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Digital Pharma
What Impact on the Business Organization?
2
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Kurt Salmon’s Pharma practice, in brief
Kurt Salmon is a management consultancy focused on business transformation.
Our 1,400 consultants advise companies’ top management on projects that have a tangible impact
on the success of their businesses and, in particular, their transformation projects.
We help top management teams explore new directions. Our consulting teams work closely with
company leaders to understand where their market is heading and to help them identify future
trends and key drivers in their business sector.
www.kurtsalmon.com @KurtSalmonFR
About Kurt Salmon
More than 50 dedicated consultants
Client project work includes some of the world’s biggest pharmaceutical companies
Proven experience in strategic, operational and industrial fields
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Table of Contents
Abstract											 4
Survey methodology										 5
Executive summary 										 6
Digital Pharma: key numbers 									 7
Digital Pharma: A new culture									 8
Evolving business models 									 9
Digital Pharma & customer service 								 10
Digital Pharma opportunities 									 11
Digital Pharma challenges 									 12
Digital Pharma’s impact on the value chain							 13
Digital’s increasing impact on pharma communications						 14
A lack of organizational structure to support a digital strategy 					 15
Digital roadblocks: traditional communication strategies and restrictive regulations 		 16
The end of marketing exclusivity 								 17
Digital CRM: room for improvement								 22
Roadmap for a successful digital strategy 							 24
Think about digital strategy across departments							 25
Assess new opportunities for innovative services aimed at health care partners and patients 	 26
Build in-house digital expertise									 27
Understand the regulations 									 28
Key survey contributors										 29
4
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
This document presents the results of our
survey “Digital Pharma: What Impact on the
Business Organization?’’ The survey involved
more than 40 pharmaceutical companies
and 500 senior pharma executives in the
European G5 countries.
Kurt Salmon believes that digital capabilities
are not only critical to pharmaceutical
companies’ ability to improve the way they
roll out new products, but to increasing
the pharmaceutical industry’s contribution
to health care by enabling it to provide
innovative services to improve patients’
outcomes.
In order to increase the perceived value of
pharma within the health care system, the
industry is striving to respond to the needs
of all stakeholders: health care professionals,
patients and payors. In the meantime, the
culture of pharmaceutical companies is
shifting from one of separate departments
working vertically to one that is cross-
functional. As they seek to boost their
performance even further, companies have
been applying digital capabilities to some
of the industry’s more traditional projects in
order to create synergies across departments.
In the “Digital Pharma opportunities” section,
we present our vision on the industry’s
current digital capabilities and to what
extent they help it respond to customers’
increasing needs. We then look at some of the
biggest challenges faced by pharmaceutical
companies making the transformation to
digital. We present as well an overview of
the impact digital has on the pharmaceutical
value chain, from drug discovery to sales.
We then delve into the findings of the Digital
Pharma survey itself:
•	 “Digital’s increasing impact on
pharma communications” details
the expectations of pharmaceutical
executives on the evolving trends in
digital communication as they relate to
all health care stakeholders.
	
•	 “A lack of organizational structure to
support a digital strategy” and “Digital
roadblocks: traditional communication
strategies and restrictive regulations”
look at the implementation of digital
strategies in pharmaceutical companies
and the main obstacles to implementation
that currently exist, respectively.
	
•	 “The end of marketing exclusivity’’
presents the digital trends that are not
only impacting marketing and sales, but
also the medical, regulatory and market
access functions.
	
•	 “Digital CRM: room for improvement”
offers up survey participants’ views on
the customer relationship management
systems being used in their organizations.
In the final section, we provide a roadmap for
a successful pharmaceutical digital strategy.
Abstract
The aim of this survey was to assess the impact of
digital technology on pharmaceutical companies
and, in particular, to highlight the potential synergies
such capabilities can create within individual
organizations
5
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Survey methodology
Digital Pharma: What Impact on the Business Organization?
•	 Kurt Salmon conducted a survey
involving more than 40 pharmaceutical
companies and 500 senior executives
working in the following functions:
		• Marketing/Sales
		• Market access
		• Regulatory
		• Medical
•	 The majority of participants have either
global or regional positions and are
based in the G5 European countries
•	 The survey was conducted via an
online questionnaire (from May through
September 2013) and includes interviews
with key stakeholders working in global
digital strategy
6
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
•	 88% of survey respondents expect
digital communication with specialists to
increase. GPs come in at second place
(83%), followed by pharmacists (78%)
	
•	 63% believe that having a well-defined
digital strategy within their organization
is important. But just 29% of them think
that they have the right team in place to
execute it
	
•	 A combination of legacy communication
strategies and culture is considered
by 68% of participants as the main
obstacle to the implementation of digital
capabilities
	
•	 Digital’s impact on most functions is
viewed as moderate, with marketing and
sales seeing the most impact:
•	 Digital marketing investments: 94%
of participants expect an increase
in investments in e-promotional
materials (trigger-based marketing),
followed by investments in
smartphone applications (88%)
•	 Digital market access investments:
61% expect investments in key account
management solutions to increase the
most
•	 Digital regulatory affairs investment:
just half of survey participants expect
investments to increase; the other half
does not
•	 M e d i c a l s c i e n t i f i c l i a i s o n
e-communication using digital tablets
appears to be the digital investment
that will increase the most within the
medical department (82%)
•	 68% of survey participants believe they
have a well-defined CRM strategy within
their organization. Nevertheless, their
CRM solutions do not adequately address
the challenges associated with Digital
Pharma, as just 32% of participants think
they possess the appropriate digital
capabilities
	
•	 80% of participants are considering an
increase in future digital CRM investments
•	 The main obstacles to implementing
digital CRM programs appear to be a lack
of time and resources (38%) and lack of
visibility into the investments needed
(36%)
Executive summary
7
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital Pharma: key numbers
Depending on one’s background, the word “digital” can evoke different
meanings. Indeed, “digital” covers a wide set of technologies and capabilities
12 billion
connected
objects today,
50 billion by
2020 2
6.3
billion
mobile
subscriptions
around the
world in 20121
1 Ericsson–February 2013 - 2 Ericsson–February 2011 - 3 McKinsey Global Institute
Implementing digital capabilities raises a
number of questions for companies. Among
them are:
•	 To what degree must digital and
traditional business divisions be separate
or integrated?
•	 What’s the best way to implement the
expertise required to run a digitally
enabled business (for example, centralize
it or spread it across locations and
divisions)?
•	 What skills/job titles are required to
properly run a digitally enabled business
(CIO? Community managers?)
•	 Is it better to hire people with those skills
or to outsource?
•	 What’s the mindset required to succeed
in a digitally enabled business? What’s
the best way to get people to be not
only proficient with digital capabilities,
but comfortable with them?
Data volume grows
40% annually
and is expected to grow
44-fold between 2009
and 2020 3
Networks
Devices
Platforms &
Services
Technical
Capabilities
ADSL, Fiber
3G, 3.5G, 4G, Wi-Fi, WiMAX
NFC, RFID
Cloud computing
Semantic web
Geolocation
Mobile scan
3D
Augmented reality
Communicating objects
Voice recognition
Image recognition
PCs
Mobile
Smartphones
Tablets
E-books
Web, mobile
Social media
Collaboration tools
E-commerce
M-payment
E-detailing
Videoconferencing, chat, webcasts, webinars
Digital signature
Digital signage (in-street screens, in-store screens)
Contactless services (card)
8
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital Pharma : A new culture
The pharmaceutical industry has started to embrace a digital culture
•	 Health is at the heart of Web 2.0:
•	 76% of GPs and 85% of specialists were
using the Internet in a professional
context in 2011
•	 93% of pharmacists are regular users
•	 Health is the most common topic of
conversation on the Internet (20% to
25% of Internet-based conversations
around the world are related to health
and medicine)
•	 Digital Pharma is powered by the
following digital platforms:
•	 Collaboration platforms (such as
Google Docs) and social media
•	 Smartphone applications
•	 Web
•	 E-detailing
•	 Videoconferencing, webcasts and
webinars
Health care professionals are increasingly
using digital capabilities to get access to
medical information, as well as to interact
with their peers and with their patients.
Furthermore, some health care professionals
have started to recommend smartphone
applications to patients.
And as the use of smartphones becomes more
widespread, both health care professionals
and patients are increasingly demanding
access to information that they can share on
social media platforms.
Internet users in a professional context
76%
85%
93%
GPs Specialists Pharmacists
9
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Evolving business models
The pharmaceutical industry has been striving to transform its model from
that of drug manufacturer to health care service provider
Pharma is striving to respond to consumers’
increasing needs while at the same time
addressing regulatory constraints:
•	 Patients are asking for high-quality
information and are actively sharing
information and expressing their needs
through community platforms
•	 Health care professionals are increasingly
taking a personalized treatment
approach. They are also monitoring their
patients’ conditions remotely through
technologies such as telemedicine and
are demanding more services to ensure
the quality of patient care
•	 Health care authorities are asking for
evidence that a medicine not only
provides therapeutic value, but that
it has a positive social and economic
impact and that it adds to the quality of
health care overall
A scarcity of drug innovations means the
blockbuster era is over. In its place, the
pharma industry has become focused on
niche product development and customized
treatments. In the meantime, with health care
stakeholders setting their sights on patient
outcomes, the pharmaceutical industry is
striving to position itself as a health care
provider, not just a drug manufacturer. In
particular, it’s aiming to strengthen an image
of transparency and of caring for patients,
especially in the wake of recent drug scandals
such as Mediator®.
Patients
Payors
Pharmaceutical Industry Transformation: From Blockbuster model to health care System contributor
Health care
SystemPharma
Health care
Professionals
Blockbuster
Model
Diversification
Model :
Product / Market
10
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital Pharma & customer service
Digital Pharma helps improve customer service and consequently
strengthens brand image
There are now more health care players
involved in patient pathways than ever before.
In addition to medical doctors, pharmacists
and nurses increasingly play a role in patients’
care and therapeutic education. On the other
hand, health care authorities are increasingly
focusing on disease management and cutting
unnecessary costs. The transformation to
digital enables the pharmaceutical industry
to better manage relationships with its
customers by providing new, innovative
services to facilitate the coordination among
all health care stakeholders to improve
patient outcomes.
The transformation to digital enables players to provide better customer services
Pharmacists
•	 Increase
Product
Launch
impact
•	 Develop
community
platforms
•	 Implement
e-Training
Doctors
•	 Develop
synergy
(face to face
visits and e
detailing)
•	 Develop
community
platforms
•	 Increase
scientific
collaboration
(e- congress..)
•	 Implement
e-training
Nurses
•	 Develop
community
platforms
•	 Improve
Image
•	 Implement
e-Training
Patients
•	 Inform
•	 Improve
Treatment
Observance
•	 Develop
healthcare
services
applications
Healthcare
Authorities
•	 Improve
scientific
image
•	 Contribute
to Disease
management
11
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital Pharma opportunities
Digital capabilities allow pharmaceutical companies to provide innovative
services for health care system contributors
Many innovative health care services would
not exist without digital technology. Among
them are telemedicine, quantified self, remote
medical education and community platforms
for health care professionals and patients.
The pharmaceutical industry, as part of an
effort to contribute to improving disease
management and the overall patient pathway,
can invest in these innovations. However, it
still needs to define the right business model
for such investments in each market, as
medical coverage differs from one country
to another. For instance, in the United
States, medical coverage is almost entirely
provided by private insurance companies,
whereas in France it’s subsidized by the
national government, so it is practically free
to patients. Thus, the approach of the various
stakeholders toward e-health services is
different depending on the country’s health
care system.
Health Care
Professionals
Telemedicine
•	 Diagnosis and access
to remote patients
•	 C o o r d i n a t i o n
with health care
professionals to better
address patients’
conditions
Clinical trials
•	 Medical information
database
•	 Clinical trials access
Medical education
•	 E-learning
•	 Serious games
•	 Webinars & webcasts
Open Innovation
•	 Platforms for health
care professionals
Patients
Quantified self
•	 Metrics, analysis and
sharing of parameters
related to well-being
in general
Telemedicine
•	 Remote interaction
with patients and
physicians
Compliance
•	 P a t i e n t a l e r t s
specifying what
dosage to take and
when
Education
•	 Disease websites
•	 Serious games
Open innovation
•	 Platforms for patients
Payors
Disease management
•	 Digital solutions to
manage dependency
issues
•	 Pharmacoeconomic
data analysis
Patient pathway
•	 Digital solutions to
enhance telemedicine
a p p l i c a t i o n s
( c o n s u l t a t i o n s ,
diagnosis, treatment,
t h e r a p e u t i c
education)
12
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital Pharma challenges
For pharmaceutical companies making the
transformation to digital, there are numerous
issues to consider:
•	 What business model should be put into
place when leveraging innovative digital
services? Should a separate entity be
created?
•	 What are the different health care
professionals’ and patients’ needs? What
are the real opportunities? What is the
ROI?
•	 How can digital be used to improve
performance across the organization?
•	 What are the regulations that need to be
adhered to?
•	 To what extent can the pharmaceutical
industry be innovative?
Develop a
new business
model
Address
patient,
HCP and
payor
needs
Increase
performance
across the
organization
Be creative
despite
regulations
Act as a Health care contributor: get involved in disease management
and build partnerships to improve the patient pathway
Enhance the communication mix to strengthen brand positioning and
respond to what is being said in social media and health care forums
Screen the market to highlight health care opportunities
Develop business cases to assess financial aspects and profitability
of each qualified opportunity
Adopt an omnichannel strategy to improve customer interaction
effectiveness
Facilitate cross-functional collaboration within marketing, market
access, sales, medical and regulatory departments
Understand the regulations for each market
Ensure compliance
1
2
3
4
13
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital Pharma’s impact on the value chain
The impact of digital is different across the
value chain.
Digital is seen as having a moderate impact
on the drug discovery process, as well as on
production and distribution. However, when
it comes to research and development, the
impact is high, largely due to smart pills and
the use of big data. The digital impact on the
commercialization phase is also perceived to
be high.
Value
Chain
Digital
Impact
Level of
impact
Business
organization
•	 E-services for health
care professionals
and patients
•	 E-detailing (including
remote)
•	 Pharmacoeconomic
digital applications
•	 Salesforce automation
•	 CRM automation
•	 Drugs digital files
submissions to health
authorities
•	 Internal validation
of promotional
materials
•	 E-pharmacovigilance
Drug
discovery
•	 In silico research
Research &
development
•	 Electronic Data
capture
•	 Smart pills
•	 Big data
Production and
distribution
•	 MES & e-BR
•	 RFID
•	 P e r f o r m a n c e
management
Scope of the Survey
High HighMedium Medium
14
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital’s increasing impact on pharma communications
Digital is expected to be increasingly used by pharmaceutical companies in their
communication with health care stakeholders, especially physicians
As digital capabilities become necessary for addressing patient needs,
pharmaceutical companies must be prepared for major changes to their
organizations
Health care professionals are becoming more
and more connected and more receptive to
using digital communication
In France the 2013 Vidal Barometer Study
showed that:
•	 60% of doctors have tablets
•	 56% of them use medical applications
•	 20% use social media in a professional
way
How do you expect digital communication to change in the
next five years for each of the following targets?
0% 0%
5%
2%
7% 8% 8%
3%
5%
18%
13%
18%
22%
27%
35%
20%
25%
30%
0% 0%
3%
0% 0% 0%
3%
0% 0%
83%
88%
75%
78%
68%
60%
73% 73%
65%
Community MDs Specialists Key account
managers
Pharmacists Hospital
pharmacists
Nurses Heath institutions Distributors Suppliers
Not pertinent
No Change
Decrease
Increase
15
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Alackoforganizationalstructuretosupportadigitalstrategy
63% believe that having a well-defined digital strategy within their organization is important,
but just 29% think that they have the right team in place to execute it
Thinking globally and cross-functionally requires putting into place a dedicated
structure within the organization that supports the implementation of a digital
strategy
How would you describe the digital culture within your
organization?
Currently, pharma organizations have one of
three models
•	 Model 1: A department dedicated to
ensuring digital capabilities throughout
the business
•	 Model 2: Digital functions integrated
within business units
•	 Model 3: No separate digital functions
(product managers also oversee
e-marketing strategy)
An organization that is dedicated to being
digitally capable takes a cross-functional
approach on projects, and enables the
creation and implementation of synergies and
best practices across the organization
29%
37%
34%
Well-defined structure and
strategy
Defined strategy, but no
dedicated department
Still not well developed so far
16
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital roadblocks: traditional communication strategies
and restrictive regulations
The use of traditional communication methods in the pharmaceutical industry is considered
by 68% of survey participants as the main obstacle to the implementation of a digital strategy
In order to transcend existing paradigms, the implementation of a digital strategy
requires some change management components and an in-depth understanding
of related regulations
The pharmaceutical industry has only recently
started to adopt a digital strategy, in response
to health care professionals and patients
increasingly utilizing Web 2.0 capabilities
In a highly regulated environment,
pharmaceutical initiatives are not only
facing cultural and creativity challenges,
but compliance challenges as well, namely
as they relate to the information provided
to patients and health care professionals
through websites, social media, smartphone
applications and other digital platforms;
compliance issues with regard to
e-pharmacovigilance must also be taken into
account
An effective digital strategy is by definition
global and cross-functional, but both cultures
and regulations differ by location, which
can cause confusion. For example, in the
United States, it is possible to communicate
directly to patients about drugs, whereas in
Europe, communication is limited to factual
information about prescription drugs and
information relevant to proper use of the
medicinal product in question
What is the biggest obstacle to the implementation of a
digital strategy in your organization?
27%
68%
5%
Regulations
Traditional communication methods/culture
Lack of visibility into the ''risk of not doing"
17
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
The end of marketing exclusivity
The adoption rate of digital capabilities is considered to be moderate in most departments
and highest in marketing and sales
In-house digital expertise, tools and behaviors are starting to spread throughout
pharmaceutical companies, but need to spread faster and be focused on best
practices in order to meet the challenges associated with implementing a digital
strategy
To what degree has your organization implemented digital
capabilities for the following functions?
0% 0%
10%
15%
22%
10%
20%
35% 34%
32%
51% 51%
48%
37%
32%
39%
29%
8%
15%
14%
Marketing Sales Regulatory/Pharmaco-vigilance/Compliance Medical Market access
No Adoption
Low
Medium
High
18
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Marketing and sales: New digital capabilities are expected to attract the biggest marketing
and sales investments, among them smartphone applications, social media, health care
professionals’ community platforms, as well as more traditional e-promotional materials
How do you expect the adoption of digital capabilities by your organization’s
marketing and sales teams to evolve over the next five years?
Until recently, digital investments have been
limited to e-detailing (including remote)
and to health care professionals’ or patients
websites. Marketing departments are willing
to invest more in smartphone applications as
they present new, innovative opportunities
Smartphone applications are currently focused
on treatment information, the quantified self,
and follow-up services between patients and
health care professionals. Going forward,
they are expected to provide additional
capabilities, especially for telemedicine
Another investment area is likely to be social
media as it provides valuable insight into
what is being said regarding the industry
and its products. However, the lack of a social
media communication charter, and the need
to adhere to pharmacovigilance measures,
remain obstacles
Market screening, idea generation, business cases and a go-to-market model
are necessary steps to supporting the development of endemic business
opportunities
7%
3%
12% 12%
9% 9%
3% 3% 3%
0%
31% 30%
15% 15% 15%
9% 9% 9%
12%
6%
3%
0%
3% 3% 3%
0%
3% 3%
0% 0%
59%
70% 70% 70%
73%
82%
84% 85%
88%
94%
CRM/SFA Patients
websites
E-events
(webinars,
webcasts)
E-detailing E-training Health care
professionals'
community
platforms
Social media
communication
Health care
professionals'
websites
Smartphone
applications
Digital
promotional
material
Not adopted
No change
Decrease
Increase
19
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Market access: Digital investments focused on key account management solutions are
expected to increase the most
Many pharmaceutical companies have
evolved into key account management
organizations, which very often include
institutional relations and market access
functions. As payors increasingly demand
proof of drugs’ pharmacoeconomic benefits,
some pharma companies have developed
digital solutions to communicate such
benefits so that key account managers can
access them via their tablets
Beyond product communication, pharmacoeconomic data management
represents an opportunity pharmaceutical companies should consider
How do you expect the adoption of digital capabilities by the
market access department to evolve over the next five years?
7%
11%
7%
11%
7%
39%
43%
39% 39%
29%
0% 0%
4%
0%
4%
54%
46%
50% 50%
61%
Payors oriented
digital tools to
communicate on
drug costs and
consumptions
Digital responses on
hospital tenders
Digital files on drugs'
prices and
reimbursements
Digital solutions to
monitor the
competitive
environment
CRM (for Customer
Service and Key
Account
Management )
Not adopted
No change
Decrease
Increase
20
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Regulatory affairs: Half of the survey respondents expect digital investments to increase,
while the other half do not
The regulatory department plays an
increasingly important role at pharma
organizations due to a greater number of
regulatory restrictions with regard to both
the approval and commercialization of drugs,
but it could be better facilitated by using
digital capabilities. Most pharma companies
are already submitting drug approval
applications to health care authorities
digitally and are using digital capabilities
internally to discuss supporting materials for
marketing campaigns
Pharmacovigilance efforts could also
be reinforced by digitally alerting the
pharmacovigilance department to drug
safety conversations taking place online
Regarding Regulatory function in your organization, what is the Digital evolution trend in
the 5 upcoming years ?
Creating synergies between traditional pharmacovigilance systems and digital
intelligence systems is a way to be innovative and reinforce compliance at the
same time
10%
7%
14%
10%
38% 38% 38%
34%
0% 0% 0% 0%
52%
55%
48%
55%
Digital drug files for submissions
to Healthcare authorities
Digital internal promotional
material validation
Digital monitoring for
Pharmacovigilance
Digital Medical information
Not pertinent
No change
Decrease
Increase
21
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Medical department: Investments in digital tablets for use by the medical scientific liaison
are expected to increase the most
Regarding Medical function in your organization, what is the Digital evolution trend in
the 5 upcoming years ?
•	 The medical department is becoming
more involved with marketing and sales
functions
•	 Pharmaceutical companies have been
adding medical scientific liaisons to
ensure an ongoing relationship with the
medical community
•	 Digital capabilities such as
videoconferencing and tablets enable
the medical department to remotely
participate in sales calls and respond to
physicians’ questions
Digital integration of key functions requires robust interfaces, lean processes,
relevant governance and a cross-functional culture
27%
15%
6%
13%
27%
18%
12%
25%
0%
3%
0% 0%
45%
67%
82%
63%
E-medical advisory
boards
E-events (webinars,
webcasts)
Digital medical scientific
liaison communications
CRM (KOL management
solutions)
Not adopted
No change
Decrease
Increase
22
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Digital CRM: room for improvement
68% of survey participants believe their organization has a well-defined CRM strategy,
but just 38% think it has the necessary digital solutions to execute that strategy. However,
80% are considering an increase to digital CRM investments
How do you expect your organization’s digital CRM
capabilities to evolve over the next five years?
How would you describe your organization's CRM
solution as it pertains to the digital strategy?
The pharmaceutical industry has been
embracing a customer-oriented culture, and
the majority of pharmaceutical companies
now have a CRM strategy. However, digital
CRM solutions should take into consideration
both the organizational structure (sales
department) and the level of digital strategy
within it (e-detailing, remote e-detailing)
In order to successfully implement a digital CRM strategy, benchmarking CRM
solutions is critical
80%
20%
Increase
Decrease
No Change
38%
32%
29%
Well-defined strategy
and solution
Well-defined strategy but
inadequate solution
Not developed
23
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
The main objective of a CRM program is to understand customers’ needs and propose new,
customized services. The main obstacles to improving CRM appear to be a lack of time and
resources (38% of participants) and a lack of visibility into the necessary investments (36%)
What is in your opinion the main obstacle for CRM improvement in your organization?
How would you rate the importance of the CRM program objectives on a
scale from 1 (less important) to 10 (very important)?
Value mapping prior to project implementation is a prerequisite for aligning CRM
solutions with the corporate strategy
37,8%
35,6%
22,2%
4,4%
Lack of time/resources Lack of investment/visibility
into the ‘’risk of not doing”
Complexity of CRM
applications
No need for sophisticated
programs; the current
organization is working fine
8,5
8,3
8,1
7,8
7,7
Develop services to
respond to customer needs
Increase knowledge of
healthcare actors and
adjust strategy accordingly
Monitor sales force activity Adapt product
marketing/sales strategy
Optimize the
marketing/sales budget
24
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Roadmap for a successful digital strategy
Four key steps to realizing Digital Pharma
1.	 Thinking cross-functionally in order to
better understand customers’ needs,
then investing in capabilities that best
address those needs and, in the process,
ensure long-term relationships
2.	 Assessing new opportunities and the
potential ROI of individual markets while
taking into account their unique health
care system policies
3.	 Building in-house digital expertise—
and a consistent set of metrics across
channels—so as to ensure long-term
strategy coherence, as well as to save
time and money
4.	 Understanding digital regulations so as
to avoid infringing upon them
Think Cross-Functionally
Assess New Opportunities Understand Regulations
Build In-House Expertise
Digital
Pharma
25
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Think about digital strategy across departments
CLM Marketing
Medical
Reps
Pharma
Reps KAMs
CRM Marketing
Medical
Reps
Pharma
Reps
KAMs
Market
Access
Customer
Services
MSL
Understand customer needs by developing customer relationship management solutions
(internal change management implementation is key)
Respond to customer needs with closed-loop marketing campaigns
(multichannel approach: face-to face, e-detailing, phoning, mailing/e-mailing, PR and e-events)
Maintain customer relationships by providing innovative services based on digital capabilities
(disease management applications, medical education, web community platforms)
Marketing
Medical
Reps
Pharma
Reps
KAMs
Market
Access
Customer
Services
MSL
SERVICES
(To HCP &
Patients)
Regulatory
Think cross-functionally in order to better understand customers’ needs, then
invest in capabilities that best address those needs and, in the process, ensure
long-term relationships
26
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Assess new opportunities for innovative services aimed at
health care partners and patients
What are the key new business opportunities?
What are the essential trends to follow or
anticipate?
What are the main expectations from the
clients? In what domains ? Are they currently
being addressed and if so, how?
What is your company’s current and future
value proposition and how can it be enhanced ?
How is your company positioned to benefit
from these trends ? And what could these
new services add to the existing businesses?
How could it address the needs of the
actual clients ? What level of transversality /
feasibility does it require?
How much does your company expect to
gain from these new opportunities? In what
form? Revenues (direct and indirect financial
gains) or reputation (brand, image)?
What would be the most appropriate way
to address these issues (legally, fiscally,
financially…)? With what roadmap? Alone or
with partners ? Which ones? Does it require
specific adjustments (organization, process,
structure,….)?
Key questions
Market screening, idea generation & business case
“Go-to-market ” model
Methodology
Opportunities selectionOpportunities identification
Impact assessment
Positioning
Business cases
Business Design Partnership evaluation
Strategic &
business plan
Deliverables
Assess new opportunities and the potential ROI of individual markets while taking
into account their unique health care system policies
27
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Build in-house digital expertise
Define a structure with project managers to lead the digital strategy across departments
Hire people with digital expertise from other sectors
Build an integrated platform to personalize customer service and measure its impact
Rely on internal capabilities more than outsourcing in order to save time and money
Build a consistent set of metrics across channels
CRM Marketing Sales Medical
Market
Access
Customer
Services
Marketing SalesCLM
Marketing Sales Medical
Market
Access
Customer
Services
Regulatory
SERVICES
(To HCP &
Patients)
DigitalStucture
Business Organization
CRM
Project
Manager
E-Marketing
Manager
E-Project
Manager
Understand
Analyse
Provide
IntegratedPlateform
Build in-house expertise—and a consistent set of metrics across channels—so
as to ensure long-term strategy coherence, as well to save time and money
28
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Understand the regulations
Health information for patients on websites
•	 Be mindful of EU restrictions, such as limits to the factual information that can be provided
about prescription drugs, as well as what information is considered relevant when it comes
to the proper use of the medical product in question
•	 In France, keep in mind as well the charter for pharmaceutical companies’ online
communication (ANSM)
Health information for health care professionals on websites
•	 Provide secure access for health care professionals (access code with physician registration
number)
•	 In France, ensure that the website conforms to the Medical Visit Charter (2004)
Health information via social media
•	 Work within the limitations of health forums: In France, ensure compliance with the ANSM
charter and limit forums to health care professionals (notably, patients could be included
in such forums, but doing so could be interpreted as teleconsulting, so should comply with
medical consulting regulations). Assess the corporate liability associated with collaborative
health websites
e-Health smartphone applications and software
•	 Assess the regulatory status of the medical mobile application in light of the Medical
Devices Directive (MDD) 93/42/EEC
•	 Seek legal advice to ensure compliance with regulations and to prevent patent or copyright
infringements, as well as to clearly define contract terms between the publisher and
developer of the application
e-Pharmacovigilance
•	 Ensure compliance with the EU’s pharmacovigilance regulations by making sure that
websites include necessary information about any adverse reactions to pharmaceuticals
made by the company
Understand the digital regulations so as to avoid infringing upon them
29
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Key survey contributors
Pharma segment leader
Meïssa Tall,
Partner
Meïssa is responsible for the pharmaceutical
practice in the Paris office. He has managed
numerous important international transformation
projects.
Survey conducted by
Philippe Leininger,
Senior Advisor
Philippe has deep expertise in organizational
change and business transformation on an
international scale and significant experience in
the pharmaceutical industry. He has led numerous
projects over the past 20 years and is currently
working on various life science transformation
projects.
30
DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
Disclaimer
This study carried out by Kurt Salmon contains
general information and is provided “as is.”
In this study, Kurt Salmon provides various
information, data and other resources (the “content”)
for general information purposes. Kurt Salmon can
modify or update the information and the references
to its source at any time and particularly undertakes
to correct any error or omission which might be
detected (directly or by a third party).
Kurt Salmon has done everything possible to
guarantee that the content of this study and its
potential revisions are up to date and accurate,
although it is provided “as is.”
Kurt Salmon in no way guarantees the accuracy of
the information presented and assumes no liability
on its part nor for its officers, consultants, employees,
agents or representatives:
•	 With regard to the information sources
mentioned in this study;
•	 With regard to its usefulness or relevance in
respect of any purpose or use whatsoever;
•	 With regard to the results which the user
obtains by using the content.
Any dispute related to this study or its content shall
be governed by French law and jurisdiction shall be
given to the Courts of Nanterre.
Links with brands and/orcompanies cited
Reference to the brands/companies cited has
been made to facilitate the reading of this study.
Kurt Salmon does not endorse the companies, the
brands, their websites or the entities which run them.
Furthermore, Kurt Salmon does not guarantee the
accuracy of any information and waives all liability
related to the said websites:
•	 As to their content;
•	 As to any action, error or omission of the
persons or entities running them.
Copyright
©2014 Kurt Salmon.
Kurt Salmon is the owner of the copyright for the
content, the documents and information found in this
study, unless stipulated otherwise in said study.
Kurt Salmon authorises any person using this
study, without paying any fee or requesting any
other permission, to reproduce and distribute the
information, the content elements and the documents
found in this study, only for personal, not-for-profit
purposes and under the following conditions:
•	 It must be clearly stated that Kurt Salmon is the
source of the study reproduced;
•	 This preamble must be included in all
reproductions and copies.
Any reproduction for any other purpose whatsoever
by any means and in any form whatsoever is
prohibited without obtaining the prior formal written
consent of Kurt Salmon.
Kurt Salmon prohibits the modification of the
information of the document reproduced or copied
from this study.
Contacts
www.kurtsalmon.com
Meïssa Tall, Partner
meissa.tall@kurtsalmon.com
Ph.: +33 1 55 24 34 81
Philippe Leininger, Senior Advisor
philippe.leininger@kurtsalmon.com
Ph.: +33 4 72 82 52 15
Mob.: +33 6 12 29 64 40
Kurt Salmon Locations
Atlanta – Minneapolis – New York – San Francisco
Bruxelles – Casablanca – Düsseldorf – Genève – Luxembourg – Londres – Lyon – Manchester – Nantes – Paris – Rome – Tunis
Hong Kong – Shanghai – Tokyo

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Philippe Leininger - Last Publication

  • 1. Digital Pharma What Impact on the Business Organization?
  • 2. 2 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Kurt Salmon’s Pharma practice, in brief Kurt Salmon is a management consultancy focused on business transformation. Our 1,400 consultants advise companies’ top management on projects that have a tangible impact on the success of their businesses and, in particular, their transformation projects. We help top management teams explore new directions. Our consulting teams work closely with company leaders to understand where their market is heading and to help them identify future trends and key drivers in their business sector. www.kurtsalmon.com @KurtSalmonFR About Kurt Salmon More than 50 dedicated consultants Client project work includes some of the world’s biggest pharmaceutical companies Proven experience in strategic, operational and industrial fields
  • 3. DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Table of Contents Abstract 4 Survey methodology 5 Executive summary 6 Digital Pharma: key numbers 7 Digital Pharma: A new culture 8 Evolving business models 9 Digital Pharma & customer service 10 Digital Pharma opportunities 11 Digital Pharma challenges 12 Digital Pharma’s impact on the value chain 13 Digital’s increasing impact on pharma communications 14 A lack of organizational structure to support a digital strategy 15 Digital roadblocks: traditional communication strategies and restrictive regulations 16 The end of marketing exclusivity 17 Digital CRM: room for improvement 22 Roadmap for a successful digital strategy 24 Think about digital strategy across departments 25 Assess new opportunities for innovative services aimed at health care partners and patients 26 Build in-house digital expertise 27 Understand the regulations 28 Key survey contributors 29
  • 4. 4 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? This document presents the results of our survey “Digital Pharma: What Impact on the Business Organization?’’ The survey involved more than 40 pharmaceutical companies and 500 senior pharma executives in the European G5 countries. Kurt Salmon believes that digital capabilities are not only critical to pharmaceutical companies’ ability to improve the way they roll out new products, but to increasing the pharmaceutical industry’s contribution to health care by enabling it to provide innovative services to improve patients’ outcomes. In order to increase the perceived value of pharma within the health care system, the industry is striving to respond to the needs of all stakeholders: health care professionals, patients and payors. In the meantime, the culture of pharmaceutical companies is shifting from one of separate departments working vertically to one that is cross- functional. As they seek to boost their performance even further, companies have been applying digital capabilities to some of the industry’s more traditional projects in order to create synergies across departments. In the “Digital Pharma opportunities” section, we present our vision on the industry’s current digital capabilities and to what extent they help it respond to customers’ increasing needs. We then look at some of the biggest challenges faced by pharmaceutical companies making the transformation to digital. We present as well an overview of the impact digital has on the pharmaceutical value chain, from drug discovery to sales. We then delve into the findings of the Digital Pharma survey itself: • “Digital’s increasing impact on pharma communications” details the expectations of pharmaceutical executives on the evolving trends in digital communication as they relate to all health care stakeholders. • “A lack of organizational structure to support a digital strategy” and “Digital roadblocks: traditional communication strategies and restrictive regulations” look at the implementation of digital strategies in pharmaceutical companies and the main obstacles to implementation that currently exist, respectively. • “The end of marketing exclusivity’’ presents the digital trends that are not only impacting marketing and sales, but also the medical, regulatory and market access functions. • “Digital CRM: room for improvement” offers up survey participants’ views on the customer relationship management systems being used in their organizations. In the final section, we provide a roadmap for a successful pharmaceutical digital strategy. Abstract The aim of this survey was to assess the impact of digital technology on pharmaceutical companies and, in particular, to highlight the potential synergies such capabilities can create within individual organizations
  • 5. 5 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Survey methodology Digital Pharma: What Impact on the Business Organization? • Kurt Salmon conducted a survey involving more than 40 pharmaceutical companies and 500 senior executives working in the following functions: • Marketing/Sales • Market access • Regulatory • Medical • The majority of participants have either global or regional positions and are based in the G5 European countries • The survey was conducted via an online questionnaire (from May through September 2013) and includes interviews with key stakeholders working in global digital strategy
  • 6. 6 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? • 88% of survey respondents expect digital communication with specialists to increase. GPs come in at second place (83%), followed by pharmacists (78%) • 63% believe that having a well-defined digital strategy within their organization is important. But just 29% of them think that they have the right team in place to execute it • A combination of legacy communication strategies and culture is considered by 68% of participants as the main obstacle to the implementation of digital capabilities • Digital’s impact on most functions is viewed as moderate, with marketing and sales seeing the most impact: • Digital marketing investments: 94% of participants expect an increase in investments in e-promotional materials (trigger-based marketing), followed by investments in smartphone applications (88%) • Digital market access investments: 61% expect investments in key account management solutions to increase the most • Digital regulatory affairs investment: just half of survey participants expect investments to increase; the other half does not • M e d i c a l s c i e n t i f i c l i a i s o n e-communication using digital tablets appears to be the digital investment that will increase the most within the medical department (82%) • 68% of survey participants believe they have a well-defined CRM strategy within their organization. Nevertheless, their CRM solutions do not adequately address the challenges associated with Digital Pharma, as just 32% of participants think they possess the appropriate digital capabilities • 80% of participants are considering an increase in future digital CRM investments • The main obstacles to implementing digital CRM programs appear to be a lack of time and resources (38%) and lack of visibility into the investments needed (36%) Executive summary
  • 7. 7 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital Pharma: key numbers Depending on one’s background, the word “digital” can evoke different meanings. Indeed, “digital” covers a wide set of technologies and capabilities 12 billion connected objects today, 50 billion by 2020 2 6.3 billion mobile subscriptions around the world in 20121 1 Ericsson–February 2013 - 2 Ericsson–February 2011 - 3 McKinsey Global Institute Implementing digital capabilities raises a number of questions for companies. Among them are: • To what degree must digital and traditional business divisions be separate or integrated? • What’s the best way to implement the expertise required to run a digitally enabled business (for example, centralize it or spread it across locations and divisions)? • What skills/job titles are required to properly run a digitally enabled business (CIO? Community managers?) • Is it better to hire people with those skills or to outsource? • What’s the mindset required to succeed in a digitally enabled business? What’s the best way to get people to be not only proficient with digital capabilities, but comfortable with them? Data volume grows 40% annually and is expected to grow 44-fold between 2009 and 2020 3 Networks Devices Platforms & Services Technical Capabilities ADSL, Fiber 3G, 3.5G, 4G, Wi-Fi, WiMAX NFC, RFID Cloud computing Semantic web Geolocation Mobile scan 3D Augmented reality Communicating objects Voice recognition Image recognition PCs Mobile Smartphones Tablets E-books Web, mobile Social media Collaboration tools E-commerce M-payment E-detailing Videoconferencing, chat, webcasts, webinars Digital signature Digital signage (in-street screens, in-store screens) Contactless services (card)
  • 8. 8 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital Pharma : A new culture The pharmaceutical industry has started to embrace a digital culture • Health is at the heart of Web 2.0: • 76% of GPs and 85% of specialists were using the Internet in a professional context in 2011 • 93% of pharmacists are regular users • Health is the most common topic of conversation on the Internet (20% to 25% of Internet-based conversations around the world are related to health and medicine) • Digital Pharma is powered by the following digital platforms: • Collaboration platforms (such as Google Docs) and social media • Smartphone applications • Web • E-detailing • Videoconferencing, webcasts and webinars Health care professionals are increasingly using digital capabilities to get access to medical information, as well as to interact with their peers and with their patients. Furthermore, some health care professionals have started to recommend smartphone applications to patients. And as the use of smartphones becomes more widespread, both health care professionals and patients are increasingly demanding access to information that they can share on social media platforms. Internet users in a professional context 76% 85% 93% GPs Specialists Pharmacists
  • 9. 9 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Evolving business models The pharmaceutical industry has been striving to transform its model from that of drug manufacturer to health care service provider Pharma is striving to respond to consumers’ increasing needs while at the same time addressing regulatory constraints: • Patients are asking for high-quality information and are actively sharing information and expressing their needs through community platforms • Health care professionals are increasingly taking a personalized treatment approach. They are also monitoring their patients’ conditions remotely through technologies such as telemedicine and are demanding more services to ensure the quality of patient care • Health care authorities are asking for evidence that a medicine not only provides therapeutic value, but that it has a positive social and economic impact and that it adds to the quality of health care overall A scarcity of drug innovations means the blockbuster era is over. In its place, the pharma industry has become focused on niche product development and customized treatments. In the meantime, with health care stakeholders setting their sights on patient outcomes, the pharmaceutical industry is striving to position itself as a health care provider, not just a drug manufacturer. In particular, it’s aiming to strengthen an image of transparency and of caring for patients, especially in the wake of recent drug scandals such as Mediator®. Patients Payors Pharmaceutical Industry Transformation: From Blockbuster model to health care System contributor Health care SystemPharma Health care Professionals Blockbuster Model Diversification Model : Product / Market
  • 10. 10 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital Pharma & customer service Digital Pharma helps improve customer service and consequently strengthens brand image There are now more health care players involved in patient pathways than ever before. In addition to medical doctors, pharmacists and nurses increasingly play a role in patients’ care and therapeutic education. On the other hand, health care authorities are increasingly focusing on disease management and cutting unnecessary costs. The transformation to digital enables the pharmaceutical industry to better manage relationships with its customers by providing new, innovative services to facilitate the coordination among all health care stakeholders to improve patient outcomes. The transformation to digital enables players to provide better customer services Pharmacists • Increase Product Launch impact • Develop community platforms • Implement e-Training Doctors • Develop synergy (face to face visits and e detailing) • Develop community platforms • Increase scientific collaboration (e- congress..) • Implement e-training Nurses • Develop community platforms • Improve Image • Implement e-Training Patients • Inform • Improve Treatment Observance • Develop healthcare services applications Healthcare Authorities • Improve scientific image • Contribute to Disease management
  • 11. 11 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital Pharma opportunities Digital capabilities allow pharmaceutical companies to provide innovative services for health care system contributors Many innovative health care services would not exist without digital technology. Among them are telemedicine, quantified self, remote medical education and community platforms for health care professionals and patients. The pharmaceutical industry, as part of an effort to contribute to improving disease management and the overall patient pathway, can invest in these innovations. However, it still needs to define the right business model for such investments in each market, as medical coverage differs from one country to another. For instance, in the United States, medical coverage is almost entirely provided by private insurance companies, whereas in France it’s subsidized by the national government, so it is practically free to patients. Thus, the approach of the various stakeholders toward e-health services is different depending on the country’s health care system. Health Care Professionals Telemedicine • Diagnosis and access to remote patients • C o o r d i n a t i o n with health care professionals to better address patients’ conditions Clinical trials • Medical information database • Clinical trials access Medical education • E-learning • Serious games • Webinars & webcasts Open Innovation • Platforms for health care professionals Patients Quantified self • Metrics, analysis and sharing of parameters related to well-being in general Telemedicine • Remote interaction with patients and physicians Compliance • P a t i e n t a l e r t s specifying what dosage to take and when Education • Disease websites • Serious games Open innovation • Platforms for patients Payors Disease management • Digital solutions to manage dependency issues • Pharmacoeconomic data analysis Patient pathway • Digital solutions to enhance telemedicine a p p l i c a t i o n s ( c o n s u l t a t i o n s , diagnosis, treatment, t h e r a p e u t i c education)
  • 12. 12 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital Pharma challenges For pharmaceutical companies making the transformation to digital, there are numerous issues to consider: • What business model should be put into place when leveraging innovative digital services? Should a separate entity be created? • What are the different health care professionals’ and patients’ needs? What are the real opportunities? What is the ROI? • How can digital be used to improve performance across the organization? • What are the regulations that need to be adhered to? • To what extent can the pharmaceutical industry be innovative? Develop a new business model Address patient, HCP and payor needs Increase performance across the organization Be creative despite regulations Act as a Health care contributor: get involved in disease management and build partnerships to improve the patient pathway Enhance the communication mix to strengthen brand positioning and respond to what is being said in social media and health care forums Screen the market to highlight health care opportunities Develop business cases to assess financial aspects and profitability of each qualified opportunity Adopt an omnichannel strategy to improve customer interaction effectiveness Facilitate cross-functional collaboration within marketing, market access, sales, medical and regulatory departments Understand the regulations for each market Ensure compliance 1 2 3 4
  • 13. 13 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital Pharma’s impact on the value chain The impact of digital is different across the value chain. Digital is seen as having a moderate impact on the drug discovery process, as well as on production and distribution. However, when it comes to research and development, the impact is high, largely due to smart pills and the use of big data. The digital impact on the commercialization phase is also perceived to be high. Value Chain Digital Impact Level of impact Business organization • E-services for health care professionals and patients • E-detailing (including remote) • Pharmacoeconomic digital applications • Salesforce automation • CRM automation • Drugs digital files submissions to health authorities • Internal validation of promotional materials • E-pharmacovigilance Drug discovery • In silico research Research & development • Electronic Data capture • Smart pills • Big data Production and distribution • MES & e-BR • RFID • P e r f o r m a n c e management Scope of the Survey High HighMedium Medium
  • 14. 14 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital’s increasing impact on pharma communications Digital is expected to be increasingly used by pharmaceutical companies in their communication with health care stakeholders, especially physicians As digital capabilities become necessary for addressing patient needs, pharmaceutical companies must be prepared for major changes to their organizations Health care professionals are becoming more and more connected and more receptive to using digital communication In France the 2013 Vidal Barometer Study showed that: • 60% of doctors have tablets • 56% of them use medical applications • 20% use social media in a professional way How do you expect digital communication to change in the next five years for each of the following targets? 0% 0% 5% 2% 7% 8% 8% 3% 5% 18% 13% 18% 22% 27% 35% 20% 25% 30% 0% 0% 3% 0% 0% 0% 3% 0% 0% 83% 88% 75% 78% 68% 60% 73% 73% 65% Community MDs Specialists Key account managers Pharmacists Hospital pharmacists Nurses Heath institutions Distributors Suppliers Not pertinent No Change Decrease Increase
  • 15. 15 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Alackoforganizationalstructuretosupportadigitalstrategy 63% believe that having a well-defined digital strategy within their organization is important, but just 29% think that they have the right team in place to execute it Thinking globally and cross-functionally requires putting into place a dedicated structure within the organization that supports the implementation of a digital strategy How would you describe the digital culture within your organization? Currently, pharma organizations have one of three models • Model 1: A department dedicated to ensuring digital capabilities throughout the business • Model 2: Digital functions integrated within business units • Model 3: No separate digital functions (product managers also oversee e-marketing strategy) An organization that is dedicated to being digitally capable takes a cross-functional approach on projects, and enables the creation and implementation of synergies and best practices across the organization 29% 37% 34% Well-defined structure and strategy Defined strategy, but no dedicated department Still not well developed so far
  • 16. 16 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital roadblocks: traditional communication strategies and restrictive regulations The use of traditional communication methods in the pharmaceutical industry is considered by 68% of survey participants as the main obstacle to the implementation of a digital strategy In order to transcend existing paradigms, the implementation of a digital strategy requires some change management components and an in-depth understanding of related regulations The pharmaceutical industry has only recently started to adopt a digital strategy, in response to health care professionals and patients increasingly utilizing Web 2.0 capabilities In a highly regulated environment, pharmaceutical initiatives are not only facing cultural and creativity challenges, but compliance challenges as well, namely as they relate to the information provided to patients and health care professionals through websites, social media, smartphone applications and other digital platforms; compliance issues with regard to e-pharmacovigilance must also be taken into account An effective digital strategy is by definition global and cross-functional, but both cultures and regulations differ by location, which can cause confusion. For example, in the United States, it is possible to communicate directly to patients about drugs, whereas in Europe, communication is limited to factual information about prescription drugs and information relevant to proper use of the medicinal product in question What is the biggest obstacle to the implementation of a digital strategy in your organization? 27% 68% 5% Regulations Traditional communication methods/culture Lack of visibility into the ''risk of not doing"
  • 17. 17 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? The end of marketing exclusivity The adoption rate of digital capabilities is considered to be moderate in most departments and highest in marketing and sales In-house digital expertise, tools and behaviors are starting to spread throughout pharmaceutical companies, but need to spread faster and be focused on best practices in order to meet the challenges associated with implementing a digital strategy To what degree has your organization implemented digital capabilities for the following functions? 0% 0% 10% 15% 22% 10% 20% 35% 34% 32% 51% 51% 48% 37% 32% 39% 29% 8% 15% 14% Marketing Sales Regulatory/Pharmaco-vigilance/Compliance Medical Market access No Adoption Low Medium High
  • 18. 18 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Marketing and sales: New digital capabilities are expected to attract the biggest marketing and sales investments, among them smartphone applications, social media, health care professionals’ community platforms, as well as more traditional e-promotional materials How do you expect the adoption of digital capabilities by your organization’s marketing and sales teams to evolve over the next five years? Until recently, digital investments have been limited to e-detailing (including remote) and to health care professionals’ or patients websites. Marketing departments are willing to invest more in smartphone applications as they present new, innovative opportunities Smartphone applications are currently focused on treatment information, the quantified self, and follow-up services between patients and health care professionals. Going forward, they are expected to provide additional capabilities, especially for telemedicine Another investment area is likely to be social media as it provides valuable insight into what is being said regarding the industry and its products. However, the lack of a social media communication charter, and the need to adhere to pharmacovigilance measures, remain obstacles Market screening, idea generation, business cases and a go-to-market model are necessary steps to supporting the development of endemic business opportunities 7% 3% 12% 12% 9% 9% 3% 3% 3% 0% 31% 30% 15% 15% 15% 9% 9% 9% 12% 6% 3% 0% 3% 3% 3% 0% 3% 3% 0% 0% 59% 70% 70% 70% 73% 82% 84% 85% 88% 94% CRM/SFA Patients websites E-events (webinars, webcasts) E-detailing E-training Health care professionals' community platforms Social media communication Health care professionals' websites Smartphone applications Digital promotional material Not adopted No change Decrease Increase
  • 19. 19 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Market access: Digital investments focused on key account management solutions are expected to increase the most Many pharmaceutical companies have evolved into key account management organizations, which very often include institutional relations and market access functions. As payors increasingly demand proof of drugs’ pharmacoeconomic benefits, some pharma companies have developed digital solutions to communicate such benefits so that key account managers can access them via their tablets Beyond product communication, pharmacoeconomic data management represents an opportunity pharmaceutical companies should consider How do you expect the adoption of digital capabilities by the market access department to evolve over the next five years? 7% 11% 7% 11% 7% 39% 43% 39% 39% 29% 0% 0% 4% 0% 4% 54% 46% 50% 50% 61% Payors oriented digital tools to communicate on drug costs and consumptions Digital responses on hospital tenders Digital files on drugs' prices and reimbursements Digital solutions to monitor the competitive environment CRM (for Customer Service and Key Account Management ) Not adopted No change Decrease Increase
  • 20. 20 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Regulatory affairs: Half of the survey respondents expect digital investments to increase, while the other half do not The regulatory department plays an increasingly important role at pharma organizations due to a greater number of regulatory restrictions with regard to both the approval and commercialization of drugs, but it could be better facilitated by using digital capabilities. Most pharma companies are already submitting drug approval applications to health care authorities digitally and are using digital capabilities internally to discuss supporting materials for marketing campaigns Pharmacovigilance efforts could also be reinforced by digitally alerting the pharmacovigilance department to drug safety conversations taking place online Regarding Regulatory function in your organization, what is the Digital evolution trend in the 5 upcoming years ? Creating synergies between traditional pharmacovigilance systems and digital intelligence systems is a way to be innovative and reinforce compliance at the same time 10% 7% 14% 10% 38% 38% 38% 34% 0% 0% 0% 0% 52% 55% 48% 55% Digital drug files for submissions to Healthcare authorities Digital internal promotional material validation Digital monitoring for Pharmacovigilance Digital Medical information Not pertinent No change Decrease Increase
  • 21. 21 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Medical department: Investments in digital tablets for use by the medical scientific liaison are expected to increase the most Regarding Medical function in your organization, what is the Digital evolution trend in the 5 upcoming years ? • The medical department is becoming more involved with marketing and sales functions • Pharmaceutical companies have been adding medical scientific liaisons to ensure an ongoing relationship with the medical community • Digital capabilities such as videoconferencing and tablets enable the medical department to remotely participate in sales calls and respond to physicians’ questions Digital integration of key functions requires robust interfaces, lean processes, relevant governance and a cross-functional culture 27% 15% 6% 13% 27% 18% 12% 25% 0% 3% 0% 0% 45% 67% 82% 63% E-medical advisory boards E-events (webinars, webcasts) Digital medical scientific liaison communications CRM (KOL management solutions) Not adopted No change Decrease Increase
  • 22. 22 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Digital CRM: room for improvement 68% of survey participants believe their organization has a well-defined CRM strategy, but just 38% think it has the necessary digital solutions to execute that strategy. However, 80% are considering an increase to digital CRM investments How do you expect your organization’s digital CRM capabilities to evolve over the next five years? How would you describe your organization's CRM solution as it pertains to the digital strategy? The pharmaceutical industry has been embracing a customer-oriented culture, and the majority of pharmaceutical companies now have a CRM strategy. However, digital CRM solutions should take into consideration both the organizational structure (sales department) and the level of digital strategy within it (e-detailing, remote e-detailing) In order to successfully implement a digital CRM strategy, benchmarking CRM solutions is critical 80% 20% Increase Decrease No Change 38% 32% 29% Well-defined strategy and solution Well-defined strategy but inadequate solution Not developed
  • 23. 23 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? The main objective of a CRM program is to understand customers’ needs and propose new, customized services. The main obstacles to improving CRM appear to be a lack of time and resources (38% of participants) and a lack of visibility into the necessary investments (36%) What is in your opinion the main obstacle for CRM improvement in your organization? How would you rate the importance of the CRM program objectives on a scale from 1 (less important) to 10 (very important)? Value mapping prior to project implementation is a prerequisite for aligning CRM solutions with the corporate strategy 37,8% 35,6% 22,2% 4,4% Lack of time/resources Lack of investment/visibility into the ‘’risk of not doing” Complexity of CRM applications No need for sophisticated programs; the current organization is working fine 8,5 8,3 8,1 7,8 7,7 Develop services to respond to customer needs Increase knowledge of healthcare actors and adjust strategy accordingly Monitor sales force activity Adapt product marketing/sales strategy Optimize the marketing/sales budget
  • 24. 24 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Roadmap for a successful digital strategy Four key steps to realizing Digital Pharma 1. Thinking cross-functionally in order to better understand customers’ needs, then investing in capabilities that best address those needs and, in the process, ensure long-term relationships 2. Assessing new opportunities and the potential ROI of individual markets while taking into account their unique health care system policies 3. Building in-house digital expertise— and a consistent set of metrics across channels—so as to ensure long-term strategy coherence, as well as to save time and money 4. Understanding digital regulations so as to avoid infringing upon them Think Cross-Functionally Assess New Opportunities Understand Regulations Build In-House Expertise Digital Pharma
  • 25. 25 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Think about digital strategy across departments CLM Marketing Medical Reps Pharma Reps KAMs CRM Marketing Medical Reps Pharma Reps KAMs Market Access Customer Services MSL Understand customer needs by developing customer relationship management solutions (internal change management implementation is key) Respond to customer needs with closed-loop marketing campaigns (multichannel approach: face-to face, e-detailing, phoning, mailing/e-mailing, PR and e-events) Maintain customer relationships by providing innovative services based on digital capabilities (disease management applications, medical education, web community platforms) Marketing Medical Reps Pharma Reps KAMs Market Access Customer Services MSL SERVICES (To HCP & Patients) Regulatory Think cross-functionally in order to better understand customers’ needs, then invest in capabilities that best address those needs and, in the process, ensure long-term relationships
  • 26. 26 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Assess new opportunities for innovative services aimed at health care partners and patients What are the key new business opportunities? What are the essential trends to follow or anticipate? What are the main expectations from the clients? In what domains ? Are they currently being addressed and if so, how? What is your company’s current and future value proposition and how can it be enhanced ? How is your company positioned to benefit from these trends ? And what could these new services add to the existing businesses? How could it address the needs of the actual clients ? What level of transversality / feasibility does it require? How much does your company expect to gain from these new opportunities? In what form? Revenues (direct and indirect financial gains) or reputation (brand, image)? What would be the most appropriate way to address these issues (legally, fiscally, financially…)? With what roadmap? Alone or with partners ? Which ones? Does it require specific adjustments (organization, process, structure,….)? Key questions Market screening, idea generation & business case “Go-to-market ” model Methodology Opportunities selectionOpportunities identification Impact assessment Positioning Business cases Business Design Partnership evaluation Strategic & business plan Deliverables Assess new opportunities and the potential ROI of individual markets while taking into account their unique health care system policies
  • 27. 27 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Build in-house digital expertise Define a structure with project managers to lead the digital strategy across departments Hire people with digital expertise from other sectors Build an integrated platform to personalize customer service and measure its impact Rely on internal capabilities more than outsourcing in order to save time and money Build a consistent set of metrics across channels CRM Marketing Sales Medical Market Access Customer Services Marketing SalesCLM Marketing Sales Medical Market Access Customer Services Regulatory SERVICES (To HCP & Patients) DigitalStucture Business Organization CRM Project Manager E-Marketing Manager E-Project Manager Understand Analyse Provide IntegratedPlateform Build in-house expertise—and a consistent set of metrics across channels—so as to ensure long-term strategy coherence, as well to save time and money
  • 28. 28 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Understand the regulations Health information for patients on websites • Be mindful of EU restrictions, such as limits to the factual information that can be provided about prescription drugs, as well as what information is considered relevant when it comes to the proper use of the medical product in question • In France, keep in mind as well the charter for pharmaceutical companies’ online communication (ANSM) Health information for health care professionals on websites • Provide secure access for health care professionals (access code with physician registration number) • In France, ensure that the website conforms to the Medical Visit Charter (2004) Health information via social media • Work within the limitations of health forums: In France, ensure compliance with the ANSM charter and limit forums to health care professionals (notably, patients could be included in such forums, but doing so could be interpreted as teleconsulting, so should comply with medical consulting regulations). Assess the corporate liability associated with collaborative health websites e-Health smartphone applications and software • Assess the regulatory status of the medical mobile application in light of the Medical Devices Directive (MDD) 93/42/EEC • Seek legal advice to ensure compliance with regulations and to prevent patent or copyright infringements, as well as to clearly define contract terms between the publisher and developer of the application e-Pharmacovigilance • Ensure compliance with the EU’s pharmacovigilance regulations by making sure that websites include necessary information about any adverse reactions to pharmaceuticals made by the company Understand the digital regulations so as to avoid infringing upon them
  • 29. 29 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION? Key survey contributors Pharma segment leader Meïssa Tall, Partner Meïssa is responsible for the pharmaceutical practice in the Paris office. He has managed numerous important international transformation projects. Survey conducted by Philippe Leininger, Senior Advisor Philippe has deep expertise in organizational change and business transformation on an international scale and significant experience in the pharmaceutical industry. He has led numerous projects over the past 20 years and is currently working on various life science transformation projects.
  • 30. 30 DIGITAL PHARMA : WHAT IMPACT ON THE BUSINESS ORGANIZATION?
  • 31. Disclaimer This study carried out by Kurt Salmon contains general information and is provided “as is.” In this study, Kurt Salmon provides various information, data and other resources (the “content”) for general information purposes. Kurt Salmon can modify or update the information and the references to its source at any time and particularly undertakes to correct any error or omission which might be detected (directly or by a third party). Kurt Salmon has done everything possible to guarantee that the content of this study and its potential revisions are up to date and accurate, although it is provided “as is.” Kurt Salmon in no way guarantees the accuracy of the information presented and assumes no liability on its part nor for its officers, consultants, employees, agents or representatives: • With regard to the information sources mentioned in this study; • With regard to its usefulness or relevance in respect of any purpose or use whatsoever; • With regard to the results which the user obtains by using the content. Any dispute related to this study or its content shall be governed by French law and jurisdiction shall be given to the Courts of Nanterre. Links with brands and/orcompanies cited Reference to the brands/companies cited has been made to facilitate the reading of this study. Kurt Salmon does not endorse the companies, the brands, their websites or the entities which run them. Furthermore, Kurt Salmon does not guarantee the accuracy of any information and waives all liability related to the said websites: • As to their content; • As to any action, error or omission of the persons or entities running them. Copyright ©2014 Kurt Salmon. Kurt Salmon is the owner of the copyright for the content, the documents and information found in this study, unless stipulated otherwise in said study. Kurt Salmon authorises any person using this study, without paying any fee or requesting any other permission, to reproduce and distribute the information, the content elements and the documents found in this study, only for personal, not-for-profit purposes and under the following conditions: • It must be clearly stated that Kurt Salmon is the source of the study reproduced; • This preamble must be included in all reproductions and copies. Any reproduction for any other purpose whatsoever by any means and in any form whatsoever is prohibited without obtaining the prior formal written consent of Kurt Salmon. Kurt Salmon prohibits the modification of the information of the document reproduced or copied from this study.
  • 32. Contacts www.kurtsalmon.com Meïssa Tall, Partner meissa.tall@kurtsalmon.com Ph.: +33 1 55 24 34 81 Philippe Leininger, Senior Advisor philippe.leininger@kurtsalmon.com Ph.: +33 4 72 82 52 15 Mob.: +33 6 12 29 64 40 Kurt Salmon Locations Atlanta – Minneapolis – New York – San Francisco Bruxelles – Casablanca – Düsseldorf – Genève – Luxembourg – Londres – Lyon – Manchester – Nantes – Paris – Rome – Tunis Hong Kong – Shanghai – Tokyo