heldincontempt:
Welcome to the #pharma marketing & social media chat (#socpharm). Plse start w/intros & why u are interested in this.
heldincontempt:
I’m Heather Powell, in Business Practices and Ethics at DSI. Welcome! #socpharm
heldincontempt:
We’ll assume that all tweets within #socpharm are your own and not your employers (unless you specifically declare them).
friedah03:
Hi all. Frieda Hernandez hre from Siren Interactive tuning in 4 #socpharm. interested in all things #raredisease #fdasm #epatient #epharma
friedah03:
@heldincontempt: Welcome, looking forward to your moderating #socpharm
heldincontempt:
Maybe everyone is wiped out from #epatcon! Hi Frieda — anyone else out there? #socpharm
friedah03:
Unfortunately I missed it. RT @heldincontempt: : Maybe everyone is wiped out from #epatcon! Hi Frieda — anyone else out there? #socpharm
CiaranSB:
Hi Heather. Ciaran Bellwoar from Siren Interactive. Looking forward to good conversations tonight at #socpharm
crshorizon:
Hi – Chuck Strand from Siren here. #socpharm
heldincontempt:
Well, I’ll plow ahead with our first topic, one of great interest to me! #socpharm
heldincontempt:
Drug firm payments to doctors declining: ProPublica has posted an update to their previous study of pharma pmts to HCPs. #socpharm
soulflsepulcher:
@friedah03: @heldincontempt: #socpharm i’m here for a few minutes, lurking, mom, mental health advocate interested in pharma transparency
heldincontempt:
Hi Ciaran, Chuck, @soulflsepulcher: ! What do you think is behind decline in payments? Is it the companies or HCPs who are hesitant? #socpharm
EileenOBrien:
Big thanks to @heldincontempt: for moderating #socpharm while I’m speaking to #HBA on social media.
soulflsepulcher:
#socpharm i personally like the ProPublica database, its a great beginning to the sunshine act. #pharma should be accountable on websites
heldincontempt:
Here’s a link to an article detailing the updated findings: http://t.co/GFcPYdtG #socpharm
soulflsepulcher:
and Lilly has pretty good transparency on their site #socpharm also AstraZeneca has began theirs, adding some as result of DoJ conditions
friedah03:
Did they cite reasons? @heldincontempt: : re Drug firm payments to MDs declining: ProPublica posted an update to previous study #socpharm
heldincontempt:
I know that those of us inside pharma who are responsible for Sunshine reporting wish that HHS would issue their regs already! #socpharm
soulflsepulcher:
#socpharm well the direct payment to physicians could be lower but the other entities are not, some are where docs work, Yale, Mass Gen..
soulflsepulcher:
Lilly’s database for grants awarded shows a LOT of hospitals, advocacy grp such as NAMI and Chadd, inc all asking for $$ #socpharm
heldincontempt:
Frieda, big focus on academic med centers restricting speaking by their physicians, as well as companies cutting spkr bureaus. #socpharm
CiaranSB:
@heldincontempt: I heard non-speaking drs are looking for more Thought Leaders than paid KOLs – at least in online communities #socpharm
crshorizon:
@heldincontempt: The power of transparency! #socpharm
soulflsepulcher:
#socpharm so what the lower stats on docs getting $ show is that the money is being sent to agencies,institutions,etc & docs indirectly bene
friedah03:
@soulflsepulcher: Sometimes non-profits are actually providing services to patients, collecting fees from pharma, e.g: NAMI #socpharm
soulflsepulcher:
@heldincontempt: #socpharm i was shocked at Dr. Melissa DelBello at University of Cinncinati getting $215K for Q1 from Lilly!!
soulflsepulcher:
@friedah03: yes #socpharm NAMI receives 75% funding frm pharma.Prob is, they call themselves grassroots org type…and are Pro-med mission
friedah03:
@heldincontempt: I think the Sunshine act it good overall for sake of transparency. Not sure it’s wrong for docs to accept $$ #socpharm
soulflsepulcher:
@heldincontempt: #socpharm I guess another Q could be if doctors take less pharma money because of the new database and sunshine act exposure
friedah03:
@heldincontempt: How does this impact MDs participating in pharma funded dlinical trials as investigators? #socpharm
heldincontempt:
I believe there will always be a place for legitimate services by HCPs for pharma. Not sure if spkr programs will be that place! #socpharm
soulflsepulcher:
it’s wrong to take the pharma $ as a doctor if the doc takes $ from the same co that funds a clinical trial… #socpharm #ethics
heldincontempt:
PIs and CROs are having the most trouble adjusting to Sunshine, I think. Perception that legit research should be sep from promo. #socpharm
FDALawyers:
@heldincontempt: IMO speakers play a very important role #socpharm
crshorizon:
It would be interesting to get stats on patient/caregiver views of docs accepting fees; what terms/situations may be acceptable. #socpharm
soulflsepulcher:
@friedah03: @heldincontempt: #socpharm i dont think the doc should be paid by or the trials funded by pharma cos w control of data #ethics
FDALawyers:
MT @friedah03: @heldincontempt: IMO Sunshine act it good overall for sake of transparency. Unsure its wrong for docs to accept $$ #socpharm
tonyjewell:
variety of reasons for drop in spending, including life cycle of meds #socpharm
soulflsepulcher:
i know @TheRealDanSfera has mentioned one #socpharm chat that the Sunshine act has impacted his clinical trial business
soulflsepulcher:
@tonyjewell: #socpharm drop in meds, meaning patent expiry? (cliffs)?
FDALawyers:
Hi Heather. Darshan from the Kulkarni Law Firm. Excited to join in #socpharm
#socpharm
heldincontempt:
CROs are not used to providing HCP-level pmts back to pharma. Major change in philosophy, systems and business model. #socpharm
heldincontempt:
Hi Darshan and Tony! Welcome. #socpharm
friedah03:
@heldincontempt: Does Sunshine just cover promo $ or compensation for any pharma funded activity indluding research? #socpharm
heldincontempt:
Sunshine covers pmts to physicians and teaching hospitals for both promo and clinical research. #socpharm
FDALawyers:
@heldincontempt: A lot of CROs are not prepared for this. #socpharm
heldincontempt:
Clinical trial pmt reporting is delayed to protect intellectual property. #socpharm
soulflsepulcher:
@crshorizon: i’m a patient advocate and caregiver, you can measure n=1 from my tweets
#socpharm
FDALawyers:
@friedah03: @heildincontempt All payments #socpharm
friedah03:
@soulflsepulcher: I do think there can be an influence but more like what gets published re: data from trials #socpharm #ethics
heldincontempt:
Any other thoughts on Sunshine, transparency or conflicts of interest before we move on? #socpharm
tonyjewell:
@soulflsepulcher: perhaps, but not necessarily. more mature meds with no new indications=less need #socpharm
soulflsepulcher:
@friedah03: #socpharm yes if we can trust the data published, as some have not been forthright in some instances, internal docs show
FDALawyers:
@heldincontempt: How long r ur delays typically (often internal policies) #socpharm
crshorizon:
@soulflsepulcher: @crshorizon: Now there’s a valid stat! #socpharm
heldincontempt:
T2: @eileenobrien mentioned that at HBA mtg last week, consolidation of pharma companies was a topic of discussion. #socpharm
friedah03:
Interesting RT @heldincontempt: : CROs R not used 2 providing HCP-level pmts back 2 pharma. Major change in…business model. #socpharm
FDALawyers:
IMO I think the transparency has gotten a little out of line #socpharm
heldincontempt:
T2: Where do you think industry will be in 5 years? 10 mega companies, biotechs, a mix? #socpharm
friedah03:
Yes, I recall reading that now. RT @heldincontempt: : Clinical trial pmt reporting is delayed to protect intellectual property. #socpharm
heldincontempt:
@FDALawyers: Do you mean delays in reporting? It’s statutory for Sunshine. #socpharm
soulflsepulcher:
@tonyjewell: ahh no wonder certain meds are in so many trials for expanded indication! what some call ‘patent extenders’ #socpharm
jearch:
Hello #socpharm. Joining late but happy to be here.
friedah03:
We luv having yr views RT @soulflsepulcher: : @crshorizon: i’m a patient advocate & caregiver, U cn measure n=1 from my tweets
#socpharm
charlesornsteinWhat pmt transparency has created:
Dollars for Docs. http://t.co/KOhVPG2W Eager for your thoughts. #socpharm @heldincontempt:
soulflsepulcher:
@heldincontempt: T2 #socpharm more Q are the loss of blockbuster drugs to generic/patent expiry going to change outlook for next 5 yrs?
heldincontempt:
Welcome! Charles, I am a huge fan of transparency and appreciate the context that is being offered, which is critical. #socpharm
FDALawyers:
@heldincontempt: sorry: clarification: What outlook for big pharma/small/biotech? #socpharm
heldincontempt:
I am very concerned about HHS’s ability to provide appropriate context to end users for a huge amount of sensitive data. #socpharm
FDALawyers:
Personally, I feel bad for the docs. Its asking for very personal info. Like asking my salary. Not sure I would like that. #socpharm
friedah03:
T2: IMHO there will be 10 megas and a lot of biotech start-ups. I think the middle is getting squeezed in pharma #socpharm
heldincontempt:
I’m wondering if big pharma will continue to consolidate/downsize and what role small companies will play, esp in research. #socpharm
FDALawyers:
MT @heldincontempt: : I am concerned about HHS’ ability to provide appropriate context 4 a huge amount of sensitive data. #socpharm
heldincontempt:
Darshan, we were just talking about that in a meeting today. We don’t reveal our W2s to the world! #socpharm
charlesornstein@heldincontempt:
We try to provide context in terms of products made by each co. and descriptions of services each co. uses #socpharm
soulflsepulcher:
@FDALawyers: #socpharm many public servant jobs such as teachers have income/earnings posted in public database, as well as state paid docs
CiaranSB:
@heldincontempt: Do you think there might be a split completely: R&D companies and those that commercialize? #socpharm
heldincontempt:
I think it’s entirely possible, Ciaran. We’re already seeing a lot of partnerships in that vein, esp in personalized medicine. #socpharm
FDALawyers:
@soulflsepulcher: But not at an individual level, but at a block level. I remember, coz I clerked for a fed judge. #socpharm
FDALawyers:
@soulflsepulcher: My salary was same as others of my “block”. But no one really asked me my specific block. That would be rude. #socpharm
heldincontempt:
I think taxpayers feel they have a right to know salaries of publicly-funded employees. Should that extend to HCPs, too? #socpharm
soulflsepulcher:
@FDALawyers: well the docs are having to produce W-2′s just that income from pharma inc travel/meals, the rest is private (i think) #socpharm
soulflsepulcher:
@FDALawyers: some school districts post ALL employee income, i found that interesting and lacking privacy #socpharm
heldincontempt:
I am loving this conversation! Here’s a hypothetical: if PPACA gets repealed, should Sunshine still live on? #socpharm
soulflsepulcher:
@FDALawyers: i meant NOT produce w-2s just pharma income! #socpharm (typo)
friedah03:
@heldincontempt: @FDALawyers: Payments from pharma for speaking, etc., not quite the same as salaries, IMHO #socpharm
crshorizon:
The amount of an HCP’s salary is irrelevant; the potential problem is the source, right? #socpharm
FDALawyers:
@friedah03: @heldincontempt: @soulflsepulcher: Why? Its another source of income. #socpharm
CLOVESSyndrome:
RT @shelleypetersen: Map tracks antibiotic-resistant ‘superbugs’ online http://t.co/7qF3wgdr #mhealth #ehealth #hcsm #hcsmca #hcsmla #fdasm #socpharm #ehr #emr
FDALawyers:
@crshorizon: Exactly #socpharm
heldincontempt:
The potential problem is the conflict between commitment to objective patient care and financial influence from pharma. #socpharm
FDALawyers:
@crshorizon: #socpharm
soulflsepulcher:
@FDALawyers: @friedah03: @heldincontempt: #socpharm why disclose only pharma income? not personal salary? because its not required in sunshine
soulflsepulcher:
RT @heldincontempt: The potential problem is the conflict between commitment to objective patient care and financial influence from pharma. #socpharm
CiaranSB:
@heldincontempt: are they that closely married? if PPACA gets repealed, should Sunshine still live on? #socpharm
FDALawyers:
@heldincontempt: Agreed. But, the question is whether pt. care is affected or costs are affected. Different questions IMO. #socpharm
friedah03:
Because of potential to influence prescribing? RT @FDALawyers: : @heldincontempt: @soulflsepulcher: Why? Its another source of income. #socpharm
FDALawyers:
@soulflsepulcher: @FDALawyers: @friedah03: @heldincontempt: Exactly, but IMO the sunshine act goes too far. #socpharm
soulflsepulcher:
@heldincontempt: yes, exactly #socpharm the doctor speaks on a certain drug, gets income frm that company, writes scrip to patient= COI
jearch:
I think R&D cos r incubators for big Rx to buy RT @CiaranSB: : @heldincontempt: Yes, split between R&D cos & those that commercialize #socpharm
heldincontempt:
Sunshine was passed as section of PPACA. If PPACA repealed, Sunshine would have to pass on its own. #socpharm
FDALawyers:
@soulflsepulcher: @heldincontempt: I concede my bias. My wife is doc, and I hate that in the future her income is up 4 world #socpharm
FDALawyers:
@soulflsepulcher: But speaking on topic =/= bias. Just that he delivered a service and got paid for it. #socpharm
friedah03:
OMG! Don’t want to think abt it. @heldincontempt: : re: if PPACA gets repealed, should Sunshine still live on? #socpharm
FDALawyers:
@jearch: I think thats already happening. #socpharm
soulflsepulcher:
@FDALawyers: @heldincontempt: #socpharm ohh now that’s transparency! and explains your personal bias! good to know why we say what we do
heldincontempt:
I’m still eagerly awaiting those regs, allegedly to us by October 1. Not holding my breath. #socpharm
friedah03:
Agreed RT @FDALawyers: : @jearch: I think thats already happening. #socpharm
soulflsepulcher:
thanks for moderating! i’ve got to run, thanks for the discussion everyone! @heldincontempt: #socpharm
heldincontempt:
Good night @soulflsepulcher: ! Thanks for joining! #socpharm
heldincontempt:
OK, we’ve got a few minutes left. Let’s talk about texting! #socpharm
friedah03:
@soulflsepulcher: Always great to have you in the convo. #socpharm
FDALawyers:
@soulflsepulcher: Thx for the convo #socpharm
charlesornstein@heldincontempt:
what happens if regs delayed? #socpharm
jearch:
Yes, but it may become a necessary norm vs a trend RT @friedah03: : Agreed RT @FDALawyers: : @jearch: I think thats already happening. #socpharm
charlesornstein:
MT @heldincontempt: : Potential problem is conflict b/w commitment to objective patient care and financial influence from pharma. #socpharm
heldincontempt:
Pew Research came out with a new report on Americans and texting: http://t.co/vM6zLeUq #socpharm
FDALawyers:
@jearch: IMO I have been seeing it for a few years. May get worse. But big pharma is better at marketing worse at research #socpharm
heldincontempt:
Charles, it’s not clear. Would hope for a delay in implementation until we have regs, but proceeding w/what we know in interim. #socpharm
friedah03:
@jearch: I agree with that too. Many smaller companies more nimble with research. Big pharma seeing diminishing returns for R&D $ #socpharm
jearch:
I look at how my teen texts-primary comm channel RT @heldincontempt: : OK, we’ve got a few minutes left. Let’s talk about texting! #socpharm
heldincontempt:
Is it possible for pharma companies to meaningfully provide info/promo via text? #socpharm
CiaranSB:
@heldincontempt: I think as with any medium, if user says preferred way of comm, it can be used #socpharm
jearch:
For compliance…great reminder @heldincontempt: : Is it possible for pharma companies to meaningfully provide info/promo via text? #socpharm
crshorizon:
As long as they’re adding value. #socpharm
Jeff_Greene:
@heldincontempt: #socpharm Hi Heather – chiming in late. Yes, SMS can be powerful – studies starting to show its #behaviorchange benefits.
FDALawyers:
Depends on what the info is. #socpharm
friedah03:
@heldincontempt: Not to me, I’m old school, in the 53% who prefer voice
Probably depends on value of the message #socpharm
heldincontempt:
I know that I would be happy to get reminder texts about taking meds. I can’t remember where my keys are at any given moment! #socpharm
FDALawyers:
@jearch: Issues with HIPAA potentially #socpharm
friedah03:
Agreed RT @CiaranSB: : @heldincontempt: I think as with any medium, if user says preferred way of comm, it can be used #socpharm
heldincontempt:
I guess it’s like any other medium — make sure it’s not just more noise, not adding value to the user’s life. #socpharm
FDALawyers:
@Jeff_Greene: Hey Jeff. How goes it. #socpharm
jearch:
TXT is immediate, great attention-getter. Need opt-in, but allows for follow-up (value-added of course) via other channels #socpharm
heldincontempt:
Anything else anyone would like to tee up before the hour is over? This time goes so fast! #socpharm
friedah03:
@heldincontempt: LOL!!! They can definitely text me about my keys! #socpharm
CiaranSB:
Pros for SMS: fast delivery, can add image – quick how-to infographic for self-administered meds #socpharm
jearch:
Great idea! RT @CiaranSB: : Pros for SMS: fast delivery, can add image – quick how-to infographic for self-administered meds #socpharm
FDALawyers:
Questions like: How did pharma get the info would be raised. #socpharm
friedah03:
Must be permission-based, like email. RT @FDALawyers: : Questions like: How did pharma get the info would be raised. #socpharm
scopedbylarry:
RT @heldincontempt: : Pew Research came out with a new report on Americans and texting: http://t.co/vM6zLeUq #socpharm
Jeff_Greene:
And SMS has a 75-80% reach that’s relatively cheap .. your app can’t do that. #socpharm
FDALawyers:
Not sure pharma could do a permission based email reminder either. Would need to check specifically. #socpharm
jearch:
Hi Jeff. Good point for all mobile RT @Jeff_Greene: : And SMS has a 75-80% reach that’s relatively cheap .. your app can’t do that. #socpharm
FDALawyers:
@heldincontempt: What do you think Heidi? PR/legal/reg problems with SMS reminders? #socpharm
heldincontempt:
I think that with appropriate safeguards and ISI where necessary, opt-in reminders could be OK. #socpharm
heldincontempt:
And that’s the hour! Thanks again to @eileenobrien for inviting me to moderate tonight. She’ll have the transcript up this week. #socpharm
FDALawyers:
@heldincontempt: We should talk more about that next time around. #socpharm
heldincontempt:
And for anyone who likes to idly chat about Sunshine or transparency or whatever, please feel free to reach out to me! #socpharm
EileenOBrien:
Thanks to @heldincontempt: for guest moderating #socpharm I’ll post the transcript tomorrow.
Jeff_Greene:
Hear hear! RT @heldincontempt: I think that with appropriate safeguards and ISI where necessary, opt-in reminders could be OK. #socpharm
friedah03:
@FDALawyers: @jearch: @Jeff_Greene: @CiaranSB: @crshorizon: @charlesornstein Great chatting with you, must sign off. #socpharm
heldincontempt:
Thanks again to everyone for participating tonight! See you next week. #socpharm
jearch:
SMS reminders used for Guardasil boosters in Australia to aid compliance. Was successful. #socpharm
jearch:
Night #socpharm, thanks #heldincontempt: .
friedah03:
@heldincontempt: Rocking convo, you’re an awesome moderator, Heather! #socpharm
crshorizon:
Thanks for hosting! Good night. #socpharm
CiaranSB:
@heldincontempt: @friedah03: @FDALawyers: @jearch: @Jeff_Greene: @CiaranSB: @crshorizon: @charlesornstein Good conversation for sure. #socpharm
FDALawyers:
RT @CiaranSB: : @heldincontempt: @friedah03: @jearch: @Jeff_Greene: @CiaranSB: @crshorizon: @charlesornstein Thx all #socpharm
heldincontempt:
Thanks, everyone! @crshorizon: @friedah03: @jearch: @FDALawyers: @Jeff_Greene: @charlesornstein @CiaranBellwoar @soulflsepulcher: #socpharm
jearch:
RT @CiaranSB: : @heldincontempt: @friedah03: @FDALawyers: @jearch: @Jeff_Greene: @CiaranSB: @crshorizon: @charlesornstein Good conversation for sure. #socpharm
Jeff_Greene:
Will try to set my alarm earlier for next week’s #socpharm
G’night all
friedah03:
Great context for a complicated issue: About the Dollars for Docs Data – ProPublica http://t.co/Q1prx4ku via @propublica #socpharm #in


If u missed #socpharm tweetchat Wed night, @heldincontempt led gr8 convo. Here's transcript http://t.co/iKIrvUOU #socpharm #epharma #hcmktg
in this socpharm chat http://t.co/09ciFaZ4 frm 9.21.11 sunshine act affects your wife's disclosures @FDALawyers