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Archive for May, 2009
Headline Commentary May 25-30
- Posted May 31st 2009
- Comments (0)
- by Janice
Good opinion piece on value of EBM.
Informa healthcare chooses Atypon for unified platform. Good move for Informa, which favored home-grown platforms in the past.
Dillon brings experience at Misys & McKesson to Elsevier, as well as earlier exp. at Biogen & J&J. Should help bridge Elsevier’s clinical & education publications and products with health IT and EHRs.
Good post by Jeff Jarvis on newspapers and business models. In particular, Jarvis critiques recent comments by Financial Times that readers will pay for quality. Jarvis’ pt: ad-support is key part of business model for papers, not just subscription fees. Yet, I’d add that increasingly readers are willing to pay –directly or indirectly– for convenience & features of online news and less willing to pay for home delivery of print. Quality content matters, but so does use of technology to improve relevance and convenience of content to readers (and advertisers).
John Moore at Chilmark on drawbacks of having CCHIT as sole certifier of EHRs, esp. due to their close relationship with EHR vendors.
DeepDyve (formerly Infovell) releases free tools & widgets that enhance search on websites and blogs. Users can find “more like this” content from DeepDyve’s broad collection of authoritative sites that are included in their search index. Users can also select blocks of text to use to run a “more like this” search. Finally, a WordPress plug-in is available that allows bloggers to automatically include links to related articles from DeepDyve’s search index. These tools are especially useful to medical and scientifically-oriented sites and blogs. Great for e-patient sites!
Review of a session at the BIO 09 conference on social media usage in biotech/life science companies. Jen McCabe, Schwen Gwee of Vertex, Ed Silverman, Elsevier, Jerry Johnson of Brodeur and Brian Reid of Weisscom, participated. Links to presentations included.
a little scary that these folks opine about Google Health without knowing any details of how it works or doesn’t work. I’ll point them to the e-patients.net site!
AHRQ – has created plain language guides that compare the effectiveness and side effects for treatments of many common conditions.
More focus on use of analytics to control healthcare costs by reducing fraud. Good news for healthcare analytics companies.
HealthLibrarian.net enriches the NPI database and allows users to search by specialty field.
DeepDyve’s Free Search Tools Enhance Patient Community Sites
- Posted May 27th 2009
- Comments (0)
- by Janice
DeepDyve, a relatively new search engine (formerly known as Infovell), uses an approach to search that helps both novices and search experts find relevant information. DeepDyve is particularly useful in finding related information once one has found an article that includes information that is on-point. The user can simply copy the desired sections or full article into the search box and DeepDyve will find related information within the body of information searched by the DeepDyve engine.
Today (May 27) DeepDyve announced the availability of several tools for website and blog publishers that allow them to incorporate DeepDyve search functionality on their own sites. The first, DeepDyve’s “More Like This Content” widget allows websites to offer its users a richer search experience by including results from content indexed by DeepDyve. DeepDyve searches a large (and growing) body of scholarly content that includes many medical journals not fully searchable on the open Web. Clicking on the More Like This icon retrieves and displays links to related information from DeepDyve. Advanced search provides an option to limit searches to particular types of content, such as patents or clinical trials.
Today’s announcement also includes a “Content Highlight” widget that can be used to search content within a website. Users highlight a block of text/data (up to 5,000 characters) and run the highlighted text as a search query. Obviously, the site must be indexed by DeepDyve; there is an option to have the “Content Highlight” widget search other content in the DeepDyve index. Both of these tools are available for free and are ad-supported. See here for details.
Finally, there is a plug-in for WordPress bloggers (also free) that uses the text of the blog to automatically retrieve and display links to related content from DeepDyve’s index. This feature should be especially useful on patient community sites. I plan to implement this plug-in on the Health Content Advisors blog, but I also encourage bloggers and website publishers with more medically-focused content to explore using these widgets. It takes a little time to adjust to the DeepDyve search method, but for research applications the benefits quickly become apparent.
Headline Commentary May 15-25
- Posted May 16th 2009
- Comments (0)
- by Janice
Review of a session at the BIO 09 conference on social media usage in biotech/life science companies. Jen McCabe, Schwen Gwee of Vertex, Ed Silverman, Elsevier, Jerry Johnson of Brodeur and Brian Reid of Weisscom, participated. Links to presentations included.
a little scary that these folks opine about Google Health without knowing any details of how it works or doesn’t work. I’ll point them to the e-patients.net site!
AHRQ – has created plain language guides that compare the effectiveness and side effects for treatments of many common conditions.
More focus on use of analytics to control healthcare costs by reducing fraud. Good news for healthcare analytics companies.
HealthLibrarian.net enriches the NPI database and allows users to search by specialty field.
Good post by Josh Seidman about how the value of health content increases when it is available in the right context and communicated effectively. Sounds like what we used to call vContent at Shore. In essence, content, technology (C+T) , and the context in which C+T will be used all have to be considered when planning effective Health IT or Health Content.
Blog posts from MLA’s annual conference. I’ll also follow twitter posts on MLA09.
Dr. Lou Diamond named chair of HIMSS Patient Safety, Quality & Outcomes Committee.
More coverage in popular press about the increasing use of smartphones by MDs and medical students.
Cnet’s 1st in a series on health IT. This first installment covers good ground on state of EHR technology and usage among hospitals. Looking forward to reading more.
Microsoft announces Research Output Repository Platform, which serves as repository for research content. Includes taxonomy appropriate for research content.
See link for 8-page that includes Objectives, Milestones, budget, and metrics for measuring performance improvement for ONC.
Brief review of 2 doctor rating sites.
Boston Globe publishes brief interview with Dave deBronkart, aka e-patient Dave.
Gilles Frydman, founder of ACOR and contributor to e-Patients.net, highlights the importance of the Comparative Effectiveness Research (CER) element in the stimulus bill (ARRA). Although a small piece of the funding in $$ terms, the application of CER has far-reaching implications for treatment and cost-control. It’s good to see discussions of health content being elevated in the e-patient community. An excellent post!
Hope Leman offers an indepth review of DeepDyve’s latest enhanced version. She calls on the big STM publishers to take note of the SEO features and “more like this” features that are of great value to their audiences.
Informa Group has put Robbins-Gioia, it’s computer program managemnt group up for sale for 70M GBP to try to pare its 1.3B GBP in debt. Robbins-Gioia was acquired by Informa when it bought IIR in a highly leveraged deal.
This story highlights a program by Mass General Hospital (MGH) in Boston to offer patient advocates to elderly patients to help with post-discharge follow-up with patients to reduce need for re-admission. Key success factor of the study was having the advocate closely aligned with the patient’s primary care physician. Article incorporate several other themes, including using home monitoring technology to improve chances of quick response to changes in metrics being monitoring. Interesting (tho, not surprising) how comments on the story run toward cost-controlling approach and all the assoc. negatives. To me, key point is that investing in post-discharge monitoring is effective, and that patient education & post-discharge info is most effective when provided by physicians and nurses directly who are part of care team. Overall, the need for patient advocates is critical, but not a central part our of health care system.
Abstract of recent study that shows that patients don’t fully understand post-visit instructions from physicians at least 3/4 of the time. Several explanations offered; most prominent imho: lack of written instructions and explanation.
WAPO describes the lobbying by HIMSS to push for IT as focus on health reform.
Comparison matrix of some of the EMR and EHR vendors.
Full article about the experience of an academic’s comparing the use blog reader reviewers and traditional peer reviewers for his book, published by MIT Press. Good points about the micro focus of blog readers vs. macro view of traditional peer reviewers.
Academic tests traditional peer review by MIT Press vs. review by blog readers. Article is brief, but points to more detailed comments by blog readers compared to more big-picture, contextual comments by peer reviewers. Sounds to me as though a combination would be best.
Orzag’s 4-pt plan for cheaper, better healthcare: expand Health IT, conduct comparative effectiveness research, emphasize prevention, and change the way providers are paid.
Good points about comparative effectiveness research. There’s no rational argument for being against such research, unless it’s use is connected to payment policies. That’s the opinion of the poster, not mine.
Andrew McAfee, Prof. at HBS, soon to be at MIT Center for Digital Business, writes on class exercise to define utility of Twitter. Conclusion is that Twitter isn’t a substitute for other things, rather it makes it easier to do many things. Less friction, lower barriers to entry, asymmetric info flows, asynchronous communication, and more.
Quest, the large lab testing company, now links results to MSFT’s HealthVault PHR platform with patients’ permission. Surprised it has taken this long!
Check out the really cool Microsoft Surface/Amalga videos here.
The Lewin Group receives $599,458 grant to develop analytical framework for comparative effectiveness research (CER) from HHS.
Amazon launches AmazonEncore, an imprint for publishing previously self-published or out-of-print books. 1st title will be available in audio and Kindle versions, as well as print. Pre-emptive move in response to Google Book Settlement, where Google gets monopoly rights to unclaimed orphan works?
From Pharma Marketing News, good post on how pharma’s use of social media is akin to developing Key Opinion Leaders among consumers, what Jack Barrette of WEGO Health calls, Consumer Opinion Leaders. Post covers some of the pros & cons.
Headlines for May 9 - May 14
- Posted May 15th 2009
- Comments (0)
- by Janice
From Mark Logic User conference #MLUC09, write-up of Webmedx, a company that provides transcription s/w to convert dictation to coded XML documents. Notes that approx. 60% of physician-created documentation is dictated & transcribed. Note section on CDA: Clinical Data Architecture & link to this open source standard.
Kevin MD on whether doctors who follow EBM should be protected against malpractice. Short answer, yes.
Dr. Thomas Frieden, NY City’s health commissioner, will be announced today as Obama’s pick for director of Center for Disease Control & Prevention (CDC).
Mark Leavitt, MD, CEO of CCHIT, says “meaningful use” of EHRs = “a certified EHR, it has to include e-prescribing, it has to be able to exchange information and it has to be able to report quality data.” I’ll add: to exchange information and report quality data, common standards for coding information are needed between the senders & recipients of info, and quality info must be input into the system before quality data can be reported. GIGO.
Google is experimenting with asking users who search for health-related topics why they are searching, e.g, looking to diagnose, find treatment, etc.
Philip Pead, former CEO of Per-Se Technology, is named successor to Andrew Eckert as CEO of Eclipsys.
Elizabeth Satin, who has focused on healthcare industry in her investment banking career, joins Wolters Kluwer as SVP & head of Corporate Development & M&A for N. America.
John Goodman raises issue of poorly-designed healthIT systems that in some circumstances increase the likelihood of error & cites a 2005 study.
Ad Age nicely surveys the state of digital marketing & social media usage by Big Pharma and their agencies. Highlights J&J, GSK, AstraZeneca, Novartis, Sanofi & Boehringer Ingelheim. Good quotes from top digital agencies, too.
Qforma, a healthcare-analytics company launches new directory for Most Influential Doctors in conjunction with USA Today. At launch, coverage will be national with doctors in these specialties: diabetes, high blood pressure, high cholesterol and asthma. QForma partnered with Wolters Kluwer Health for info on “millions of data points that reflect important collaborative indicators such as referral networks, practice patterns, publication history and leadership positions in professional associations.”
Dr. Gwenn interview Denise Basow, MD, editor-in-chief of UptoDate, to discuss appropriateness of patient site on UTD for spectrum of patients.
Pharma lobbying up 36% in Q1 2008, whereas most industries are down significantly. Pharma clearly wants active role in health reform.
NIH is seeking comments on possible changes to fed. regulations regarding potential conflicts of financial interest on part of researcher that could affect objectivity in design, conduct, or reporting of research fundeed under PHS grants. Note, transparency of researchers’ financial interests will be increasingly important as more medical & other scientifc research is made for widely available via the Web and other vehicles. Related to Open Access themes, too.
Intel-sponsored site on mobile healthcare
Some ideas for searching and mining info in Twitter.
Wal-Mart ready to expand onsite health clinics in partnership with hospitals. Initial partnership with Revolution’s RediClinics didn’t work out.
Extended list of academic, industry, and consultants who will advise on implementation of ARRA funds for health IT.
Brief summary of recent Forrester Research study on usage of social media in pharma marketing. Includes link to slides Josh Bernoff (author of the study) used at Social Pharmer, which I attended,. Note, many pharma marketers & agencies in the room didn’t agree with Forrester’s conclusions about target markets.
BreastCancer.org partners with HealthCentral.com for sponsorship ads. Is this a sign of new type of partnerships between online consumer health portals and non-profit consumer healthcare online communities. Can HealthCentral serve as effective ad/sponsorship agency for such sites? How will sponsoring social media healthcare sites like BreastCancer.org compare with Pharma’s direct development of community sites around a specific drug (e.g., Alli)?
New study on EMR adoption that surveyed Mass. doctors in 2005 and 2007 to be published in J. American Medical Informatics Assoc. cautions that inadequacies in most EMR systems lead doctors to only use pieces that work efficiently, e.g., e-prescribing. This confirms our view that lack of standards for data transfer and inadequate research in product design has resulted in EMR systems that do not improve efficiency of practitioners. Design that incorporates analysis of practitioner workflow and improved data standards are required before EMRs can be expected to improve productivity and lead to better patient outcomes. That’s what I think “meaningful use” should imply.
Health insurers, PhRMA, AMA, AHA, and SEIU say they will work to contain cost future increases in health care. Comments from readers reflect skepticism of pledge.
An essay from Times of London on future of printed books.
MobihealthNews interviews Roni Zeiger, product manager of Google Health.
HHS’s Federal Coordinating Council for Comparative Effectiveness Research (CER) is conducting “Listenning Sessions” for public to comment on CER. Upcoming sessions 5/13 in Chicago; 6/10 in DC.
Headlines for May 3- May 8
- Posted May 8th 2009
- Comments (0)
- by Janice
Thought-provoking article by CEO of Daylife, Upendra Shardanand. Addresses the need for content publishers/journalists to start thinking like data publishers so that pieces of the story can be reorganized in multiple ways with additional media included to enrichen the story, if desired. With XML-based CMS tools increasingly in use, we should be seeing more creative expositions of content. What’s holding back progress, I believe, is the economics of publishing. How will pieces of stories be monetized? With shopping sites, the content is advertising; with journalism, the content is the product. Does content only have value if it drives the purchase of something?
more on GE’s “Healthymagination” campaign to shift resources from big systems for hospitals to more lower-cost products, and invest $3B in developing at least 100 product and services innovations by 2015.
WebMD to launch Medscape iPhone app in May/June. Article also discusses the success of ReachMD’s recently launched CME app on the iPhone. More evidence of the popularity of the iPhone platform with doctors.
Good discussion of open access from e-patients’ perspective. 25 comments & counting, including a couple from me.
David Kibbe, MD, entry on CCR standard in Medpedia.
Some dialogue about CCR codes, SNOMED, Google Health, and the fact that there is a lot of work to do before we have a coding ontology that serves as basis for exchanging data between medical records.
Shrinking library budgets and weakened pound are affecting the ability of academic & non-profit libraries in the UK to subscribe to scholarly journals & texts.
As part of budget announcement today, Obama says gov’t will cut payments to Medicare Advantage by 4-4.5% in 2010 to save $22 B. Other healthcare announcements include increases to cancer research, autism research, funding for SCHIP, and other incentives.
GE unveils “Healthymagination” initiative to produce “low cost products” for organizations with limited access to health IT. Early word is that the news release & Webcase was splashy but with very little substance.
Hacker reportedly steals 8.3 million patient prescsription records and demands $10M in ransom. Puts attention on security of digital healthcare records.
Reponse from Elsevier about Merck-sponsored “fake journal”.
ThomsonReuters reports Q109 earnings. Tax&Acct’g group and Healthcare&Science were bright spots in rev. growth; most other areas flat or declining. Total -3% rev. change over Q108; +3% in constant currency. Media group worst performer. PDR listed in discontinued ops. Not included in reported numbers.
More on Kindle DX and how newspapers will subsidize for customers in areas that do not get home delivery currently. That will miss the group with greatest interest.
A good round-up of tools for using Twitter. I’m still a beginner, but with news of Twitter Search expanding (something that delicious should have done years ago), I can see real value in Twitter. Follow me @janicemccallum
Print ad rev. down 18.4%. Online ad revenues down 2.6%. In line with other magazines; health sector no help in this case. E-Commerce revs up, book sales up for “Flat Belly Diet” and “Eat This, Not That” for which Rodale is planning a reality TV show.
Santosh Jayaram, Twitter’s new VP Ops, says that Twitter Search will soon begin crawling the links that people tweet and index them for Twitter Search.
Article describes how AmeriHealth implemented NaviNet, an info messaging service that alerts clinicians to unment healthcare services for a patient and the patient’s eligibility for coverage of the services. NaviMedix, Cambridge, MA, develops NaviNet.
Very good analysis of Microsoft’s latest deal in healthcare to license HealthVault to Telus, the large telecom company in Canada. Telus will brand the service, Telus Health Space, and will sell the services to provinces and territories who provide their own eHealth services.
New Kindle DX announced for pre-order at $489; available in Summer. Looks very cool, but price is high. Will newspapers or other publishers subsidize the cost to keep subscribers?
Includes links to 2 reports on health care quality. Among findings: patient safety measures have worsened by nearly 1% each year for past 6 years.
Pfizer agrees to cover publication costs for articles by its researchers on BioMed Central (now part of Springer). Is this the unintended consequence of “author pays” model: Big Pharma-backed research will be fully-supported b/c Pharma can cover the costs. But what about research that isn’t related to something that Pharma wants to promote? As with the Els/Merck “journal”, transparency is key.
Cost-cutting is helping balance weak new subscription sales to keep on track for margin outlook for 2009 of about 20%.
Some explanation of the Elsevier-produced “complimentary” journal that consisted of reprints about Fosomax & Vioxx that was paid for by Merck. Journal issues in question were produced between 2003-2005.
MedPage Today wins gold award for “Best Overall Web Publication” from American Society of Healthcare Publication Editors. Congrats to CEO Bob Stern and his team.
Halamka’s summary of Micky Tripathi’s (Mass eHealth Collaborative) presentation on “Meaningful Use”. Lots of good material in the preso, but it all seems so hospital/current vendor-focused to me.
Amazon will hold big press conference on Wed 5/6 to announce larger-screen Kindle appropriate for textbooks and newspapers.
I’ve been lax in reporting on the Merck-sponsored journal that Elsevier produced without full disclosure. Here’s a perspective.
John Mack points to 2 studies that paint an unsatisfactory picture of the quality & usefulness of much of the current healthcare journalists. Basic claim is that press releases about recent research serve as promotional pieces and don’t put research in context and that too many healthcare journalists just recap those press releases in their stories without additional reporting. John suggest bloggers help add context.
Good article that describes lessons from UK’s NICE (National Institute of Clinical Excellence) that could be put to use by US for the comparative effectives research efforts.
KevinMD posts about why doctors should use SEO to promote their practices. Includes references to some resources and articles for primers on SEO.
Washington state’s governor has signed bills that will allow health regulators to conduct surprise inspections of hospitals beginning in August, which changes the current policy of 4-months of advance notice; second bill tightens standards for screening for MRSA.
23andMe, a personalized genomics company, raises $11 million of a $24.26 million second round.
Not health related–just to the health of newspaper companies…. Great, easy-to-follow post on how to use Calibre to download and organize newspaper content on a Kindle.
Bill & Melinda Gates Foundation provides $100K grants to study uncoventional approaches to healthcare in developing countries.
Governor John Baldacci of Maine unveils “Maine HealthCost”, which allows users to enter their insurance info and find estimated out-of-pocket costs by providers across the state.
Traxtal’s PercuNav systems helps physicians track the tip of a needle when performing minally invasive procedures, avoiding the need to constantly image the patient.
Describes Caterpillar’s testing of a program with Wal-Mart where Wal-Mart essentially serves as the PBM for CAT.
Dr. David Goldmann named EIC of Elsevier’s First Consult product line. “First Consult is an authoritative evidence-based and regularly updated clinical information resource for healthcare professionals. Designed for use at the point of care, it provides instant, user-friendly access to the latest information on evaluation, diagnosis, clinical management, prognosis and prevention.”
Eric Schonfeld presents good trend data on online ads from Google, Yahoo, MSN, and AOL. Q109 first qtr that showed decline since dotcom bust. Google only company that saw modest growth.
John Mack posts on how issues faced by publishers of social media sites for pharma mirror those of publishers of all kinds of pharma content. Yes, the latest media publishing tools make it easy to enable the creation of user-generated content. But what guidelines should pharma companies & their media agencies follow? For starters, they should understand that they are serving as publishers and should learn from experience of publishing companies in pharma industry. As John says, “plus ca change, plus c’est la meme chose”, although he said it in English!
Social Media Blurs Lines Between Advertiser and Publisher
- Posted May 5th 2009
- Comments (2)
- by Janice
I recently attended Social Pharmer, an “unconference” in Cambridge, MA as part of Health Camp Boston.[1] Most of the participants consisted of pharma marketers or ad/media agencies that work with pharmaceutical and life science clients. With my background in digital publishing, I had a different perspective than most.
Social media to me represents the elusive “interactive” component that publishers have been seeking since the early days of two-way communication that the Internet enabled. For media agencies, social media represents a way to further engage prospects and customers. Whereas agencies used to have to rely on publishers to build communities of interest to the marketer, the marketers are now building communities directly with social media tools. It’s not yet time to declare that marketers no longer need publishers to help them spread their messages, but publishers should take note of how their advertising clients are moving more directly into the content creation and community-building arenas. Publishers no longer have a lock on content creation and community building (aka audience development).
At Social Pharmer, it was interesting to observe that these agency folks who are accustomed to creating engaging content in short bursts lacked experience in organizing and managing content on a continued basis, tasks that publishers have honed over the years in print and digital environments. I couldn’t help note the complementary skillsets of the agencies and the publishers. The area where publishers are struggling -engaging readers in on online environment-is where the agencies are having success (the myAlli campaign was repeatedly called out for its success); the area where agencies need guidance - how to manage content that is produced by others, especially in a regulated environment-is where the publishers have the experience edge.
[See related post by John Mack’s about creating guidelines for social media publishing in pharma on his Pharma Marketing blog.]
My colleague, Russell Perkins, is currently at the ABM Annual Conference and reported that a key theme there is how publishers are acting more and more like agencies in offering a variety of programs to help marketers reach their target audiences, and conversely how agencies are acting more like publishers as they create and publish more and more content online. John Battelle included the same theme in his 2009 predictions , where he wrote: …” media companies have realized (or will soon) that their job is to create platforms for communities to make media. Publishers are agents for communities, agencies are agents for brands. They need each other. It takes both agents to get good media made“. This isn’t a new theme. I wrote in 2003 about how agencies were increasingly using the Web to extend the type of content they were creating beyond advertisements. The roles of agencies and publishers will continue to evolve as digital publishing becomes more mainstream for consumers, publishers, marketers and agencies.
[1] See Report from the Social Pharmer “Unconference” by Amber Benson, Pharma Marketing News, VirSci Corp, April 2009.
Skyscape Sits Atop 2 Health Content Trends: Mobile Access and Pharma Marketing Shifts
- Posted May 5th 2009
- Comment (1)
- by Janice
Skyscape is well-positioned to benefit from two key health content trends. The first and most obvious is the rapid growth in usage of mobile applications for accessing health content. Manhattan Research published in its latest Taking the Pulse® v9.0 study that 64% of doctors are now using smartphones and that the number of physicians using iPhones more than doubled in the past year alone. Clinical and administrative content continues to be made available for mobile apps in response to the demand from doctors and other clinicians. Skyscape has seen its user-base nearly triple since the introduction of the iPhone.
The second trend relates to the increasing use of publishing as part of marketing and sales strategies by pharma companies. Pharma companies have a long tradition of subsidizing the distribution of authoritative medical content to physicians and other clinicians. Whether through reprints distributed by detailers or by providing access to content via sponsored CME and conference programs, pharma has served as an intermediary between commercial medical publishers and physicians for many years. A combination of factors, including tighter regulations on detailing and advances in digital publishing technology, is leading pharma companies to incorporate a more direct publishing component into their sales and marketing strategies. For example, social media marketing is gaining traction for use by pharma media agencies as part of cross-media marketing campaigns and in our view brings them ever closer to becoming “publishers”. With social media, the ad and media agencies are typically taking the lead in helping pharma companies to build communities of prospects around a drug or condition-related topic. For more on this topic, please see the accompanying blog post: Social Media Use by Pharma Blurs Lines Between Advertiser and Publisher.
Back to Skyscape. Last week, I met with the founders of Skyscape, Sandeep Shah and Kartik Shah (no relation), along with their new VP and investor, Will Passano, at their headquarters in Marlborough, MA.
Skyscape partners with leading medical publishers to distribute clinical content, mostly medical texts and other reference works, on the full range of mobile platforms. (Note, Skyscape got its start in 1994 creating content for Apple’s Newton.) The list of content partners is impressive and includes the top medical publishers (Wolters Kluwer, Springer, Elsevier, Wiley, McGraw Hill and many others) and drug reference sources; they claim to offer more than 500 reference works and offer them for download for fees similar to a print book, generally $50 - $100 for a reference work. They compare this to an iTunes model.
Their primary revenue model is selling content directly to doctors and other clinicians. Skyscape makes it easy to purchase and use clinical reference works with an intuitive interface and the addition of Smartlinks, their own technology that allow users to navigate directly to related information between applications.
But Skyscape’s business model extends beyond direct sales. They also offer programs for pharma companies to subsidize content, and offer the content to clinician customers as part of a marketing program that may also include alerts on brands news.
Skyscape also creates digital versions of conference programs. For multi-track events that take place over several days, the value add of a mobile application with digital search and linking features is obvious, especially when it replaces a 5 lb. conference book as was the case with the recent American College of Cardiology (ACC) conference guide. This allows the company to brand themselves with a “powered by Skyscape” logo.
We like their multi-faceted business model that includes direct sales and pharma channel sales. With over 650,000 active users and continued growth in adoption of smartphones by clinicians, Skyscape merits serious consideration from healthcare publishers as a mobile distribution partner.
Headlines for Apr 26-May 2
- Posted May 3rd 2009
- Comments (0)
- by Janice
Good post by Missy Krasner, product marketing manager Google Health, and engineering VP, Alfred Spector of Google that endorses Markle Foundation’s framework on “meaningful use” related to ARRA.
Dr. Val speaks with CEO of AllOne Health, which provides a mobile phone app for practitioners and patients.
Scranton Gillette, a PE firm, acquires Imaging Technology News and Diagnostic & Invasive Cardiology from Reilly Communictions.
Warburg has invested more than $65M in Archimedes Pharma, which is seeking approval for its nasal spray pain reliever for cancer sufferers.
Phreesia, which provides patient check-in via wireless touchscreen devices, includes new content from National Osteoporosis Foundation to screen patients for risk of osteoporosis.
ClearHealth creates a iPhone app that allows doctors to view patient records on their iPhones.
Abstract & link to full article by Deloitte on how Pharma can exploit the increasing amounts of digital outcomes data to improve R&D and clinical trial procedures.
Rodale & Reveille, who brought us “The Biggest Loser” are teaming up for new reality TV program based on Rodale’s “Eat This, Not That”.
Good preso from Digital Pharma Europe on social media in pharma. Part 2 of 4.
J&J achieves top ranking in Harris survey on company reputation. Pharma industry was only sector to “register a significan tpositive change from 2007″. Financial services now at bottom with Tobacco industry.
Interesting post about tools for personal datamining: Daytum and YourFlowingData (YFD). Gives example of entering code words “gnight” and “gmorning” on Twitter before going to bed and upon waking to track hours slept each night. There’s some question about user motivation to enter data, but in health care arena, the combo of ease-of-use and fee incentives might be sufficient.
Statement by PhRMA on IOM’s report with recommendations to curb detailing/gift/etc to physicians & medical institutions. Includes some data on R&D spend v. marketing spend by Pharma.
Steve Woodruff’s top stories in Pharma for 4/29/09. Includes link to IOM’s recommendations on detailing/gifts/etc. to physicians & medical institutions, and updates on Sanofi & Novartis’ pipelines.
DeepDyve (formerly Infovell) unveils a suite of tools for publishers that want to offer DeepDyve search and discovery tools for content via their own site. Tools include enhanced landing pages, customer search API, a “more like this” feature, and content highlight search capability. DeepDyve, a Health Content08 innovator, will provide these tools to publishers whose content is incorporated in the DeepDyve search index for a rev. share of advertising deal, or a fee that depends on volume. Note, DeepDyve’s current index is very strong in health content and other scholarly research information. PLoS is one of the first to implement the API.
Missed this last week. Zynx Health, a Hearst Business company, and EBSCO Publishing announce new partnership to embed EBSCO’s Dynamed EBM content into ZynxOrder for mutual customers. DynaMed produces evidence-based medicine (EBM) reference content that is used in thousands of hospitals. Zynx produces clinical decision support order sets. Note, senior executives from EBSCO Publishing and Hearst/Zynx have presented at our Health Content conferences.
Judge Chin issues a 4 month extension to the May 5 deadline for opting out of Google Book Search Settlement.
Excellent PPT by John Moore at Chilmark on current state of PHRs.
BW highlights concerns about suitability of largest entrenched health IT vendors to revitalize healthcare information systems and add efficiency to current manual processes, given their track record. Reaction to article is divided: some say BW is promoting the viewpoint that doctors dismiss the benefits of technology b/c they aren’t tech savvy *; others say the big vendors truly are not providing systems that add efficiency due to poor design. See our 4/16 blog on Google Health PHRs for a more balanced view: health IT vendors need to develop greater expertise about the data that will flow through their systems and the workflow of the clinicians who will be using the systems. With a dearth of standards for clinical data across health IT systems, interoperability and ease-of-use will continue to be curtailed. Information architects are desperately needed in healthcare.*NB, we don’t believe all doctors are luddites!
Scrubs Magazine, which debuted in beta in Jan. 2009, positions itself as the only site focused on broad interests of nurses: including”career advice and inspiring stories, beauty and fashion tips as well as lots of ideas on making your downtime as relaxing as your work life is demanding”.
IOM proposes that pharma companies disclose payments to doctors, med schools, & professional groups in a centralized db, along with some other recommendations to curtail current practices.
Describes how some employers and healthplans are using incentives to “nudge” employees to practice healthy behaviors. Also mentions how MED300, a billing & EMR company, uses multi-level incentives (incl. chance to win a bigger prize) to get workers to fill out health-risk assessments.
Ken Doctor on continued decrease in print circulation for newspapers and Google’s plans to offer personalized online news. Ken lists reasons for print downturns and points out that the aggregator/distributor (Google) seems to be winning (or has already won) in the online news category. As he says, unless a “new, fairer, stable ecosystem emerge[s]”, “Who will pay journalists to create the news?”
Study by Harvard School of Public Health reports that 90% of cases of diabetes in study of 4,883 men & women aged 65 & older could be attributed to lifestyle factors.
NY Times writes about Johns Hopkins Drug Library, which maintains samples of largest collection of approved drug compounds. Researchers can order full set for about $5,000 and then carry out testing to find new applications. Article describes High Throughput Screening (HTS), which automates processes for testing and allows large-scale screening that wouldn’t have been economically feasible in past.
TicTOCs aggregates tables of contents from group of scholarly publishers, including Elsevier, Springer, Wiley, Informa, WK, BMC, Nature & others, in an RSS feed. Developed by U. Liverpool library, Heriot-Watt Univ., CrossRef, Proquest, Emerald, RefWorks, Mimas, Cranfield U., IoP, Sage Pub., inderscience, DOAJ, Open J-Gate and Intute.
Roni Zeiger, MD, Google Health product manager, responds to flak over use of billing codes to exchange & interpret data from patient’s hospital medical records.
John Moore from Chilmark Research provides a sanguine review of last week’s Health 2.0 conference in Boston. He’d appreciate less hype, more data.
J&J’s McNeil Pediatrics launches new Facebook Page that provides online resources for adults with ADHD. Site aggregates info from group of ADHD experts and community leaders. This site follows other ADHD Facebook Pages from J&J, which is leading other pharma companies in experimenting with social media and web publishing.
Computer Sciences Corp (CSC) releases a report, “Core Measures: All About the Data”, which recommends that hospitals change priorities to focus on automating documentation of physicians’ notes early in the process to create “core measures” for payers.
New site from HHS that covers federal health IT programs and provides links to state-level initiatives and additional info.
Monica Healthcare, a developer of miniature wireless technology for monitoring pregnant women, has raised 1.2 M pounds in VC funding, led by PUK Ventures. Monica is based in UK and is a spinout of U. Nottingham. Will be marketed in UK, Europe, Gulf States & Australia.
NY-based Applied Informatics launches TrialX, a patient recruitment tool that facilitates recruitment for clinical trials via social networking sites. TrialX also allows subjects to upload data from PHR apps from Google Health and MSFT HealthVault for pre-screening. Recruitment for research studies is fast becoming the leading revenue model for social networking sites.
J&J’s Simponi, a monoclonal antibody that is injected once a month, is approved by FDA for 3 rheumatic indications. Analysts have est.sales of $3B in next 3 years and this biologic is thought to be a key reason that Merck is acq. Schering Plough for $44.5 M.
Good description of Mayo’s adaptation of MSFT’s HealthVault for their PHR application that is open to anyone.
Healthcare IT News provides a concise summary of the key differences in viewpoints represented at last week’s Health 2.0 conference in Boston. Further comment from HCA: both expert and user-generated content can be useful. But, it’s important to have transparency in health content, so that user understands who produced the content and their motivation/bias.
Phase Forward, a leading provider of clinical trial management s/w acq. Waban Software,which provides platform solutions to automate clinical data analyis & reporting, for $14M in cash.
Challenge to Vermont’s law that bars healthcare datamining companies from using prescriber-identifiable data rejected by US District Judge Murtha. VT’s law was challenged by IMS Health, Wolters kluwer, and Verispan/ SDI. PhRMA has a separate challenge which was included in the ruling.
NY Times reports on spread of swine flu & public health emergency. Tracking usage of social media & Google Flu during this emergency will be interesting.
John Battelle posts a couple of graphs showing Twitter’s “hockey stick” growth in March 2009. I think that’s the month I started tweeting. @janicemccallum
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