A Heart- Healthy Recipe for Cardiovascular Marketers

May 14, 2012

It seems like one can never have too many great healthy recipes. I found a delicious one for your next newsletter or Tweet.

Photo Credit: Bindlestiff via Instructables

Recently I’ve been messing around with the Forks Over Knives diet recommendations. And I got some beautiful swiss chard at opening day of my favorite farmer’s market last Saturday, which led me to this amazing soup I ate for lunch all week.

Upon further investigation, I found the people behind the McDougall Diet had published this recipe in their newsletter several years ago, along with several other vegetarian, one-pot meals that look tasty. On a side note, the McDougalls add an interesting perspective to the heart healthy diet conundrum I’ve been discussing over recent weeks.

I hope you’ll weigh in with your thoughts on the recipe.

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How to Maximize Digital Ad Dollars in Your Cardiovascular Marketing Program

April 3, 2012

The true value of digital ads cannot be measured in cost per thousand (CPM) according to a recent comScore study.

The findings mirror a truism that has long been espoused by the media experts at our shop. Measuring the success of a media buy based on CPM alone is dangerous territory, despite the claims of some media-buying services.

In fact, the comScore study showed little to no correlation between current CPMs and ad value. Ad placements with truly strong in-view rates are not necessarily being priced higher than placements with low in-view rates according to comScore’s examination of 18 campaigns that encompassed 3,000 placements, over 380,000 site domains and 1.8 billion impressions.

Many marketers have believed that digital ads “above the fold” are seen, while those “below the fold” are not. comScore found that in actuality some ads delivered ‘above the fold’ were not seen because users quickly scrolled past them before the ad had a chance to load, and alternatively, many ads placed below the fold had a high chance of being seen.

This might mean that below-the-fold inventory can be priced as premium as long as the publisher can prove it was viewed. “Even publishers aren’t able to price their own inventory without having misunderstandings,” said Anne Hunter, VP, ad effectiveness at comScore.

The study also looked at the effectiveness of some common ad sizes. In-view rates were as follows:

  • classic leaderboard (728 x 90)            74%
  • medium rectangle (300 x 250)            69%
  • wide skyscraper (160 x 600)              66%

But even with the leaderboard, there was wide variation across sites, with the in-view rate ranging from 7% to 93%.

A recent campaign for one of our clients actually showed that medium rectangles below the fold performed best. The key point here is that you must track results for your individual efforts and use that data to plan accordingly for future efforts.

comScore also examined campaigns based on their ability to target by demographic or behavioral factors.

Not surprisingly, campaigns with fewer demographic variables, e.g. age range from 25-54, performed best with a hit rate of 70%. In campaigns that employed two variables, the targeting accuracy decreased to an average of 48%, and when three variables were introduced, the average plummeted to 11%.

As with ad visibility, comScore found no correlation between CPMs and the accuracy of demo-targeted campaigns.

This study illustrates what we already know about smart media planning. Effectiveness measures should go far beyond CPM and CPP. A smart media director I know likes to say, “It’s not a bargain if your target doesn’t see it.” Words of wisdom for sure.

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Diet and Cholesterol Update for Cardiovascular Marketers

September 8, 2011

Low fat diets may not be the ticket for lowering cholesterol after all.

A “portfolio” diet that includes several cholesterol-lowering foods may be better.

One of my good friends had a heart attack last week. Talk about a shock. He’s a thin guy who is active and looks like the picture of health. So, when I found out he had blockage that required a stent, I was pretty surprised.

I mean I’ve always known his diet wasn’t perfect. He’s the guy I can count on to let me steal a French fry or two at lunch, as I choke down yet another salad. (Man, I’m going to miss that.) But here’s the weird part:

His bad cholesterol number is actually pretty good by most standards. Alas, though, he’s been instructed to get it down even more.

That’s why this post from Harvard Health Blog intrigued me.

Researchers conducted a head-to-head test between the American Heart Association’s traditional low-fat diet and a “dietary portfolio of cholesterol-lowering foods.” This portfolio included foods such as margarine enriched with plant sterols; oats, barley, psyllium, okra, and eggplant, all rich in soluble fiber; soy protein; and whole almonds.

The portfolio approach was the clear winner:

  • After 24 weeks, it lowered harmful LDL cholesterol by 13 percent, while the low-fat diet lowered LDL by only 3 percent.
  • The portfolio approach also lowered triglycerides and blood pressure, and did not depress the level of beneficial HDL cholesterol.

It’s important to note that all participants in the study followed a heart-healthy diet that was low in saturated fat (minimal butter and other dairy fats, beef fat) and rich in fruits and vegetables, beans and whole grains. Those in the portfolio group added cholesterol-lowering foods.

Here are some specific suggestions from Harvard’s Dr. Howard LeWine for adding these foods to a heart-healthy diet:

Plant sterols. The best sources of these are margarines enriched with plant sterols and stanols, such as Benecol and Take Control, and other foods to which they have been added, including orange juice, granola bars, and cooking oil. You don’t need more than 2 grams a day.

Soluble fiber. Two servings per day should be sufficient. Good sources of soluble fiber include oats and oat bran, barley, almost any kind of bean, eggplant, and okra. Aim for 10 grams of soluble fiber per day.

Nuts. For a great midday snack, eat a handful of nuts. Any kind will do—almonds, walnuts, pecans, peanuts. Keep in mind that nuts pack a lot of calories. (Note: Some experts say one should keep the serving size of nuts to about 1 oz. per sitting. That’s about 47 shelled pistachios, 30 peanuts, 24 almonds, 20 pecan halves or hazelnuts, and 14 walnut halves.

Soy products. Not long ago, the only ways to get soy protein was by eating soybeans or tofu (also called bean curd). Today you can buy soy milk, soy bars, soy burgers, dried soy protein, and more. Soy protein and fish are two of the healthiest ways to get your daily protein. Twenty-five grams of soy protein a day is a good target.

These sound like good suggestions.

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Cardiovascular Marketing and Information Overload

August 23, 2011

No one can truly keep up with all the data that comes your way each day.

There, I said it.  Just about every health care marketer I know feels it, but many of us are afraid to admit it. We’re afraid of falling behind, afraid of missing a critical piece of information that will lead to a great new strategy, afraid of being seen as poor time managers, and probably afraid that somehow, the competition is doing a better job of keeping up.

But guess what?  We are human, and as much as we hate to admit it, humans have a finite capacity to process information. Coming to grips with that reality led me to find a recent post from Dr. Bryan Vartabedian at 33 Charts very refreshing.

He says information overload will be the biggest challenge facing the next generation of physicians. He also has some great thoughts for doctors on how to regain a little control. I think we can all benefit from his suggestions:

Accept that you can’t keep up. Dr. Vartabedian says it’s a critical first step in making peace with the new world around you. I agree. It’s a little scary but also kind of freeing.

Understand the difference between what you want to know and what you need to know. Understanding the difference can alleviate stress. Dr. Vartabedian suggests putting information into two categories: core inputs and wildcard inputs. Examples of cores for him are clinical information on EPIC, 2-3 journals, 3 email accounts, and about a dozen blogs/news sites. His wildcard inputs include his Twitter feed, Google+, non-fiction books, and “other interesting things that find their way into my world.”

Allow time for serendipity. The core inputs are items you really need to stay on top of. Wildcards are “the gravy – they’re where I get most of my good ideas.” Try to be as efficient as possible in dealing with core inputs so you can get to the wildcards.

Create a system that brings information to you. “Surround yourself with brilliant individuals who will bring you what you need.” Dr. Vertabedian says he follows select individuals on Twitter and is experimenting with circles on Google+. I would suggest using TweetDeck to further organize your Twitter content. And I think Google Reader, which may seem old-hat these days, is still a trusty way to organize subscriptions to various publications, blogs and feeds. The format makes it very easy to scan without investing too much time.

Minimize noise. “The key to successful input management is the minimization of noise.” It’s hard to do, but eliminating information in all channels is critical. Stop feeling guilty about unfollowing people.

Even following this advice, chances are you will miss something. In Dr. Vertabedian’s words, “Get over it.  Make peace with what you need to know and have fun with the rest.”

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Heart-Healthy Recipes for Cardiovascular Marketing

August 5, 2011

While Julie is on vacation, Susan Levy, Publisher of wellfedheart.com and dedicated reader of The Main Artery, will contribute as a guest blogger.

For years healthcare institutions have been promoting the need for heart-healthy eating. At long last, this message has gotten a boost to center stage.

Michelle Obama gets my vote for being an effective advocate for raising the American consciousness re: eating healthy and fighting obesity. By focusing on childhood obesity, she’s helping all American families revisit their food choices.

Food industry gurus confirm that healthy recipes are trending upward. People are paying attention to the health promotion message – it matters what you eat.  Consider that the organic food movement has gone mainstream into the big box grocery stores. Even the Christian Science Monitor is hailing “The Food Renaissance in America.” While 40 percent of us still eat out at least once a day, we are also making our way back into the kitchen.

Four reasons to include heart-healthy recipes in your cardiovascular marketing:

  • A heart-healthy diet can lower the risk of cardiovascular diseases, diabetes, stroke, and more.
  • In the “teachable moment”, heart-healthy cooking provides an immediate change that family members can make for themselves and their loved ones.
  • Heart-healthy recipes send a positive message from your healthcare institution.
  • A beautiful picture of tasty healthy recipes can increase traffic on your web site.

Here are two seasonal, heart-healthy recipes for you to enjoy. All Well-Fed Heart recipes are dietitian approved with 5 steps or less and meet the guidelines of the National Heart, Lung and Blood Institute.

Try them out and let me know what you think. Happy eating.

Susan develops strategies and marketing tactics for health care organizations. With more than 20 million in print, her customized heart-healthy booklet of recipes has been used by cardiovascular centers in more than 35 states. Due to its success, and at the suggestion of hospital chefs and dietitians, The Well-Fed Heart online library was created. Susan’s blog, In My Experience, links current news in health care, research, and trends to her life as a baby boomer.


Four Ways to Enhance Cardiovascular Marketing Through Facility Signage

July 22, 2011

Signage may play a more important role in the patient experience than you realize.

This is a topic that’s been on my mind lately following discussions with a couple of clients. One is having challenges with improving navigation to outpatient diagnostic screening areas. The other is considering the role of signage in a complete repositioning effort.

The choices today certainly go beyond the traditional sign dangling from a hallway ceiling with an arrow pointing to a particular area. Today’s vast array of digital signage that includes kiosks, LED message systems and mobile components offers more options than ever.

In fact, choosing a signage strategy should be every bit as deliberate as the other parts of your marketing communications plan. I would argue that signage offers huge opportunities in terms of brand connection with various audiences.

This article outlined four key benefits of a smart signage strategy:

1. Brand Differentiation

Clear and engaging signage makes a hospital visit more seamless, which can make a huge difference in terms of the patient experience. Hospitals also have the opportunity to merchandise products, services and upcoming events for patients, visitors and staff.  In essence, your signage becomes a part of your out-of-home advertising plan.

2. Patient Education

Digital signage facilitates targeted content for specific visitors. For example, patients waiting in the cardiovascular area could receive heart-healthy nutrition tips.

3. Operational Efficiency

Interactive kiosks have the capacity for patients to register themselves, fill out new profiles, update their information and schedule future visits.

4. ADA Compliance

Considerations such as appropriate wording, so an adult or child could properly navigate the hospital, and Braille lettering options can easily be incorporated with the many signage choices available today.

When is the last time you did a complete audit of your signage strategy? It might be time to take another look.

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Energize Your Cardiovascular Marketing (And Your Life)

July 14, 2011

If you’re like most people I know these days, you may not feel like you have enough energy to meet the increasing demands that are coming at you – both at work and at home.

Technology is great, but it also means people expect more immediate communication, and you may find yourself needing to make tough decisions without much time to really think about the possibilities.  If you’re like me, you may also be juggling responsibilities of work and family – both kids and aging parents.

I’m going to expand the focus of today’s post a little bit from the normal subject matter.  Most cardiovascular marketers I know are pretty stressed out, and I think this post from Tony Schwartz of the Energy Project offers some good tips:

Here are his 10 enduring principles to make choices that reflect openness, integrity and authenticity:

1. Always challenge certainty, especially your own. When you think you’re undeniably right, ask yourself “What might I be missing here?” If we could truly figure it all out, what else would there be left to do?

Reminds me of a great quote from John Naisbitt: “Understand how powerful it is to NOT have to be right.

2. Excellence is an unrelenting struggle, but it’s also the surest route to enduring satisfaction.  There’s no shortcut to excellence. Getting there requires practicing deliberately, delaying gratification, and forever challenging your current comfort zone.

Makes me feel better about badgering my kids about their grades.  It also validates the proven processes we employ for strategic planning (even when we are pushed to take shortcuts.)

3. Emotions are contagious, so it pays to know what you’re feeling. Think of the best boss you ever had. How did he or she make you feel? That’s the way you want to make others feel.

I also think of the best client I’ve ever had and how that person made me feel – like I was smart and capable – that I could figure out a great solution to challenges even if I had never faced them before.  I sure hope that’s how I make my team (and my kids) feel.

4. When in doubt, ask yourself, “How would I behave here at my best?” We know instinctively what it means to do the right thing, even when we’re inclined to do the opposite. If you find it impossible, in a challenging moment, to envision how you’d behave at your best, try imagining how someone you admire would respond.

Someone I admire a great deal lives by this credo: “Never tarnish your good name.” Sure seems like a good litmus test for decision-making.

5. If you do what you love, the money may or may not follow, but you’ll love what you do. It’s magical thinking to assume you’ll be rewarded with riches for following your heart. What it will give you is a richer life. If material riches don’t follow, and you decide they’re important, there’s always time for Plan B.

As I approach middle age (maybe I’m already there), it seems like there’s less and less time for Plan B. Fortunately, I’ve been able to make a good living doing something I love, but there’s a secret part of me that still wants to be a travel writer. Hmmm……..

6. You need less than you think you do. All your life, you’ve been led to believe that more is better, and that whatever you have isn’t enough. It’s a prescription for disappointment. Instead ask yourself this: How much of what you already have truly adds value in your life? What could you do without?

Pretty powerful. Cutting through the clutter seems critical these days, especially as we’re inundated with more information than ever before.

7. Accept yourself exactly as you are but never stop trying to learn and grow. One without the other just doesn’t cut it. The first, by itself, leads to complacency, the second to self-flagellation. The paradoxical trick is to embrace these opposites, using self-acceptance as an antidote to fear and as a cushion in the face of setbacks.

This is why I feel so fortunate to work with young, energetic people who are constantly challenging my thinking and keeping me “current.” From giving me tutorials on how to best use TweetDeck to teaching me the definitions of words from the Urban Dictionary, they keep me on my toes, and I love it.



8. Meaning isn’t something you discover, it’s something you create, one step at a time. Meaning is derived from finding a way to express your unique skills and passion in the service of something larger than yourself. Figuring out how best to contribute is a lifelong challenge, reborn every day.

Certainly a good personal credo. I would argue that the best brands also live by this philosophy.

9. You can’t change what you don’t notice and not noticing won’t make it go away. Each of us has an infinite capacity for self-deception. To avoid pain, we rationalize, minimize, deny, and go numb. The antidote is the willingness to look at yourself with unsparing honesty, and to hold yourself accountable to the person you want to be.

Reminds me of the Michael Jackson song, “I’m looking at the man in the mirror.” Tough words, but definitely true.

10. When in doubt, take responsibility. It’s called being a true adult.

Boy, there sure are some people I know who need to take this to heart — both in my professional life, and in a group of youth sports parents I know. (But that’s a story for another day.)

 Thanks for indulging me in some personal musings with this post. It’s been cathartic for me. I hope you got something out of it too.

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Winning the Race on Heart Disease

May 26, 2011

The ability to run fast in middle age may be the top predictor of future heart disease.

New research from UT Southwestern Medical Center in Dallas shows that 55-year-old men who can run an eight minute mile, regardless of other factors such as cholesterol levels, blood pressure, smoking history and diabetes, have only a 10 percent lifetime risk of developing heart disease.

Guys who need 15 minutes or more to complete a mile have a 30 percent risk.

The research also found that fitness levels also helped to identify long-term risks in women.  Following 66,000 men and women ages 20 to 90 for 36 years (or until they died), researchers found that looking at fitness levels in addition to other traditional risk factors significantly improved the ability to predict lifetime risk.

On one hand, this isn’t new information, but the idea that staying fit does more for cardiovascular health than focusing on cholesterol levels or even blood pressure is pretty interesting.  Definitely good motivation to get to the gym!

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A Calcium Conundrum for Cardiovascular Marketers

April 21, 2011

The same calcium supplements women take to boost bone health may increase heart disease.

Seriously?   Wonderful.  That puts a lot of women like me in a quandary.  My mother has osteoporosis, and my father has heart disease.

So which side of my hereditary predisposition wins?  And what do we, as cardiovascular marketers/educators need to do in developing patient messaging?

A new study from New Zealand, recently published in the journal, BMJ, says “ a reassessment of the role of calcium supplements in osteoporosis management is warranted,” based on supplements’ potential to increase heart attacks.

These results refute earlier studies that showed no increased risk for heart disease among women taking 1,000 milligrams of calcium and 400 IU of Vitamin D.   Apparently, findings from 13 other trials back up the new data, showing that taking calcium supplements with or without vitamin D may increase the risk of heart attack and stroke.

“High levels of calcium in the blood can lead to clotting abnormalities and greater risk for heart attack,” says Suzanne Steinbaum, MD, director of women and heart disease at Lenox Hill Hospital in New York.

So what should someone like me, who has risk factors for both osteoporosis and heart disease, do?

Steinbaum wisely points out that preventive health isn’t a “one-size fits all proposition.”

Looking at other major heart disease risk factors such as high blood pressure, high cholesterol, diabetes, smoking, obesity and sedentary lifestyle are also important factors in the equation.

“Think twice about calcium if you are at risk for heart disease, but this study is not the final answer,” she says.

Nieca Goldberg, MD, medical director of the Women’s Heart Program at NYU Langone Medical Center in New York, says women must be aware of how much calcium they get through diet and how much they get through supplements to avoid getting too much.

“Calculate how much you are eating through food and balance off the rest with supplements so it equals 1,200 milligrams of calcium a day for women older than 50,” she says.

It’s always interesting to see new studies and watch the debate.  Some health marketers I know embrace the conversation and post new research as a matter of course – through Facebook, Twitter, on their websites, e-newsletters, etc.   Essentially, they see their role as aggregators of information and believe their obligation to patients is to put the data out there for individuals to sort through as it relates to his or her personal situation.

Others shy away from headlines because they think they may be misleading.  They see their role more as guider and recommender, only posting information that is “proven” and already being used as a matter of course.

I tend to identify with those in the first group, as I sometimes think we don’t give health care consumers enough credit for being able to process information and make good decisions.  I think it’s important to publish content that can lead to meaningful dialogue between patients and providers.  One of the most important tenets of health reform revolves around patient empowerment, so why shy away from data that will help people ask relevant questions, even if the study is controversial?

Which camp are you in?  Why?  I’d love to hear from you.

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Cardiovascular Marketers Unite to “Knock Tobacco Out of the Park”

April 1, 2011

Ten public health groups, including the American Heart Association, are calling on Major League Baseball to ban smokeless tobacco use.

Those who know me personally, know I’m a big baseball fan and a mother to a son with big-league dreams.  With opening day this week, I can’t think of a better health-related cause to feature.

Smokeless tobacco use among high-school boys is on the rise.  The CDC says there’s been a 36 percent increase in use over the past decade or so, and it estimates 15 percent of high school boys currently “chew,” with many admitting they emulate major league baseball players.

Smokeless tobacco has been linked to cardiovascular disease, oral cancer, pancreatic cancer, gum disease, tooth decay and mouth lesions.

The timing is important because MLB and the players’ union are negotiating a new contract this year that will take effect in 2012 and will likely be in effect for five seasons.

To learn more, go to http://www.tobaccofreebaseball.org

The site has several easy options for people who want to get involved.  By the way, it’s also a pretty cool model that could be used for any community involvement campaign.  Take a look, and let me know your thoughts.

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