Automated speech processing: commercial state of the art

I have always been fascinated by progress in the area of automated speech processing, since my days as a Master's student at the University of Cambridge in Computer Speech and Language Processing and I spent time with Professor Steve Young at the Cambridge University Machine Intelligence Laboratory.

Thus it was with great interest and pleasure that I read this review of the state of the art of commercial speech processing systems within Scientific American earlier this month. Like many high tech fields, there have been mergers and convergence in the suppliers, to the leader Nuance Communications. Extensive pre-training is no longer required. General listening is now possible in structured sub-languages and categories. Plus, the commercial applications have become widespread, especially related to phone interfaces.

Why is this relevant for healthcare relationship marketing. Possible applications include:

* Acquisition and registration into programs via mobile smartphones, for either patients or professionals.

* Automated dictation transcription processing of the highly structured clinical reports that physicians issue after seeing patients.

* speech to text social network inputs as a convenience, or for the visually impaired.

* processing call center transcripts for marketing intelligence.

* insert your brainstorm here.

Final checking to make sure

How am I spending some of the last hours of 2010? Doing final proofreading and editing of my upcoming book: Healthcare Relationship Marketing, Gower Press. This book is
available for pre-order from Amazon and other booksellers, and discounts are available. One last look to create the index at the back, do final proofreading. To make sure that before thousands (hopefully) see this text and use it for education and professional reference, that it ties together with one voice.

Call me if interested! I will blog again on this book as publication approaches end of February


But more generally, here is good advice for 2011: before sending external communications, take one last look, one last proofread. You are what you portray yourself as, your words are part of your appearance. Be ready and rehearse before a big presentation or even a conference call. You'll be glad you did.

Tracking privacy in online advertising

The climate is really shifting in online advertising the past few months. There is heightened awareness from the press on what behavioral information that digital advertisers are collecting. The government is responding:
the Federal Trade Commission has recommended universal “do not track” mechanism that would allow consumers to opt-out of the monitoring systems that follow users’ movements from site to site. For a gooda nalysis on the FTC ruling, see the Privacy Law blog article.

In addition, the leading web browser company, Microsoft, has announced that
the new Internet Explorer browser (IE9) –due out next year will include a “tracking protection” feature that allows users to limit third party data requests.

Meanwhile, online advertisers are trying to insure they are able to deliver effective ads, educating the public on the benefits. See the Wall St Journal blog on their planned campaign.

What are the consequences of increased privacy tools available to consumers? A Forbes magazine blogger notes that this will require marketers to be more intelligent and persuasive with messaging, and not merely rely on consumer background data stored in cookies.

I would say there is another consequence to online advertising and media placement: the premium will be contextual ad placement on relevant content areas, as opposed to websites merely statistically correlated with the advertiser's website.

One final thought ... how many consumers will take advantage of these new privacy features? There has been a mix the past few years.
The "do not call" consumer list gained a fairly high response once it came out. Email span opt out rates can get as high as 10 percent or more on a campaign, showing positive momentum. On the professional side, at first Physician "AMA opt out" of Rx tracking, on the other hand, was fiarly low at the start.

Uptake on privacy tool adoption will depend on publicity, ease of adoption, and the consumer mindset.

The patient journey to diagnosis

My colleagues and I are publishing a weekly article on Mediaposts's Marketing Health section. Our article is called called Healthy Observations.

This month's article offers a fresh perspective on the patient journey to diagnosis. It is not always according to plan, especially with serious conditions like cancer. A marketer has to influence patients at where they are likely to engage, especially in the digital channels. Please take a look at the article and let us know!

Groupons and Healthcare

Are you a Groupon member yet? The group-based, local market volume discount website has been in business for two years and has grown like wildfire. The latest news is how Google has been attempting to purchase them, and as of now Groupon has resisted

Very intriguing to think of how far Groupon can penetrate healthcare. So far Groupon offers have primarily been with cash-based, wellness types of services. These include vision care, spas, dermatology, laser hair removal, and healthclubs. In principle, pharmacies could be active here, for consumer goods and maybe some over the counter items. Indeed, drugstore.com has leveraged Groupon for offers, as shown in this Mom blog.

If you are in a cash-based consumer wellness area, then Groupon seems like a fertile ground for local market retail partnership and testing of offers. It may also be a great venue for acquisition into consumer RM programs.

However, crossing the line to Rx-based medicine seems like purely speculation at this point.

Could Groupons be valuable to new physician group practices that are trying to grow a patient base? A specialty practice physician blogger is considering Groupon as a marketing tool. One hospitalist physician blogger has considered the insurance implications.

Groupon requires login and registration, and so collects data on certain purchase preferences, including health and wellness if those are bid on by the individual joining a group discount. Therefore HIPAA is likely a limitation that prevents placement of more prescription or clinically-based offers.

I look forward to reading studies about the impact of Groupon generally, or on health in particular. Readers are invited to post their thoughts or experiences.

Display banner click rates - falling, but relevant?

A recent article in eMarketer cites a Mediamind study on banner response rates shows a decreasing average annual banner click through rate over the past three years: from .12 percent in 2007 to .09 percent in 2010.

For those not used to reading small banner CTR numbers, what does this figure mean: if you put a banner campaign out in the consumer world, then for each million impressions - per million - then 900 people would click through to your website. Note that if you are running and acquisition campaign and have a great website rate of 10% signups, then your million exposures get you 90 acquired leads.

Thus banners for consumer RM acquisition are, on the surface, not as effective a source as they used to be. True? Is it still a wise choice? That depends on the cost you pay, measured as cost per "lead". You might think of a lead as a website visitor, but really you should get as close to "purchase" as possible.

The study claims that viewers of banners are more likely to purchase than the average person.
However, keep in mind that since banners target by demographics, geographics, and past website viewing behavior, this targeting effect is expected. Also, people rarely view banners in isolation, but as part of a combined media campaign.


To download this report and see the details, click here

The more I experience banner campaigns in pharma CRM, the more I feel that banners are best thought of as brand awareness advertising to reach people near the top of the funnel. Like magazines and billboards, but usually cheaper. Success for banner campaigns is about placement to target audience, and cost efficiencies.

Cost per acquisition buys do exist. However, in healthcare and pharma, the question remains as to whether they can acquire enough.

Thankful for an Astonishing Age

Thanksgiving is a day when we all can be thankful just for health and family. Yet since I was a boy I've always admired sports columnists on this day who write about being thankful for professional reasons: athletes who are good leaders and exhibit sportsmanship, inspiring stories, etc. As I reflect on Healthcare Relationship Marketing, here are some reasons to be thankful for professionally in this revolutionary age:

* The astonishing era of new drug development we live in. Thanks to genomics, stem cell research, and other technologies, diseases once intractable are gradualy becoming dissected and understood, and innovative medicines are extending lifespans and their quailty. See this MIT Technology Review index for a few examples of the cutting edge. Or start at The National Cancer Institute and see the wide range of clinical trials.

* The multi-channel revolution in promotion to both consumers and professionals. No longer is it merely print and TV to consumers, and sales forces and congresses to professionals. There are alternative tactics that can be rapidly developed, orchestrated according to designed experiences, tested, and measured for success.

* The remarkable acceleration of data mining and visualization software tools with gradual learning curves. See KD Nuggets for a great software index. Gosh, in graduate school I wrote my own LISP code, and then I thought SAS and S-Plus were transformative. Now it's revolutionary just being able to install a shrink wrapped software and dive right into clustering, decision trees, multivariate modeling, or 3-D trellised scatter plots. Unbelievable.


* Search engines, around since Archie and Veronica of the early 1990s, then Excite and Ask Jeeves of the mid to late 1990s, to today's Google dominance, Bing challenge and embedded search in online portals. Gives the masses access to critical health information, and delivers a way for mid-funnel interested parties to reach their health seeking goals.


* Social media, that is giving people with serious medical conditions access to clinical trial and treatment information critical to their health in ways faster than ever. Could Patients Like Me have existed ten years ago? Of course, caveat emptor, not all news in the social frontier is accurate; still see a physician for treatment. But social media helps you know which specialists to see and how to discuss health topics.

* This transformation of the publishing world, where E-books enable wider and greener distribution of traditional edited tomes (mine included, see forthcoming book and an online book seller ), and blogs like this one can spread readership virally around the world in a loose meritocracy.

* Most appreciative to forward thinking marketing and sales clients who are willing to push the envelope of their professions in order to better serve patients and healthcare professionals.

Advertising's future in the digital world

An interesting article this week in FastCompany about how digital is transforming the advertising industry. The perceptions are changing about traditional notions of "agencies of record," and marketing clients need to have digital, traditional, mobile all in place for consumer, professional, and payer to effectively launch a campaign.

How can this be achieved in the most nimble and cost effective way: some may say
via networks and sub-networks of conflict shops each with their own niche and specialty. Our CementBloc solution is a different: a single convergent agency across disciplines and customer segments, in one shop. With a strong campaign management group to insure the components and channels are working together, and with a multi-faceted analytics team to measure the synergistic effect across segments and channels.

Quality Time: when to be there in person

Working for a marketing and sales consulting agency, where some of my clients are hours away by plane, I think keenly about when to travel for an expensive face to face meeting, and when to conduct a phone call, perhaps with a Webex or Netmeeting presentation.

Here are some guidelines I've determined:

Need to be in person when:

* Creating relationships
* Major milestones
* Significant decisions made
* Building of trust
* Showing new creative concepts
* Discovery gathering, or knowledge engineering
* Creating consensus as a group

Over the phone or webex is sufficient for:

* Updates to presentations or analyses similar to those seen before
* Direct transfer of orders among people who have already met.

I have seen poor decisions made on both sides: consultants giving up a major trip and taking a phone call when in fact consensus was needed, or when their client relationship was shaky. I've also seen clients insist on face to face meetings continually even for matters where a phone call is sufficient.

The best account directors will think through the scenarios and consequences of each fly vs no-fly decision.

Moms on Social Media -- Behavior Segments

I've worked on a variety of consumer social media monitoring analyses across therapeutic categories. When analyzing the source of consumer posts, there is one commonality: mothers networks. Conversations on allergy, immunization, nutrition, diapers, cosmetics, and a host of other health topics are being talked about on major Moms' social networks. After Facebook and Twitter, the next leading source is often from Moms.
There are plenty of communities, have been for years, and they keep growing. Here is one search result which leads to indexes of Mom social sites.

Thus, it was fascinating to find this recent article in the latest print edition of Quirk's Marketing Research Review, a great synethsis of practical research results. (see the online portal).

The article summarized the BabyCenter 2010 Mom Social Influencer Report. Definitely worth a read if you are marketing in a health category where mothers are a core segement.

The emphasis is on influence, and breakouts are by segment. Take a read, and learn about:

Influencers are:

* Field Experts: Young, stay at home, 8% of Moms, 33% of influence

* Lifecasters: Lifecasters, tell everything online, 8% of Moms, 34% of influence

* Pros: Gen-X Moms, sharing expertise and advice, just 2% of Moms, but a high index at 11% influence

The influenced are:

* Butterflies: Young professionals, self-confident, online to socialize; 16% of Moms, 7% of influence

* The Audience: online to listen, 66% of Moms.

Essentially the splits are based on generation, educator vs listener, and how much social media is within your life's fabric. Field Experts and Lifecasters are large and disproportionately influential, in sharing their experience, and also recommending brands they favor. Pareto's 80/20 rule also holds: according to the segmentation and analysis: "18% of social moms wield 78% of the overall influence." Most are learning from the hard core bloggers, posters, and stay at home enthusiastis.