March 25, 2014

Big Data Promises Personalized Medicine By 2020, big data technology will turn every person into his/her own mobile health network. Each person will wear a device -- a ring, a bracelet, a Google Glass -- wirelessly connected to an app that will monitor and transmit vital signs and key indicators of every condition they have. Smarter and more complex fitness bands will marry up with the increasing sophistication of medical and wellness apps to create the ability to monitor and measure almost every significant indicator. Trailing results, plus medical records, DNA and up-to-the-minute stats, will be accessible to EMTs or in the ER, in the case of an accident or incident, and will be routinely trafficked to primary care providers. How we feel will be determined by a series of common, standardized data points instead of vague, indescribable feelings. This data stream, which will be encrypted and stored in the cloud, will be seamlessly and continuously connected to each person's eMR, primary care and specialist doctors, their payer and probably some government entity, which will aggregate and analyze mountains of data. Personal data will be transmitted on a routine schedule and instantly compared to established norms, standards of care and business rules in real time. When spikes or anomalies occur in the routine transmission of personal data, alerts will be sent to the patient, the doctor, the pharmacy, the caregivers or EMTs, if necessary. Many of the sub-components of this ecosystem exist or are in development. Drs. Robin Cook and Eric Topol, writing in The Wall Street Journal, argue that all the physiological data monitored in hospital intensive care units can today be recorded and continuously analyzed on smartphones. A variety of technologies under development will enable smartphones to produce and use all the studies currently done in a medical lab including chemistries, blood values and microbiological studies. And with slight variations apps will be able to carry out urinalysis, specific gravity pH and levels for glucose, protein, red and white blood cells, bilirubin and nitrates and determine if a woman is pregnant. Preventive or compliance behavior will be programmed in advance with "if this; do that" automated logic. For Drs. Cook and Topol, a smartphone will become an avatar physician that’s always with you and always on. Between now and then, software standards will have to be negotiated and interoperability protocols established. This will be a prolonged marketplace battle well worth fighting. We will all be connected to a national health grid that will be immediately accessible on many devices. Most people will be willing to trade a degree of privacy for a huge difference in health care. Over time the insights from this massive data mart will shape national health care policy and set new standards of care in each therapeutic category. This will be a messy, contentious, loud and intensely political exercise that will require a few iterations to get it right, given the array of vested and entrenched interests at the table. But, as a result, our ability to predict disease progress and develop more effective and cost efficient treatment algorithms will triple. And our ability to proactively intervene and to respond quickly to medical problems will take a quantum leap forward. Related articles [tt] WSJ: Cook and Topol: How Digital Medicine Will Soon Save Your Life
Instagram Insurgent Instagram, the photo and video-sharing app owned by Facebook, is the fastest growing social network with 35 million monthly smartphone users spending 257 minutes per month. Forty percent of their traffic is in the United States where 58 percent use the app every day. Seven in ten are women (18-44) with household incomes of $75,000 or more who are actively looking to be surprised, diverted and delighted. Instagram, according to research by L2 Think Tank, registers 15 times the engagement and double the engaged user base of its parent, Facebook. “Instagram resembles a modern day bazaar – one that I visit on my phone when I have a free moment.” Jenna Wortham wrote in The New York Times. “A huge part of the appeal is that the goods I’m perusing are sandwiched in my Instagram feed between my friends; selfies and pictures of snow covered spots where they’ve stopped during the day. Stumbling across an unexpected and gorgeous find … on a special app like Instagram brings with it the excitement of discovery not unlike the titillating thrill you get when coming across a rare find at a flea market.” Casual shoppers and a broad variety of brands have embraced this 100% mobile marketplace. A survey by Teen Vogue found that Instagram is the number one platform that inspires product purchases. Instagram, according to a recent Shopify study, generates the second highest order values among social networks and ranks fourth in sales conversion in spite of the fact that the platform has just created its first ad units and direct links to branded websites or eCommerce platforms are prohibited. So what do Calvin Klein, Ben & Jerry’s L’Oreal, Honda, Uhaul, Macy’s, Gap, Chanel, Michael Kors, Nordstrom, Target, Gucci, Victoria’s Secret, Harrods and Laboutin plus 93 percent of prestige brands know that you don’t? These 4 key tactics … Intercept Behavior. Women have led the smartphone revolution. They clutch their phones as virtual controllers for busy lives. Instagram meets them in the course of their normal daily behavior and offers diversion, surprise and entertainment in context. The app has become a guilty pleasure intertwined with friends, family and workflow. Since 30 percent of women access social networks by smartphone each day, Instagram is perceived as an authentic collection of ideas and images in real time curated by trusted sources. There might not be a better synthesis of targeting, content and channels. Sell by Showing. Photos and fifteen second videos are the coin of the realm. Instagram might be the absolute proof that a picture is worth a thousand words. Also given its global reach, pictures often communicate fundamentals without a need for translation. Both individuals and brands post. The average prestige brand posts 6 images a week and 72 percent post 15-second videos, usually one every two weeks. The photos get 1.5X the engagement. Producing high quality short video is a gating factor which should disappear over time. Facilitate Sharing. Comments, re-posts and sharing to other social networks, especially Facebook (9 out of 10 shares) and Twitter are common. Instagram, like Twitter, is becoming a real-time companion to off-line events. During New York Fashion Week 100,000 fashion-related images were posted to Instagram by 33,000 unique users while the top fashion brands averaged about 7 posts per day. #InstagramDirect connects individuals to each other to share posts. Consumers can opt-in to follow brands or celebrities and set push alerts about new content from favorite brands and friends. There seems to be a broad understanding that friends share interests, tastes, perspectives and Instagram imagery. Use Your Ecosystem. The smart guys import Instagram images and user-generated content into branded websites and Facebook pages. Instagram integration adds an element of real-time spontaneity that feels natural and comfortable to shoppers. Some brands have used widgets to drive conversions from user-generated photos. Brands like American Eagle Outfitters, Lancôme, Coach and West Elm solicit images of their products and then post them as a supplement to staged catalog shots. In one study images used this way increased conversion from 5-7 percent and boosted average order value by 2 percent. If you’ve got something to tell or sell women, don’t ignore Instagram.

Danny Flamberg

I am a veteran marketing consultant working with leading and emerging brands

The Typepad Team

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