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Internet-Enabled CME. The Coming Earthquake. ACME Annual Conference January 20, 2000 Charles B. Crawford Vice President, I.C. Axon Inc. ccrawford@icaxon.com. An Earthquake is. Vibrations produced when forces pushing on a mass of rock overcome the friction holding it in place. 2.
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Internet-Enabled CME The Coming Earthquake ACME Annual Conference January 20, 2000 Charles B. Crawford Vice President, I.C. Axon Inc. ccrawford@icaxon.com
An Earthquake is... Vibrations produced when forces pushing on a mass of rock overcome the friction holding it in place 2
An Earthquake is... Early Warning New Landscape Earthquake Tremors Aftershocks 3
Early Warning Signals Early Warning 4
Early Warning Signals • Doctors faced with increasing cost and time pressures • Rapid growth in Internet usage • Driven by access, bandwidth and information availability • New generation of Web-savvy med school grads • Online CME begins emerging 5
Physician Internet Usage Trends % % Healtheon survey of l0,000 physicians. 6
Physician Web Usage Trends % % 2000 AMA Study on Physicians’ Use of the World Wide Web 7
Exceeds General Usage 90.6 million North Americans on line NUA Internet Survey 8
Hospital Staff Internet Access Comparison of different staff internet , 1998 vs. 1999--VHA 9
Physician Web Use Healtheon survey of l0,000 physicians 10
Top Health Sites 11. www.unimelb.edu.au 12. www.planetrx.com 13. www.ediets.com 14. www.who.int 15. Pharmaceutical Information Network 16. www.kitchenlink.com 17. www.thirdage.com 18. www.drugstore.com 19. www.webmd.com 20. Mediconsult.com, Inc. 1. Medscape 2. www.av.com 3. American Medical Association 4. eBMJ 5. www.vh.org 6. www.intelihealth.com 7. OnHealth! 8. www.drkoop.com 9. Thrive 10. Men's Health GoTo Network, January l4, 2000 11
CME on the Net The Journal of Continuing Education in the Health Profession, Fall l999 12
Do you agree: The Internet is an excellent medium for CME? From a survey by I.C. Axon at the January l999 ACME conference. 13
CME Hours ACCME 14
Time on line per session Medical Marketing and Media 15
Tremors Tremors 16
Tremors 17
Tremors • Web-educated patients adding pressure to healthcare professionals • Active promotion of online CME • Large players entering the arena • Well financed and supported • The emergence of pure e-Brands 18
Delivery Models • Print Adaptation 19
Delivery Models • Print Adaptation • Live Presentation Adaptation • Live events • Live and re-broadcast on-demand 22
Business Models General Content Specific Commercial Support User Support Advertising Sponsorship Subscription Per Use 26
Business Models General Content Specific Commercial Support User Support Advertising Sponsorship Per Use Subscription 27
Business Models General Content Specific Commercial Support User Support Sponsorship Advertising Subscription Per Use 29
Business Models General Content Specific Commercial Support User Support Advertising Sponsorship Subscription Per Use 31
Business Models General Content Specific Commercial Support User Support Advertising Sponsorship Per Use Fee 33
Earthquake Earthquake 35
The “Big One” • Critical mass of physician Web-users • Emergence of online CME preferred by a large portion physicians 37
The Web will change CMEmore than other businesses • Fragmentation • CME generally done on a local or regional basis • The Web offers a national and global reach • The Pressured Doctor • Looking for simpler, more efficient means • Increased Emphasis on Outcomes • The Web offers inherent tracking and measurability 38
New Models on the Web • Purpose-Built for New Media • Interactive and simulation • Practical and case-based • Customization • User assessment • Added Value Tools • Tracking and performance-assessment 39
The Promise • Faster and more convenient • Customized to user needs • Engaging and challenging • Supports clinical decision-making • Database linked 41
Aftershocks Aftershocks 42
Aftershocks • New players thrive • Continuing demand will affect all providers • A new landscape emerges 43
The New Landscape New Landscape 44
The New Landscape 5 Cs Convenient Customized Continuous Case-based Collaborative 45
The Future • Web-based CME will cause a dramatic shift in the industry • Traditional delivery will remain • New players will emerge • More collaboration and cooperation amongst CME providers is inevitable • It will be new, innovative and engaging 46
Web Resources • Internet statistics • WWW.Internetstats.Com • WWW.Emarketer.Com • Physician usage and attitudes to the Web • WWW.Worknews.Pwpl.Com • WWW.HealthCareComputing.Com • Online CME Directories • WWW.MedicalComputingToday.Com • WWW.DocGuide.Com 47
IC Axon Healthcare Learning Solutions Charles B. Crawford Vice President, I.C. Axon Inc. ccrawford@icaxon.com