5 things you need to know about hospitalists

Transcription

1 2017 MEDIA KIT PRODUCT ADVERTISING 5 things you need to know about hospitalists 1. On average, hospitalists treat 5.3 diseases per patient % of hospitalists say they are frequently asked for their opinion about what drugs to prescribe. 3. Each shift, hospitalists prescribe 35 prescription drugs and 10 OTC drugs. 4. Hospitalists rewrite prescriptions for one in three patients. 5. Only 15% of hospitalists see pharmaceutical reps on a regular basis. Source: 2016 custom study of hospitalist publications conducted by Accelara Publishing Research

2 Who do hospitalists treat? In the majority of US hospitals, virtually all patients are admitted and treated by hospitalists. On average, hospitalists: Work 15 shifts a month. Have 16 to 17 patient encounters per shift. Treat 5.5 diseases/conditions per patient. Prescribe 35 prescription drugs and 10 OTC drugs per shift. Comanage patient care with specialists. Rewrite prescriptions for one-third of their patients. Three out of four hospitalists work in the ICU. Source: 2016 custom study of hospitalist publications conducted by Accelara Publishing Research To learn more, contact:

3 Where hospitalists learn about pharmaceutical products Today s Hospitalist boasts the largest list of practicing hospitalists and the highest level of reader engagement. Where hospitalists first become aware of new/improved pharmaceutical products: Today s Hospitalist 43% SHM / The Hospitalist 14% ACP Hospitalist 22% Journal of Hospital Medicine 15% Where hospitalists first form impressions about specific pharmaceutical products: Today s Hospitalist 43% SHM / The Hospitalist 18% ACP Hospitalist 16% Journal of Hospital Medicine 12% Where hospitalists learn the differences among pharmaceutical products: Today s Hospitalist 42% SHM / The Hospitalist 16% ACP Hospitalist 18% Journal of Hospital Medicine 14% Source: 2014 custom study of hospitalist prescribing patterns conducted by Accelara Publishing Research To learn more, contact:

4 Largest hospitalist reach and most requested hospitalist publication Multi-channel reach=350,000 touchpoints a month Today s Hospitalists unmatched multi-channel audience Total print circulation 35,007 (monthly) e-newsletters 264,000 (monthly) Web site page views 45,000 (monthly) Social media followers 8,750 (ongoing) Circulation at a glance Today s Hospitalist has the largest total circulation of publications targeting hospitalists (35,007), and it goes to more hospitalists (32,229) than other publications. This figure includes only practicing hospitalists, not residents and nonphysicians. Nearly two-thirds of our readers (19,060) have requested a subscription to Today s Hospitalist Magazine, more than any competing publication. To learn how Today s Hospitalist can connect you with hospitalists, contact: Source: BPA statements and publisher s own data Largest hospitalist reach How many hospitalists do we reach? Physicians 32,229 Third-year residents 1,128 Non-physicians 1,650 Total circulation 35,007 Source: July 2016 BPA statement Half of all hospitalists do not receive competitor publications and can only be reached through Today s Hospitalist Which membership societies do hospitalists belong to? Society of Hospital Medicine 48% American College of Physicians 46% American Academy of Family Physicians 12% American Academy of Pediatrics 8% Source: 2015 custom study of hospitalist publications conducted by Accelara Publishing Research

5 Prescribing behavior Most hospitalists encounter every one of these 17 diseases/conditions. Number of drug orders written per shift by therapy Diabetes 7.8 Cardiac care 7.6 Pain management 7.5 Antimicrobials/antibiotics 7.1 Euvolemic hyponatremia 6.8 Anticoagulants/antiplatelets 6.7 GI care 6.5 COPD/asthma 5.9 Psychiatric agents 4.0 Neurologic agents 3.5 Addiction medicine 3.5 Stroke/t-PA 3.1 Critical care drugs 2.7 Osteoporosis agents 2.0 Rheumatoid arthritis 1.7 Estrogen products 1.4 Sexual dysfunction agents 1.3 Source: 2016 custom study of adult hospitalists conducted by Accelara Publishing Research

6 2017 product advertising rate sheet n BPA-audited circulation Total Circulation: 35,007 (July 2016 BPA statement) Requestor Circulation: 19,060 (July 2016 BPA statement) Bonus Distribution: March (ACP meeting) and May (SHM meeting) April and September (third-year IM residents) Publisher: Roman Press Inc. Established Frequency: 12 times a year. Publication Dates: Issues mail the first of the month. n Print rates Black & 1X 3X 6X 12X 24X 36X 48X White Full page $3,635 $3,530 $3,420 $3,320 $3,150 $3,005 $2,845 ½ page $2,725 $2,650 $2,560 $2,495 $2,365 $2,245 $2,140 ¼ page $1,645 $1,585 $1,540 $1,500 $1,415 $1,350 $1,290 Ad Sizes Full page: 8 3/8 x 11 1/8 with bleed [trim size is 8 1/8 x 10 7/8 ] Half page: Horizontal 7 1/4 x 4 7/8 Half page: Vertical 3 7/16 x 10 Quarter: Vertical only: 3 7/16 x 4 7/8 Color Charges Two color: Additional $725 Four color: Additional $1,675 Position Charges In addition to earned B/W rate: Cover 2 or Cover 4: additional 50%. Opposite TOC: 25%. Other guaranteed positions 10%. High Impact Options Outserts: $30,500 gross (up to 3 oz.) Cover tips: $19,500 gross Bellybands: $19,500 gross Advertising Information Agency discount: 15% Earned rates: Based on total units per calendar year. Inserts: Charged at earned B/W page rate X number of insert pages. n Specifications Trim size: 8 1/8 x 10 7/8. Paper stock: 60 pound, coated. Binding: Saddle stitch. Inserts: Include quantity and insertion date. Quantity: 42,500. Insertion orders: Orders and ad material must be submitted by 5 PM ET on the specified date. Cancellations/ changes must be received in writing by 12 PM on closing date. n Advertising contacts

7 2017 product advertising rate sheet n Editorial mission Today s Hospitalist is the leading source of practical information for hospital medicine, the fastest growing specialty in the U.S. The articles in Today s Hospitalist are designed to help hospitalists face day-to-day issues that they see in their practice, from practice management to clinical medicine. n 2017 Editorial calendar* ISSUE: CLOSING MATERIALS Planned clinical & practice management topics DEADLINE DEADLINE January Pneumonia, Shift rates/extra shifts Dec. 1 Dec. 8 February EMR; Acute coronary syndrome Jan. 2 Jan. 9 March Managing GI patients; Administrative time and pay Feb. 1 Feb. 8 April Neurology; Retention strategies Mar. 1 Mar. 8 May Infectious diseases; Leadership strategies Apr. 3 Apr. 10 June Telemedicine; Community outreach May 1 May 8 July Perioperative controversies; Value-based purchasing Jun. 1 Jun. 8 August Hepatitis C; Technology Jul. 3 Jul. 10 September Post-discharge care; Contracts and legal issues Aug. 1 Aug. 8 October Vaccines; Patient experience Sep. 1 Sep. 8 November Infectious disease; Bonuses and incentives Oct. 2 Oct. 9 December Anticoagulation; Night coverage Nov. 1 Nov. 8 *May be subject to change. n Product advertising contacts j berman@bemediapartners.com Editorial board Viviane Alfandary, MD, John Muir Medical Group Alpesh Amin, MD, MBA, University of California, Irvine Vineet Arora, MD, MPP, University of Chicago Kimberly Bell, MD, Franciscan Health System Robert Bessler, MD, Sound Physicians Martin B. Buser, MPH, Hospitalist Management Resources LLC Albert Caccavale, DO, Northern Arizona Hospitalists Dean Dalili, MD, Schumacher Clinical Partners Erik DeLue, MD, MBA, Virtua Memorial Hospital William T. Ford, Jr., MD, Abington Memorial Hospital David Frenz, MD, North Memorial Health Care Christopher Frost, MD, Ingenious Med Ron Greeno, MD, IPC Healthcare Inc. Jasen Gundersen, MD, MBA, TeamHealth Martin C. Johns, MD, Gifford Medical Center Ruben J. Nazario, MD, Inovalon Cheryl W. O Malley, MD, Banner Good Samaritan Medical Center Vikas I. Parekh, MD, University of Michigan Health System O Neil J. Pyke, MD, Medicus Consulting LLC Eric Rice, MD, MMM, Alegent Creighton Health Sandeep Sachdeva, MD, MBBS, Swedish Medical Center Bradley A. Sharpe, MD, University of California, San Francisco Amit Vashist, MD, Mountain States Health Alliance Alan Wang, MD, Emory Healthcare David J. Yu, MD, MBA, Presbyterian Medical Group

8 Special reports Eight-page report in Today s Hospitalist Magazine, the publication with the largest hospitalist circulation. What it includes n Case studies Eight-page report consisting of a 1,500-word overview on the topic and three case studies based on interviews with physicians who are experts in the field. Today s Hospitalist does all research, interviews, writing, editing and design work to produce the report, with reviews from the client. n Print exposure Choice of polybag outsert or bound into an issue sent to 32,000-plus practicing hospitalists. n Web exposure A link to the report will be included in a monthly newsletter sent to 24,000-plus hospitalists and allied health professionals. The article will also be featured on the Today s Hospitalist home page for six months and archived on the Web site. Banner ads, Today s Hospitalist search drives and social media will drive traffic to the report. Today s Hospitalist Special Report Darrell Harrington, MD Chief, Division of General Internal Medicine Harbor-UCLA Medical Center Los Angeles 13 February 2013 Today s Hospitalist February 2013 T Today s Hospitalist Case Study One IV Acetaminophen: The Hospitalist s Perspective PAnEl members CHAIR Darrell Harrington, md Professor of Medicine David Geffen School of Medicine at UCLA Chief, Division of General Internal Medicine Harbor-UCLA Medical Center Los Angeles FACUlTY bruce Friedman, md Critical Care & Co-Director JM Still Burn Center Doctors Hospital Augusta, Ga. Richard V. Hausrod, md Chairman Emergency Department EMH Healthcare Elyria, Ohio brian Tyson, md Hospitalist Critical Care Partners Desert Regional Medical Center Palm Springs, Calif. Supported by IV Acetaminophen for a Patient With Ileus on Parenteral Nutrition and Mechanical Ventilation BruCe FrIedMAN, MD Critical Care & Co-Director, JM Still Burn Center Doctors Hospital, Augusta, Ga. A 61-year-old morbidly obese woman presented at the burn center with necrotizing fasciitis of the abdomen, which developed following a midline hernia repair and adnexal mass removal. Her case was complicated by multiorgan dysfunction, and she arrived septic, requiring pressor support and mechanical ventilation. The patient also had a history of asthma, hypertension, depression, and hypothyroidism. When the patient arrived at the burn center, she was on total parenteral nutrition and very sick. Prior surgical intervention had resulted in paralytic ileus, resulting in prolonged nil-by-mouth status. For pain management, she required 10 mg intravenous (IV) methadone every 12 hours, a midazolam infusion of 4 mg/hr, and intermittent doses of morphine sulfate for breakthrough pain. Once the patient was medically stabilized, she required debridement, which necessitated a return to the operating room. Postoperatively, her Richmond Agitation-Sedation Scale (RASS) score was 4, indicating deep sedation, which further complicated her ileus. Inpatient pain management is a necessary skill set for all physicians, but it is particularly important for hospitalists working in the inpatient setting. Pain is so pervasive in the hospital setting that it is sometimes referred to as the fifth vital sign, and a failure to manage pain has important implications not only for hospitalists, but also for the hospitals where they practice. Hospitalists play a critical role not only in comanaging postoperative patients, but they also manage a wide range of conditions in which pain is prevalent, from pancreatitis to small bowel obstructions to sickle-cell disease. While opioid monotherapy has long been the primary approach to pain management in the inpatient setting, the medical literature has documented numerous significant negative effects of opiate and analgesic use in hospital-based practice. These negative effects include opioid addiction, gastrointestinal issues such as nausea and vomiting, constipation and ileus, and serious complications such as respiratory depression and sedation, which increase the risk of respiratory failure, aspiration, decreased mobility, and falls. 1 Research also indicates that current pain management strategies often fail to adequately control patient pain. One study found that more than 80% of U.S. patients who have surgery report significant postoperative pain. 2 Data from another study indicate that fewer than half of postoperative patients report receiving adequate pain relief. 3 An alternative approach to pain management that has been gaining traction among physicians is a multimodal analgesia strategy that incorporates not only opioids, but other classes of analgesics. Based on the above issues, the methadone and the midazolam drip were discontinued and replaced with 1000 mg IV acetaminophen every six hours; morphine was provided for breakthrough pain. No other sedatives or analgesics were given to the patient. The patient s variability in blood pressure improved, and enteral nutrition was initiated using a postpyloric tube. IV acetaminophen allowed the pain management team to promptly wean the patient from the ventilator as her narcotic requirement significantly decreased, resulting in greater respiratory drive. Once the patient was taken off all narcotics and benzodiazepines, she showed a RASS score of 0, which indicated that she was calm and alert without any complaints of pain. She required morphine only during complex dressing changes, not for breakthrough pain. The patient reached enteral nutrition goals 48 hours after IV acetaminophen was initiated. At that point, parenteral nutrition was no longer required, and the patient encountered no further issues with ileus. While the patient required additional surgical procedures involving abdominal wound debridement and negative pressure wound therapy, she needed no additional narcotics for the remainder of her hospitalization. IV acetaminophen was routinely continued for 32 days until her discharge. 4, 5, 6 By incorporating different classes of analgesic agents with unique pharmacologic and physiologic Once the patient s ileus resolved, her premorbid problems with mood disorder resurfaced. At that point, her RASS score vacillated between +1 and +2 secondary to anxiety. The burn center team prescribed up to 1 mg alprazolam every 6 hours and later added 60 mg/day duloxetine. The team was able to reduce her RASS score to 0 without adding any narcotics or analgesics. actions, physicians can prescribe smaller doses of each agent, a strategy that helps reduce the potential for drug-related adverse events. 6 One element in such a multimodal approach to pain management is OFIRMEV, an intravenous (IV) formulation of acetaminophen. IV acetaminophen was approved by the FDA in November 2010 for the management of mild to moderate pain, the management of moderate to severe pain with adjunctive opioid analgesics, and the reduction of fever. 7 While IV acetaminophen is relatively new in the U.S., the same formulation of IV acetaminophen has been available in Europe since 2002 and was widely used in more than 60 countries before reaching the U.S. market. As a result, a large body of literature exists supporting the role of IV acetaminophen in the management of acute pain while reducing opioid use. This special report examines data regarding the use of IV acetaminophen, including its efficacy in controlling pain; its ability to reduce not only the use of opioids, but also adverse effects such as post-operative nausea and vomiting; and its effects on length of stay and patient satisfaction. Efficacy of IV acetaminophen A major concern in this case was the potential for drug retention of lipid-soluble drugs such as opioids and benzodiazepines because of the patient s morbid obesity and associated disadvantageous pharmacokinetics. That could have potentially led to difficulty weaning from the ventilator and prolonged sedation. Drugs such as IV acetaminophen allow decreased reliance on opioid analgesics, thus potentially avoiding these kinds of issues. + Compared to oral acetaminophen, IV acetaminophen achieves a rapid elevation in plasma concentration and higher peak levels. 8 The IV form achieves plasma levels rarely achieved by similar oral doses of acetaminophen and produces 75% higher central nervous system (CNS) bioavailability compared to the oral form. 8 The analgesic effect peaks within one hour and lasts for four to six hours. 7 The efficacy of pain management therapies is of great interest to hospitalists for a variety of reasons. As comanagers of postoperative patients, hospitalists are routinely faced with a variety of complications of pain management that include nausea and vomiting, respiratory depression, ileus, and constipation. In addition, studies have shown that postoperative pain is associated with poor outcomes, such as increased time to ambulation, longer lengths of stay 9 and increased rates of complications Today s Hospitalist Special Report 1 Today s Hospitalist Special report Today s Hospitalist Special Report 5 To learn more, contact:

9 Custom newsletters Reach deeper into the hospitalist market with single-sponsor newsletters. n Strengthen your bond with hospitalists Sponsor a quarterly custom newsletter and provide this important group of doctors with practical news to better manage their patients. Articles are written in a conversational style and contain original reporting in the following therapeutic areas: infections, diabetes management, and cardiology. Because these newsletters are singlesponsored, your company is acknowledged as the sole sponsor. Depending on the size of the newsletter you sponsor, sponsorship could include advertising as well as general acknowledgement. These clinical newsletters provide our readers with important tools ranging from guidelines and protocols to educational strategies that raise awareness of these important clinical issues. Content is created by Today s Hospitalist editors based on your input and objectives. n Newsletter facts Medium: Frequency: Distribution: Size: Investment: Print, , Web Recommended quarterly Polybagged with an issue of Today s Hospitalist reaching 32,000+ hospitalists, and/or the newsletter to 24,000 hospitalists and allied health professionals. Available in 4, 8 or 16-page configurations Each custom single sponsored newsletter requires a custom quote. To learn more, contact:

10 2017 Media Kit Advertising on the Web Expand your reach through banner ads, videos, targeted content, podcasts, Webinars and more! Home pages and inside pages Page views: 45,000 per month on average Unique visitors: 27,000 per month on average Banner ad rates, positions & specifications Top of page 1 position $85 CPM Top of Page 728 x 90 pixels Right hand ads 2 positions #1: $85 CPM #2: $85 CPM RH #1 300 x 250 pixels RH #2 300 x 250 pixels Product advertising contacts:

11 e-newsletter advertising Reach thousands through banner ads, featured jobs and sponsored content. e-newsletter statistics Opt in & delivered: 24,000 Percent unique opens: 16% To learn more, contact: e-newsletter rates, positions &specifications Top of page 1 position $625 per issue 728 x 90 pixels Side of page $500 per issue 120 x 300 pixels Between news items $625 per issue 430 x 120 pixels LH #1 120 x 300 pixels LH #2 120 x 300 pixels Top of Page 728 x 90 pixels Between news items 430 x 120 pixels RH #1 120 x 300 pixels RH #2 120 x 300 pixels NEWSLETTER FREQUENCY AUDIENCE PRICE SUBSCRIBERS CONTENT Top Five weekly 24,000 Banner ad: $625 top Physicians and Review of articles of interest $625 middle; $500 side allied health staff to hospitalists from medical literature and the lay press e-toc monthly 24,000 Banner ad: $625 top Physicians and Headlines from the current $500 side; $625 middle allied health staff issue of Today s Hospitalist Custom Newsletters quarterly 24,000 Call for details Physicians and Custom content allied health staff All prices are net.

12 Value added options Enhance your brand with social media Share your message with 8,750+ followers on Google+, Twitter, Facebook, LinkedIn or Pinterest with a complimentary post. We ll post a news item about your product to our social media followers. Posts must be of a news (not promotional) nature: i.e. The hospitalists at Mercy Hospital have reduced readmissions by more than 40 percent! Our editorial staff will write a compelling news lead. Posts may link to your Web site, product or Today s Hospitalist article or ad. To learn more, contact: