Sales Rep Wanted: Government Experience Required, AHRQ and Health Reform Legislation

We are going to place this week’s blog entry in the “Did not know, and had no idea, how did I miss that one” file. Health care reform legislation and how it affects business has been a common topic over the past few months. Much of the conversation has been a one way street it seems with Washington calling the shots, our legislators arguing for or against the changes, and then the changes coming down anyway. The business population has worked to impact and influence with calls, letters and emails to Washington, and I would submit that now is the time to trust and verify that the needs of business with regard to health care costs are truly being addressed.


Robert Goldberg writing for The American Spectator relates that the House Republicans plan to cut $360 million in health reform funding in this year's budget as part of the retooling of the health care legislation. What was a light bulb moment in reading the article is that Goldberg writes that the current Obama Administration will be spending $100 million to run an ad campaign and hire a sales team to push the health reform legislation to thousands of doctors. Very interesting. It is one thing when private industry hires a sales force to market, PR, and sell a product, but now we have the US Government using a sales force (with cars and expense accounts) to convince doctors that government health guidelines are the way to go. Time will tell, but I am certain this will not be a simple “Buy War Bonds” message as was seen in World War II.

The most expensive part of the roll out of a product as you know is the sales and marketing component. I find this idea very compelling, as I work in the detail representative world and I know firsthand how challenging it can be to develop a credible support relationship with busy physicians. Access in many groups is not only limited but closed due to regulations with industry and research. Will the government sales representative adhere to those same guidelines? Even more telling will be the understanding of the monitoring of the Government Health care representatives. Will Government sales reps be tied to the same messaging, regulation and liability that private industry subscribes too? Will these healthcare representatives receive the same high level of technical training, sensitivity and diversity training, training on product and disease state management, and will they be required to sign detailed codes of conduct? What will the customer service and quality management goals look like? If recommendations are adhered to, and the patient suffers some adverse effect, will the company behind the message, in this case the US Government, be held accountable? After all, it is the US Government, not a publicly traded company, so what is the planned process for checks and balance?

According to the article, the home of this marketing machine is the Agency for Healthcare Research and Quality (AHRQ). It has a planned budget of nearly $1 billion. AHRQ is mentioned in the health reform legislation frequently, is responsible for determining what preventive services we get, what health care "quality" is, what should be cut from Medicare and what new technologies should be paid for. According to Dr. Carolyn Clancy, AHRQ’s director, consideration will be given to directives, guidelines, and placement of reminders into electronic health records. An additional 50 million will be spent on comparative effectiveness research (CER). Dr. Clancy has been the director of AHRQ since 2003, almost as long as AHRQ has been in existence.

CER is promoted as information about what are the most medically and cost-effective treatments, drugs, and medical devices. Pharmacoeconomics research is not new to the healthcare industry, but again, time will tell if the government research is held to the same standards as that in the public sector. And how do you manage the FDA in this conversation? Should another government agency validate the work of another government agency, or should there be some element of input from private business?

If healthcare is a component of the bottom line of your business, or if you receive healthcare coverage support from your employer, I would suggest that you keep a sharpened eye on these developing conversations.

Board and Committee Appointments through the Prism of Customer Service

Board appointments and development committees for communities such as ours provide wonderful opportunities for leadership and civic growth. These roles are not only important, but critical to how a community moves forward, and appointments need to be taken very seriously. This is not the time for a Cinderella appointment, or a full blown exhibition of the Peter Principle. Real Leadership is needed, and strong opinions are welcome. But to quote an anonymous thought, “Action without study is fatal. Study without action is futile.” Once a person has been tapped, volunteered or pushed into a position of leadership, serious reflection tempered with a strong dose of humility is suggested.




These considerations are important as a brief read of the business headlines can leave you feeling overwhelmed with the challenges of managing an organization, team, or running a business. It can seem that sometimes all there is to be found is a bleak and dire view. Take the personal challenge to look at the things that you can control, and one by one, make those changes.



For example, a big “item of control” is Customer Service, whether it is your customer service or the customer service of your employees or team. Challenge yourself to take great customer service to heart, lead by example, and coach those around you to raise their level of expectation of what great customer service should look like.



But do you know what great customer service looks like? Here are a few steps to ponder to get you on your way.



The first step is to develop what you define as great customer service. Develop your own specific vision of what great looks like working with the customer’s perspective in mind. Creating a vision of customer service taps into your heart and spirit of excellence, and will allow you to uncover embedded concerns and needs that you may have overlooked. For example, what would happen if you really take the time to make your customer feel like he or she is your most important priority of the day?



It is very important to appreciate the difference between customer satisfaction and customer loyalty. Satisfied customers are not necessarily loyal customers. According to a Gallup Survey (2002) of 36 companies in 21 industries, the difference between customer satisfaction and customer loyalty lies in creating an emotional bond with your customer. How do you do this? Pay attention to your customer contact people. Train them as to how you want them to interact with your customers. According to this same Gallup Survey, customer contact people are 4 times more important in generating customer loyalty than the product or service itself.



How do you measure customer loyalty? Ask your customers. Were you satisfied? Will you come again? Will you RECOMMEND me to someone else? Simple, direct questions will reveal much about how you conduct your business. Be prepared to change how you connect with your customers. Learn what your customers want, and don’t expect that what you did last year will still hold up. Develop a deep understanding of the customer’s needs and expectations. This close connection with your customers will foster an environment where your customer will come to depend on you. And for goodness sake, learn what your competition is offering!



Lastly be thoughtful and systematic about any change the you create. Decide if your change will hold up to your Vision, your environment, and your strategy.



In today’s competitive environment, you often don’t get a second chance. Make the first one count, and give it your best customer service first. For those assuming leadership roles, for goodness sake, remember who brought you to the dance, AND who will take you home. In the spirit of transparency and required ethics, it is important to recognize that the two are not always the same, but both deserve your integrity.

Closed Loop Marketing, Data Capture and Value Creation

The new economy requires us to think differently - to anticipate, react to, and exploit business opportunities at lightning speed. According to Myriad Marketing, Inc. , you can't afford to leave marketing successes to chance. To that end, companies are working to develop and evolve a powerful customer-centric solution for the digital age. Called Closed Loop Marketing, its strength is predicting and fulfilling customer needs while accurately measuring the return on investment of marketing. Ultimately the goal is to assess and quantify the effect marketing efforts have on sales in a feedback loop of information enhancement.


Closed Loop Transfer Theory in mathematics is the birthplace of this idea and enables the driver to control the outcome: The tighter the system, the more predictable the outcome.

The Closed Loop Marketing approach measures the results of marketing and communication initiatives by tracking the response of targeted groups. The results of responses, such as completed surveys, promotional entries, coupon redemptions and purchase behavior, are added to a database for tracking and evaluation to improve future marketing decisions. Real time feedback of likes and dislikes by the customer can be entered in to the marketing plan, and immediately considered for improvement. Marketing campaigns can then continuously adapt to the customers' wants and needs, creating a true relationship. Simply put: It allows marketers to develop, and monitor highly targeted strategic campaigns based on a wide variety of customer histories and behaviors.

When it works, ultimately there will be a higher level of delivered information that will continuously evolve to a higher level of product understanding and utilization.

Think about Netflix and Roku for your television. As you view movies and shows, the system uses a type of artificial intelligence to recommend other items that you may like to view. If the system gets it right, you keep paying your monthly fee. If the system gets it wrong, you get tired of the same old offering and move on to Direct TV, or Red Box or some other form of entertainment.

This style of messaging and conversation enhancement is finding use in a variety of industries, and may be coming to an industry near you soon. The pharmaceutical industry is embracing this method of messaging at a very high level as it works to recreate value in the physician office. Look out sales reps! Just when you thought you had mastered the spreadsheet and PowerPoint, now you have electronic messaging systems, and detail aids that time signature and learns from every conversation.

Fear not, there is a place for this type of change. Keep in mind that we all learn in different and evolving ways and that includes our customers. The caution is to keep the end result in mind, and insure that once the novelty of electronic detailing with a real person and a computer and a customer wears off, we still have a message that is worth giving a listen.