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Session 2 Perception is Reality. Measuring SFE and the implications for Pharma

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(1)

Session 2

Perception is Reality. Measuring SFE

and the implications for Pharma

Delphine Perridy, Cegedim Strategic Data, China

Sebastien Gaudin, Sanofi Aventis, China

(2)

Perception is Reality

Case Study By Sanofi &

Cegedim Strategic Data

Measuring SFE and the Implication

for Pharma

(3)

Case Study Overview

Lantus is perceived as a premium insulin – convenient and

safe – which makes it appropriate to start insulin when OAD

are not enough to control diabetes.

Lantus has reinforced its investment over the past

quarters, placing them over their competitors. Unfortunately

for some reasons the market is not taking it up.

Therefore Sanofi would like to measure their Sales Force

Effectiveness (SFE) and identify possible issues explaining

why its sales detailing is not driving

Lantus’ Rx.

(4)

Current Situation Assessment

(Reality Check?)

Data Source: CSD PROMO Audit, Endo, 13 cities, China

Data Period: Q1 2010 – Q1 2011

(5)

Reality Check Objective

(6)
(7)

Case Study Objectives

Measure Sales Force Effectiveness of Lantus Sales Reps,

Understand possible issues,

Aid decision making (stay on the course? Adapt?),

Identify techniques that are practical, can be repeated, and provide

meaningful results to track possible strategy changes.

(8)

Right Sales

Force Size

Right

Coverage &

Frequency

Right

Targeting

Right Call

Quality

Messaging

Right

In-Depth Tactical

View of Lantus’s

Sales Force

Effectiveness

(9)

Benchmark sales force levels.

Determine and adjust full time rep

equivalents (FTE) by brand.

Plan / adjust sales force levels.

Right Approach to SFE

Right Sales

Force Size

(10)

Insulin Market FTE

Data Source: CSD PROMO Audit, 17 specialties, 13 cities, China

Data Period: MAT Q1 2010 Vs MAT Q1 2011

108% 34% 41% 68% 97% 412% 164%

(11)

Monitor sales force execution in terms

of targeting coverage and visit

frequency.

Plan / adjust sales force strategy.

Right Approach to SFE

Right Sales

Force

Coverage &

(12)

Targeting Coverage and Visit Frequency

% Coverage 28.2% 25.5% 23.8% 25.4% SOV 11.4% 10.5% 9.3% 9.1% % Coverage 22.0% 29.9% 31.3% 29.8% SOV 11.0% 13.8% 11.0% 10.7% % Coverage 39.5% 35.3% 42.2% 39.2% SOV 18.3% 14.7% 14.1% 15.1% % Coverage 45.2% 45.1% 55.1% 52.5% SOV 21.2% 20.9% 20.6% 21.9%

LANTUS

NOVOMIX 30

NOVOLIN 30R

HUMULIN MIX

Data Source: CSD PROMO Audit, Endo, 13 cities, China

Data Period: Q2 2010 - Q1 2011

(13)

Implement the right activities given a

particular reach of physicians

Identify the key physicians that drive

prescribing habits.

Right Approach to SFE

Right

Targeting

(14)

Physicians Targeting Data

Data Source: CSD PROMO Audit, Endo, 13 cities, China

Data Period: Q2 2010 – Q1 2011

Frequent Prescriber

Occasional

Prescriber

Never Prescribed

Increase Rx

Loyal

Conquered

No Change

Passive

Decrease Rx

To control

(15)

Understand how doctors evaluate sales

reps performance regarding different

attributes.

Benchmark with competitors.

Right Approach to SFE

Right Call

Quality

(16)

So, How Good are you with

your Clients ?

(17)

Reps Performance Evaluation

Professional Behavior

Total mentions weighted by rank (1st rank = 5, 2nd=3, 3rd=1)

Data Source: CSD PROMO Audit, Endo, 13 cities, China

(18)

Reps Performance Evaluation

Presentation Useful & Adapted to Your Practice

Total mentions weighted by rank (1st rank = 5, 2nd=3, 3rd=1)

Data Source: CSD PROMO Audit, Endo, 13 cities, China

Data Period: Q1 2011

25.0% 23.8% 13.1%

12.2%

10.1% 4.8% 4.5% 2.7% 1.5% NOVOLIN R NOVOMIX 30 HUMALOG LANTUS HUMULIN MIX HUMALOG MIX NOVORAPID LEVEMIR NOVOLIN 30R

Total Mentions

27.7% 27.7%

10.6%

8.5% 8.5% 6.4% 6.4% 2.1% 2.1% NOVOLIN R NOVOMIX 30 LANTUS HUMALOG HUMULIN MIX HUMALOG MIX NOVORAPID LEVEMIR NOVOLIN 30R

Top of Mind

(19)

Reps Performance Evaluation

Quality Medical Education / Information Provided

Total mentions weighted by rank (1st rank = 5, 2nd=3, 3rd=1)

Data Source: CSD PROMO Audit, Endo, 13 cities, China

(20)

Reps Performance Evaluation

Ability to Build Relationship

Total mentions weighted by rank (1st rank = 5, 2nd=3, 3rd=1)

Data Source: CSD PROMO Audit, Endo, 13 cities, China

(21)

Monitor whether the sales reps are

communicating the official messages to

the doctors.

Evaluate the impact of the messages

communicated on the doctors.

Identify which messages are driving

prescription.

Right Approach to SFE

Right

Messaging

(22)
(23)

Lantus Communication

ON & OFF Message Analysis

Data Source: CSD PROMO Audit, Endo, 13 cities, China

Data Period: Q1 2011

(24)

Data Source: CSD PROMO Audit, Endo, 13 cities, China

Data Period: Q1 2011

What Messages Are Driving Rx in

This Market?

(25)

Rx Intent: Increase

Q1 11 Rx Intent: Increase

% change over Q1 10 Q1 11 Share of Voice (SOV)

% change over Q1 10

However

Share of Voice (SOV)

(26)

# messages 790

LOYAL: Frequent prescriber with intent to increase or No change. CONQUERED: Occasional or Never prescriber with intent to increase.

PERSUASION RATE: Loyal + Conquered

Q1 2011

Mixed insulin 39 % Supplement for basic insulin 36 % Mimic the physiological endogenous insulin to lower

blood glucose 7 % Convenient to use 36 % Injection before meal 18 % Twice daily 10 % Injection during meal 10 % Less risk of having low blood glucose 65 % Safe to use , less side effect 26 % Lower risk of having low blood glucose at night 5 % General in term of safety 2 % Fast acting on lowering blood glucose 20 % Good efficacy on controlling PPG 20 % Good efficacy on lowering blood glucose 13 % Progressive in lowering blood glucose 11 %

(27)

# messages 453

LOYAL: Frequent prescriber with intent to increase or No change. CONQUERED: Occasional or Never prescriber with intent to increase.

PERSUASION RATE: Loyal + Conquered

Q1 2011

Used to treat diabetes 40 % Used in the treatment of Type 1 diabetes 12 % Used in the treatment of Type 2 diabetes 11 % Wide scope of indication 9 % Convenient to use 31 % Twice daily 23 % Hypodermic injection 11 %

Dosage 8 %

Safe to use , less side effect 53 % Less risk of having low blood glucose 22 % Safe to use on diabetic patients with liver and kidney

dysfunction 12 % Good efficacy on lowering blood glucose 41 % Progressive in lowering blood glucose 21 % Reduce blood glucose level 8 % Fast acting/long acting on lowering blood glucose 6 %

(28)

Case Study Conclusion

1. Three areas where Sanofi outperformed:

2.

Three areas of improvement:

? Reps Call Quality

? Reps Call Messaging

1. Sales Force Size

2. Coverage and Frequency

3. Doctor Targeting

(29)

Recommendations:

Continue investing in Detailing

Reinforce official communication

Further train your Sales Force

Continue tracking SFE on a monthly basis

Optimize Sales Force Strategy to

Grab Market Share

(30)

Why Continuous SFE Tracking

Continuous Research provides:

A

quick detection

of Marketing strengths and weaknesses

allowing for timely action.

The

‘before’ and ‘after’ changes

pictures to the organization.

Competitive activity

knowing that it may happen at different

times of the year.

Data on how activity is received, including

seasonality

(31)

PROMO Audit Methodology

1

Doctor

Recruitment

Doctors receive

Reps call

2

Doctors Fill Out

Questionnaire

3

Data QC &

Extrapolation

4

Results

Analysis

5

Universally recognized

methodology

Continuously tracking all

year around

Comprehensive Quality

Control System

Covers 17 Specialties

within 13 cities in China

6000+ Loyal Panel

Doctors in China

This promotion audit tracks performance metrics on promotional

activities through a standardized, transparent methodology:

(32)

Questions & Answers

(33)

References

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