A Homerun for Cardiovascular Marketing

March 30, 2010

Community involvement can be an excellent way to extend cardiovascular marketing dollars.

I know that our clients are always looking for innovative ways to engage with a larger audience.

I came across a new program from Mayo that combines two of my favorite things, heart health and baseball:

Mayo Clinic and the Minnesota Twins announced they will work together to help improve the health of people across Twins’ Territory.

The two organizations are teaming up to provide:

•         on-site health screenings and educational events before Twins’ home games

•         pre-game interviews with Mayo Clinic physicians on health topics

•         other collaborative efforts throughout the year

The agreement also includes:

•         in-stadium signage

•         print advertisements in Twins’ Magazine and scorecard

•         health tips offered by Twins players during games at Target Field

•         Mayo Clinic patients throwing out first pitches at selected games

The content of the health screenings, educational events, in-stadium signage and print advertisements will center primarily around three areas:

•         heart

•         neurosciences

•         orthopedics

“Mayo Clinic is excited to work with the Minnesota Twins,” says John Noseworthy, M.D., president and CEO of Mayo Clinic. “By teaming up with the Twins, we share ways for fans to improve their own health and remind fans throughout the region that Mayo Clinic is close to home so that if you or a family member is faced with a serious health condition, we can help you find the answers you need.”

Sounds like a great program with a lot of potential.

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Cardiovascular Marketers: Is Your Brand in Good Health?

March 23, 2010

A cadiologist can learn a lot about a patient’s health by asking the right questions.  Here are a few questions you can ask yourself to evaluate the health of your brand:

• Do your marketing communications materials stand out from what other cardiologists are doing?

• Do you have an integrated program that allows you to reach your audiences in a variety of ways?

• Are you communicating with your audiences on a regular basis throughout the year?

• Do you have a consistent voice in all of your communications?

• Are you seen as a thought leader in the community?

• Does everyone in your organization, from the doctors to the receptionist, understand your core values and your vision?

If you answered “no” to any of these questions, you might be experiencing the symptoms of an unhealthy brand.

I’ve found that, most often, such problems develop in spite of the most honorable intentions.

After all, the focus of cardiovascular physicians is on providing the best medical care possible.  The primary concern is not marketing, nor should it be.

But marketing is what helps create a positive reputation, establish credibility, build trust, and attract patients — and that gives doctors the opportunity to provide exceptional care to more people.

It’s important to remember that your brand is what people (your patients, prospective patients, and others in the community) perceive you to be — not what you believe about yourself.

And these perceptions are based on all the ways people come in contact with your brand:  press coverage, comments from neighbors and friends, personal interaction with doctors and staff, phone calls to your office, as well as your marketing communications materials.

So each of these touch points requires special attention.

Knowing that your brand exists only in the hearts and minds of your audiences, it’s important to be mindful of the messages you are sending — not just with your marketing programs, but with all the different ways you say, “This is who we are.”

Here’s to a healthy future for your brand.

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Is Pediatrics the New Frontier for Cardiovascular Marketing?

March 3, 2010

Partnering with pediatric colleagues may be an important focus for today’s cardiovascular marketers.

New research suggests that obese children as young as three may have signs of inflammation that indicate the risk of heart disease.

“We’re seeing a relationship between weight status and elevated inflammatory markers much earlier than we expected,” study author Asheley Cockrell Skinner, an assistant professor of pediatrics at the University of North Carolina School of Medicine, said in a university news release.

A national survey of more than 16,000 children aged 1 to 17 showed some sobering statistics:

•       Nearly 15 percent of the children were defined as overweight.

•       11 percent were obese, and

•       3.5 percent were considered very obese.

While the full implication of these findings is still unfolding, the basic fact that very young obese children already have more inflammation than their normal-weight counterparts is very concerning.

As study co-author, Dr. Eliana Perrin, of the University of North Carolina said, “ It may help motivate us as physicians and parents to take obesity at younger ages more seriously.”

To me, this information offers many opportunities for cardiovascular marketing programs to position themselves as experts.  Providers who act now to develop comprehensive education and treatment programs that focus on both obese children and their parents may find themselves with a leg up on the competition.

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Will Cardiovascular Marketers Be Selling Concierge Medicine Sooner Than We Thought?

February 24, 2010

It appears that concierge medicine is moving beyond primary care to take hold in cardiology.

Cardiologists with the Pacific Heart Institute in Santa Monica, CA recently announced that they will start charging patients between $500 and $7,500 for special “extended” access services and same-day appointments.

“To the best of our knowledge, we’re the first specialty group to do this, and we know there’s a lot of interest from our peers and other specialties to see how it goes.”

Apparently, Medicare cuts have finally gone too far for the group.

“There’s been a progressive decline in payments that started 10 years ago,” says President Richard Wright, M.D.

He specifically cited Medicare and Medicaid reallocation of dollars from cardiologists to other specialty areas and the elimination of cardiology consult codes. Some private insurance companies followed suit.

“The consequence was a 26% cut in gross revenues for the same services compared with 2009,” says Wright.

Apparently, for every $100 in revenue they used to bring in, the facility now receives only $74.

In a letter to patients, the institute wrote,

“Medicare and most insurance plans slashed cardiology payments on an unprecedented scale.”

“In 2009, Medicare paid $110.74 for a mid-level new patient evaluation, for which we typically schedule one hour; the current payment is $87.07. In March, it is scheduled to be cut to $68.78.

“These amounts are incompatible with maintaining a viable practice unless ancillary services and the time allotted for office visits are substantially reduced. We feel such reductions would not meet your expectation of comprehensive personalized care.”

Starting April 1, patients at Pacific Heart Institute can choose one of four plans for care:

1.    Patients pay no “participation fee.”

2.    “Select” – Patients pay $500 a year for priority appointments, warfarin adjustments, defibrillator and pacemaker follow-up, notification of non-urgent lab, and test results.

3.     “Premier” – Patients pay $1,800, for everything in “Select,” plus e-mail communication with their doctor, same-day visits during regular office hours, priority lab testing and scheduling of diagnostics, free attendance at speaker seminars on cardiovascular issues, and a dedicated phone line to reach an institute nurse.

4.     “Concierge” – Patients pay $7,500 for everything in “Premier,” plus direct 24-hour access to a cardiologist via pager, e-mail, text message, plus the personal cellphone of the patient’s cardiologist, annual personalized cardiovascular wellness screening, night and weekend access to a cardiologist for hospital or emergency services (regardless of whether he or she is on call) same-day visits with the cardiologist, evening and weekend office appointments, and personal calls from the cardiologist.

Internal medicine and primary care physicians have been offering similar services for a decade or so.

Proponents say the fees give patients more time with their physicians to plan their care programs and may reduce the need for hospitalizations.

Initial reaction of Pacific Heart Institute patients has apparently been favorable.

So far, according to Wright, “a very small number have complained. Many have said they understood, and that they ‘couldn’t believe how little you’ve been paid.’”

As health care reform continues to evolve, I know I’ll be watching this trend with interest.   I wonder how many of our clients or competitors will decide that concierge cardiology is a viable strategy.

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Making Digital a Star in Cardiovascular Marketing to Physicians

February 18, 2010

New information shows that digital communications shouldn’t be ignored in physician recruitment.

I was talking with one of my clients last night at an awards show.  We were congratulating ourselves on winning some awards and looking at other people’s entries.

Then we started reminiscing about other work we’ve done in the past, and the subject of physician recruitment came up.   I brought up this “really innovative” direct mail piece we did that featured a piece of x-ray film that showed a watch in the patient’s stomach.

The headline read something like, “Our hospital can give you more of what you need most – time.”

From there, after a couple of glasses of wine, we started brainstorming about more unique ways to attract physicians.

However, when I got to the office this morning, my bubble burst a little when I saw this Health Leaders article that emphasizes a new basic truth in physician recruitment:  In the excitement of developing “cool” stuff for docs, it’s imperative not to neglect digital communications.

Currently, 99% of physicians use the Internet and 64% use a smartphone—a number projected to jump to 81% in 2012—according to Manhattan Research’s 2009 “Taking the Pulse” study.

The article highlights several effective strategies:

•       Digital recruitment methods

-       advertise on medical journal Web sites

-       subscribe to an online physician-only job search network

-       post employment opportunities on health system websites.

“Technology has become pervasive in the industry and most physicians, just like other walks of life, have some technical prowess,” said Sandra Dilts, administrative director of business development and physician relations at Memorial Healthcare System in Hollywood, FL.

Just a few years ago, Memorial recruiters received most resumes by fax or mail. Now, they receive about one fax every three months and receive no job inquiries by mail.

“We have an opportunity to be able to reach more people at a faster speed than ever and for them to respond just as quickly,” Dilts said. “It’s made it a 24-hour-a-day industry.”

•       Smartphone referral aides

Mary Thomson, vice president of marketing and public relations at Abington, PA, Memorial Hospital, got all of her physician leaders smartphones after she realized they could create an application that would allow them to better communicate with referring docs.

The app provides a list of the referring physicians’ back-office phone numbers and lets Abington doctors place a call with just a few clicks.

“The hardest thing to do was getting all of the numbers, but building the app is apparently pretty easy,” she says. “That is an easy way for the docs to have a phone number to call right at their fingertips if they just operated on another doctor’s patient.”

•       Social media

Marketers seem to be split on the effectiveness of using social media for recruitment.

Geisinger Health System in Danville, PA, set up a Facebook page to recruit gastroenterologists.

“When recruiting gastroenterologists we traditionally would do print ads in different medical journals and direct mail,” says Cathy Connolley, Geisinger’s associate vice president of marketing. “But this time we weren’t getting the types of responses that we were looking for.”

The highly-targeted “Geisinger Health System Professional Staffing” page now has 52 fans, but it’s hard to directly link any of those fans to new hires.

From my perspective, social media is just one more tool in the toolbox for physician recruitment.  As long as marketers are not posting confidential conversations with docs on social media sites, I’m not sure there’s much harm in it.

In fact, I think your involvement can strengthen the perception of your hospital among most target audiences, including physicians.  It’s important to remember that digital communications just give us more options in developing communications strategies.

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News for Cardiovascular Marketers: Physician Recruitment Trends

February 15, 2010

The culture of a healthcare organization may be more important in recruiting physicians than previously known.

For most of my clients, the marketing group’s role in physician recruitment is bigger than ever.   Physician shortages and tough competition mean more emphasis on messages aimed at physicians.

Historically, physician recruitment efforts have focused on compensation and technology.

However, new research shows that it’s more important for organizations to take time to understand and develop a relationship with the physician candidate and his or her family.

An article posted by Thomas Dahlborg on Health Impact, reports findings from a study conducted by the Daniel Hanley Center for Health Leadership.

Physicians also said it was important to find an organization that:

  • Is willing to create an optimal practice model that positions the physician to focus on healing, and not RVU revenue generation
  • Has support systems sensitive to the initial understanding of the physician’s goals and needs
  • Has a commitment to collaboration.

Physicians went on to say while they wanted to be paid fairly, overpaying to recruit may backfire due to poor retention rates.  If the criteria above are not met, “the root-cause of my dissatisfaction will not have been addressed.”

They also expressed a definite opinion about technology.

“Technology should be a tool to be leveraged to best support the healing encounter–not simply as a tool to increase productivity.”

In general, the study yielded the conclusion that recruitment is “much like the healing encounter itself, where relationship, understanding, trust and collaboration are four keys to success.”

Sounds like good advice to follow in developing physician recruiting campaigns.

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Cardiovascular Marketing Can Prevent Heart Attacks

February 11, 2010

Sometimes I think we get so excited to tell the story of our latest advanced procedure or newest equipment that we forget a basic truth.  Cardiovascular marketers can still play a vital role in spreading the word on heart attack warning signs.

When my father had a heart attack, he didn’t exhibit any dramatic symptoms.  As the story goes, he worked in his office all afternoon as usual.  He said he felt “a little indigestion,” but he was surprised when he literally collapsed, and his co-workers had to call 911.

Apparently, he’s not alone.

Even with all the work that’s been done with regard to heart attack education, many people still don’t recognize all the warning signs.

According to survey results published in CDC’s Morbidity and Mortality Weekly Report:

•       93% of the respondents were aware that shortness of breath is a symptom of a heart attack, and

•       92% of the respondents were aware that chest pain or discomfort are symptoms of a heart attack, BUT

•       Only 62% of the respondents were aware that feeling weak, lightheaded or faint are symptoms of a heart attack, and

•       Just 48% of the respondents were aware that pain or discomfort in the jaw, neck, or back are symptoms of a heart attack.

Barbara Ficarra, RN, BSN, MPA, also host and executive producer of the Health in 30® Radio Show, reminds us of more signs of a heart attack people shouldn’t ignore:

- Breaking out in a cold sweat

- Nausea and vomiting

- Anxiety

- Stomach pain that may feel like heartburn

Maybe there’s still room for some of these low-tech reminders in our high-tech cardiovascular marketing programs. It’s a good way to show that you care about the health of the community.

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Put Your Cardiovascular Marketing on “ROIDs.”

February 10, 2010

Cardiovascular marketers should put their programs on “ROIDS,” a performance-enhancement recipe to get better results for their efforts.

This time of year at my house brings lots of discussion about baseball – spring training, anticipation of opening day and  numerous updates from my 13-year-old son about the prospects for various players.

Recently, a hot topic has been Mark McGwire’s admission that he used steroids.  As a responsible parent, I’ve certainly expressed the appropriate outrage at both his drug usage and his lying.  However, as many a statistician has noted, his performance enhancers worked.

More than a few clients tell me they’re looking for a recipe to enhance their cardiovascular marketing programs as we all wait for economic recovery to kick into a higher gear.

Dick Patton, Harvard Business Reviewsays that marketers should put their programs on “ROIDs,” a performance-enhancement program of the non-pharmaceutical variety.  He’s a devised an acronym that highlights the approach:

•       Responsibility marketing

•       Organizational leadership

•       Insights about Customers

•       Digital Marketing

Patton says that two of the elements — responsibility marketing and digital marketing — are being driven by consumers. I agree.

Consumers are demanding higher standards from businesses of all kinds, including healthcare providers.  As marketers of cardiovascular services, we’re in a unique position to provide quality and outcome data that adds credibility and appeal.  How are you currently using that data in prospective patient messaging?

Furthermore, are you using digital channels to deliver your messaging in the most effective ways?   Cardiovascular patients and families are prime candidates to participate in online communities that guide them through the myriad steps of diagnosis, treatment, recovery and lifestyle considerations.

Patton asserts that the other two elements — organizational leadership and insights about consumers — are operating principles.

Marketing executives must work along all points of the value chain throughout the product or service lifecycle and anywhere the consumer comes in contact with the brand.

When is the last time you sat down with the your entire cardiovascular team – from the physicians to the nurses to housekeeping personnel – to talk about their role in your hospital’s value proposition?

One of my favorite cardiologists loves to meet with housekeeping staff.  He makes them feel like heroes by stressing the importance of their role in contributing to positive surgical outcomes because their efforts are critical in preventing infection.

Finally, gathering patient insights that are far deeper than data gathered in traditional market research can seem daunting.  However, opportunities abound to take advantage of new Web analytic technologies that glean relevant information about both customer behavior and social dynamics among patients and their families/caregivers.

Based on the challenges I see our clients facing every day, I think these seem like smart principles.   Maybe trying “ROIDs” is a good way to build up your marketing muscle.

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Preventive Messaging Makes Dollars and Sense for Cardiovascular Marketing

February 4, 2010

Cardiovascular marketers may be able to save Americans millions of dollars by stepping up preventive and educational messages.

Heart disease is the nation’s most expensive diagnostic category, costing twice as much as cancer and benign tumors.

According to the American Heart Association:

This year, cardiovascular disease and stroke will cost the nation $503 billion in direct medical expenses and indirect costs, such as lost productivity due to time off work, work limitations and mortality.

More than 81 million, or about a fourth, of all Americans have cardiovascular disease, and 831,000 die from it every year.

Many more people are at risk due to lifestyle factors such as:

– high cholesterol

– high blood pressure

– diabetes

– smoking

– abdominal obesity

– ­high stress

­– inactivity

Changing lifelong habits is hard, and patients are often left on their own to do so, experts say.


Although most insurers cover coronary bypass surgery, angioplasty and stent placement, many don’t pay for nutrition, fitness and stress-management counseling that could help patients avoid or delay such drastic measures in the first place.

The good news is that medical advancements are helping people live longer.

“I’m seeing many people who had heart attacks in their 50s living to their 80s and having full and productive lives,” said Dr. Timothy Gardner, medical director of the Center for Heart and Vascular Health at Christiana Healthcare System in Newark, Del.

But the cost consequence is that many more people have to budget for decades of living with impaired heart function, he said. “A lot comes out of your pocket.”

People who develop heart problems during their peak earning years face even more serious challenges.  Surgery can mean lost wages from lengthy medical leaves or even necessitate a total career change.

As marketers, we can contribute to lessening the economic impact of heart disease through increasing preventive and educational messages.

Look at your stable of resources, programs and materials.  Are you adequately covered in the following areas?

• Healthy eating habits

• Exercise

• Weight control

• Smoking Cessation

• Risk assessment

If not, it may be time to do a little “spring cleaning” to spruce up your heart and cardiovascular marketing toolkit.

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Cardiovascular Marketing Humor

January 5, 2010

When I saw this cartoon in the New Yorker, I had to repost it.

As we all struggle to differentiate our cardiovascular programs in today’s uncertain times, is this where we’re headed?  Extra services that enhance the patient experience seem to be the rage.

If you’re like most of my clients, there’s some concern that too much focus on amenities and frills will diminish the focus on clinical excellence.

And what about concierge medicine?   There’s been a lot of discussion about this trend moving out of the primary care arena into the specialty world.

With Healthcare Reform creating even more uncertainties, it can be sobering to contemplate the future of cardiovascular marketing programs.

In the meantime, maybe this is a good reminder to keep our sense of humor.


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