Transcript Investor Presentation

2011 Primary Care
Physician Survey
Corporate Marketing
August 2011
Survey Overview
• Survey includes 632 primary care physicians who use Epocrates
software
Platform
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Platform
Practice Practice
Size
iPhone/ iPod Touch: 52%
iPhone®/ iPod® touch: 52%
Android: 21%
Android™: 21%
Blackberry: 6%
BlackBerry®: 6%
Tablet device: 3%
Other tablet device: 3%
Windows Mobile device: 2%
Windows® Mobile: 2%
Palm Operating System: 8%
Palm®: 8%
Computer or laptop: 6%
Computer or laptop: 6%
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Size
Solo: 16%
Solo: 35%
Partnership: 7%
Partnership: 4%
Small practice: 19%
Small practice: 11%
Mid-size practice: 14%
Mid-size practice: 6%
Large practice: 25%
Large practice: 8%
Hospital: 15%
Hospital: 26%
Average percentage of daily activities
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Clinical (85%)
•
Research (2%)
•
Administrative Duties
(10%)
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Other non-clinical work
(3%)
• Survey completed in August 2011
• Physicians randomly selected to participate
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 2
Survey Highlights
2500% increase
in iPad usage
90% increase in PCPs
saving >20mins/day
using Epocrates
Epocrates is most
influential resource
when making clinical
decisions
1/3 don’t feel prepared
for the expansion of
Medicaid
Lower reimbursements and
lack of work/life balance are
greatest concerns of PCPs
Majority use Epocrates
during office hours,
with a patient
SLIDE 3
60% of PCPs Plan to Purchase a Tablet Device Within the
Next Two Years
Current tablet usage among PCPs
7%
Windows 7 OS
20%
currently use a tablet device
in their medical practice
11%
Other
4%
Android OS
n= 609
44%
plan to purchase a tablet
device within the next year
78%
Apple iPad
n= 487
n= 631
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 4
Only 25% are Very Satisfied with their EHR
How long have you been using EHR?
EHR satisfaction
12% - Dissatisfied
19%
< 6 months
26%
Somewhat
Satisfied
9%
7-12 months
63%
>24 months
25%
Very
satisfied
37%
Satisfied
9%
12-24
months
n= 411
Most used EHRs
n= 411
1.
2.
3.
4.
5.
6.
Epic (18%)
Allscripts/ Misys (15%)
eClinicalWorks (8%)
NextGen (8%)
GE Centricity (8%)
Other (43%)
n= 411
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 5
Confidence Low in Meaningful Use Requirements
Do you have an EHR system that will allow
you to meet meaningful use standards as
required by the HITECH Act?
Yes
15% - No, I
don’t have
EHR System
65%
No, but I do have an ePrescribing
system
No, but I do have an eLabs reference
No, but I do have other electronic
medical interfaces
No, I do not have an EHR or any
related components
12%
1%
7%
Confidence Meaningful Use
Requirements will be met by
deadline
• Very confident (25%)
• Somewhat confident (33%)
• Neutral (23%)
• Unsure (19%)
15%
n= 221
n= 631
12% No, but I
have an
ePrescribing
system
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 6
Over 35% of Non-EHR Users Plan to Adopt This Year
When do you anticipate adopting an EHR in
your practice?
Top reasons why PCPs are NOT
anticipating EHR adoption
1. Too expensive (50%)
12%
Never
10%
3 years or
more
36%
Within this
year
2. I’ll retire before I see the
benefit (38%)
3. Don’t seen benefit (19%)
4. Requires practice workflow
changes (19%)
42%
1-2 years
5. Products not ready yet (19%)
n= 26
n= 221
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 7
PCPs Prefer Communicating Through Online Patient Portal
and Secure Messaging
What forms of communication are you currently using with patients
and which do you plan to implement in the next 1-2 years?
Online patient portal
19%
Secure messaging
19%
Email
50%
31%
40%
34%
41%
35%
31%
Now
Video chat
1%
22%
Within 1-2 years
77%
Never
Text messaging
Direct mail
Phone
10%
20%
70%
62%
10%
90%
28%
5% 5%
n= 631
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 8
Point-of-Care Sampling is More Effective Than Sales Reps
How influential are the following on your decision to prescribe
a certain medication?
You have seen the clinical data and
believe in the benefits of the product
93%
6% 1%
It is a product you prescribe often
93%
5% 2%
It is on formulary
85%
It is generic
78%
The product requires prior
authorization
49%
Coupons/ vouchers are available
45%
You have samples available when
you prescribe
44%
The patient requests it
24%
You have patient literature available
24%
13%
16%
18%
33%
27%
28%
22%
37%
Interactions with the pharmaceutical
drug/sales rep
Ability to reach a company's medical
affairs
10% 5%
Neutral
Less
influential
34%
42%
21%
34%
42%
40%
30%
6%
Most
influential
36%
57%
n= 632
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 9
Patients Need to Inquire About Medications
Almost 30% of PCPs identify mystery
pills daily
32%
29%
Top questions patients are NOT asking
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How can I live a healthier lifestyle?
What are the side effects/ risks to this
medication?
How can I prevent sickness?
How much will this cost?
How to quit smoking?
How confident are you that patients know
what medications they’re taking?
21%
18%
23%
Confident
52%
Somewhat
confident
Once a day or 2-3 times per 2-3 times per About once a
more
week
month
month or less
n= 632
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
25%
Not
confident
n= 632
SLIDE 10
Cost Prohibited Care is the Greatest Patient Challenge*
35%
believe costly care is the
biggest challenge for
today’s patient
Access to care
Medication
noncompliance
Fragmented
care
Costprohibitive
care
17%
4%
12%
27%
32%
Cardiology
8%
6%
22%
34%
23%
Primary Care
4%
6%
16%
31%
35%
Psychiatry
6%
10%
22%
27%
29%
Oncology
Too much
information
n= 631
* Excludes ‘other’ response
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 11
Lower Reimbursements Continue to be Physician’s
Greatest Challenge
57%
57%
Lower reimbursements
Lack of balance between work
and personal life
52%
51%
Lack of adequate time with
patients
52%
49%
Increasing costs to practice
medicine
49%
51%
38%
33%
Not keeping up-to-date on
new clinical information
Pressure to adopt an electronic
health record system
Rising malpractice insurance
costs
2010
34%
Increased liability concerns
2011
27%
19%
12%
17%
23%
n= 631
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 12
Over 30% are Unsure They Can Handle the Influx of
Medicaid
Do you feel prepared to handle the
influx of insured patients from the
expansion of Medicaid?
Top medical blogs
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•
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Sermo
Kevin MD
iMedicalApps
n=302
31%
Yes
34%
Not sure
Most credible news contributors
on television
1. Dr. Sanjay Gupta (CNN)
2. Dr. Nancy Snyderman (NBC)
35%
No
3. Dr. Richard Besser (ABC)
4. Dr. Jennifer Ashton (CBS)
5. Dr. Manny Alvarez (FOX news)
n=572
n= 631
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 13
Epocrates Drug Reference is the Most Influential Resource
Clinical Decisions
How influential are the following resources when making
clinical decisions?
Epocrates drug reference
88%
Professional journals
85%
CME
85%
Consulting with colleagues
80%
Conferences
79%
Other medical apps
Pharmaceutical drug sales reps
Information you read on
pharmaceutical product websites
49%
20%
18%
n= 632
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 14
Nearly 70% Report Avoiding Errors Weekly with Epocrates
Rx
Approximate ADEs or medical errors saved using
Epocrates drug and formulary reference
29%
3 or more
ADEs/
week
31%
3 or less
ADEs/
month
Avoided ADEs increase in
PCPs
• 4%
increase of avoidance of
1 or more ADEs/week over
2010
20%
2 ADEs/
week
20%
1 ADE/
week
n= 632
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 15
Over 55% Save More Than 20 Minutes Daily Using
Epocrates
Approximate time saved per day using
Epocrates products
23%
<11
minutes
36%
> 31
minutes
Epocrates products
continue to save physicians
time
• 91%
21%
11- 20
minutes
increase of saving 20
or more minutes daily over
2010
20%
21- 30
minutes
n= 632
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 16
Over 50% Use Epocrates with a Patient 3 or More Times a
Day
How many times a day do you use Epocrates and
where do you use it?
With a patient
53%
26%
21%
3 or more times
During office hours
77%
17%
6%
1-2 times
Less than once
Outside of office hours
29%
36%
35%
n= 632
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 17
PCPs Most Likely to Change Prescribing Description with
Epocrates Rx*
How often have you changed a
prescribing decision based on Epocrates
information?
Influential prescribing features
Drug interactions
1% Never
14%
Rarely
71%
Dosing information
20%
Frequently
57%
Contraindications/
cautions
42%
Adverse reactions
40%
Formulary
information
Blackbox warnings
Other safety
information
65%
Sometimes
32%
17%
15%
Other
4%
DocAlert
messages
2%
n= 632
n= 632
* Compared to other specialties
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 18
DocAlerts are a Key Source for Information
Over 50% learn new information from Epocrates DocAlerts
5%
Never
12%
Frequently
Preferred methods of
receiving new
information from
Epocrates
1. Email
2. DocAlerts
41%
Rarely
42%
Often
3. Message on Epocrates
Homepage
4. Newsletter
5. Text Message
n= 632
n= 632
© 2011 Epocrates, Inc. All Rights Reserved.
To learn more about Epocrates, please visit us at www.epocrates.com
SLIDE 19