as well as COVID-19 [3].

Amidst the current COVID-19 crisis, we’ve witnessed the pharmacist role evolve dramatically, administering COVID-19 testing onsite, filling and extending an influx of prescriptions, and continuing to provide expert care for regular patients and customers. As consumers rushed to pharmacies to stock up on medications and purchase essential household items as other retailers were ordered to close, pharmacists worked around the clock to increase availability of supplies and ensure their patients had what they needed when they needed it. As hospitals and doctors’ offices became overwhelmed with patients, insurance companies urged patients to turn to their pharmacist as a resource [6]. Pharmacies are working hard to remain accessible, implementing CDC standards of cleanliness and social distancing within the store, while also expanding drive-through, curbside pickup and home delivery services where possible [3].

Upon issuing new guidance under the Public Readiness and Emergency Preparedness Act, authorizing licensed pharmacists to order and administer FDA-authorized COVID-19 tests, U.S. Department of Health & Human Services Secretary Alex Azar stated: “Pharmacists play a vital role in delivering convenient access to important public health services and information [2].” With nearly 90% of Americans living within five miles of a pharmacy, the local pharmacist remains appealing to healthcare consumerism beyond COVID-19 [7]. Many pharmacies offer specialty services such as blood pressure screenings, counseling on specific disease states, and medication management services [5]. Most pharmacists are also licensed to administer a wide range of vaccines and immunizations to protect against HPV, Hepatitis, Flu, and more, offering healthcare marketers a valuable opportunity to raise brand awareness at the point of care. As soon as the COVID-19 vaccine is ready, NCPA (National Community Pharmacists Association) President, Brian Caswell, expects pharmacists to be the “first in line willing to immunize their patents and help the country get back to work [4].”

References

[1] Bruce, Debra Fulghum. “What You Need to Know About Getting Vaccinated at a Pharmacy: Everyday Health.” EverydayHealth.com, 7 Oct. 2019, www.everydayhealth.com/flu/what-you-need-know-about-getting-vaccinated-pharmacy/.

[2] “HHS Statements on Authorizing Licensed Pharmacists to Order and Administer COVID-19 Tests.” HHS.gov, US Department of Health and Human Services, 8 Apr. 2020, www.hhs.gov/about/news/2020/04/08/hhs-statements-on-authorizing-licensed-pharmacists-to-order-and-administer-covid-19-tests.html.

[3] Kofman, Ava. “Pharmacy Workers Are Coming Down With COVID-19. But They Can’t Afford to Stop Working.” ProPublica, 9 Apr. 2020, www.propublica.org/article/pharmacy-workers-are-coming-down-with-covid-19-but-they-cant-afford-to-stop-working.

[4] Levy, Sandra. “NCPA Campaign Highlights Independents’ Commitment to Patients.” Drug Store News, 29 Apr. 2020, drugstorenews.com/ncpa-campaign-highlights-independents-commitment-patients.

[5] Longo, Kathleen Gannon. “Top Ways Pharmacists’ Roles Are Changing.” Drug Topics, 22 May 2018, www.drugtopics.com/article/top-ways-pharmacists-roles-are-changing.

[6] McCook, Alison. “COVID-19: Stockpiling Refills May Strain the System.” Infectious Disease Special Edition, 11 Mar. 2020, www.idse.net/Policy–Public-Health/Article/03-20/COVID-19-Stockpiling-Refills-May-Strain-the-System/57583.

[7] “Pharmacies: A Vital Partner in Reopening America.” National Association of Chain Drug Stores (NACDS), NACDS, May 2020, www.nacds.org/pdfs/government/2020/Pharmacies-Reopening-America-COVID-19-NACDS-May2020.pdf.

Samantha Brown


October 12, 2020 0

When choosing a theme for this critique, I first thought about discussing the Cannes Health winners of 2020. But then, we all know what happened this year. This is the year we were all forced to rethink the role of creativity. More to the point, this unprecedented pandemic has shined a light on a long-time controversial subject—vaccines and the way we talk about them in the United States. And with so much expectation, hope, and concern swirling around an anti-Sars-Cov2 approval, people are talking about vaccines now more than ever.

I, too, decided to talk about them. I looked at the following creative examples through the lens of the experience they offer me.

After all, science’s role is to be practical and exact, but our role as creatives is to make people experience something unique.

So, do I believe in it? Do I engage with it? Do I feel something?

Creative critique one

Glaxo’s Meningitis B campaigns appeal to both parents and teens, driving home critical points. The first spot shows how much can be missed if a teen is unprotected against meningitis B. The second stresses how severe the symptoms can be.

I chose these spots because they aim to hold parents or guardians accountable for what can happen if they decide not to vaccinate their children. Another reason I chose these campaigns is because I kept thinking about what I would have done differently. The tone in each spot is a bit too sad, and although I understand they are intended as a provocation, they might help unintentionally instill a fear against vaccines. If the styles were more vibrant, I think the message would come across just as well, but in a more positive manner.

Creative critique two

I like the approach for this one because of its optimistic take on what to do with risk information. Knowing what is at stake doesn’t necessarily mean being afraid—that’s what this spot highlights. You know what can happen, so take action to avoid it.

I also like the single-story point of view. Instead of showing the multiple “slices of life” typical in pharma, they portrayed a real young woman living her life with authenticity. The piece is also an excellent example of how cinematography, art direction, acting, and soundtrack work in harmony to deliver a smooth experience to the viewer. As a mother, I feel hopeful. As a creative director, I feel inspired.

Creative critique three

I am so close to absolutely loving this one. An HIV vaccine should be celebrated, and it feels like this is what this spot is trying to do. I appreciate the tenderness, the production value, the talent choices, the location, the light. I admire how such a short film tells such a long, poignant story.

I fall just shy of complete adoration because I would have had the couple share a gentle kiss on the mouth rather than the hand kiss at the end, just as any loving couple would do at a romantic dinner.

Creative critique four

Everything in this spot inspires hope. It’s timely and timeless.

By reminding us that we turn to knowledge, research, and hard work in uncertain times, this spot instills the belief in a better future.

The production value aligns with the new normal in the world of production. Simple still shots or stock imagery tell the story. The intended message comes across with the appropriate gravitas through the thoughtful choice of the voice over.

All in, a beautiful film.

Renata Florio


October 9, 2020 0

Sponsored Content

In this interview, DTC Perspectives’ Chairman, Bob Ehrlich, and Phreesia’s SVP of Life Sciences, David Linetsky, discuss how the patient experience has evolved rapidly during the COVID-19 pandemic, particularly as providers leverage digital patient intake solutions to enable safer contactless workflows. They will also explore the importance of aligning with platforms that are flexible, adaptive, and meet patients where they are, given that these changes are likely here to stay.

Bob Ehrlich: As many are aware, the outbreak of the COVID-19 pandemic resulted in steep declines in office visit volumes in the Spring. Phreesia has since published multiple studies on outpatient visit volumes with Harvard University and the Commonwealth Fund, using Phreesia’s network data. Can you provide some insight into where these visit trends now stand?  

David Linetsky: Bob, I am happy to report that overall, patients have returned to seeking care. Most practices within the Phreesia network appear to have adapted to the pandemic and stabilized their operations. Visit volumes have remained relatively stable since June and in many cases have returned to pre-pandemic levels. In some cases, visit volumes have even exceeded their pre-pandemic levels, as many practices do active outreach to their patient populations to bring them in to catch up on deferred care.

Phreesia continues to publish this data in partnership with researchers from Harvard and the Commonwealth Fund. Our reports are released monthly and can be found on the Commonwealth Fund’s website.

Bob: I am glad to hear that levels are approaching normal. Phreesia has released several applications as a response to the pandemic across its provider network. As medical offices adjust to the “new normal”, how have these digital intake solutions helped practices get their visit volumes back to pre-pandemic levels?

David: Practices are implementing contactless workflows that help minimize exposure between patients and staff. Phreesia’s Zero-Contact Intake offering allows practices to set up alternative workflows, such as patients checking in from their cars or drive-through testing sites. In addition, practices are removing unnecessary shared spaces and assigning many of their non-provider staff members to remote work. Our COVID-19 Screening Module also automatically screens patients for self-reported COVID-19 risk factors before their visits and is continually updated based on evolving CDC guidance.

Telehealth visits have been proven to be an essential solution for patients, allowing those who don’t need to be seen in person to continue to receive care. Phreesia’s Intake for Telehealth workflow captures important intake information ahead of the visit and facilitates the start of the virtual session.

We recognized the urgent need for intake products that could support telehealth visits, screen for COVID-19 risks and minimize contact during in-person visits, and we shifted our efforts to help medical groups stay safe, stay open and continue to see patients.

Bob: Telemedicine seems to have been breaking new ground in providing a safe and efficient alternative for patients. How do you view this solution long-term?

David: We’ve heard from many of our practices that their priority is to adapt to COVID-19 by putting the safety of providers, medical staff and patients first. Prior to COVID-19, the telehealth market was dominated by specialty services offered through employee benefits plans. With the expansion of visit types qualifying for telehealth reimbursement and Medicare copays waived for telehealth visits, many of the barriers that have traditionally prevented practices from embracing virtual visits have been removed.

Data from our most recent Commonwealth Fund report show that while telehealth adoption varies significantly depending on the specialty, telehealth utilization has been relatively stable since June, at a level many times higher than pre-pandemic.

While the future of reimbursement changes—and therefore of telehealth—remains uncertain, many providers are looking towards telehealth as a creative, long-term solution to deliver patient care. From portable EKG machines to at-home ultrasounds to cancer screenings, physicians are looking for effective alternatives to traditional in-person services.

Bob: Do you see COVID-19 as the initial cause of these changes to the patient experience, or do you think some of these changes were already underway prior to the pandemic?

David: That’s a great question. While the COVID-19 outbreak accelerated the adoption of these tools among providers, it was not the initial catalyst. Prior to the pandemic, many healthcare providers had already begun to adopt digital engagement tools to manage operational, clinical and financial processes. This is a change that has been happening for many years in other industries, with consumers having come to expect the convenience of digital solutions broadly. So, safety concerns have greatly accelerated these changes in healthcare, but those changes were already underway and they will persist because consumers expect effective and convenient options.

Phreesia’s patient intake platform was designed to support these trends, which has allowed us to thrive in the current industry environment and to deliver valuable applications to our provider network and the broader market. As we navigate a new normal in a post-COVID-19 world, we believe digital engagement tools will become even more critical to ensuring that the POC stays relevant to Life Sciences manufacturers and healthcare marketers. 

Bob: With all these changes in the patient experience rapidly occurring, do you think Point of Care is still an effective channel to engage with patients?

David: Absolutely. Point of care remains a critical and incredibly valuable channel. However, to be successful, healthcare marketers must adapt to the long-term changes to the patient experience. They must understand that the point of care continues to become more ephemeral and less tied to physical locations; it’s now wherever patients choose to engage with their providers and seek care. In addition, one-to-one engagement tactics are increasingly more valuable as in-person visit volumes fluctuate because of COVID-19. Marketers should not have to worry about audience volume or quality. They should focus on tactics that ensure both of those important factors.

Some traditional tactics are quickly becoming obsolete due to providers’ concerns about shared surfaces. As technology enables patients to take an even more active role in their care, patients are increasingly receptive to personalized content tailored to their individual health needs, that can be accessed on their own devices.

Lastly, COVID-19 has caused a tremendous disruption to patients’ access to care, creating a greater need for support programs. The point of care has moved beyond the walls of the physician’s office, and I believe that the POC marketing industry must adapt.

Bob: Are there specific strategies you suggest for the Point of Care marketing industry to adapt to the increasingly digital environment?

David: I believe it is critical for healthcare marketers and life sciences manufacturers to have strategic insight into how the POC can become an integral part of their digital and mobile strategy. Patient utilization data demonstrate the value of mobile and how it enables providers to deliver care safely through contactless and virtual workflows. Personalized content and directed, one-to-one engagements cut through the noise and influx of health information and address patients’ specific needs and priorities.

Finally, incorporating disease education and patient support programs into digital engagement campaigns to ultimately improve health outcomes for target patient populations will be critical for long-term success in the changing healthcare landscape. As the patient experience becomes increasingly mediated by the converging forces of digital adaptation, patient centricity and pandemic response, we must find a way to align our digital engagement strategies at the point of care to every patient’s needs.

About David Linetsky
SVP, Life Sciences, Phreesia

David Linetsky is responsible for cultivating Phreesia’s partnerships with Life Sciences companies, supporting them in the development of healthcare products that deliver value and engage patients in their care. He has worked at Phreesia for more than a decade and held key leadership roles, including Vice President of Analytics and Insights, and Vice President of Finance.

Prior to joining Phreesia, David worked in academia as a researcher and instructor in the fields of biotechnology, mathematics and philosophy. David holds a BS in mathematics from the University of Alberta. He also earned a master’s degree and was a PhD candidate in mathematics and logic at the City University of New York.

To learn more about Phreesia, please click here or visit them on:

admin


October 9, 2020 0
The new GSK campaign for its shingles vaccine is very interesting. They have coalesced their message around a very simple statement: “Shingles Doesn’t Care.” They are telling consumers that you can do everything right health wise and still get shingles. 

They are using a multimedia campaign which is well integrated in terms of creative approach. The 60-second tv ad is vignette style with consumers in different scenes saying they take various healthy actions through diet, exercise, and being outdoors. The authoritative voice over says each time that shingles doesn’t care. You can do everything right, but shingles is lurking and as you age the immune system is less effective keeping shingles from appearing.

The ad claims that Shingrix is over 90% effective. What is great about this ad is the clarity of the claims. Basically, shingles will affect 1 in 3 people. Your healthy lifestyle does not matter. Shingrix works well to prevent outbreaks. 

The print campaign is also very memorable. Each execution shows a full page visual of a person 50+ in a healthy situation with a small headline saying what they are doing to keep healthy. Underneath in the center of the visual is the “Shingles Doesn’t Care” headline. 

There is a digital component of the campaign as well with varying reminders to ask your doctor about Shingrix. The website is well integrated in look and feel of the media campaign. There is easy to understand additional information on shingles and Shingrix.

The GSK Shingrix campaign meets all the criteria for very successful DTC ROI. They have a large potential target, a simple solution to a frightening disease, and easy to understand advertising with motivating action steps. The spending to date, according to MediaRadar is about $10 million.
Bob Ehrlich,
Chairman
DTC Perspectives, Inc.

Bob Ehrlich


September 30, 2020 1

A very interesting DTC television ad, from AbbVie’s Humira, focuses on current users of their injectable pen. Humira users have sometimes complained about the pain as they inject, described as burning pain. Humira announced a reformulation which removed the citrate ingredient which was causing the pain. Is this a major improvement? Citrate was used as a buffer to keep the active ingredients stable. A new buffer was found that reduced pain.


I went on YouTube to see what patients said about the new formula because I was unfamiliar with the pain problem after injection. Humira has numerous indications for Crohn’s, Rheumatoid Arthritis, Psoriasis, and other categories. It is touching to see patients crying with joy as they demonstrate the pain free injection after many years of dreading the pain. Obviously having a pain free experience will help with retention and compliance. The testimonials on YouTube were compelling. One involved a young pregnant woman who demonstrated her first citrate free injection. She said for years she feared the searing pain which she had to endure every two weeks. She injected the new version, counted to ten, and then cried because she felt no pain.


The DTC ad announces to current users that Humira was inspired by its users and eliminated the citrate from the formula as well as cutting the volume of liquid in half. Both removing the citrate and injecting less results in less pain. They also are using a thinner needle also a benefit in reducing pain. Clearly, AbbVie heard numerous complaints over the years about pain and responded. With any drug, reformulating is a complex process with numerous regulatory hurdles.


The DTC campaign, introduced in April in a 60-second ad, is a well-executed announcement ad. Basically, it says Humira listened and changed the formula to reduce pain without reducing efficacy. Given the pain problem, the DTC ad had a very receptive audience. Announcing a citrate-free version was sure to get user attention. Humira wanted to reassure customers that there were several steps taken to improve the drug, but they could still count on Humira to focus on treating their disease.


The creative was similar to many DTC ads. The vignettes showed active people dancing, skating, camping, and being with their families. What was most important regarding the reformulation was communicated using voice over and supers. It was important to raise awareness for the new formulation because a new prescription is required, so patient and physician action was needed to switch over. The announcement portion was about 25 seconds and the next 22 seconds was fair balance. The final 13 seconds reinforced the benefits and mentioned patient assistance programs.


Based on what I saw on YouTube, use of patient testimonials would be compelling DTC should Humira want to extend the campaign. Humira has spent, according to MediaRadar, about $60 million on this campaign to date. New and improved is not common in drug advertising because few drugs can afford to tinker with their drug both in development time and money. Here, a major improvement was undertaken that changed the lives of many patients.

Bob Ehrlich,
Chairman
DTC Perspectives, Inc.

Bob Ehrlich