The Patient Journey Evolution
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- Roger Craig
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1 The Patient Journey Evolution A Case Study Alex Zhu & Bill Salokar SKIM 1
2 Digital is transforming business and Healthcare is no exception 70% US consumers use a digital channel to manage health & wellness 50% US HCPs use 3+ connected devices professionally 1/5 Top Pharma has a chief digital officer 2
3 But Pharma is lagging behind Global Average: Public Sector Pharma Insurance Banking Media/ Entertainment Telecom Retail Travel/ hospital Digital Leaders Distribution of Digital Quotient score by industry (global), points, out of Source: Mckinsey
4 Patients are empowered with more info and choices than ever, yet their expectations haven t been met What is avg. time of a HCP visit? 4
5 Patients expect more and better experience Personalized communication Format Tonality Interface Localized One-stop experience Trusted one-stop info source Simple and easy interaction Personalized services Alert Patient support Beyond the pill / holistic therapy 5
6 This calls for an evolution of patient journey & experience research Patient centric Actionable Small data + Big data 6
7 7 Patient-Centric
8 While it takes the patient perspective, traditional patient journey is largely a treatment journey Initial symptoms Self research / management HCP visit Diagnosis Initiation Therapy New treatment choice Evaluation or treatment and symptoms Changing symptoms 8
9 What if we take a different starting point? Denial Doubt Acceptance Control Doubt Focus on the stage-shifting micro-moments Develop granular patient stage profile 9
10 Case an iterative approach starting with patient stage profiles Phase 1 (diverge) Informational Phase 2 (converge) Emotional Clinical 10
11 Informational, emotional, and clinical gaps Initial Symptoms Diagnosis Disease management Unaware Confused Overwhelmed or condescended Skeptical and illequipped Left out Self-conscious, burdensome Uneasy, alone Isolated, disempowered Unprepared Delayed Prolonged No systematic approach 11
12 12 Actionable
13 13 Qualitative journey work tends to be descriptive but lack focus
14 Making it actionable takes two level of prioritization Sub-journeys Key Moments 14
15 Considerations to prioritize a sub-journey 1. Where is battle ground? (e.g. first to market vs. 4 th line) 2. Highly important to a brand with immediate commercial impact (e.g. new patient onboard journey) 3. Limited clarity & existing knowledge for a sub-journey (e.g. pain points in starting a new biologic) 4. Targetable with current marketing programs (e.g. patient support) 5. Preferably with measurable metrics (e.g. establish a baseline on-board experience measurement and track the results) 15
16 Action guide What (Content) Where (Touchpoint) Acquisition Retention 16
17 Case convergence phase focuses on key moments and key leverage points Phase 1 (diverge) Informational Emotional Phase 2 (converge) For each stage focus on key moments Identify key leverage points for marketing Clinical 17
18 Key leverage points Key Pt questions Key influencers Initial Symptoms Diagnosis Management 18
19 Developing an ecosystem experience view centered around patients Family members Specialist 1 Specialist 2 AHP Primary care providers 19
20 Key leverage points along the journey Leverage Point: Explain what disease is and what to do if symptoms present in order to obtain an earlier diagnosis Leverage Point: Explains detailed information in patient-friendly language, but does not overwhelm. Leverage Point: social support to prevent isolation, and resources for handling social situations and employment. Initial Symptoms Diagnosis Management Leverage Point: Disease education is needed to target HCPs and help them recognize disease more quickly in these patients. Specialist 1 should be targeted in particular. Leverage Point: Establishing a comprehensive disease symptom management / treatment plan presents an opportunity for the HCP to restore trust with patients 20
21 21 Small Data + Big Data
22 Looking forward three areas for integration Quantitative data EMR Digital behavioral data 22
23 23 Quantitative OTC Journey
24 24 EMR
25 Digital Behavioral Data Search Terms Search Engine 25% Coupon Site 13% Preceding Retailer Visit Other Retailer Site 9% 8% Social No Preceding Media / News Activity 17% 13% Product Search XXX Retailer Search Amazon XX Walmart YYY Target First Page visited at a Retailer ZZ Kmart Home Page 43% XX Related Product Page 21% Web/App page 11% Brand Page 9% Ad/Deals/Special Offers Page 2% ABC Samsclub CVS Walgreens 25
26 Alex Zhu Bill Salokar Rotterdam New York Atlanta London San Francisco Rio De Janeiro San Jose 26
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