Posts Tagged ‘Uncategorized’

Why Guidance Will Not be the Most Important Thing to Come Out of the FDA Social Media Hearings

November 16th, 2009

The FDA public hearings on social media have come and gone.  Every phrase uttered from the podium and every word that appeared in a presentation has been examined ad nauseam (for a list of recaps on the event, take a look at Shwen Gwee’s post).  For two days last week, social media took center stage in the pharmaceutical marketing mix.  The FDA hearings created a spotlight on social media and forced marketers to at least consider how it fits into their overall strategy—something many were unwilling to do in the past.

But now we enter an abyss.  Social media no longer sits at the top of the agenda of policy makers, pharmaceutical marketers and agency people alike.  A conversation that escalated to a full-blown debate last week could slip into anonymity.

Many people are focusing on the official guidance that will eventually be issued by the FDA on how to use social media in pharmaceutical marketing.  But whatever guidance is forthcoming from the FDA is not the most important deliverable that will come out of the hearings.  While it will help to ease tensions around engaging in social media and hopefully remove some of the regulatory barriers, it still does little to educate an industry that is just now starting to grasp the potential of social media.

The most important part of the FDA social media hearings is already in process—the discussion it sparked.

My belief has always been that regulatory concerns are just one of the many challenges that face pharmaceutical marketers.  It is a barrier but if it were suddenly removed, there would not be a flood of pharma companies jumping into social media.  Why?  Because another major hurdle is changing a culture that is not comfortable with relinquishing brand control and does not fully believe in the value of social media.  Last week was a monumental step forward in that education and advocacy process.

For two days last week, the FDA handed social media pundits a bull horn.  And while the conversation spiked to a deafening level—it is essential that we continue that momentum.  Bloggers, trade press and mainstream media are covering the issues of social media for the pharmaceutical industry in droves. The FDA handed us a stage: will we continue to occupy the center or will we exit stage left?

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Pharmaceutical Social Media: Focus on the Patient and Return on Health

November 13th, 2009

You may have heard; the FDA is holding a public hearing on social media and how it impacts pharmaceutical companies.  There have been a number of excellent presentations so far that have moved this conversation forward and closer to a solution.

But one thing has been noticeably absent: the patient.

The entire conversation around social media in pharma has centered on how it can help the marketer.  It’s been positioned as yet another tool in a marketer’s bag of tricks. The overwhelming concern before engaging in social media tends to be around how to drive product and brand awareness; and ultimately, revenue.  I don’t absolve myself from this dynamic.  I certainly have spent my fair share of time discussing how social media can help improve the marketing of a pharmaceutical company and enhance brand loyalty.  Hey, we are marketers; our job is to generate leads.

But there has been something missing from the conversation to date that should be the central part of every social media effort in the pharmaceutical industry.  Before embarking on a social media journey, every marketer, and every executive should ask one simple question.  I know what you are thinking: every executive wants to know the ROI of social media.  That’s not it.  Some people have started discussing more progressive measures like Return on Reputation (ROR). While that gets closer to the right question it doesn’t get to the heart of why to engage in social media.  The question every marketer should ask is: what’s the Return on Health (ROH). If the answer to the question is zero then stop immediately and walk away.  Go no further because your involvement in social media will fail and damage the community in the process.  Ultimately, the patient has to be at the center of every social media program.  If you can’t identify any Return on Health you shouldn’t move forward.

This doesn’t mean you throw out other measures like ROI.  I’m a capitalist and like to make money as much as the next guy.  But when we are talking about marketing pharmaceutical products, there has to be a higher purpose.  Starting from “How do we make money?” and working to how it will impact the patient is a quick route to failure.  I promise, if you flip that model and start with the patient—the money will come.

Does this mean that social media efforts can’t focus on building the corporate brand?  Of course not.  If the patient is at the center of these efforts then those efforts are more likely to achieve success, which has been clearly defined.  Take a hypothetical, but common example of a biotech company that is in the midst of an early-stage clinical trial.  It’s no secret that it takes enormous amounts of cash to get a drug from discovery to general availability.  It’s reasonable to assume then that a biotech’s goal at this stage is to raise money.  Without a heaping pile of liquid assets a biotech is doomed.  That’s the harsh reality no matter how good the drug in question might be.  But raising money doesn’t seem to line up nicely with the needs of the patient in this case.

It should.

Suppose that biotech has developed a small molecule drug that shows promise in treating late-stage cancers.  With the patient at the center, this company might seek to engage in social media efforts geared toward educating patients and caregivers on living with late-stage cancer.  It might also seek to energize communities on fund raising for cancer research while clearly outlining the staggering impact cancer has on the world.  This same company might even share some of its research in scientific communities to advance other research efforts in similar areas.  Imagine that.  All of these efforts would have a high Return on Health in the long-term if the drug proves to be effective.  In the short term, it would help the company by creating mindshare and goodwill with future patients.  A biotech that has established that type of awareness before it ever brings a drug to market is a company that will undoubtedly raise more money in financing rounds and have a much more attractive liquidation event.  First the patient, then the money.  The point?  You can make money and generate a Return on Health (ROH), if and only if, the patient is at the center.

It’s simple really: if the patient is the focus of your social media engagement then your interactions will reflect that.  Conversely, if profit motivation is your driving force then you are likely to be tempted into making poor decisions such as paying people to post Wikiepedia entries or covertly pushing products on a health chat page.  Using Return on Health as the primary measure of a social media program establishes a decision-making framework that won’t lead you astray.

The goal of social media should always be to add more value than you extract.  Does measuring ROI tell you if you have accomplished that goal?  If you are truly focused on the patient then you will engage transparently, communicate honestly and seek to educate and not exploit.

What’s the Return on Health (ROH) of your social media efforts?

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FDA Public Hearing on Social Media: What Will it Bring?

November 11th, 2009

Predictably, the pharma blogosphere is abuzz today with anticipation for the FDA public hearings set to kick off tomorrow.  The public hearing is being hailed in some circles as a shining moment that will herald in the dawn of a new era in pharmaceutical marketing.

Sorry to burst your bubble, but the FDA meeting to discuss social media as it applies to pharmaceutical companies will not singlehandedly change the face of marketing.  It is an important stepping stone for the industry that will surely drive increased attention to the need for social media policies and plans—but don’t expect a tidal wave of social media activity once guidance is issued.  We are more likely to see a ripple effect following these hearings and the resulting official FDA guidance.  And that is how it should be.

As I discussed recently in taking the safe route for social media, it is not in the best interest of any company to tackle the world of social media in one fell swoop.  Pharmaceutical companies have been reticent to engage in social media for multiple reasons—not just a lack of FDA guidance.  If the FDA was to issue clear guidance on how pharmaceutical companies are permitted to leverage social media it would lessen one of the many challenges facing the industry.

The FDA has the ability to ease some of the tension that surrounds social media for pharmaceutical companies by clearly outlining when fines will be levied and based on what parameters they will be doled out.  But hurdles will still exist.   In fact, if we are not careful, FDA guidance could have an adverse (pun intended) effect on the use of social media.  Because the industry has been so dormant in this area, it may be tempted to treat it like any other marketing discipline.  The FDA may very well facilitate this process by establishing an environment where pharma companies are forced to treat social media like advertising.  The impact of this would be incredibly detrimental and would only serve to build on the ill will that has befallen the industry.

I know this sounds like a pessimistic rant, but it is actually intended to be a realistic take on the public hearings.  I am excited about the fact that the FDA is finally holding a hearing on social media and the potential impact it will have on this industry.  It is an important step and one that will cause more than one pharma executive to stand up and take notice of the potential that social media holds.  Already there has been an uptick in awareness and meaningful conversations taking place on the topic.  These are the types of discussions that we need to continue to have in order to help solve not only the regulatory issues being addressed by the FDA, but other challenges as well. This is the immediate benefit of these hearings.

The lesson?  Social media requires a thought-out, strategic plan that takes into account various factors along the marketing spectrum.  One hearing by the FDA is not a silver bullet but it sure advances the conversation.

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The Implications of an FDA-Approved Symbol for Branded Social Media

November 10th, 2009

With the long-awaited FDA public hearings on social media in pharmaceutical marketing set to kick off this week, the PhRMA has fired a warning shot.  Yesterday, the PhRMA released a statement suggesting the idea of an “FDA-approved Use of Universal Safety Symbol,” for branded/sponsored health information online.

For example, this symbol could be used if a pharma company was linking to branded content via a Tweet or through a paid search ad.  The intent is to distinguish legitimate, authorized content online from the content that is not sanctioned by the FDA.  This symbol would be used in much the same way as the safe-harbor for DTC advertising on television—as long as it points to a regulated site with all of the risk information presented than it would be in bounds.

Even as I write this post, I am not sure where I come down on the usefulness of this kind of symbol.  On the one hand, the intent is clearly in the right place.  By offering a solution (where few people have) the PhRMA is acknowledging that it recognizes the value in social media tools.  The PhRMA is attempting to present a solution that eases the trepidation most pharmaceutical marketers currently feel when approaching any type of online marketing effort.  Clearly, patients are congregating online and there needs to be a plan in place that allows pharmaceutical companies the ability, and freedom, to reach those patients.

On the flip side, an FDA-approved symbol seems to send the wrong message to pharmaceutical marketers about the way they should be communicating online.  In going this route, the FDA would essentially be treating social media tools just as they have handled TV and radio ads in the past.  In the case of social media, we are dealing with a very different platform with a new set of rules that govern the community.  Applying old methods of regulating the industry to this community could fall on its face.  When we discuss social media strategies with our clients, we always implore them to stay away from blatant product promotion.  Because social media is about adding as much value as you extract, it does not lend itself to overt product promotion.  The FDA-approved symbol may help with advertising models, but it doesn’t really address social media because it circumvents the community dynamic.  With this symbol, pharmaceutical marketers might be tempted to simply push branded content out through social media channels.  That’s not community engagement, that’s advertising.

Ultimately, if pharmaceutical marketers are to get engaged with social media it should not be as a means to only push advertising and branded Websites.  So while this proposal by the PhRMA does get the conversation started, I am not sure it sends the right message on proper community engagement.

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Going the Safe Route in Social Media

November 6th, 2009

2roads.jpg two roads image by samscottiYesterday, Sean Woodruff of Imapactiviti ripped off a series of tweets around the idea of taking the safe route in social media.  I believe it’s a topic that warrants closer consideration, especially in the world of pharma.

A bleeding-edge social media type might dismiss the safe route off hand.  If you are not going to immerse yourself then why bother?  The driving tenant of social media is engagement.  It’s about becoming part of a community and adding as much value as you extract.  It is not about lurking in an attempt to exploit the community.  Taking this to its logical conclusion, one might presume that social media at a strategic level is an all or nothing proposition.  It’s a reasonable conclusion to reach but it ignores reality.  It fails to take in to account the need for a pragmatic approach.

Sure, it would be great if pharmaceutical companies dove in head first and tackled the whole social media spectrum in one fell swoop.  But here’s the thing: if that were the case, more companies would fail than succeed.  To engage in a community appropriately, it requires resources, time, training and strategy.  It is not something to be taken lightly.  The only way to do it right is to plan, take achievable and measurable steps forward then (and only then) expand.

When I counsel clients on their social media strategy, I often fall back on the old adage: “walk before you run.”  It’s an adage that applies particularly well for the pharmaceutical industry.  With so many regulations to consider and a strong corporate culture to change, it is prudent to take it slow.  Instead of launching a Facebook page, establishing a YouTube channel, creating a Twitter account and launching a blog all at the same time; why not try commenting on a few industry blogs first?  Or, prior to making your blog public, why not get two weeks worth of posts up to get in the swing of producing consistent, quality content.

Safe social media strategies do not equate to cop outs.  In fact, going the safe social media route, especially in the pharmaceutical industry, is often the best path to success.

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Regulatory Requirements: A Convenient Excuse for Pharma to Avoid Social Media

November 3rd, 2009

Adverse events.  Off-label usage.  FDA guidelines governing brand-specific communications.  These are the reasons often rattled off by pharmaceutical marketers for steering clear of social media.  But I wonder: are these really just convenient excuses?

I recently wrote two posts that explored this topic (Changing the Script for Pharma Social Media and Deflecting Myopia: Is Pharmaceutical Marketing Stuck in Neutral?).  The basic idea of both posts was that pharmaceutical marketers are either:

  1. Inhibiting success by admitting failure before it occurs or;
  2. Not even trying because, in their minds, it is not worth the effort.

Along the same lines, Sean Woodruff of the Impactiviti Blog wrote a post today on the Pitfalls of Doing Nothing.  His point (overly simplified here but I suggest you pop over and read the post in full) was that pharma companies think they are taking the safe route by staying out of social media, but in reality, the consequences of inaction could be significant.  With conversations happening at all times about your corporate brand, wouldn’t be advisable to add an informed voice to the mix?

The question still lingers then: is the regulatory environment surrounding the pharmaceutical industry a convenient excuse to shun social media efforts? A Recent study from Nielsen Buzz Metrics has shown that a scant 1 in every 500 online communications meets the criteria for AE reporting.  In addition, a survey conducted in April by John Mack of the Pharma Marketing Blog listed corporate culture as the primary obstacle to social media for pharmaceutical companies—not regulatory concerns.  The point here is not to dismiss regulatory issues as a non-issue as they should certainly come under close scrutiny before engaging in any form of social media activity.  The point is that in most cases, these regulatory issues are not deal breakers—they are deal influencers.

When you boil it all down, pharmaceutical companies are no different than other industries embarking on a social media journey.  Like consumer products and tech companies, pharma companies are scared of losing control of their brand more than they are of dealing with the regulatory environment.  Putting your corporate image in the hands of the general public is a scary thought that pharmaceutical marketers have not quite come to grips with in many instances.  But as Sean points out, that loss of control has already happened.  Consumers are already engaging in communities and shaping a company’s image.  Marketers should be under no illusion that they alone control the brand.

Pharma companies need to decide if they want to be a part of that community or forfeit all brand rights to the community at large.  If you ask me it’s an easy choice.

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Will the FDA Hearing Have Any Impact on Pharma Social Media

October 28th, 2009

Today in Twitter land, there has been a bit of good-natured, virtual sparring from John Mack of the Pharma Marketing Blog and Rich Meyer of the World of DTC Marketing.  The debate surrounded the likely impact the upcoming FDA social media hearings will have on pharmaceutical marketing and whether or not the agency will issue any guidance.

John falls in the optimistic camp, boldly predicting that the FDA will have draft guidance by the end of 2010.  Rich on the other hand is skeptical that the FDA is little more than a spectacle.  As you can imagine, I hope that John wins the flip of the coin on this debate.

But what I found more interesting than the debate itself was some of the reasoning to uphold the argument.  Because in some ways, my head tells me that Rich is correct that the FDA hearings may not result in any quick action.  After all, the agency is the equivalent of a Boeing 747—quick adjustments are a complicated orchestration.  But my viewpoint is more of a commentary on the agency and its bureaucracy than the potential impact of social media for pharmaceutical marketers.  I have little doubt that social media holds immense potential for the industry.

Rich raises two areas of contention that I’d like to address.  The first is that “consumers are predisposed to distrust pharmaceutical companies and therefore don’t want to talk with them because they don’t want their personal data in cyberspace.”  He is absolutely correct that consumers generally distrust pharmaceutical companies.  The industry has built up a mountain of ill-will that needs to be overcome.  That is tough to dispute.  But similar to my previous post on a self-fulfilling prophecy, does that ill-will mean we should continue to ignore consumers?  Isn’t that the attitude that created this disdain in the first place?  If used ethically, transparently and with the needs of the patient in mind, social media provides an incredible opportunity to start mending the relationship between consumers and pharmaceutical companies.  Consumers do want to hear from drug companies so long as the information is not solely an effort to push product, is a conversation and not a podium and is informative.

The second point that raised an eyebrow for me was the assertion that “having an agency do your social media strategy is like having someone else speak for you at the dinner table.”  I believe the intent of this statement is that transparency is paramount when it comes to social media.  This is accurate.  Any interaction on a social network needs to be authentic and honest.  But an agency certainly has a place in this process.  Of course, I have a vested interest in this as I work for a PR agency but that’s not the sole reason behind my statement.  Sticking with a similar analogy, diving into social media without expert counsel (doesn’t have to be an agency) is akin to cooking a rack of lamb the first time without following a cookbook.  Or to offer an alternative analogy, it would be like facing charges in a court of law and deciding to serve as your own attorney.  It just is not prudent.

However, the role of an agency or any expert counsel should absolutely, positively, 100% NOT be to serve as the voice of the pharmaceutical company.  That part has to come from the company itself.  An agency can outline a strategy, point to relevant influencers, monitor social networks for relevant content, etc…Basically, an agency serves as the arms and legs that help deal with the scale issue presented by social media.

The upcoming FDA hearings will be an important turning point for social media in pharma.  Which way it turns remains to be seen.

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Change the Script for Pharma Social Media

October 26th, 2009

The discussion around pharma social media has become so predictable that you can write the script prior to a discussion.  If you ask a pharmaceutical marketing person their thoughts on the topic you are likely to get some variation of this response: Well, it’s difficult.  I would certainly like to do it but there are just far too many challenges to overcome.  Legal will have a fit, and even if we get it through that department, why bother as the message will be so watered down to meet regulatory requirements that it won’t be worth the effort.  On top of that, what are we going to do with adverse events and off-label usage discussion?  It’s too much and there is not enough for me to justify the spend.  Why bother?”

In other words: it’s not me, it’s you.

But does this defeatist attitude merely create a self-fulfilling prophecy of failure?  Are we as marketers as much a part of the problem as the supposed hurdles we face?

It’s always prudent to evaluate the landscape before diving into any type of activity.  You wouldn’t jump on a ski lift one morning and head straight for a black diamond the first time you’ve ever donned a pair of skis.  The same holds true with pharma social media.  You don’t want to blindly approach social media without understanding the risks involved and the potential benefits.  But the key is: you should approach—even if it is cautiously.  The current mindset of some pharmaceutical marketers is akin to sticking your fingers in your ears and running in the other direction.

As an industry, we spend a lot of time evaluating the external factors that prevent successful social media campaigns.  Meanwhile, many of those external factors are trending in a favorable direction.  Conferences such as the ePatient Conference and Digital Pharma 2009 are sparking lively discussions on how social media can enhance pharmaceutical communications and improve patient outcomes.  Even the FDA is holding a public hearing on where social media fits into the new media landscape.

Rather than pointing the finger at all of the reasons we can’t use social media for pharmaceutical companies, maybe we should look at why we can.  More and better feedback from patients.  Real-time communication on key health issues.  A more complete understanding of the patient.  A dialogue on societal health issues, etc…

The challenges facing the pharmaceutical industry when it comes to social media are real and numerous.  I don’t dispute that fact.  But when they create the attitude of “why bother” marketers are predestined for failure.

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Pharma’s Shift to Corporate Branding

October 22nd, 2009

The traditional model for pharmaceutical public relations is to focus on the product brand, not the corporate brand.  Healthcare consumers tend to identify more closely with product brand names rather than the company that controls that brand.

Case in point: how many average consumers do you think realize that Wyeth makes Advil, that Johnson and Johnson makes Motrin and that McNeil makes Sudafed?  I’d be willing to bet it’s well less than half.  Why?  A brand crisis in the past could have huge ramifications across the product portfolio of a pharma company.  The philosophy is similar to how firefighters attack a blaze—containment is key.

But that model is slowly but surely changing and pharma companies are showing a willingness to engage and invest more heavily in PR and social media that enhances the corporate brand.  Take a look at Johnson and Johnson as a prime example.  J&J is a highly decentralized corporation that controls hundreds of operating companies around the globe.  Because of this model, it would seem logical that the company would prefer brand PR over corporate PR.  But that’s not entirely the case.  J&J has been lauded for its foray into social media.  But a closer inspection of its efforts shows that they are aimed at enhancing the corporate brand—not a specific product brand.

And J&J is not alone. ePharmaRx recently posted a list of pharmaceutical companies that have established a presence on Twitter.  The list includes names like Bayer, Glaxo Smith Kline, Pfizer and Astra Zeneca to name a few.  Of course, the argument could be made that some of the aforementioned companies are not truly engaging at this stage of the game.  But hey, baby steps.

So why the shift to corporate branding efforts in the pharmaceutical industry?  It comes back to what Sally Suzman, Pfizer’s Chief Communications Officer, recently termed return on reputation.  It has become apparent to pharmaceutical companies across a broader spectrum that the corporate brand can create a halo effect that enhances the product brand.  If as a company you are viewed as compassionate, honest, responsive and accommodating to the consumer voice it will ultimately lead to product loyalty.

There is also the issue of regulatory concerns when it comes to social media for pharma companies.  The reporting of adverse events and FDA regulations are commonly seen as huge hurdles to social media focused on a brand.  But when you move to a corporate level, you have effectively mitigated some of those challenges.  That is not to say they go out the window entirely, but they are infinitely more manageable.

Brand PR and even social media will always be an important part of the pharmaceutical communications mix.  To think that corporate branding efforts will suddenly supplant brand-specific efforts is naïve.  However, the tide is clearly shifting, and pharmaceutical companies need to decide whether to go with it, or risk being washed away.

Please note: This post was also published on the SHIFT staff blog: http://shifters.wordpress.com/

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Deflecting Myopia: Is Pharma Marketing Stuck in Neutral

October 20th, 2009

In my welcome post to this blog, I reposted content I originally published on a few different blogs.  The oldest appeared in 2007.  Yet, here we sit heading in 2010 and many of the same issues remain at the forefront.  Marketers at pharma companies are struggling with how to engage with patients, doctors and care givers simultaneously.  They are still grappling with how to move beyond traditional methods of marketing.  Pharma companies are still weighing the prudence of jumping into social media.  Three years is a long time to weigh your options—isn’t it time to take action?

Are pharmaceutical companies afflicted with myopia when it comes to marketing?  Have they effectively been stuck in neutral for the last three years?

To answer this question, I think it is instructive to consider the arc of marketing outside of the pharmaceutical industry.  Four years ago, the idea that a company would engage in Facebook, LinkedIn and Twitter (not yet around) would seem preposterous as a credible marketing technique.  Bleeding-edge types were just beginning to see the value of this form of customer engagement and were starting to convince early adopters to try “wild and crazy” things like blogging.

Those first companies were mostly consumer-focused.  The logic was simple: their customers were easily identifiable online so it made sense to start marketing in the communities where customers were already engaging.  Traditional B2B companies came next.  Name brands like IBM and Microsoft were jumping into the mix realizing that social networks were not only for personal use, but were a valuable professional tool as well.  In the early stages, many of the tactics were what would now be considered rudimentary—mostly engaging on blogs.  Slowly but surely, blogging became Facebook Fan pages, YouTube Channels and Twitter engagement.

The point is: industries with fewer hurdles to clear than pharma have not been at this social media thing for very long.  It was a slow grind in those industries so why should we expect pharmaceutical companies to recklessly dive in head first?

Are pharmaceutical companies myopic?  In recent years, the industry has moved away from the blockbuster drug strategy and focused more heavily on alliance management.  It has started to shift away from treating high-emotion conditions such as baldness to treating diseases with high unmet needs.  The pharmaceutical industry has even started to rethink the traditional model of deploying a sales force, trending toward targeted relationship building rather than blanketing every inch of every territory.  Even in the world of marketing, companies like Johnson and Johnson and Pfizer (among others) are embracing the potential of social media.  All of this indicates one thing: the pharmaceutical industry is not myopic—it just needs time.

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