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Leveraging	
  Social	
  Media	
  for	
  
Pharmaceutical	
  Companies	
  	
  
Realized	
  by	
  Synthesio	
  
	
  
	
  
                                                                                                                                                                 	
  
                                                                                                                                                                 	
  
                                                                                                                                                                 	
  
	
  

                                                                                                                                     Summary	
  
                                                                                                                                       Introduction	
  .2	
  
                                                                                            Social	
  media	
  and	
  the	
  new	
  health	
  paradigm.3	
  
                                                                           Millions	
  of	
  online	
  consumer	
  conversations	
  	
  to	
  explore.4	
  
                                                                                        Detecting	
  and	
  reacting	
  to	
  secondary	
  effects.5	
  
                                                                   A	
  super-­‐regulated	
  environment	
  	
  that	
  limits	
  digital	
  initiatives.6	
  
                                                                                                           Best	
  practices	
  for	
  laboratories	
  .7	
  
                                                                                                                                         Conclusion	
  .8	
  



Synthesio	
  –	
  Leveraging	
  social	
  media	
  for	
  the	
  health	
  sector	
  –	
  December	
  2010	
                                             1	
  
	
  
 



Introduction	
  
	
  

20%	
   of	
   the	
   content	
   generated	
   by	
   Internet	
   users	
   mentions	
   health	
   in	
   some	
   way.	
   According	
   to	
   Pew	
  
Internet	
  Research,	
  60%	
  of	
  «	
  connected	
  »	
  people	
  use	
  Internet	
  as	
  their	
  first	
  source	
  of	
  information	
  about	
  
health-­‐related	
  matters.	
  	
  
	
  
This	
   natural	
   tendancy	
   of	
   patients,	
   their	
   families,	
   and	
   their	
   doctors	
   to	
   express	
   their	
   opinions	
   on	
   certain	
   subjects	
   arises	
   certain	
  
interests	
  among	
  pharmaceutical	
  laboratories	
  searching	
  for	
  customer	
  feedback.	
  The	
  thousands	
  of	
  conversations	
  published	
  each	
  
day	
   on	
   social	
   networks,	
   like	
   blogs	
   or	
   forums	
   have	
   an	
   essential	
   role	
   for	
   these	
   professionals	
   seeking	
   to	
   better	
   understand	
   the	
  
desires	
  of	
  their	
  demanding	
  customers.	
  The	
  main	
  issue	
  of	
  these	
  laboratories	
  is	
  being	
  able	
  to	
  participate	
  in	
  virtual	
  focus	
  groups	
  
while	
  respecting	
  the	
  rule	
  of	
  this	
  super-­‐regulated	
  environment.	
  	
  
	
  




                                                                                                                                                                                                                	
  
	
  
	
  
	
  
	
  
	
  
	
  

Synthesio	
  –	
  Leveraging	
  social	
  media	
  for	
  the	
  health	
  sector	
  –	
  December	
  2010	
                                                                                           2	
  
	
  
 



Social	
  media	
  and	
  the	
  new	
  health	
  paradigm	
  
	
  
Social	
  media	
  responds	
  to	
  a	
  primary	
  need	
  for	
  safety	
  	
  
	
  
People	
  behave	
  online	
  as	
  they	
  do	
  in	
  “real	
  life”.	
  In	
  a	
  recent	
  survey,	
  Forrester	
  made	
  
an	
  interesting	
  correlation	
  between	
  the	
  Maslow	
  	
  hierarchy	
  of	
  needs	
  and	
  what	
  
motivates	
  people	
  to	
  share	
  content	
  online.	
  According	
  to	
  the	
  analysis,	
  people	
  join	
  
online	
  communities	
  and	
  share	
  with	
  others	
  to	
  fulfill	
  a	
  need	
  for	
  safety	
  ;	
  this	
  is	
  the	
  
second	
  level	
  in	
  the	
  Maslow	
  hierarchy	
  of	
  needs.	
  Many	
  people	
  wishing	
  to	
  socialize	
  
converse	
  on	
  online	
  forums,	
  Facebook	
  or	
  Twitter	
  to	
  ask	
  for	
  or	
  look	
  for	
  advice,	
  
gain	
  experience	
  and	
  particularly	
  to	
  be	
  reassured	
  about	
  their	
  health	
  condition.	
  	
  

	
  

Thus,	
  it	
  was	
  not	
  surprising	
  to	
  find	
  out	
  that	
  10%	
  of	
  all	
  the	
  comments	
  published	
  using	
  social	
  media	
  mention	
  the	
  word	
  HELP.	
  

	
  	
  
A	
  new	
  relationship	
  between	
  patients,	
  physicians	
  and	
  the	
  web	
  
	
  
The	
  exponential	
  growth	
  at	
  which	
  content	
  is	
  being	
  published	
  each	
  day	
  on	
  social	
  media	
  has	
  had	
  a	
  significant	
  impact	
  on	
  the	
  
relationships	
  formerly	
  established	
  among	
  physicians,	
  laboratories,	
  and	
  their	
  patients.	
  The	
  latter	
  now	
  use	
  the	
  Internet	
  to	
  search	
  
                                                                                  for	
  information	
  about	
  their	
  symptoms	
  before	
  going	
  to	
  a	
  doctor.	
  They	
  
                                                                                  readily	
  visit	
  sites	
  suchas	
  Doctissimo	
  or	
  PatientsLikeMe	
  in	
  order	
  to	
  
                                                                                  diagnose	
  themselves	
  using	
  information	
  published	
  by	
  other	
  Internet	
  
                                                                                  users.	
  	
  
                                                                                  	
  
                                                                                  Labs,	
   clinics,	
   hospitals,	
   and	
   physicians	
   find	
   themselves	
   increasingly	
  
                                                                                  meeting	
   with	
   patients	
   that	
   are	
   overinformed	
   that	
   visit	
   their	
   doctors	
  
                                                                                  with	
   a	
   pre-­‐formed	
   idea	
   of	
   their	
   pains,	
   associated	
   treatments	
   and	
   the	
  
medications	
  most	
  often	
  used.	
  
In	
   this	
   context	
   of	
   sur-­‐information,	
   professionals’	
   reputations	
   have	
   come	
   under	
   attack.	
   In	
   2010,	
   new	
   social	
   platforms	
   such	
   as	
  
Vitals.com	
  even	
  allow	
  patients	
  to	
  grade	
  their	
  physician’s	
  practice.	
  
Forced	
  to	
  adapt	
  to	
  this	
  new	
  mode	
  of	
  consumption	
  of	
  medical	
  information,	
  some	
  chose	
  to	
  meet	
  up	
  in	
  virtual	
  communities	
  (like	
  
docboards.com)	
  to	
  exchange	
  between	
  health	
  professionals	
  and	
  have	
  new	
  information	
  on	
  diseases,	
  their	
  evolution,	
  and	
  patient	
  
expectations.	
  	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  




Synthesio	
  –	
  Leveraging	
  social	
  media	
  for	
  the	
  health	
  sector	
  –	
  December	
  2010	
                                                                                    3	
  
	
  
 



Millions	
  of	
  patient	
  feedback	
  comments	
  to	
  explore	
  
	
  
Super	
  focus	
  groups	
  	
  
	
  
Thousands	
  of	
  patients	
  and	
  doctors	
  talk	
  with	
  each	
  other	
  on	
   a	
   massive	
   scale	
   on	
   networks	
   created	
   specifically	
   for	
   pains	
   such	
   as	
  
cancer,	
  depression,	
  or	
  diabetes.	
  They	
  join	
  together	
  and	
  form	
  “super	
  focus	
  groups”	
  to	
  share	
  their	
  experiences	
  with	
  the	
  disease	
  
and	
   its	
   associated	
   treatments.	
   These	
   new	
   media	
   provide	
   an	
   opportunity	
   for	
   marketing	
   directors	
   to	
   create	
   intimate	
   long	
   term	
  
relationships	
  with	
  consumers	
  that	
  they	
  can	
  only	
  get	
  a	
  hint	
  of	
  through	
  traditional	
  focus	
  groups.	
  
By	
  using	
  social	
  media	
  as	
  a	
  source	
  of	
  customer	
  feedback,	
  laboratories	
  can	
  also	
  overcome	
  the	
  structural	
  
costs	
  related	
  to	
  traditional	
  focus	
  groups	
  (responsible	
  forrecruitment,	
  infrastructure,	
  personnel	
  costs)	
  and	
  benefit	
  from	
  a	
  clear	
  
vision	
  of	
  the	
  complex	
  trends	
  and	
  expectations	
  of	
  your	
  customers	
  at	
  a	
  lower	
  overall	
  cost.	
  
	
  
A	
  source	
  of	
  inspiration	
  for	
  targeted	
  marketing	
  content	
  	
  
	
  
Diverse	
   barriers	
   tied	
   to	
   social	
   image	
   or	
   the	
   fear	
   of	
   expressing	
   your	
   feelings	
   publicly	
   don’t	
   exist	
   on	
   online	
   forums	
   on	
   which	
  
anonymous	
  identities	
  are	
  still	
  used.	
  This	
  allows	
  patients	
  to	
  share	
  their	
  reflections	
  and	
  questions	
  that	
  they	
  might	
  not	
  think	
  to	
  or	
  
dare	
  to	
  share	
  with	
  their	
  doctor.	
  Feedback	
  from	
  patients	
  identified	
  are	
  more	
  sincere	
  on	
  the	
  Internet	
  as	
  they	
  are	
  not	
  subject	
  to	
  
the	
   bias	
   of	
   questions	
   asked	
   by	
   researchers.	
   Exploration	
   of	
   these	
   conversations	
   provides	
   a	
   better	
   understanding	
   of	
   language	
   and	
  
phrases	
   used	
   by	
   patients	
   that	
   can	
   be	
   used	
   by	
   laboratories	
   to	
   develop	
   more	
   effective	
   marketing	
   materials	
   (packaging,	
   digital	
  
communication,	
  etc..)	
  targeting	
  both	
  physicians	
  and	
  their	
  patients.	
  
	
  
	
  
	
  
Case	
  study	
  :	
  The	
  milk	
  lobby	
  	
  
	
  
                                                           Milk	
  often	
  has	
  a	
  negative	
  online	
  reputation	
  due	
  to	
  environmental	
  concerns	
  and	
  worries	
  
                                                           about	
   allergies	
   and	
   organic	
   vs.	
   genetically-­‐modified	
   milk.	
   The	
   milk	
   lobby	
   began	
  
                                                           monitoring	
   and	
   has	
   since	
   discovered	
   new	
   insights	
   on	
   customers’	
   needs.	
   The	
   results	
  
                                                           were	
  surprising	
  for	
  them	
  :	
  They	
  first	
  noticed	
  that	
  70%	
  of	
  the	
  content	
  was	
  provided	
  by	
  
                                                           women	
   worried	
   about	
   their	
   children’s	
   health.	
   Several	
   topics	
   reported	
   as	
   important	
   in	
  
                                                           their	
   last	
   “traditional”	
   surveys	
   were	
   not	
   well-­‐represented	
   (eg	
   environmental	
   issues),	
  
                                                           while	
  other	
  topics	
  that	
  they	
  weren’t	
  expecting	
  were	
  well-­‐represented	
  (eg	
  “weight-­‐loss	
  
                                                           diets”	
   and	
   milk	
   were	
   associated).	
   They	
   hired	
   a	
   community	
   manager	
   to	
   work	
   side-­‐by-­‐
side	
   with	
   a	
   nutritionist	
   to	
   provide	
   consumers	
   with	
   up-­‐to-­‐date	
   information	
   on	
   milk’s	
   benefits	
   and	
   conveniences.




	
  
	
  
	
  
	
  
	
  
Synthesio	
  –	
  Leveraging	
  social	
  media	
  for	
  the	
  health	
  sector	
  –	
  December	
  2010	
                                                                                              4	
  
	
  
 



Detecting	
  and	
  handling	
  adverse	
  events	
  online	
  	
  
The	
  impact	
  of	
  social	
  media	
  on	
  adverse	
  events	
  
	
  
When	
   putting	
   into	
   place	
   a	
   social	
   media	
   monitoring	
   system,	
   laboratories	
   must	
   be	
   absolutely	
   ready	
   to	
   discover	
   adverse	
   events	
  
that	
  must	
  be	
  communicated	
  to	
  the	
  authorities.	
  Recent	
  studies	
  reveal	
  that	
  the	
  percentage	
  of	
  conversations	
  reporting	
  side	
  effects	
  
varies	
  between	
  0.2%	
  (Nielsen	
  Survey	
  2008)	
  and	
  7%	
  (Survey	
  Patientlikeme	
  2010).	
  These	
  low	
  percentages	
  are	
  due	
  mainly	
  to	
  the	
  
difficulty	
  in	
  finding	
  all	
  4	
  criteria	
  that	
  define	
  an	
  adverse	
  event	
  on	
  social	
  media	
  (citing	
  drug	
  name,	
  brand,	
  identity	
  of	
  the	
  patient	
  
and	
   his/her	
   prescribing	
   doctor).	
   However,	
   given	
   the	
   large	
   volume	
   of	
   discussions	
   published	
   every	
   day,	
   we	
   can	
   assume	
   that	
   some	
  
drugs	
  with	
  dozens	
  of	
  side	
  effects	
  will	
  be	
  identified	
  daily.	
  In	
  practice,	
  the	
  detection	
  of	
  new	
  side	
  effects	
  is	
  much	
  rarer.	
  Indeed,	
  in	
  
over	
  2	
  years	
  of	
  active	
  watches	
  for	
  large	
  laboratories,	
  Synthesio	
  has	
  only	
  identified	
  two	
  adverse	
  events	
  that	
  created	
  a	
  major	
  crisis	
  
for	
   the	
   brand.	
   In	
   both	
   cases,	
   these	
   side	
   effects	
   were	
   identified	
   simultaneously	
   on	
   other	
   channels	
   (doctors,	
   the	
   FDA,	
   patients,	
  
etc..),	
  but	
  social	
  media	
  represented	
  over	
  60%	
  of	
  all	
  content	
  published	
  surrounding	
  the	
  crisis.	
  
	
  
	
  
Facilitating	
  the	
  detection	
  of	
  adverse	
  events	
  	
  
	
  
The	
  process	
  for	
  detecting	
  adverse	
  events	
  must	
  be	
  prepared	
  well	
  in	
  advance	
  of	
  any	
  monitoring.	
  It	
  requires	
  close	
  collaboration	
  
between	
   analysts	
   that	
   are	
   sifting	
   through	
   published	
   discussions	
   on	
   products	
   and	
   services	
   and	
   your	
   communications	
   responsible	
  
for	
   communicating	
   about	
   side	
   effects.	
   A	
   simple	
   system	
   of	
   automatic	
   alerts	
   based	
   on	
   chosen	
   keywords	
   allows	
   the	
   department	
   in	
  
charge	
  of	
  pharmacovigilance	
  to	
  take	
  the	
  necessary	
  measures	
  quickly.	
  	
  
	
  
	
  
Anticipating	
  a	
  crisis	
  
	
  
In	
  the	
  midst	
  of	
  a	
  communications	
  crisis,	
  each	
  statement	
  has	
  to	
  abide	
  by	
  a	
  lengthy	
  list	
  of	
  regulations	
  that	
  cannot	
  let	
  a	
  Pharma	
  
company	
   respond	
   quickly	
   and	
   be	
   as	
   transparent	
   as	
   social	
   media	
   “rules”	
   would	
   like	
   them	
   to	
   be.	
   This	
   leaves	
   little	
   room	
   for	
   a	
  
Pharma	
  company	
  to	
  say	
  what	
  they	
  would	
  like	
  in	
  a	
  crisis	
  situation	
  and	
  they	
  must	
  be	
  prepared	
  by	
  putting	
  a	
  social	
  media	
  crisis	
  plan	
  
into	
  place	
  a	
  before	
  the	
  “fire”	
  happens	
  :	
  	
  	
  
• Know	
  what	
  can	
  and	
  cannot	
  be	
  said	
  on	
  social	
  media	
  	
  
• Define	
  which	
  people	
  will	
  be	
  alerted	
  when	
  a	
  “fire”	
  occurs	
  
• Identify	
  key	
  opinion	
  leaders:	
  both	
  advocates	
  and	
  detractors	
  
• Analyze	
  which	
  areas,	
  products	
  and	
  countries	
  are	
  susceptible	
  to	
  a	
  crisis	
  
• Define	
  the	
  right	
  KPI’s	
  to	
  measure	
  the	
  evolution	
  of	
  the	
  crisis	
  over	
  time	
  as	
  well	
  as	
  	
  the	
  impact	
  of	
  your	
  	
  
               communication	
  
       	
  
UCB,	
  a	
  community	
  for	
  epilepsy	
  
	
  
                               PatientsLikeMe	
  is	
  a	
  leading	
  US	
  social	
  website	
  with	
  which	
  UCB	
  partnered	
  to	
  launch	
  a	
  patient	
  community	
  for	
  
                               epilepsy.	
  This	
  platform	
  created	
  particularly	
  for	
  people	
  with	
  epilepsy	
  enables	
  UCB	
  to	
  better	
  understand	
  
                               patients,	
  their	
  day-­‐to-­‐day	
  lives	
  and	
  treatment	
  experiences.	
  UCB	
  is	
  also	
  taking	
  the	
  lead	
  in	
  providing	
  patients	
  
                               with	
  more	
  information	
  about	
  the	
  disease.	
  The	
  program	
  was	
  also	
  designed	
  to	
  capture	
  and	
  report	
  adverse	
  
                               events	
  associated	
  with	
  approved	
  UCB	
  epilepsy	
  therapies	
  to	
  the	
  U.S.	
  Food	
  and	
  Drug	
  Administration	
  (FDA).	
  

Learn	
  more:	
  http://www.patientslikeme.com/epilepsy/community	
  
	
  
	
  
	
  


Synthesio	
  –	
  Leveraging	
  social	
  media	
  for	
  the	
  health	
  sector	
  –	
  December	
  2010	
                                                                                                5	
  
	
  
 


	
  

A	
  super-­‐regulated	
  environment	
  that	
  limits	
  digital	
  
	
  


initiatives	
  	
  
	
  
An	
  extremely	
  regulated	
  environment	
  limits	
  certain	
  initiatives	
  	
  
	
  
Over	
   the	
   past	
   few	
   years,	
   the	
   few	
   creative	
   initiatives	
   for	
   virtual	
   communities	
   on	
   networks	
   like	
   Twitter	
   or	
   Facebook	
   have	
   become	
  
heavily	
   criticized.	
   These	
   media	
   promote	
   real-­‐time	
   responses	
   that	
   is	
   incompatible	
   with	
   strict	
   legal	
   regulations	
   of	
   laboratories.	
  
This	
  environment,	
  severely	
  regulated,	
  leaves	
  little	
  room	
  for	
  strategies	
  such	
  as	
  those	
  that	
  worked	
  for	
  Novartis	
  or	
  Sanofi-­‐Aventis.	
  	
  	
  	
  	
  
	
  
	
  
Novartis,	
  Tasigna’s	
  Facebook	
  page	
  ruled	
  to	
  be	
  illegal	
  	
  
	
  
                                                      Norvatis	
  set	
  up	
  a	
  Facebook	
  page	
  for	
  its	
  new	
  drug	
  Tasigna,	
  designed	
  to	
  treat	
  leukemia.	
  In	
  2010,	
  
                                                      the	
  FDA	
  sent	
  a	
  letter	
  to	
  the	
  laboratory	
  in	
  order	
  to	
  report	
  a	
  misuse	
  of	
  Facebook's	
  sharing	
  tool.	
  
                                                      According	
  to	
  the	
  FDA,	
  "the	
  shared	
  content	
  is	
  misleading	
  because	
  it	
  highlights	
  the	
  effectiveness	
  
                                                      of	
  Tasigna	
  without	
  communicating	
  the	
  risks	
  of	
  using	
  this	
  drug.	
  "	
  

	
  
Sanofi	
  Voices,	
  a	
  charter	
  for	
  controlling	
  content	
  created	
  by	
  users	
  	
  
	
  
                                                     	
  
                                                     Sanofi	
  Voices	
  is	
  a	
  network	
  of	
  employees,	
  retirees	
  and	
  partners	
  of	
  the	
  brand	
  that	
  decided	
  to	
  
                                                     use	
  Facebook	
  as	
  their	
  communication	
  platform.	
  Soon	
  after	
  launch,	
  the	
  page	
  was	
  taken	
  over	
  by	
  
                                                     consumers	
  reporting	
  adverse	
  events.	
  The	
  company	
  had	
  not	
  put	
  moderation	
  policies	
  into	
  place	
  
                                                     and	
  began	
  by	
  unadeptly	
  deleting	
  critical	
  comments	
  before	
  tardively	
  deciding	
  to	
  publish	
  a	
  
                                                     comment	
  directly	
  from	
  Sanofi	
  Voices	
  on	
  behalf	
  of	
  all	
  products	
  sold	
  by	
  the	
  group.	
  	
  

                                                     	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  


Synthesio	
  –	
  Leveraging	
  social	
  media	
  for	
  the	
  health	
  sector	
  –	
  December	
  2010	
                                                                                           6	
  
	
  
 



Best	
  practices	
  for	
  laboratories	
  
	
  
The	
   race	
   for	
   disease	
   oriented	
   online	
   spaces	
   began	
   in	
   2008.	
   Brand-­‐sponsored	
   or	
   not,	
   these	
   discussion	
   spaces	
   are	
   popular	
   among	
  
patients	
   and	
   families	
   that	
   are	
   attracted	
   by	
   the	
   brand.	
   Certain	
   labs	
   have	
   even	
   come	
   to	
   create	
   their	
   own	
   platforms	
   to	
   which	
  
numerous	
  patients	
  flock	
  in	
  search	
  of	
  information	
  about	
  their	
  illness.	
  We	
  often	
  find	
  medical	
  research	
  in	
  these	
  spaces,	
  indications	
  
of	
  different	
  treatments	
  that	
  are	
  avilable,	
  as	
  well	
  as	
  a	
  forum	
  of	
  co-­‐helping	
  for	
  sick	
  people.	
  	
  
	
  
	
  
Parle	
  avec	
  elle,	
  breast	
  cancer	
  site,	
  France	
  
	
  
                                                   Parle	
   avec	
   elle	
   is	
   a	
   community	
   site	
   for	
   breast	
   cancer.	
   Thanks	
   to	
   a	
   collective	
   blog	
   and	
  
                                                   several	
   forums,	
   the	
   platform	
   has	
   maintained	
   a	
   convivial	
   atmosphere.	
   The	
   community	
   is	
  
                                                   animated	
   by	
   Sophie,	
   a	
   community	
   manager	
   and	
   author	
   of	
   a	
   personal	
   blog	
   Femmes	
  
                                                   avant	
  tout	
  that	
  is	
  clearly	
  marked	
  as	
  being	
  in	
  a	
  partnership	
  with	
  Roche.	
  The	
  sentiment	
  of	
  
                                                   belonging	
  to	
  a	
  community	
  is	
  reinforced	
  by	
  photos	
  of	
  recently	
  connected	
  members.	
  	
  
Find	
  out	
  more	
  :	
  http://www.parleavecelles.fr/	
  
	
  
Children	
  with	
  Diabetes,	
  USA	
  
	
  
                                                      	
  In	
  2008	
  Johnson	
  &	
  Johnson	
  purchased	
  this	
  site	
  for	
  a	
  reported	
  amount	
  of	
  $6	
  million.	
  
                                                      Children	
  with	
  diabetes	
  is	
  an	
  online	
  community	
  for	
  parents,	
  children,	
  adults,	
  and	
  families	
  
                                                      living	
  with	
  type	
  1	
  diabetes.	
  The	
  site	
  offers	
  advice	
  from	
  health	
  professionals,	
  gives	
  
updates	
  on	
  research	
  progress	
  and	
  provide	
  care	
  suggestions.	
  A	
  forum	
  with	
  over	
  600,000	
  conversations	
  is	
  available	
  for	
  visitors.	
  

Learn	
  more:	
  	
  	
  	
  	
  http://www.childrenwithdiabetes.com/	
  
	
  
CML	
  Earth	
  
	
  
                                                            CML	
  Earth	
  is	
  a	
  social	
  network	
  for	
  patients	
  suffering	
  from	
  chronic	
  myelogenous	
  
                                                            leukemia.	
  It	
  enables	
  people	
  from	
  around	
  the	
  world	
  to	
  gather	
  in	
  a	
  single	
  space	
  and	
  share	
  
                                                            about	
  their	
  lives	
  with	
  the	
  disease.	
  The	
  site	
  has	
  interesting	
  geolocalization	
  features	
  that	
  
allow	
  people	
  who	
  gather	
  virtually	
  to	
  find	
  their	
  peers	
  that	
  are	
  around	
  them	
  physically.	
  	
  

Learn	
  more:	
  	
  	
  	
  	
  http://www.cmlearth.com	
  
More	
  case	
  studies	
  are	
  available	
  here:	
  Pharma	
  and	
  Healthcare	
  Social	
  Media	
  Wiki	
  
	
  
	
  
Diabetes	
  in	
  6	
  countries	
  
	
  
Interested	
   in	
   diabetes,	
   a	
   major	
   Pharma	
   brand	
   wanted	
   to	
   listen	
   to	
   online	
   conversations	
   to	
   identify	
   new	
   insights	
   around	
   diabetes	
  
in	
  6	
  countries.	
  An	
  in-­‐depth	
  listening	
  of	
  social	
  media	
  uncovered	
  several	
  new	
  trends	
  that	
  had	
  not	
  yet	
  been	
  identified.	
  Surprisingly,	
  
most	
  discussions	
  were	
  about	
  insulin	
  devices	
  rather	
  than	
  the	
  disease,	
  itself.	
  Pumps	
  and	
  pens	
  were	
  the	
  main	
  source	
  of	
  concern	
  of	
  
recently	
  diagnosed	
  patients	
  who	
  were	
  struggling	
  to	
  find	
  the	
  best	
  device	
  option	
  for	
  themselves.	
  
Using	
  these	
  results,	
  the	
  brand	
  reported	
  that	
  their	
  goal	
  is	
  to	
  work	
  on	
  new	
  materials	
  for	
  physicians	
  and	
  patients	
  on	
  how	
  to	
  cope	
  
with	
   the	
   disease	
   by	
   answering	
   simple	
   questions	
   such	
   as:	
   How	
   to	
   choose	
   a	
   device?	
   What	
   are	
   recent	
   improvements	
   in	
   research?,	
  
etc.	
  
	
  

Synthesio	
  –	
  Leveraging	
  social	
  media	
  for	
  the	
  health	
  sector	
  –	
  December	
  2010	
                                                                                           7	
  
	
  
 



Conclusion	
  
	
  
Adverse	
  events,	
  suggestions	
  for	
  product	
  optimization,	
  emerging	
  trends	
  or	
  potential	
  crises	
  are	
  identifiable	
  
via	
  social	
  networks.	
  The	
  main	
  issue	
  is	
  being	
  able	
  to	
  separate	
  the	
  gold	
  from	
  the	
  rest	
  and	
  reducing	
  the	
  time	
  
between	
  data	
  collection	
  and	
  its	
  internal	
  processing.	
  Appropriate	
  communication	
  in	
  real	
  time	
  
involving	
  different	
  departments	
  (marketing,communications,	
  press	
  relations,	
  
legal)	
  can	
  transform	
  onilne	
  consumer	
  feedback	
  into	
  real-­‐time	
  marketing	
  efforts.	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
About	
  Synthesio	
  
	
  

Synthesio	
   is	
   a	
   global,	
   multi-­‐lingual	
   Social	
   Media	
   Monitoring	
   and	
   research	
   company,	
   utilizing	
   a	
   powerful	
   hybrid	
   of	
  
tech	
   and	
   human	
   monitoring	
   services	
   to	
   help	
   Brands	
   and	
   Agencies	
   collect	
   and	
   analyze	
   consumer	
   conversations	
  
online.	
   The	
   result	
   is	
   actionable	
   analytics	
   and	
   insights	
   that	
   provide	
   an	
   accurate	
   snapshot	
   of	
   a	
   brand	
   and	
   helps	
  
answer	
  the	
  ultimate	
  questions	
  –	
  how	
  are	
  we	
  really	
  doing	
  right	
  now,	
  and	
  how	
  can	
  we	
  make	
  it	
  better. Founded	
  in	
  
2006,	
   the	
   company	
   has	
   grown	
   to	
   include	
   analysts	
   	
  who	
   provide	
   native-­‐language	
   monitoring	
   and	
   analytic	
   services	
   in	
  
over	
  30	
  languages	
  worldwide.	
  

Brands	
  such	
  as	
  Toyota,	
  Microsoft,	
  Sanofi,	
  Accor,	
  Orange	
  and	
  many	
  other	
  well-­‐known	
  companies	
  turn	
  to	
  Synthesio	
  
for	
  the	
  data	
  they	
  need	
  to	
  engage	
  their	
  markets,	
  anticipate	
  and	
  prepare	
  for	
  emerging	
  crisis	
  situations,	
  and	
  prepare	
  
for	
  new	
  product	
  or	
  new	
  campaign	
  launches.	
  
In	
   2010,	
   Synthesio	
   continued	
   its	
   rapid	
   growth,	
   launching	
   offices	
   in	
   the	
   United	
   Kingdom	
   and	
   the	
   United	
   States	
   to	
  
keep	
  up	
  with	
  demand	
  


Synthesio	
  –	
  Leveraging	
  social	
  media	
  for	
  the	
  health	
  sector	
  –	
  December	
  2010	
                                                                     8	
  
	
  

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Leveraging Social Media Insights for Pharma Companies

  • 1.                     Leveraging  Social  Media  for   Pharmaceutical  Companies     Realized  by  Synthesio               Summary   Introduction  .2   Social  media  and  the  new  health  paradigm.3   Millions  of  online  consumer  conversations    to  explore.4   Detecting  and  reacting  to  secondary  effects.5   A  super-­‐regulated  environment    that  limits  digital  initiatives.6   Best  practices  for  laboratories  .7   Conclusion  .8   Synthesio  –  Leveraging  social  media  for  the  health  sector  –  December  2010   1    
  • 2.   Introduction     20%   of   the   content   generated   by   Internet   users   mentions   health   in   some   way.   According   to   Pew   Internet  Research,  60%  of  «  connected  »  people  use  Internet  as  their  first  source  of  information  about   health-­‐related  matters.       This   natural   tendancy   of   patients,   their   families,   and   their   doctors   to   express   their   opinions   on   certain   subjects   arises   certain   interests  among  pharmaceutical  laboratories  searching  for  customer  feedback.  The  thousands  of  conversations  published  each   day   on   social   networks,   like   blogs   or   forums   have   an   essential   role   for   these   professionals   seeking   to   better   understand   the   desires  of  their  demanding  customers.  The  main  issue  of  these  laboratories  is  being  able  to  participate  in  virtual  focus  groups   while  respecting  the  rule  of  this  super-­‐regulated  environment.                     Synthesio  –  Leveraging  social  media  for  the  health  sector  –  December  2010   2    
  • 3.   Social  media  and  the  new  health  paradigm     Social  media  responds  to  a  primary  need  for  safety       People  behave  online  as  they  do  in  “real  life”.  In  a  recent  survey,  Forrester  made   an  interesting  correlation  between  the  Maslow    hierarchy  of  needs  and  what   motivates  people  to  share  content  online.  According  to  the  analysis,  people  join   online  communities  and  share  with  others  to  fulfill  a  need  for  safety  ;  this  is  the   second  level  in  the  Maslow  hierarchy  of  needs.  Many  people  wishing  to  socialize   converse  on  online  forums,  Facebook  or  Twitter  to  ask  for  or  look  for  advice,   gain  experience  and  particularly  to  be  reassured  about  their  health  condition.       Thus,  it  was  not  surprising  to  find  out  that  10%  of  all  the  comments  published  using  social  media  mention  the  word  HELP.       A  new  relationship  between  patients,  physicians  and  the  web     The  exponential  growth  at  which  content  is  being  published  each  day  on  social  media  has  had  a  significant  impact  on  the   relationships  formerly  established  among  physicians,  laboratories,  and  their  patients.  The  latter  now  use  the  Internet  to  search   for  information  about  their  symptoms  before  going  to  a  doctor.  They   readily  visit  sites  suchas  Doctissimo  or  PatientsLikeMe  in  order  to   diagnose  themselves  using  information  published  by  other  Internet   users.       Labs,   clinics,   hospitals,   and   physicians   find   themselves   increasingly   meeting   with   patients   that   are   overinformed   that   visit   their   doctors   with   a   pre-­‐formed   idea   of   their   pains,   associated   treatments   and   the   medications  most  often  used.   In   this   context   of   sur-­‐information,   professionals’   reputations   have   come   under   attack.   In   2010,   new   social   platforms   such   as   Vitals.com  even  allow  patients  to  grade  their  physician’s  practice.   Forced  to  adapt  to  this  new  mode  of  consumption  of  medical  information,  some  chose  to  meet  up  in  virtual  communities  (like   docboards.com)  to  exchange  between  health  professionals  and  have  new  information  on  diseases,  their  evolution,  and  patient   expectations.                               Synthesio  –  Leveraging  social  media  for  the  health  sector  –  December  2010   3    
  • 4.   Millions  of  patient  feedback  comments  to  explore     Super  focus  groups       Thousands  of  patients  and  doctors  talk  with  each  other  on   a   massive   scale   on   networks   created   specifically   for   pains   such   as   cancer,  depression,  or  diabetes.  They  join  together  and  form  “super  focus  groups”  to  share  their  experiences  with  the  disease   and   its   associated   treatments.   These   new   media   provide   an   opportunity   for   marketing   directors   to   create   intimate   long   term   relationships  with  consumers  that  they  can  only  get  a  hint  of  through  traditional  focus  groups.   By  using  social  media  as  a  source  of  customer  feedback,  laboratories  can  also  overcome  the  structural   costs  related  to  traditional  focus  groups  (responsible  forrecruitment,  infrastructure,  personnel  costs)  and  benefit  from  a  clear   vision  of  the  complex  trends  and  expectations  of  your  customers  at  a  lower  overall  cost.     A  source  of  inspiration  for  targeted  marketing  content       Diverse   barriers   tied   to   social   image   or   the   fear   of   expressing   your   feelings   publicly   don’t   exist   on   online   forums   on   which   anonymous  identities  are  still  used.  This  allows  patients  to  share  their  reflections  and  questions  that  they  might  not  think  to  or   dare  to  share  with  their  doctor.  Feedback  from  patients  identified  are  more  sincere  on  the  Internet  as  they  are  not  subject  to   the   bias   of   questions   asked   by   researchers.   Exploration   of   these   conversations   provides   a   better   understanding   of   language   and   phrases   used   by   patients   that   can   be   used   by   laboratories   to   develop   more   effective   marketing   materials   (packaging,   digital   communication,  etc..)  targeting  both  physicians  and  their  patients.         Case  study  :  The  milk  lobby       Milk  often  has  a  negative  online  reputation  due  to  environmental  concerns  and  worries   about   allergies   and   organic   vs.   genetically-­‐modified   milk.   The   milk   lobby   began   monitoring   and   has   since   discovered   new   insights   on   customers’   needs.   The   results   were  surprising  for  them  :  They  first  noticed  that  70%  of  the  content  was  provided  by   women   worried   about   their   children’s   health.   Several   topics   reported   as   important   in   their   last   “traditional”   surveys   were   not   well-­‐represented   (eg   environmental   issues),   while  other  topics  that  they  weren’t  expecting  were  well-­‐represented  (eg  “weight-­‐loss   diets”   and   milk   were   associated).   They   hired   a   community   manager   to   work   side-­‐by-­‐ side   with   a   nutritionist   to   provide   consumers   with   up-­‐to-­‐date   information   on   milk’s   benefits   and   conveniences.           Synthesio  –  Leveraging  social  media  for  the  health  sector  –  December  2010   4    
  • 5.   Detecting  and  handling  adverse  events  online     The  impact  of  social  media  on  adverse  events     When   putting   into   place   a   social   media   monitoring   system,   laboratories   must   be   absolutely   ready   to   discover   adverse   events   that  must  be  communicated  to  the  authorities.  Recent  studies  reveal  that  the  percentage  of  conversations  reporting  side  effects   varies  between  0.2%  (Nielsen  Survey  2008)  and  7%  (Survey  Patientlikeme  2010).  These  low  percentages  are  due  mainly  to  the   difficulty  in  finding  all  4  criteria  that  define  an  adverse  event  on  social  media  (citing  drug  name,  brand,  identity  of  the  patient   and   his/her   prescribing   doctor).   However,   given   the   large   volume   of   discussions   published   every   day,   we   can   assume   that   some   drugs  with  dozens  of  side  effects  will  be  identified  daily.  In  practice,  the  detection  of  new  side  effects  is  much  rarer.  Indeed,  in   over  2  years  of  active  watches  for  large  laboratories,  Synthesio  has  only  identified  two  adverse  events  that  created  a  major  crisis   for   the   brand.   In   both   cases,   these   side   effects   were   identified   simultaneously   on   other   channels   (doctors,   the   FDA,   patients,   etc..),  but  social  media  represented  over  60%  of  all  content  published  surrounding  the  crisis.       Facilitating  the  detection  of  adverse  events       The  process  for  detecting  adverse  events  must  be  prepared  well  in  advance  of  any  monitoring.  It  requires  close  collaboration   between   analysts   that   are   sifting   through   published   discussions   on   products   and   services   and   your   communications   responsible   for   communicating   about   side   effects.   A   simple   system   of   automatic   alerts   based   on   chosen   keywords   allows   the   department   in   charge  of  pharmacovigilance  to  take  the  necessary  measures  quickly.         Anticipating  a  crisis     In  the  midst  of  a  communications  crisis,  each  statement  has  to  abide  by  a  lengthy  list  of  regulations  that  cannot  let  a  Pharma   company   respond   quickly   and   be   as   transparent   as   social   media   “rules”   would   like   them   to   be.   This   leaves   little   room   for   a   Pharma  company  to  say  what  they  would  like  in  a  crisis  situation  and  they  must  be  prepared  by  putting  a  social  media  crisis  plan   into  place  a  before  the  “fire”  happens  :       • Know  what  can  and  cannot  be  said  on  social  media     • Define  which  people  will  be  alerted  when  a  “fire”  occurs   • Identify  key  opinion  leaders:  both  advocates  and  detractors   • Analyze  which  areas,  products  and  countries  are  susceptible  to  a  crisis   • Define  the  right  KPI’s  to  measure  the  evolution  of  the  crisis  over  time  as  well  as    the  impact  of  your     communication     UCB,  a  community  for  epilepsy     PatientsLikeMe  is  a  leading  US  social  website  with  which  UCB  partnered  to  launch  a  patient  community  for   epilepsy.  This  platform  created  particularly  for  people  with  epilepsy  enables  UCB  to  better  understand   patients,  their  day-­‐to-­‐day  lives  and  treatment  experiences.  UCB  is  also  taking  the  lead  in  providing  patients   with  more  information  about  the  disease.  The  program  was  also  designed  to  capture  and  report  adverse   events  associated  with  approved  UCB  epilepsy  therapies  to  the  U.S.  Food  and  Drug  Administration  (FDA).   Learn  more:  http://www.patientslikeme.com/epilepsy/community         Synthesio  –  Leveraging  social  media  for  the  health  sector  –  December  2010   5    
  • 6.     A  super-­‐regulated  environment  that  limits  digital     initiatives       An  extremely  regulated  environment  limits  certain  initiatives       Over   the   past   few   years,   the   few   creative   initiatives   for   virtual   communities   on   networks   like   Twitter   or   Facebook   have   become   heavily   criticized.   These   media   promote   real-­‐time   responses   that   is   incompatible   with   strict   legal   regulations   of   laboratories.   This  environment,  severely  regulated,  leaves  little  room  for  strategies  such  as  those  that  worked  for  Novartis  or  Sanofi-­‐Aventis.               Novartis,  Tasigna’s  Facebook  page  ruled  to  be  illegal       Norvatis  set  up  a  Facebook  page  for  its  new  drug  Tasigna,  designed  to  treat  leukemia.  In  2010,   the  FDA  sent  a  letter  to  the  laboratory  in  order  to  report  a  misuse  of  Facebook's  sharing  tool.   According  to  the  FDA,  "the  shared  content  is  misleading  because  it  highlights  the  effectiveness   of  Tasigna  without  communicating  the  risks  of  using  this  drug.  "     Sanofi  Voices,  a  charter  for  controlling  content  created  by  users         Sanofi  Voices  is  a  network  of  employees,  retirees  and  partners  of  the  brand  that  decided  to   use  Facebook  as  their  communication  platform.  Soon  after  launch,  the  page  was  taken  over  by   consumers  reporting  adverse  events.  The  company  had  not  put  moderation  policies  into  place   and  began  by  unadeptly  deleting  critical  comments  before  tardively  deciding  to  publish  a   comment  directly  from  Sanofi  Voices  on  behalf  of  all  products  sold  by  the  group.                               Synthesio  –  Leveraging  social  media  for  the  health  sector  –  December  2010   6    
  • 7.   Best  practices  for  laboratories     The   race   for   disease   oriented   online   spaces   began   in   2008.   Brand-­‐sponsored   or   not,   these   discussion   spaces   are   popular   among   patients   and   families   that   are   attracted   by   the   brand.   Certain   labs   have   even   come   to   create   their   own   platforms   to   which   numerous  patients  flock  in  search  of  information  about  their  illness.  We  often  find  medical  research  in  these  spaces,  indications   of  different  treatments  that  are  avilable,  as  well  as  a  forum  of  co-­‐helping  for  sick  people.         Parle  avec  elle,  breast  cancer  site,  France     Parle   avec   elle   is   a   community   site   for   breast   cancer.   Thanks   to   a   collective   blog   and   several   forums,   the   platform   has   maintained   a   convivial   atmosphere.   The   community   is   animated   by   Sophie,   a   community   manager   and   author   of   a   personal   blog   Femmes   avant  tout  that  is  clearly  marked  as  being  in  a  partnership  with  Roche.  The  sentiment  of   belonging  to  a  community  is  reinforced  by  photos  of  recently  connected  members.     Find  out  more  :  http://www.parleavecelles.fr/     Children  with  Diabetes,  USA      In  2008  Johnson  &  Johnson  purchased  this  site  for  a  reported  amount  of  $6  million.   Children  with  diabetes  is  an  online  community  for  parents,  children,  adults,  and  families   living  with  type  1  diabetes.  The  site  offers  advice  from  health  professionals,  gives   updates  on  research  progress  and  provide  care  suggestions.  A  forum  with  over  600,000  conversations  is  available  for  visitors.   Learn  more:          http://www.childrenwithdiabetes.com/     CML  Earth     CML  Earth  is  a  social  network  for  patients  suffering  from  chronic  myelogenous   leukemia.  It  enables  people  from  around  the  world  to  gather  in  a  single  space  and  share   about  their  lives  with  the  disease.  The  site  has  interesting  geolocalization  features  that   allow  people  who  gather  virtually  to  find  their  peers  that  are  around  them  physically.     Learn  more:          http://www.cmlearth.com   More  case  studies  are  available  here:  Pharma  and  Healthcare  Social  Media  Wiki       Diabetes  in  6  countries     Interested   in   diabetes,   a   major   Pharma   brand   wanted   to   listen   to   online   conversations   to   identify   new   insights   around   diabetes   in  6  countries.  An  in-­‐depth  listening  of  social  media  uncovered  several  new  trends  that  had  not  yet  been  identified.  Surprisingly,   most  discussions  were  about  insulin  devices  rather  than  the  disease,  itself.  Pumps  and  pens  were  the  main  source  of  concern  of   recently  diagnosed  patients  who  were  struggling  to  find  the  best  device  option  for  themselves.   Using  these  results,  the  brand  reported  that  their  goal  is  to  work  on  new  materials  for  physicians  and  patients  on  how  to  cope   with   the   disease   by   answering   simple   questions   such   as:   How   to   choose   a   device?   What   are   recent   improvements   in   research?,   etc.     Synthesio  –  Leveraging  social  media  for  the  health  sector  –  December  2010   7    
  • 8.   Conclusion     Adverse  events,  suggestions  for  product  optimization,  emerging  trends  or  potential  crises  are  identifiable   via  social  networks.  The  main  issue  is  being  able  to  separate  the  gold  from  the  rest  and  reducing  the  time   between  data  collection  and  its  internal  processing.  Appropriate  communication  in  real  time   involving  different  departments  (marketing,communications,  press  relations,   legal)  can  transform  onilne  consumer  feedback  into  real-­‐time  marketing  efforts.                                             About  Synthesio     Synthesio   is   a   global,   multi-­‐lingual   Social   Media   Monitoring   and   research   company,   utilizing   a   powerful   hybrid   of   tech   and   human   monitoring   services   to   help   Brands   and   Agencies   collect   and   analyze   consumer   conversations   online.   The   result   is   actionable   analytics   and   insights   that   provide   an   accurate   snapshot   of   a   brand   and   helps   answer  the  ultimate  questions  –  how  are  we  really  doing  right  now,  and  how  can  we  make  it  better. Founded  in   2006,   the   company   has   grown   to   include   analysts    who   provide   native-­‐language   monitoring   and   analytic   services   in   over  30  languages  worldwide.   Brands  such  as  Toyota,  Microsoft,  Sanofi,  Accor,  Orange  and  many  other  well-­‐known  companies  turn  to  Synthesio   for  the  data  they  need  to  engage  their  markets,  anticipate  and  prepare  for  emerging  crisis  situations,  and  prepare   for  new  product  or  new  campaign  launches.   In   2010,   Synthesio   continued   its   rapid   growth,   launching   offices   in   the   United   Kingdom   and   the   United   States   to   keep  up  with  demand   Synthesio  –  Leveraging  social  media  for  the  health  sector  –  December  2010   8