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    MEDICINMANField Force excellence

    TM

    April 2013 |www.medicinman.net

    TRAININGVs.TARGETS

    Is your training asambitious as the targets

    you set for your teams?- EDITORIAL

    http://medicinman.net/http://medicinman.net/http://medicinman.net/
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    EDITORIAL: Target Vs. Training | Anup Soans, Editor

    Pharma companies are great at setting ambitious sales targets but not so great

    when it comes to training people who are responsible for achieving those targets.

    I

    the only tool you have is a

    hammer, every problem looks like

    a nail.

    Corollary: if pressure on people

    is the only strategy you have

    to achieve sales target, then

    stress and attrition are the only

    permanent outcomes your sales

    team will produce.

    Pharma companies are great in

    setting ambitious sales targets

    but not so great when it comes

    to training people who areresponsible for achieving those

    targets.

    I recently met the VP Sales of a

    well established company with

    a good mix of me-too and niche

    products in global markets. They

    had an enviable track record of

    over 25 years and a turnover of

    nearly Rs. 1000 crores. They had

    recently entered the domesticmarket and wanted to know how

    their eld force could be trained

    to work in a professional manner.

    They wanted to replicate what

    they had done in the international

    markets. After discussions for

    over an hour, I had an uneasy

    feeling that this meeting was not

    going to make much headway.

    Reason? They had set very

    aggressive sales targets but verylittle resources were allocated to

    train and develop their eld force.

    Most companies in the Indian

    Pharma Market set very

    aggressive sales targets, which

    is good in itself. But it must be

    backed by aggressive training

    and development programs that

    build skills and condence of the

    eld force.

    The power of training can be

    illustrated vividly through the

    terrorist attack on Mumbai in2008. Ten well-trained and highly

    motivated terrorists held the

    city to ransom as they struck

    at will killing policemen and

    civilians. There were over 30,000

    policemen in Mumbai when the

    attack occurred. There was little

    they could do to take back the

    city, except cordon off the areas

    under attack. In contrast the NSG

    commandos took the task head-on and completed their mission

    successfully.

    The main difference between

    the Mumbai police and the NSG

    commandos is the importance

    they give to training and

    preparedness. Many of the

    policemen had not red a single

    round of ammunition for years. In

    contrast, NSG commandos are

    trained intensely and regularly

    in all areas of professional

    competence.

    The difference in performance

    is the result of difference in

    training. Tougher the task,

    greater the need for training. The

    Indian Pharma Market is ercely

    competitive too many MRs

    chasing too few CORE doctors!

    Aggressive sales targets must be

    matched by aggressive training

    interventions.

    For most companies, product

    training takes the front-seat and

    it becomes an exercise in what

    knowledge rather than how

    knowledge and why knowledge.

    It is a ll-the-bucket approach

    that dumps information in

    elephant doses, which is rarelyeffective.

    What is useful is a demonstration

    of how knowledge can make

    difference to improvingperformance. For this, the initial

    classroom training must be

    followed up on the eld regularly

    by the FLM and SLM this rarely

    happens. As a result behaviour

    remains same and the hapless

    FLM transfers the pressure with

    a force multiplier to MRs. The

    only people who gain from this

    approach are the hundreds of

    placement agencies that have

    mushroomed to enable pharma

    companies put feet-on-street as

    quickly as possible.

    The current industry trend

    is to hire ONLY experienced

    candidates. The assumption

    being that they have the right

    experience and are likely to stay

    for at least a year given that

    they are offered a reasonable

    increase, which is not easy to

    match. This will compound the

    pipeline problems as salespeople

    will become scarcer few years

    down the line. To address these

    issues, MedicinMan will be

    conducting the second Field

    Force Excellence (FFE 2013)

    conference on June 8th at

    Mumbai.

    At FFE 2013, CEOs and senior

    managers of Indian Pharma will

    gather for a days deliberations to

    explore new ways of enhancing

    Field Force Productivity. To

    know more about how you can

    benet from FFE 2013, write to

    [email protected] or visit

    www.medicinman.net/ffe2013.

    FFE 20135x

    10 15 20 25 30 35 35 40 45 50 55

    yDate: Saturday, 8th June 2 013

    Theme: FIELD FORCE PRODUCTIVITY

    Place: Courtyard Marriott, MumbaiConnect with Anup Soans on LinkedIn | Facebook | Twitter

    http://www.medicinman.net/ffe2013http://www.linkedin.com/in/anupsoanshttp://www.facebook.com/anupsoanshttp://www.twitter.com/anupsoanshttp://www.twitter.com/anupsoanshttp://www.facebook.com/anupsoanshttp://www.linkedin.com/in/anupsoanshttp://www.medicinman.net/ffe2013
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    1. BRAND DRIFT 2013 - A Milestone for

    Pharma..................................................................6

    The Conference Director tells us what drives

    pharmas most loved annual branding event.

    Arvind Nair

    Field Force excellence

    2. Five Simple Equations for SalesExcellence..............................................................8Tried and tested means to achieve Field ForceExcellence, condensed in FIVE simple equations.

    K. Satya Mahesh

    3. Field Force Excellence - The Need for role

    Clarity...................................................................11

    A sales organization cannot achieve excellence

    unless there is a clear-cut denition and

    understanding of roles and responsibilities,

    K. Hariram counterpoint

    4. Employee Loyalty - At What Cost?................14

    The era of employees being loyal to a single

    organization has passed - the upsides to this are

    surprisingly plentiful.

    Sharad Virmani

    personal success

    5. Munshiji ki Panch Tantra for Professional

    Growth ................................................................17

    The Chief General Manager for Sales and

    Marketing at Tablets India shares the Five

    Ingredients of his Professional Success Story.

    Sanjay Munshi

    C ( )

    11

    20

    25

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    Product Management

    6. What PMT Proposes, Field ForceDisposes..............................................................20

    A Brand Strategy that does not demonstrate

    a concrete understanding of ground reality is

    bound to fail - rst in the minds of your Reps and

    then on the eld itself.

    Mala Raj

    Coaching

    7. You Think You are Coaching; Do They?........24

    How do you know if your inputs to your reps are

    really adding value?

    K. Hariram

    Medical Rep Knowledge Series

    8. Decision Analysis............................................25

    A scientic approach to complex decisions

    involving healthcare interventions and

    treatments.

    Mahendra Rai, Richa Goyal and Pinaki

    Ghosh

    9. Emerging Areas in Healthcare: HTA.............28

    Health Technology Assessment (HTA) is an

    emerging discipline for assessing the implications

    of choosing a particular technology in treating

    patients.

    Javed Shaikh and Shafaq Shaikh

    Book Reviews

    10. Pharma First Line Leader to CEO - TheRoadmap to Success by Vivek Hattangadi....29Reviewed by Subba Rao Chaganti

    11. Interactive and Engaging Training - APractical Guide........................................................29Reviewed by Anup Soans

    C ( ) MedicinMan Volume 3 Issue 4 | April 2013Editor and Publisher

    Anup Soans

    CEO

    Chhaya Sankath

    COO

    Arvind Nair

    Chief Mentor

    K. Hariram

    Advisory Board

    Vivek Hattangadi; Jolly Mathews

    Editorial Board

    Salil Kallianpur; Dr. Shalini Ratan; Shashin

    Bodawala; Prabhakar Shetty; Vardarajan S;

    Dr. Mandar Kubal; Dr. Surinder Kumar

    International Editorial Board

    Hanno Wolfram; Renie McClay

    Executive Editor

    Joshua Soans

    MedicinMan Academy:

    Prof. Vivek Hattangaadi,Dean, Professional

    Skills Development

    MedicinMan ChangeMakers

    Saurabh Kumar

    Make a difference in Pharma. Join MedicinManChangeMakers. Write in to our editor to fnd outmore:[email protected]

    Letters to the Editor: [email protected]

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    BRAND DRIFT 2013 Another Milestone for Pharma

    Kick-start your brain. New ideas

    come rom watching something,

    talking to people, experimenting,

    asking questions and getting out o the

    oce!

    Steve Jobs

    Pharma brand management is

    one of the most challenging tasks,

    given the stringent regulations

    when it comes to marketing a

    pharma brand. And that, without

    the benet of marketing channels

    available to other marketers.

    Managing the expectations

    of multiple stakeholders who

    inuence the marketing plan - the

    strategists, marketing gurus, sales

    teams, regulatory and medical

    advisors requires political skills as

    well - all this without losing sight

    of top and bottom lines; surely a

    pharma brand managers job is

    not easy. A forum to hear what

    other pharma brand managers

    experienced, discovered and

    learnt was the need of the hour.

    Brand Drift was conceived to

    bridge this learning gap and

    create a platform where Indian

    pharma brand managers could

    come together to interact, share

    best practices, gain insights

    and go back refreshed and

    better equipped to take on thechallenges of pharma branding

    effectively. At Knowledge Media

    Venturz, we want to be a catalyst

    in this process. The full benet of

    Brand Drift will only be realized

    when the Indian Pharma industry

    takes ownership of Brand Drift for

    the benet of its brand managers

    through regular interactions and

    active participation.

    The rst two editions of Brand

    Drift held in 2012 and 2013 were

    very well attended with over a 100

    delegates participating in each.

    Brand Drift saw thought leaders

    and achievers from within and

    outside the pharma industry come

    and deliberate on challenges

    faced by practicing pharma

    marketing professionals in todays

    challenging times. (Visit www.

    branddrift.com for details)

    Future editions of Brand Drift

    will see the addition of BRAND

    DRIFT AWARDS for marketing

    and branding excellence in Indian

    Pharma. It will be an exclusive

    platform to recognize and

    celebrate the achievements of

    Indian pharma brand managers.

    The future is exciting and we

    at Brand Drift promise to make

    the journey invigorating through

    regular meaningful interactions.

    Get the Drift?

    Heres to the crazy ones. The mists.

    The rebels. The troublemakers. The

    round pegs in the square holes. The

    ones who see things diferently. Theyre

    not ond o rules. And they have no

    respect or the status quo. You can

    quote them, disagree with them, gloriy

    or viliy them. About the only thing you

    cant do is ignore them. Because they

    change things. They push the human

    race orward. And while some may see

    them as the crazy ones, we see genius.

    Because the people who are crazy

    enough to think they can change the

    world, are the ones who do. Steve

    Jobs. 1955-2011

    Knowledge Media Venturz is a

    team of seasoned professionals

    who are passionate about

    shunning mediocrity and creating

    interactive media that fosters

    excellence in Indian Pharma.

    Arvind Nair, Conference Director,

    Brand Drift 2013

    Gallery - BRAND DRIFT 2013

    V y :

    ://./2013/03/349/

    ome

    http://www.branddrift.com/http://www.branddrift.com/http://medicinman.net/2013/03/349/http://medicinman.net/2013/03/349/http://medicinman.net/2013/03/349/http://medicinman.net/2013/03/349/http://www.branddrift.com/http://www.branddrift.com/
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    Glimpses of FFE 2012

    5

    x

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    yDate: Saturday, 8th June 2013

    Them

    e:FieldForcePro

    ductivity

    Place: Courtyard Marriott, Mumbai

    http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13
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    Change is clich. Well, I will

    not ask you to change

    to excel in sales. All I ask

    is that you pay attention to well-

    known, time-tested basics. Revisit

    them. Understand them. Ensure

    that your thoughts, words andactions become coherent with this

    basic ethos.

    World over, many organizations

    are struggling to grow or sustain

    growth while the competition

    grows at a geometric rate.

    The surge in competition often

    undermines the work of the sales

    force.

    Even in the fastest growingorganizations, only 50-60 percent

    of the sales force performs

    to expectations. The rest are

    surviving by sheer luck. In this

    milieu, needless to say, everyone

    is in search of actions that can

    bring sales excellence.

    Can sales excellence be simplied

    to ve equations? The answer

    is both Yes and No. In fact, itis not the equations - what you

    do with them determines Sales

    Excellence.

    The equations may be simple

    and easy to comprehend but

    if the actions do not follow the

    understanding, its guaranteed that

    ones luck will end soon.

    Here are these ve equations

    These equations work for

    individuals, team leaders and also

    organizations.

    Equation #1:

    Results = Data x Action

    Today, there is no dearth of data

    but data itself does not guarantee

    growth. Mature markets - where

    data is abundant - grow by single

    digit numbers. Whereas emerging

    markets - where there is little or no

    data - are growing in leaps and

    bounds.

    Organizations are said to be data

    driven! But it is what you do with

    data that is more important. Datagives you powerful insights that

    are useless unless you act on

    them.

    Equation #2:

    25% 25% 25 25%

    Simply put, all customer segments

    are not equal. Let us see why they

    are not equal!

    If you consider your business as

    100%, you will observe that 25%

    of your business is contributed by

    approximately 5% of customers.

    The next 25% of the business is

    contributed by approximately 10%

    of customers.

    The next 25% of the business iscontributed by approximately 25%

    of customers

    And the remaining 25 % of the

    business is contributed by a

    whooping 60% of customers.

    Now, do you realize why 25%

    25% 25% 25% ?

    Can you write down the split

    of sales and the efforts and

    expenditure using the simple table

    given below as an illustration?

    Five Simple Equations

    for Sales Excellence.

    K. Satya Mahesh is Sr. Manager, Systems and Projects at Sano.

    He worked on different facets of Sales Force Effectiveness (SFE),

    Integrated Business Analytics and Digital Initiatives.

    Tried and tested means to achieve Sales Excellence, condensed in FIVE simple equations.

    FFE 20135

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    Five Simple Equations for Field Force Excellence | K. Satya Mahesh

    Does the table above ring a bell?

    If it does, then check sales

    vis--vis efforts and resource

    allocation.

    Remember: similar is not same.

    Allocate resources differentially

    to different customer segments

    based on their contribution to

    business.

    Equation #3

    Share of Mind = Market Share

    You can afford to lose battles in

    the marketplace but you must win

    the war in the minds of customers.

    To win the war, your message

    must be: Simple, Sticky and

    Consistent. Quite often, as a sales

    man you get bored with Simple,

    Sticky and Consistent message.

    However keep reminding yourself:

    Simple, Sticky and Consistent.

    Thats how you gain a share of

    mind. Share of mind is market

    share. Check out any brand

    anywhere in the world: share ofmind reects in market share.

    Equation #4

    Equity = Perceived value

    Competition Intensity

    You may have created value and

    equity. But when competition is

    intense, it erodes your equity

    by reducing the value you have

    created. You have no option but

    to constantly add to the perceived

    value as you have no control over

    competition intensity.

    Most of the times, you will have

    lesser resources compared to

    competition. This is the time

    you need to invest in your only

    reliable resource Emotional

    Fixed Deposits. You need to nd

    means to emphatically use yourown deposits from emotional

    bank accounts created in the

    hearts of your customers. World

    over, emotions score over rational

    factors when customers choose

    products.

    Equation #5

    Strategy = Execution

    Strategy is said to be the

    obvious choice. Once strategy

    is formulated after innumerable

    debates and discussions, the

    actions needed will be clear.

    Once clarity on actions is gained,

    never revisit strategy. Neither

    before nor during execution.

    Constantly try to achieveexcellence in the process of

    execution.

    When execution fails, do not

    question strategy. Repeatedly

    question the process and

    implementation.

    Results will prove whether The

    Strategy is right or wrong.

    Mumbai Dabbawallas are SixSigma certied! This means only

    1 error in 1,000,000 tifn box

    deliveries. Thats the excellence

    they have achieved.

    Conclusion

    To summarize, you can achieve

    Sales Excellence through ve

    simple equations that translate in

    to ve actions:

    These ve equations encompass

    all the theories advocated by

    innumerable business gurus to

    attain sales excellence. They are

    tried and tested.

    You will be able to comprehendhow accelerated performance

    can be achieved in competition

    intensive markets by embedding

    these equations in rationally

    emotional thoughts and

    emotionally rational actions.

    These equations are interwoven in

    the DNA of every performer.

    I merely have identied them,

    named them and penned them.

    S V. R 25% S Nx 25% S Nx 25% S L 25% S

    S 25% 25% 25% 25%

    % C 5% 10% 25% 60%

    A P S 25% 30% 25% 20%

    M H S 15% 25% 30% 30%

    T Eq T A

    R = D x

    A

    D A .

    25% 25%

    25% 25%

    A

    R

    Py

    S M

    = M S

    S, Sy

    C

    Eqy =

    P

    C

    Iy

    B E

    x D

    Sy =

    Ex

    D Ex

    The views expressed in this message are made in an individual

    capacity and do not necessarily reect those of the company, Sano

    (the company) or any of its afliates. Neither the company nor

    any of its afliates assumes any responsibility or liability of any use

    which may be made of any views expressed here in this article.

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    Field Force Excellence

    The Indian pharmaceutical

    industry is on a good growth

    path and is likely to be in

    the top 10 global markets by value

    by 2020. High burden of disease,

    good economic growth leading

    to higher disposable incomes,

    improvements in healthcare

    infrastructure and improved

    healthcare nancing are drivinggrowth in the domestic market.

    However, in order to sustain growth

    in the long run, companies will

    need to modify their business

    models and connect with their

    customers faster and work on

    innovative ideas to serve them

    better.

    Field Force continues to be the

    vital link between the customer

    and the organization. Hence, the

    performance of the eld force

    will determine to a high degree

    the sustained success of any

    organization.

    Although sales force automation

    and measurement have become

    increasingly common business

    practices, the true success of

    the Field Force is based on thecorrect alignment of the sales force

    management with the company

    strategy to accomplish its mission

    and thus drive value.

    The sales force management

    should be based on three pillars:

    1. Attracting, hiring, developing and

    retaining the right sales people in

    terms of attitude, skills, knowledge

    and activities

    2. Dening and executing a

    successful management style with

    regular personalized coaching,feedback and evaluations, clear

    roles and responsibilities, and

    workload versus potential analysis.

    3. Organizing and dening

    processes, underpinned by using

    the appropriate technology and

    performance measurement.

    Peter Drucker denes EFFICIENCY

    as doing things right and

    EFFECTIVENESS as doing theright things.

    Achieving Field Force Excellence

    requires intelligent combination

    of both. If this excellence has to

    be achieved and sustained, the

    role clarity and the associated

    responsibilities have to be clear

    with regard to sales management

    including the line functions.

    Today, there is still a tremendousamount of confusion and there

    are many situations where there is

    duplication or substitution of the

    effort areas.

    For example, calling on

    physicians including KOLs,

    joint working with sales people,

    stockists management are day

    to day functions in which there is

    overlapping and duplication with

    no clear cut responsibility. This is

    also due to poorly dened sales

    processes leading to re ghting

    during month end sales closing.So the process is forgotten or

    compromised and the month

    end becomes an end by itself till

    the next month end. This leads

    to erosion of efciency and

    effectiveness. And excellence

    remains an unreachable dream.

    The starting point is clarity

    in dening the role and the

    responsibility at each level of salesmanagement. Stephen Covey,

    the author of The Seven Habits of

    Highly Effective People denes

    role (both in personal and

    professional life) which relates to

    three areas:

    1. Responsibility,

    2. Area of Relationship, and

    3. Area of Contribution.

    The responsibility to achieve

    Planned Revenue Generation

    rests at all levels of hierarchy

    in a commercial organization,

    The Needfor role ClariTy

    K. Hariram is the former MD (retd.) at Galderma India. He

    is Chief Mentor at MedicinMan and a regular contributor.

    [email protected]

    ome

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    SPECIAL REPORT

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    Field Force Excellence: The Need for Role Clarity | K. Hariram

    whether direct or indirect. But the differentiation between roles is to be found in the relationship areas and the area of

    contribution.

    Let me illustrate this through an inverted organogram.

    The Customer

    Everyones cheque is ultimately signed by the Customer. The Customer allows us to stay in business.So he belongs to the top. In Pharma the Doctor and Chemists ring forms the Customer

    The Revenue Generating Team

    This is made of the Pharma sales team ably supported by marketing team.

    The Revenue Generating Team works for the Customer.

    The People Building Team

    They are the front-line managerial team. Their responsibility is to

    coach, direct and guide the revenue generating team.

    The Leadership Team

    They are the second-line Sales and Marketing Managers.

    They lead and direct the company in their region/zone

    brand management. They work for the people

    building team

    The Development Team/Corporate Managers

    For long-range planning &Development.

    They work for the leadership team.

    The MD

    Gives Vision and Direction

    to the Company. He works

    for all

    The above organogram very

    clearly denes the role respon-

    sibility of each level. While one

    level may help or support the

    other level of function, the real

    concern is duplication of efforts,

    lack of clear direction and more

    importantly, the absence of

    coaching, guiding and directing

    as part of the area of contribu-

    tion.

    So communications at all levels

    remain more often on a transac-

    tional level and seldom lead to

    transformation. Hence, the cha-

    os, re ghting and blame-xing,

    resulting in gaps at all levels.

    This is also one of the major fac-

    tors contributing to sales force

    attrition.

    I strongly opine that product and

    service differentiation is going

    to become increasingly difcult

    to achieve in the era of glo-

    balization. Sales management

    will continue to face growing

    pressures to reduce eld sales

    investments and to producemore with less. Faced with

    increasing resource constraints,

    sales leaders need to comple-

    ment their internal sales force

    effectiveness measures through role

    clarity through well dened respon-

    sibility, area of relationship and

    area of contribution leading to Field

    Force Excellence.

    Excellence endures and sustains. It

    goes beyond motivation into realms

    of inspiration. I have found that ex-

    cellence is not so much of a battle

    you ght with others, but a battle

    you ght with yourself, by constant-

    ly raising the bar and stretchingyourself and your team. This is the

    best and the most satisfying and

    challenging part about excellence.

    Azim PremjiFFE 2013

    5

    x

    10 15 20 25 30 35 35 40 45 50 55

    yDate: Saturday, 8th June 2013

    THEME: FIELD FORCE PRODUCTIVITY

    Place: Courtyard Marriott, Mumbai

    Product and service differentiation

    is going to become increasingly

    difcult to achieve in the era of

    globalization. Sales management

    will continue to face growingpressures to reduce eld sales

    investments and to produce more

    with less. Faced with increasing

    resource constraints, sales leaders

    need to complement their internal

    sales force effectiveness measures

    through role clarity through welldened responsibility, area of re-

    lationship and area of contribution

    leading to Field Force Excellence.

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    )+91-93422-32949*[email protected] North Road, Cooke Town, Bangalore - 575084

    THEME: FIELD FORCE PRODUCTIVITY

    5

    x

    10 15 20 25 30 35 35 40 45 50 55

    yDate: Saturday, 8th June 2013

    Theme:FieldFo

    rcePro

    ductivity

    Place: Courtyard Marriott, Mumbai

    Session 1: Keynote Address: Shakti Chakraborty, President, Lupin

    Session 4:Panel Discussion: Transactional to Transformational: the Changing Role of HR

    in enhancing Field Force Productivity.

    Moderator: Anup Soans - Editor, MedicinMan --Panel Members Conrmations Awaited--

    Networking Breakfast

    Lunch

    Session 2: CEO Roundtable: Field Force Productivity: Opportunities and Challenges

    --Panel Members Conrmations Awaited--

    Session 5:Amlesh Ranjan, Associate Director, Sano: New Pharma Sales Model for

    Healthcare Opportunity

    Session 3: Panel Discussion: Business Intelligence for Field Force Productivity.

    Moderator:Vikas Dandekar, India Bureau Chief, Elsevier Business Intelligence

    Panelists: Salil Kallianpur, Commercial Head - Classic Brands Center of Excellence, GSK

    Session 6: K. Hariram, Chief Mentor at MedicinMan, Former (Retd) Managing Director at

    Galderma India: Role Clarity for Field Sales Managers to enhance Field Force Productivity.

    www.medicinman.net

    Register Now!

    Click here or go towww.medicinman.net/fe13

    Delegate Registration

    Pharma Delegates: INR 8,500/-Non-Pharma Delegates/ Service Providers: INR 9,500/-

    Early Bird Discount (for full payment before 30 April 2013): INR 1,000/-

    http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/ffe13http://www.medicinman.net/http://www.medicinman.net/
  • 7/28/2019 MedicinMan April 2013

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    EmployEE loyalty- at What Cost?E

    verybody expects loyalty.

    Whether internal or

    external customers every

    entrepreneur expects loyalty from

    them.Loyalty is a two-way process: it

    must be rewarded to develop and

    grow. Thats where executives err

    a lot.

    While most industries have come

    of age on the loyalty issue, pharma

    still banks heavily on internal

    customer loyalty.

    Frequent short-term changes by

    Pharma employees are viewednegatively, while in other industries

    such changes have come to be

    accepted.

    What are the disadvantages of

    courting loyalty?

    Loyalty generally means sticking

    around for longer times. It can lead

    to the propogation of: Same, stale ideas.

    Same, mundane approach.

    Limited drives.

    Business driven with

    calculated risks.

    Focus on sustaining /

    retaining the job and earning

    reasonable increments and

    management, courtesy

    promotions.

    The only advantages of employee

    loyalty are:

    Controlled turnover statistics.

    Controlled training costs.

    Face familiarity with external

    customers and above all

    A pseudo-feeling of being

    an employer of choice with

    superior HR practices.

    Inferences can be drawn out of

    both situations depending upon

    the organizations own outlook.

    Does loyalty help or hinder growth

    of the organization?

    In my opinion, it hinders growth

    because people get settled, they

    loose drive, they work for retaining

    their jobs and increments and that

    Push which the organization

    needs goes for a toss.

    People who travel from

    one organization to

    another carry many good

    practices and learning

    compared to people who

    are stuck with same

    organization for years

    and have not seen and

    refuse to see the world

    changing around them.

    Sharad Virmani is Vice President Marketing and

    Sales at Comed Chemicals and Pharmaceuticals.

    [email protected]

    ome

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    Employee Loyalty - at what cost? | Sharad Virmani

    On the contrary new arrivals

    every 2 - 3 years in the company

    bring in:

    New ideas

    New energy

    Momentum to the currentbusiness

    A look at new opportunities

    and risk-taking

    Drive the organization towards

    its goals

    The big question is - why is loyalty

    in pharma diminishing?

    The answer is simple.

    Reason No. 1:

    When it comes to rewarding and

    recognizing internal customers,

    the organization looks at internal

    factors.

    The age-old saying comes true

    here ghar ki murgi dal barabar.

    Employees change because they

    realize that they are not being

    rewarded as per their Market

    Value.While organizations underrate

    their existing employees when

    rewarding, the same employers

    hire similar-level new talent at a

    higher price, justifying that he

    deserves that cost.

    These dual-standards are eroding

    employee loyalty. Loyal employees

    feel cheated and either go into a

    shell because of job insecurity ormove out if they have condence

    in their talent.

    Reason No. 2

    People join organizations with

    growth aspirations both Financial

    and Hierarchical.

    With the changing pace of time,

    competition and outlook towards

    life, everyone wants to be where

    he or she should be as per hisor her potential at the earliest

    possible. Nobody has patience or

    the time to wait.

    They get themselves assessed

    in the market regularly and the

    moment they get the right price,

    the right position and right valuer

    of their potential and talent, they

    move.

    There is nothing wrong in it.No employer gives a lifelong

    guarantee. So why expect a

    lifelong commitment from the

    employee.

    The employee should have the

    equal freedom of moving to

    another employer of his choice

    who pays and gives him a role as

    per his perceived and assessed

    market potential. The employersdo the same while replacing an

    existing employee.

    But the Pharma industry behaves

    differently.

    While it appreciates long-term

    commitment from its employees

    with minimal rewards and

    recognition for talent, it looks down

    on people who change frequently.

    The fear is always that these short-term employees disturb the rhythm

    of their organization to which they

    are well tuned. The myth is also

    that all short term employees

    who move from organizations to

    organization are devoid of talent

    and keep moving because they do

    not have much to offer.

    Probably a deeper insight into

    employees mindset will changethis thinking.

    Believing that people sticking over

    for a long time in the organization

    have higher commitments,

    involvement and talent is a wrong

    notion.

    Infact these so-called loyal

    employees sometimes are the

    biggest impediments to the

    organizations growth. With aclear plan to spend several years

    in the same organization, at the

    same H.Q., at the same post with

    minimal growth and no locational

    or portfolio shift, they ensure that

    their areas actual potential is

    never utilized by the organization.

    They grow as per their xed

    plan, ensuring that their jobs safe

    guarded year after year.

    Organizations fail to recognizethese factors and some who do

    realize are reluctant to push these

    individuals just for the sake of

    loyalty. Over a period of time the

    competition sets a rm foot hold

    in these areas and by the time

    realization sets in, the organization

    looses its edge in those areas.

    Time has come to look beyond

    mere loyalty.

    People who travel from one

    organization to another carry

    many good practices and learning

    compared to people who are stuck

    with same organization for years

    and have not seen and refuse to

    see the world changing around

    them.

    Short bursts of rejuvination with

    new ideas propelling growth are

    better than long term loyalty withstagnation.

    The message is simple:

    Loyalty is a diminishing virtue

    employers have to learn to live with

    it.

    Loyalty does not ensure new ideas

    and rapid growth. It only ensures

    stagnated growth.

    All short-term employees are not

    worthless - look closely at their

    career path, their achievements

    and their talents. Forget about the

    loyalty - look at their contribution.

    Short-term employees bring drive,

    new ideas, rejuvenation and a new

    culture propelling organizations

    to new levels

    The old era of life-long contractual

    labour is over.

    The newer breed of employeesbelieve in short-term benecial

    and growth oriented contracts

    with changing canvas every short

    while.

  • 7/28/2019 MedicinMan April 2013

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    MunshijikiPanchTanTraforProfessional GrowTh

    My successstory was neverplanned; it was builtby sheer passion and

    hard work though I didmake conscious effortsto be recognized formy work. I was boldenough to stand out inthe crowd among

    my peers andcolleagues.

    Anew nancial year is

    a time when most of

    us evaluate our career

    aspirations and make new

    decisions. Youngsters in the

    pharma industry must think

    carefully about what it will

    take for them to advance their

    short and long term career

    prospects.

    My success story was never

    planned; it was built by sheer

    passion and hard work though

    I did make conscious efforts

    to be recognized for my work.

    I was bold enough to stand

    out in the crowd among mypeers and colleagues. After

    completing 20 years in the

    pharma industry, I still think and

    plan about how to sell my ideas

    and manage organizational

    objectives to create a distinct

    go to person identity.

    Are you a recognizable brand

    or just another face? Gettingrecognised is harder than

    before. In the past, you

    just had to perform your job

    description well, achieve

    targets and support the

    organizations objectives and

    goals. Today, you must also

    earn your teams respect, so

    that your share of the voice is

    heard and acted on within thecompany. You gain this respect

    as a person who can manage

    crisis and solve problems.

    Sanjay Munshi is Chief General Manager-

    Sales and Marketing at Tablets (India) Ltd.Personal Success

    ome

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    Munshiji ki Panch Tantra for Professional Success | Sanjay Munshi

    Product promotions get you

    prescriptions and self-promotion

    gets you promoted. But just as

    the product has to be promoted

    on the basis of scientic facts,

    self promotion has to be based on

    solid achievements.

    Everyone has a Success Story and

    its reasons and I am no exception,

    but these Panch Tantra have

    contributed to my success.

    Passionate about

    Personal Growth

    If you are not passionate about

    your personal growth, dont expect

    others to be interested in your

    professional growth. The old ways

    of being good at something and

    never enhancing your abilitiesare over. You must work twice

    as hard to illustrate your capacity

    for growth. This will require you to

    keep learning and investing in self

    development continuously.

    To keep it simple, identify three to

    four skill areas that will enable you

    to grow in your company and then

    make the effort to invest in those

    skill areas. Its not how much you

    know, its how fast you can learn

    new things, whether relating to

    therapy area knowledge or new

    ways of leading people. You must

    have a desire to handle greater

    responsibilities.

    Possess a Can Do

    Attitude

    The real test of your attitude is

    when things do not go as youwant it to. Can you maintain a

    Can Do attitude in the face of

    challenges like high attrition and

    high competition? Your aptitude

    has a better chance of being

    discovered and recognized if your

    attitude is Can Do. Your behaviour

    in difcult situations, the choices

    you make, your reliability and your

    personality are being measured

    all the time. Attitude is caught and

    not taught. As you demonstrate a

    Can Do attitude consistently, thosearound you begin to catch it and

    soon everybody is contributing to

    making your task a little easier.

    Can you trust your

    Instincts?

    You must have the boldness to

    trust your instincts based on

    insights gained from careful

    observation of market dynamics.

    Even after many years ofexperience, many executives do

    not have the courage to trust their

    gut feelings. It may lead to failure,

    but it will teach you valuable

    lessons, no MBA program can

    teach. So go ahead, take that

    plunge that put your capabilities

    to the test. Seize the opportunity.

    Often your instincts tell you to take

    action during times of adversity

    but you dont. Instead, you

    wait for those above you to take

    decisions and let opportunities slip

    by. Leading and managing is all

    about taking bold decisions and

    making those decisions to work

    by careful implementation of plans

    and strategies.

    Trust is Built by Doing

    What You Say You Will.

    At a time when people have

    trouble trusting themselves let

    alone trusting others building trust

    is a powerful asset and essential

    for getting promoted.

    Being trusted by others is not

    earned just because you are

    likeable. You must know how

    to build rapport, be a strong

    communicator, be credible and

    be honest with people. Always

    be careful to make commitments

    and then once you have made

    promises, work on how you can

    keep your promises instead of

    nding excuses and explanations.

    Loyalty Matters.

    Being loyal to your

    company and colleagues is

    important to gain trust without

    which success is hard to come by.

    Your personal values must alignwith those of your organization.

    For example, I will never forget

    the job offers I received from

    competitors during my tenure

    at Tablets (India) Limited - TIL.

    While companies offered to pay

    me more money, they could never

    give me present responsibilities

    or future opportunities or the

    relationship and trust I had built

    with my colleagues and thesales team. As difcult as the

    temptations were, my loyalty to

    TIL paid off and led to multiple

    promotions.

    Getting frequent promotions

    requires a lot more than just what

    your job description demands. As

    you begin to map-out your career

    goals for 2013, I suggest you

    to integrate these Panch Tantrainto your career plan or better

    still, design your own success

    roadmap.

    1

    35

    4

    2

    You must have the boldness to trust your instincts based on insights gained fromcareful observation of market dynamics. Even after many years of experience, manyexecutives do not have the courage to trust their gut feelings. It may lead to failure,but it will teach you valuable lessons, no MBA program can teach.

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    What PMt ProPoses, Field Force disPoses.

    It is a well known fact that the

    Success of a brand depends

    on the brand managers

    strategy for the brand.

    Before any new launch, a good

    product manager toils for months

    in advance to understand all

    the ne nuances of his brand,

    its competitors, the market, the

    customers, business environment

    and so on and nally develops a

    winning strategy for the brand.

    Likewise, for strengthening existing

    brands too he / she reects and

    contemplates on various issues

    before dening the strategies for

    the year ahead.

    Then comes the critical moment of

    sharing these launch strategies or

    brand strategies with the imple-

    menters, viz., the pharma eld

    force during the cycle meetings. It

    is here that the brand manager is

    put to his most crucial test, that of

    convincing the team to implement

    his strategy.

    A strategy, no matter how good

    it may seem to the brand and

    the marketing manager, will

    see the light of the day in the

    intended manner, only if the

    eld force are convinced on its

    novelty, implementability, possible

    effectiveness and likely gains. On

    the face of it, the brand manager

    may be assured of all co-

    operation, but reality may be quite

    otherwise!

    Scenario 1: New Antihypertensive

    Brand;

    Target Audience: Cardiologists &

    Physicians.

    Special Customer Campaign:

    The Brand manager, in all his

    enthusiasm has chalked out a

    special Good Morning Campaign

    for his brand, which has a dose

    of 1 tablet once in the morning for

    round-the clock BP control. The

    MR is expected to make a list of

    just ve Top Drs whom he will callupon daily before the Dr starts his

    practice and remind him of the

    brand with a Good Morning card

    and a small gift associated with

    morning activities (like shaving kit,

    etc). The intended message of a

    Good start for a trouble-free day

    is topmost in the PMs mind while

    framing this strategy.

    However, from the MRs point

    of view, it is nearly impossible

    to be able to meet ve TOP

    Mala Raj is a Pharma Marketing Consultant with expertise in

    Brand Management, New Product Launches and Training. She

    has over 26 years experience and runs her own consultancy -

    Product Management Support Services at Thane.

    [email protected] Management

    A Brand Strategy that does not demonstratea concrete understanding of ground reality,is bound to fail - rst in the minds of your

    Reps and then on the eld itself. Heres howyou can overcome Boardroom bias.

    ome

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    What PMT Proposes, Field Force Disposes | Mala Raj

    cardiologists, repeatedly on all ve

    days of the week, that too before

    they start practice. Does the

    Product Manager think that all my

    cardiologists practice in the same

    lane? Meeting them once a month

    itself requires meticulous planning;

    then how can I meet my leading

    Cardiologists on a daily basis, even

    if it is to just greet for a second?, is

    what he muses.

    There it goesGood bye to the

    Good morning Campaign by

    majority of the eld force.

    Scenario 2: New Anti-arthritic

    Brand;

    Target Audience: Orthopaedics

    Brand Strategy: Just 1 New Rx

    per week from 10 Orthos Thats

    all

    The Product Manager is convinced

    that getting Just 1 Rx / week from

    10 Orthos is quite a simple task

    and spends the entire brieng

    session on what inputs are planned

    for the 52 weeks and goes on to

    impress upon them the statistics.

    The MR thinks, Lets put this

    PM on the eld for 3 months to

    implement his strategy! How many

    brands are there in the history of

    Indian Pharma which have attained

    Rs 50 Cr in the 1st year!

    There it goesStatistics that

    are good to look at.but remain

    merely an illusion.

    There are countless such examples

    where the brand manager

    proposes and the eld force

    disposes. No wonder then, the

    PM is left alone to battle questions

    from his seniors on how his

    strategies have not fetched the

    desired results or how his planned

    expenses have been expended but

    planned forecasts have not been

    met.

    How to develop those

    Winning strategies - A few

    pointers:

    Regularly work on the

    eld - atleast for 3-4 days

    every month and work in

    different territories in different parts

    of the country month after month.

    Familiarise yourself with ground

    realities in these visits.

    If you are a PM with the

    favoured B.Pharm + MBA

    background, but with little

    experience in PMT, always discuss

    your ideas with your colleagues

    with more PMT experience & with

    your Marketing manager, before

    you plan your activities or inputs

    based on the same.

    If you have a novel

    strategy, but have doubts

    on its implementability,do a pilot testing of the same

    during your eld work or ask a few

    friendly Frontline managers for their

    opinion. Sending a long email with

    your proposed plan will almost

    never get you the desired feedback

    that your personal discussion will

    get. So pick up the phone and ask.

    Think of possible ways

    to make your idea more

    innovative, be it a literature

    or a visual aid or a scientic input

    or anything else. MRs love to

    show-off to their Drs any new

    information or literatures designed

    in novel manner. But limit the urge

    to have pullouts and aps too

    often, for they often fail after a few

    uses.

    No. of Rxs / Patients Sales Val @ Rs

    10/ day; Rs 70 /

    week

    Week Rxs No. of

    Drs

    New Existing Total Value - Rs /

    Week / MR

    1 1 10 10 0 10 700

    2 1 10 10 10 20 1400

    3 1 10 10 20 30 2100

    4 1 10 10 30 40 2800

    ..And So On

    49 1 10 10 480 490 34300

    50 1 10 10 490 500 35000

    51 1 10 10 500 510 35700

    52 1 10 10 510 520 36400

    Total Annual Sales Per MR = Rs 9,64,600

    Total Annual Sales for 500 MRs = Rs 48,23,00,000

    Bravo! We have a 50 Cr (1st year) Brand in front of us!!

    1

    2

    3

    4

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    What PMT Proposes, Field Force Disposes | Mala Raj

    Keep regular tabs on what

    competition is doing and offer

    your team competitive strategy

    that they look forward to from you.

    In your cycle-meeting brieng,discuss with the team the

    genesis of the idea for the

    campaign, theme, etc and highlight how

    it has been tested and proven for its

    effectiveness in your eld visits. If other

    brand managers do the brieng in other

    parts of the country ensure that you train

    them well on your promotional plans and

    give them the relevant back-up data

    to enable them also make a powerful

    impact in their presentation.

    Occasionally you can involve

    the MRs by teaser campaigns

    seeking their participation in

    suggesting a name for the campaign,

    etc.

    While talking of gains to the MR,

    be realistic in your expectations

    and stress on personal and

    professional gains that are to be had

    from your strategies

    Be alert, monitor the feedback

    and amend your plans if

    required at the earliest.

    Lastly, your attitude matters a

    lot in gaining co-operation from

    others. Marketing and sales are

    but two sides of the same coin and must

    work in unison to realise the corporate

    objectives of growth, market share and

    prots.

    5

    6

    7

    8

    9

    10

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    )+91-93422-32949*[email protected] North Road, Cooke Town, Bangalore - 575084

    THEME: FIELD FORCE PRODUCTIVITY

    5

    x

    10 15 20 25 30 35 35 40 45 50 55

    yDate: Saturday, 8th June 2013

    Theme:FieldFo

    rcePro

    ductivity

    Place: Courtyard Marriott, Mumbai

    Session 1: Keynote Address: Shakti Chakraborty, President, Lupin

    Session 4:Panel Discussion: Transactional to Transformational: the Changing Role of HR

    in enhancing Field Force Productivity.

    Moderator: Anup Soans - Editor, MedicinMan --Panel Members Conrmations Awaited--

    Networking Breakfast

    Lunch

    Session 2: CEO Roundtable: Field Force Productivity: Opportunities and Challenges

    --Panel Members Conrmations Awaited--

    Session 5:Amlesh Ranjan, Associate Director, Sano: New Pharma Sales Model for

    Healthcare Opportunity

    Session 3: Panel Discussion: Business Intelligence for Field Force Productivity.

    Moderator:Vikas Dandekar, India Bureau Chief, Elsevier Business Intelligence

    Panelists: Salil Kallianpur, Commercial Head - Classic Brands Center of Excellence, GSK

    Session 6: K. Hariram, Former (Retd) Managing Director Galderma India: Role Clarity

    for Field Sales Managers to enhance Field Force Productivity.

    www.medicinman.net

    Register Now!

    Click here or go towww.medicinman.net/fe13

    Delegate Registration

    Pharma Delegates: INR 8,500/-Non-Pharma Delegates/ Service Providers: INR 9,500/-

    Early Bird Discount (for full payment before 30 April 2013): INR 1,000/-

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  • 7/28/2019 MedicinMan April 2013

    24/3024 | MedicinMan April 2013

    Recently I was having a

    talk with some pharma

    sales managers. The

    conversation veered towards

    Coaching. The typical comments

    that emerged were:

    The current generation does

    not listen to us.

    They are not taking

    responsibility for their sales

    target achievement. They have a mind of their own.

    They are too casual.

    They want territories which are

    nearer to their residence, etc.

    I also had the occasion to speak

    with some pharma sales people

    while I was sitting in my physi-

    cians clinic. Five out of six reps

    told me that they had no signi-

    cant value add from their manag-ers either pre, during or post the

    doctor calls except for telling you

    did this or you missed this. They

    also added that the only talk from

    the manager was how much have

    you done?

    The purpose of bringing this point

    is not to judge who is right or

    who is wrong. But it set me into

    thinking mode as to where doesthe problem lie.

    Could it be improper understand-

    ing of the role by line management

    or lack of coaching skills?

    Research and survey across

    the globe has shown that

    managers believe that they

    coach far more often than their

    sales people believe they do.

    On the other hand, the sales

    people have reported that they

    get very little coaching from

    their managers.

    Why this discrepancy and how

    could this be? Chances are thatthe managers may be doing

    some talking or using some

    bits and pieces of transactional

    communication, often mistaken for

    coaching.

    A worthwhile question that will

    help is Does this action grow my

    sales people?

    Managers may be spending time

    on one-on-one meetings but90% of the time may go in talking

    about sales, quotas, so called

    CRM activities etc. So, the above

    referred question would probably

    meet with an answer not really

    Everyone goes through the motion

    of performance review to meet

    with deadline and comply with or-

    ganizational system requirements

    but fail to really build develop-ment plans that will make a big

    difference to the sales person and

    therefore, for the organization, in

    the long term.

    Feedback is yet another area of

    improvement because it remains

    at a transactional level. We live in

    systems; and most of the systems

    are self-reinforcinguntil they stop

    working or we change them.

    Are you reinforcing a system that

    promotes dependence, or are youreinforcing a system that promotes

    interdependence, extensive

    thinking, critical decision making

    and empowerment?

    Making your coaching visible has

    its own dividendsmake sure

    that your sales people see that

    you are allotting time for coaching

    and developing them.. Investing

    in your sales people by coaching

    them and expanding their capa-

    bility will help you, them and the

    organization.

    The rewards are immense.

    K. Hariram is the former MD (retd.) at Galderma India. He

    is Chief Mentor at MedicinMan and a regular contributor. This

    article is 6th in a series on Coaching .

    [email protected]

    Dothey?

    This is what K. Hariram heard

    from pharma sales managers in a

    recent conversation:

    The current generation does not

    listen to us.

    They are not taking responsibility

    for their sales target

    achievement.

    They have a mind of their own.

    They are too casual.

    They want territories which are

    nearer to their residence, etc.

    He decided to take a closer look.

    Coaching

    YouThinkYou

    ..areCoaching;

    ome

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    DECision analysis

    Stages in Decision Analysis:

    Structuring the decision: This involves

    converting an ill-dened problem into a set of

    well-dened elements

    Balance sheet: This helps in dening the decision

    problem by listing all the different options or actions

    and considering the possible benets and risks of

    each choice; an approach known as constructing a

    balance sheet.

    Decision trees: Another method of structuring

    the decision is by representing the choices in the

    form of a decision tree. A decision tree (Figure

    1) represents both, the decision options available

    (represented in a tree as a square node between

    branches) and the uncertainty associated with each

    decision option (represented in a tree as a circular

    node).

    Assessing the probability of different

    outcomes: An important dimension of any

    decision is the likelihood of events that actually

    happen.

    Assessing probabilities: Having identied the

    likelihood of different outcomes occurring, together

    with an estimate of the uncertainty around this gure,

    probabilities can be assessed and added to the

    decision model.

    Assessing patient values or preference:

    measuring utility: Utility is a numeric

    or quantitative measure of the value an

    individual or group place on the different outcomesor consequences of a decision. Utility is measured

    on an interval scale, from 0 to 1 (or 100). Zero

    Decision Analysis involves assistingdecision makers for makinglogical assumptions. A rational

    decision can be of great use to theindividuals. Decision analysis involvesbreaking a decision problem into itscomponent parts. For decision analysis,these components are the probability

    of different outcomes and the value orpreference an individual attaches tothose outcomes. Synthesizing the valueof these components gives the bestdecision option.

    1

    2

    3

    Mahendra Rai, Richa Goyal and Pinaki Ghosh

    [email protected]; [email protected] Force Knowledge Series

    ome

  • 7/28/2019 MedicinMan April 2013

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    Decision analysis is a useful technique for assisting complex

    and uncertain decisions, where the best option is not

    immediately possible. By specifcally including the results

    of research studies in the decision model, it can help a

    practitioner make evidence-based decisions.

    26 | MedicinMan April 2013

    Decision Analysis | Mahendra Rai, Richa Goyal, Pinaki Ghosh

    equates to the worst possible health state for that

    individual and 1 or 100 represents the best possible

    health state for that individual. Utility can be

    measured by the following:

    Standard gamble: This involves examining anindividuals valuation of health states compared with

    death. The individual is offered two alternatives: a

    gamble with two possible outcomes (death or return

    to normal health), or the certain outcome of remaining

    in the health state being valued for the rest of his or

    her life.

    Time trade off: In this approach the individual is

    asked to consider the relative amounts of time he or

    she would be willing to spend in a given health state.For each health state for which utility is required, the

    individual is offered a choice: to stay in this health

    state for the rest of his or her life, or return to perfect

    health but for a shorter period of time. The amount of

    time the patient is willing to trade is used to calculate

    the value for the health state. When both probabilities

    and utilities have been added to the decision tree,

    the expected utility, or value of each decision option,

    needs to be calculated. The eventual value represents

    both the probability of an outcome occurring and

    the value/utility the decision maker attaches to that

    outcome.

    Sensitivity analysis:

    Sensitivity analysis is a way of assessing the

    robustness of your decision analysis. Like all models,

    the results are dependent on the numbers that go in.

    There are some situations where either the research

    evidence is very uncertain (perhaps the estimates of

    likelihood of certain outcomes have a wide range) or

    individual values/preferences for certain outcomes

    vary considerably. However, different patients might

    have different probabilities (due to differing prognostic

    factors) or have varying values/preferences for

    outcomes.

    Various software packages that could be employedfor medical decision making are:

    Tree Age Pro (DATA) [www.treeage.com]; Microsoft

    excel; @RISK [http://www.palisade.com]; Supertree

    [http://www.supertree.net/]

    Conclusion:

    Decision analysis is a useful technique for assisting

    complex and uncertain decisions, where the best

    option is not immediately possible. By specicallyincluding the results of research studies in the

    decision model, it can help a practitioner make

    evidence-based decisions.

    Steps involved in Decision Analysis:

    1. Dene the decision problem.

    2. Structure the decision: construct a decisiontree.

    3. Assess the probability of different outcomes:add probability to the decision tree.

    4. Measure patient utility: add utility to the

    decision tree.

    5. Calculate the expected value of a decision

    tree: identify the best option.6. Assess the sensitivity of the decision model.

  • 7/28/2019 MedicinMan April 2013

    27/30

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  • 7/28/2019 MedicinMan April 2013

    28/3028 | MedicinMan April 2013

    Health technology assessment (HTA) is amultidisciplinary activity that systematically

    examines the safety, clinical efcacy and

    effectiveness, cost, cost-effectiveness, organizational

    implications, social consequences, legal and ethical

    considerations of the application of a health technology

    usually a drug, medical device or clinical/surgical

    procedure.

    Role of HTA in healthcare decision making.

    Technology assessments are useful to wide range of

    decision makers in healthcare, including governmentpolicy makers, insurance companies, industry,

    planners, administrators, clinicians, and patients. HTA

    focuses on the value (clinical and economic) of the

    technology relative to current (or best) clinical practice.

    HTA acts as a bridge between evidence and policy-

    making. It seeks to provide health policy-makers with

    accessible, useable and evidence-based information

    to guide their decisions about the appropriate use of

    technology and the efcient allocation of resources.

    HTA is widely used in European countries for

    reimbursement decisions.

    HTA broadly focuses on two issues:

    Clinical effectiveness how do the health outcomes

    of the technology compare with available treatment

    alternatives?

    Cost-effectiveness what is the cost-effectiveness

    of new technology compared to existing treatment

    options?

    Basic steps of HTA

    HTA embraces a diverse group of methods that can be

    grouped into two broad categories:

    Primary data methods: Involves collection of original

    data, ranging from more scientically rigorous

    approaches such as randomized controlled trials to

    less rigorous ones such as case studies.

    Integrative methods (also known as secondary

    or synthesis methods): Involves combining data

    or information from existing sources, including

    from primary data studies. These can range from

    quantitative, structured approaches such as meta-

    analyses or systematic literature reviews to informal,

    unstructured literature reviews.

    The scope, selection of methods and level of detailin the practice of HTA differs from country to country.

    Most HTA activity involves some form of the following

    basic steps.

    1. Identifying assessment topics

    2. Specifying the assessment problem

    3. Determine focus of assessment

    4. Retrieve evidence

    5. Collect new primary data

    6. Appraise/interpret evidence

    7. Integrate/synthesize evidence

    8. Formulate ndings and recommendations

    9. Disseminate ndings and recommendations

    10. Monitor impact

    HTA and Market Access

    The use of HTAs and the typical process of market

    access are different across countries. Achieving marketaccess for a new product typically involves a number

    of steps. In all countries, approval by a regulatory body

    is required before a product is authorized for use. This

    approval depends on the safety, efcacy, and quality

    data for a new product or indication. If a product is

    to be funded or reimbursed, additional conditions

    must be fullled before a product can be launched

    or marketed. These criteria vary among countries but

    can include effectiveness, safety, drug price, budget

    impact, and cost-effectiveness, and can be assessedat a national level, sub-national or regional level.

    Conclusion

    Health technology assessment is a form of policy

    research that examines the short and long-term

    consequences of using a healthcare technology. The

    goal of HTA is to inform the development of safe,

    effective, health policies that are patient focused and

    seek to achieve best value as dened by decision

    makers. HTA is viewed as a useful means to ensurethat funds are used effectively and more countries can

    be expected to adopt formal HTA processes as part of

    their decision-making process.

    EmErging ArEAs in HEAltHcArE: HtA

    Javed Shaikh is a Consultant (HEOR, Pricing,

    Reimbursement and Market Access) at Capita

    India, Mumbai.

    [email protected]

    Shafaq Shaikh is an Associate (HEOR, Pricing,

    Reimbursement and Market Access) at Capita

    India, Mumbai.

    [email protected]

    ome

  • 7/28/2019 MedicinMan April 2013

    29/3029 | MedicinMan April 2013

    Book Review | Pharma First-Line Leader to CEO: The Roadmap to Success

    Pharma Front-Line Leader to CEO - the Roadmap to Success by Vivek Hattangadi is just what it promises it provides a roadmap with a

    compass thrown in. It is at once engaging and illuminating. Engaging because of the dialogue format between the mentor and our protagonist,

    Vinod, a rst-line leader who is on a fast track to achieve uncommon success - to become a CEO.

    Illuminating because it explains clearly a number of key ideas in management that broaden the

    perspective of a novice and an experienced manager alike.

    Where you are does not indicate where you can go. It only indicates your current position. It does not

    determine the scope of where you can go or what you can be! What you can be depends on what

    you are going to put in and how far you are willing to go. The scope is virtually unlimited. This book

    explains and shows the roadmap for what you can be and what you have to do to be what you can be!

    In thirteen brief bite-sized chapters Vivek Hattangadi packs the punches of the power to achieve. The

    eleven case studies demonstrate how the ideas discussed in the book are eminently workable.

    Majority of the people whether they are medical representatives or mangers are not used to set goals

    for themselves although they deal with achieving goals every day of their lives. This book amplies

    the need for setting personal goals and shows them how to set goals and what to do about reachingthem. After reading the book even the most skeptical reader would agree that it is possible to achieve

    whatever goal one sets for himself or herself. The only key is that one should strive, struggle and

    work towards achieving those goals with tenacity. The four autobiographical sketches of the high

    achievers at the end of the book should persuade everyone about what is possible for those who

    are determined. It should be easier now as there is a roadmap in the book: PHARMA FIRST-LINE

    LEADER TO CEO!

    Subba Rao Chagantiis the Former Director (Marketing & Sales) at Sun Pharma He is Visiting Faculty at School of

    Management Studies, Jawaharlal Nehru Technological University.

    Purchase at URead.com

    Anup Soans

    I was privileged to attend one of Renies

    coaching sessions a few years back. Renie,

    a certied facilitator with BlessingWhite in

    the US was visiting and exploring India, and

    I was at that time also a facilitator with the

    India partner of BlessingWhite.

    The quiet and efcient manner in which she

    facilitated the session left a deep impression.

    Here was a person who had trained globallyand was very comfortable in sharing her pro-

    fessional insights with Indian professionals

    for free!

    Interactive and Engaging Training a Practi-

    cal Guide by Renie McClay is an excellent

    resource for everyone interested in making

    learning interesting and interactive. In less

    than 80 pages Renie lays bare the essentials

    of interactive learning. Beginning with the

    basics like VARK, Renie moves on to case

    studies and practical examples of making

    learning for adults a We want more activity.

    A quick and practical resource for people

    who want to liven up the learning process.

    Knowing how and when to use interactive

    and engaging training methods is a key in-

    gredient to making learning stick. This book

    is a collection of tried and true activities to

    get participants engaged and interacting

    with others to learn something. There is

    something here for everyone - accidental

    trainers and those new to the training eld,

    as well as seasoned trainers. This is the why

    and the how for building interaction and en-

    gagement in training. It includes examples

    and instructions that can easily be incorpo-

    rated in learning solutions. There are evenideas on leveraging technology!

    Renie McClay is on the MedicinMan Interna-

    tional Editorial Board. Renie is a global learn-

    ing consultant who has managed the training

    function for several Fortune 500 companies,

    including Kraft and Novartis. After 20 years

    in corporate training and development roles,

    she started her own rm, Inspired Learning

    LLC. She designs and delivers training for

    improved performance. She is a Certied

    Professional of Learning and Performance

    (CPLP) and has a Masters in Global TalentDevelopment from DePaul University.

    Renie is also the author of three other train-

    ing and development classics - 10 Steps to

    Successful Teams (ASTD Press), The Es-

    sential Guide to Training Global Audiences

    (Pfeiffer), Fortify Your Sales Force: Leading

    and Training Exceptional Teams (Pfeiffer).

    You can browse through Interactive and En-

    gaging Training a Practical Guide by clicking

    on this link - http://www.amazon.com/Inter-

    active-Engaging-Training-Practical-Guide/

    dp/1475165447

    PHARMA FIRST-LINE LEADER TO CEO THE ROADMAP TO SUCCESS by Vivek HattangadiSubba Rao Chaganti

    Editors Choice: Interactive and Engaging Training - A Practical Guide by Renie McClay

    me

    http://www.uread.com/book/pharma-firstline-leader-ceo-vivek/9789382359456http://www.amazon.com/Interactive-Engaging-Training-Practical-Guide/dp/1475165447http://www.amazon.com/Interactive-Engaging-Training-Practical-Guide/dp/1475165447http://www.amazon.com/Interactive-Engaging-Training-Practical-Guide/dp/1475165447http://www.amazon.com/Interactive-Engaging-Training-Practical-Guide/dp/1475165447http://www.amazon.com/Interactive-Engaging-Training-Practical-Guide/dp/1475165447http://www.amazon.com/Interactive-Engaging-Training-Practical-Guide/dp/1475165447http://www.uread.com/book/pharma-firstline-leader-ceo-vivek/9789382359456
  • 7/28/2019 MedicinMan April 2013

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