N w Business Models for Medical Publishers

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1 N w Business Models for Medical Publishers 5th Annual Meeting of ISMPP April, 2009, Philadelphia Peter Frishauf Principal, PFKC Ltd. Corp October 4, 2007

2 Why it Matters (Recitation of the Obvious, but.) Publishers are going broke! Writers next! We re in the understanding business, yet know little about the business of the understanding business. As publishers and other producers try new models, writers are affected (think Writers Guild Strike). Newspapers casualties presage impact on other sectors. Understanding their survival strategies could inspire us.

3 Sadly, I do believe most print journals will soon disappear If you want to know why. the most salient fact is this: printing presses are terrifically expensive to set up and to run. Clay Shirky Thinking the Unthinkable Shirky.com 3/13/2009 "We'll consider anything! New York Times chairman Arthur Sulzberger 3/6/2009 But there s hope!

4 We could try this QuickTime and a MPEG-4 Video decompressor are needed to see this picture.

5 Or this.. PaidContent.org 3/30/2009

6 Begging (Noblesse Oblige) Works..

7 So, channel this image while you donate generously to my speaker s fee

8 Maybe if I refined the pitch. ALL proceeds go to end-ofthe-day drinks.

9 In the end it s a value proposition: If what you buy is necessary or gives you pleasure (and you can afford it), you might pay. Man Bites Blog: Hey, You Media Wimps! If You Want to Save Newspapers, Learn to Love Your iphones, Then Go Join Facebook. The New York Observer Feb 24, 2009

10 Business Models Contributions (Already covered) Online subscriptions Micropayments (DOI and Others) Project Grants Writer/Researcher/Expert Consultancies Conferences The ISMPP-Created Model Editorial Models/Issues Quality Assurance (Ed Boards/Peer Review/ Reputation Systems) Web 2.0 Crowdsouring Conflicts of Interest

11 Online Subscriptions The Wall Street Journal Pioneered Online subs in Frequency-based: The Financial Times Everyone gets access to 3 articles a month. Register with the site for free to read 10 articles/month. Pay $3.44 a week to access to everything but FT s famed LEX column. For $5.75 a week access everything (including mobile)

12 FT Results In 18 months, 1 million readers registered. 20,000 new users register/week. 100,000 paying online subscribers: $18 million (Intl) and $28 million a year (UK) Registration enables $40 to $60 CPMs. 14% y/y revenue increase over the first 9 months of Pearson FT Publishing profits grow even as total ad revenues remained flat. Look, NYT, Online Subscriptions Can Work! Nicholas Carlson, Silicon Alley Insider, 3/31/2009

13 Micropayments Largely a Failure: Was DOI DOA? Shirky: The invocation of micropayments involves a displaced fantasy that the publishers of digital content can re-assert control over we unruly users in a media environment with low barriers to entry for competition. But maybe there are better ways

14 One approach As proposed by Fimoculous founder Rex Sorgatz. If you're not paying attention to (Rex), you probably don't know what's going on in media. Silicon Alley Reporter,

15 And something better

16 How Katchingle works User pays a $5 monthly subscription fee. While browsing the Web, various news sites and blogs have Katchingle badges. If you re visiting a site where you value the content, and you click on the at the end of the month, Kachingle divides up your subscription fee among the sites you visited (based on percentage of visits) and pays the site owners.

17 Other Business Models Project Grants Writer/Researcher/Expert Consultancies Conferences The ISMPP-Created Model

18 A blurry world between business and editorial models, credentialed experts, and others If you can t correctly guess the source of this slide, you re in trouble!

19 UGC, Open Access, & Peer Review Leading expert and upcoming ISMPP speaker Richard Smith can put this to bed: User Generated Content can be reliable, Open Access is coming, and peer review will be the job of the many. (For my take on the subject, search Frishauf Peer Review Wikipedia )

20 Coming soon: Data Liquidity The semantic web* (Web 3.0) will enable real-time collection and analysis of data that can do seemingly intelligent things based on dates, locations, and many other criteria. (Smith: a 2nd brain) In the case of genomic data the group could be 1 person. *Per Tim Berners-Lee inventor of the web.

21 Information and persuasion will occur at the point of care and use. technology from

22 In Medicine, big databases of patient information are being built Microsoft HealthVault Google Health Hundreds of PHRs Major efforts to make data portable, interoperable, and accessible

23 Connectivity Layer for Health Primary Care Physician refers patient to a specialist for further investigation of suspected cancer. PCP SHARED PATIENT DATA NEW PATIENT DATA Courtesy Grad Conn, Microsoft HealthVault

24 Connectivity Layer for Health A Radiologist locates the problem area and a General Surgeon removes a tissue sample for biopsy. PCP PATHOLOGIST The Pathologist examines the tissue sample and diagnoses the exact type of cancer in the tissue. SHARED PATIENT DATA NEW PATIENT DATA Courtesy Grad Conn, Microsoft HealthVault

25 Connectivity Layer for Health PCP PATHOLOGIST ONCOLOGIST A Surgical Oncologist locates and removes the affected tissue. Further treatment using radiation and chemotherapy is administered by a Radiology or Medical Oncologist. SHARED PATIENT DATA NEW PATIENT DATA Courtesy Grad Conn, Microsoft HealthVault

Ideally, it won t be called health search, it will be called health

26 A word from a distant futurist Doing a search without your health record attached to it 10 years from now will be called crazy. Ideally, it won t be called health search, it will be called health care. Esther Dyson at the 2008 Economics of Health Conference in New York City

27 Qu stions Peter Frishauf Principal, PFKC Ltd. Corp Media M&A Summit October 4, 2007

The Art of Blogging. Jessica Lipnack AOKM 30 October NetAge, Inc.

The Art of Blogging. Jessica Lipnack AOKM 30 October NetAge, Inc. The Art of Blogging Jessica Lipnack AOKM 30 October 2008 1 What We re Doing Today History of the Internet in One Slide What Is a Blog? Professor Enterprise 2.0 Frontier 6 and Running a Hospital Bloggers,