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Health 2.0
TopTierMD


Prepared By:
Keith Pascal, Co-Founder
Keith@TopT ierMD.Com
847.778.5355

May 26, 2010




 TopTierMD
who are we?




     TopTierMD

     HEALTHCARE INFORMATION START-UP

              EXPERT ADVICE AND INSIGHTS FROM THE BEST DOCTORS AS
                           DETERMINED BY THEIR PEERS

     LAUNCHED 2009. PROFITABLE.

     GROWING.

     FOUNDERS: KEITH PASCAL & DAVID PRESKILL




     TopTierMD
Consumer Demand




“everybody’s doing it”….
A RECENT PEW INTERNET STUDY
the breadth of the market and the pace at which it’s growing:
   Over 80% of American adults with Internet access go online for health information
   47% of internet users have looked online for information on a doctor
   24% of these “e-patients” have consulted rankings or reviews online of doctors or other providers.
   60% say the information found online affected a decision about how to treat an illness or condition
   53% say it led them to ask a doctor new questions, or to get a second opinion from another doctor.
   38% say it affected a decision about whether to see a doctor.

IF YOU’RE A DOCTOR, IT’S GOOD TO KNOW THAT INTERNET USERS ARE
MOTIVATED
55% of consumers are seeking information about a certain medical treatment or procedure.
85% plan to visit a doctor or hospital within a month

DOCTORS HIGHLY COVET THEM
NYTimes data cites that of Internet seekers viewing doctor profiles:
  78% between 25-64 years of age
  Above average income and highly educated




TopTierMD                                                                                                3
Consumer Need




...yet there are no available measuring sticks for
determining excellence

NO CREDIBLE RESOURCES AVAILABLE FOR DETERMINING THE BEST DOCTORS
No hall of fame. No academy awards

LACK OF TRANSPARENCY ON PERFORMANCE

AVAILABLE RESOURCES OFFER LITTLE VALUE IN DOCTOR SELECTION
Yelp.com Healthgrades.com Vitals.com

DEARTH OF QUALIFIED “EXPERT” INFORMATION
Internet is a mile wide and an inch deep….Yet consumers can still drown in it.




TopTierMD
Lack of Transparency




consumers don’t yet understand of “good” vs. “best”

 FERTILITY SUCCESS RATES (IVF) IN                                TREATABLE COLON CANCER - TEN YR
 ILLINOIS FOR WOMEN <30                                          SURVIVAL RATES
 56% at best clinics. 10% at worst clinics                       63% percent for the best surgeons. 20% for the worst.



 RECURRENCE AFTER HERNIA SURGERY
 1 in 10 for worst performers. 1 in 20 for average performers.
                                                                 RISK ADJUSTED DEATH RATES FOR
 1 in 500 for best performers                                    HEART BYPASS PATIENTS IN NYC
                                                                 vary from five per cent to under one per cent


 LIFE EXPECTANCY WITH CYSTIC
 FIBROSIS
 National average is 33 years. At the best centers it’s 47
 years.




Hospital brands still hold weight today despite the onset of “free agency”




 TopTierMD
what is available today?




TopTierMD
For Consumers

available internet content is of limited use and reliability

DOCTOR BACKGROUND REPORTS ARE OF LIMITED VALUE
Aggregated data. Doctor CV’s. No Performance Information
Examples: Healthgrades.com

PHYSICIAN RATING SITES OFFER LITTLE INSIGHT INTO DOCTOR SKILLS IN EVENT
OF A SERIOUS NEED
Patients unqualified to assess doctor skills. Nice if you want to know about their “service”.
Studies show relatively low usage
Examples: Healthgrades.com, Vitals.com, UCompareHealthCare.com

HOSPITAL WEBSITES ARE BROCHURE-WARE
Exercises in branding. Offers limited insights
Examples: U of C, Northwestern, Mayo Clinic, Harvard Medical


NO “FILTERS” AVAILABLE IN A GOOGLE SEARCH
No brand leaders or SEO leaders (except in case of consumer oriented procedures)

COMMUNITY SITES ARE ONE EXCEPTION




TopTierMD
Healthgrades.com




                   Find a Doctor

                   Licensed News Products

                   Other Licensed Content

                   Others:

                   Vitals.com, Yelp, Angie’s List




TopTierMD
Castle Connolly




                  Names “Top” Doctors

                  Partners with Publishers

                      Sells Advertising




TopTierMD
TopTierMD




                 Find a Doctor

                 Original News Stories That
                 Feature Experts
                 Others:

                 Checkbook.org




     TopTierMD
Patients Like Me




                     Community
                     Others with similar issues
                     Gathering / Sharing meaningful
                     data
                     Others:
                     The Bump
         TopTierMD
What is available today?


we believe that only way to identify the best doctors is
by gaining unbiased insight from other doctors
                                              “best” doctor                             Community
                      Patient Rating                               Content Sites                              Peer Review
                                               directories                                Sites
                      Healthgrades, Vitals,
                                                Castle Connolly        WebMD             PatientsLikeMe         TopTierMD,
                      Ucomparehealthcare
                                              (aka Top Doctors);    EverydayHealth         Thebump             Checkbook.org
                          Angie’s List

   Doctor Directory             ✓ .
   Doctor Selection                                                                                                    ✓ .
   Expert Content                                                                                                      ✓ .
  Reference / News                                                         ✓ .                      ✓ .                ✓ .
                                                                                        • Strong user         • Transparent
                       • Thorough                                                         connection and        Selection;
                                                                   • Depth of Content     trust
                         Collection of                                                                          Credibility;
                                              • Marketing
       Strength          Doctors                Relationships      • Strong Website     • Exchange of
                                                                                                              • Doctor Support
                                                                     Traffic               information
                       • Hospital Support
                                                                                        • Loyalty             • Hospital Support


                       • Limited Value        • Selection
                         Beyond “Who”           Process Lacks                           • Not necessarily a
                         “What” “Where”         Transparency       • Content Lacks                            • Labor and time
      Weakness                                                       Authority
                                                                                          strong selection
                                                                                                                intensive to scale
                                                                                          tool
                       • Poor Support         • Poor Credibility
                         from Doctors           w/ Doctors




      TopTierMD
the opportunity
                                    Credible Vetting of
                                   Doctors and Content




              Castle Connolly

                            Checkbook.Org


         Weak SEM                                                          Strong SEM
                                 Major Brand
                                  Hospitals


                                                        HealthGrades.Com
                    Private                       Vitals.Com
                 Practitioners
                                      Weak Vetting of
                                         Doctors

 TopTierMD                                                                              13

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"Online doctor discovery and reviews" by Keith Pascal (TopTierMD) Chicago Health 2.0

  • 1. Health 2.0 TopTierMD Prepared By: Keith Pascal, Co-Founder Keith@TopT ierMD.Com 847.778.5355 May 26, 2010 TopTierMD
  • 2. who are we? TopTierMD HEALTHCARE INFORMATION START-UP EXPERT ADVICE AND INSIGHTS FROM THE BEST DOCTORS AS DETERMINED BY THEIR PEERS LAUNCHED 2009. PROFITABLE. GROWING. FOUNDERS: KEITH PASCAL & DAVID PRESKILL TopTierMD
  • 3. Consumer Demand “everybody’s doing it”…. A RECENT PEW INTERNET STUDY the breadth of the market and the pace at which it’s growing: Over 80% of American adults with Internet access go online for health information 47% of internet users have looked online for information on a doctor 24% of these “e-patients” have consulted rankings or reviews online of doctors or other providers. 60% say the information found online affected a decision about how to treat an illness or condition 53% say it led them to ask a doctor new questions, or to get a second opinion from another doctor. 38% say it affected a decision about whether to see a doctor. IF YOU’RE A DOCTOR, IT’S GOOD TO KNOW THAT INTERNET USERS ARE MOTIVATED 55% of consumers are seeking information about a certain medical treatment or procedure. 85% plan to visit a doctor or hospital within a month DOCTORS HIGHLY COVET THEM NYTimes data cites that of Internet seekers viewing doctor profiles: 78% between 25-64 years of age Above average income and highly educated TopTierMD 3
  • 4. Consumer Need ...yet there are no available measuring sticks for determining excellence NO CREDIBLE RESOURCES AVAILABLE FOR DETERMINING THE BEST DOCTORS No hall of fame. No academy awards LACK OF TRANSPARENCY ON PERFORMANCE AVAILABLE RESOURCES OFFER LITTLE VALUE IN DOCTOR SELECTION Yelp.com Healthgrades.com Vitals.com DEARTH OF QUALIFIED “EXPERT” INFORMATION Internet is a mile wide and an inch deep….Yet consumers can still drown in it. TopTierMD
  • 5. Lack of Transparency consumers don’t yet understand of “good” vs. “best” FERTILITY SUCCESS RATES (IVF) IN TREATABLE COLON CANCER - TEN YR ILLINOIS FOR WOMEN <30 SURVIVAL RATES 56% at best clinics. 10% at worst clinics 63% percent for the best surgeons. 20% for the worst. RECURRENCE AFTER HERNIA SURGERY 1 in 10 for worst performers. 1 in 20 for average performers. RISK ADJUSTED DEATH RATES FOR 1 in 500 for best performers HEART BYPASS PATIENTS IN NYC vary from five per cent to under one per cent LIFE EXPECTANCY WITH CYSTIC FIBROSIS National average is 33 years. At the best centers it’s 47 years. Hospital brands still hold weight today despite the onset of “free agency” TopTierMD
  • 6. what is available today? TopTierMD
  • 7. For Consumers available internet content is of limited use and reliability DOCTOR BACKGROUND REPORTS ARE OF LIMITED VALUE Aggregated data. Doctor CV’s. No Performance Information Examples: Healthgrades.com PHYSICIAN RATING SITES OFFER LITTLE INSIGHT INTO DOCTOR SKILLS IN EVENT OF A SERIOUS NEED Patients unqualified to assess doctor skills. Nice if you want to know about their “service”. Studies show relatively low usage Examples: Healthgrades.com, Vitals.com, UCompareHealthCare.com HOSPITAL WEBSITES ARE BROCHURE-WARE Exercises in branding. Offers limited insights Examples: U of C, Northwestern, Mayo Clinic, Harvard Medical NO “FILTERS” AVAILABLE IN A GOOGLE SEARCH No brand leaders or SEO leaders (except in case of consumer oriented procedures) COMMUNITY SITES ARE ONE EXCEPTION TopTierMD
  • 8. Healthgrades.com Find a Doctor Licensed News Products Other Licensed Content Others: Vitals.com, Yelp, Angie’s List TopTierMD
  • 9. Castle Connolly Names “Top” Doctors Partners with Publishers Sells Advertising TopTierMD
  • 10. TopTierMD Find a Doctor Original News Stories That Feature Experts Others: Checkbook.org TopTierMD
  • 11. Patients Like Me Community Others with similar issues Gathering / Sharing meaningful data Others: The Bump TopTierMD
  • 12. What is available today? we believe that only way to identify the best doctors is by gaining unbiased insight from other doctors “best” doctor Community Patient Rating Content Sites Peer Review directories Sites Healthgrades, Vitals, Castle Connolly WebMD PatientsLikeMe TopTierMD, Ucomparehealthcare (aka Top Doctors); EverydayHealth Thebump Checkbook.org Angie’s List Doctor Directory ✓ . Doctor Selection ✓ . Expert Content ✓ . Reference / News ✓ . ✓ . ✓ . • Strong user • Transparent • Thorough connection and Selection; • Depth of Content trust Collection of Credibility; • Marketing Strength Doctors Relationships • Strong Website • Exchange of • Doctor Support Traffic information • Hospital Support • Loyalty • Hospital Support • Limited Value • Selection Beyond “Who” Process Lacks • Not necessarily a “What” “Where” Transparency • Content Lacks • Labor and time Weakness Authority strong selection intensive to scale tool • Poor Support • Poor Credibility from Doctors w/ Doctors TopTierMD
  • 13. the opportunity Credible Vetting of Doctors and Content Castle Connolly Checkbook.Org Weak SEM Strong SEM Major Brand Hospitals HealthGrades.Com Private Vitals.Com Practitioners Weak Vetting of Doctors TopTierMD 13

Editor's Notes