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Page 1: Defensible Disposal

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Developing a Business Case for Healthcare Solutions - Telemedicine

Ajay Asthana ([email protected])

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Objectives – Making Solution Selling Easier

• Challenges in selling technology solutions– Decision making is moving to front office– Customers have to do-more-for-less– Use a consultative approach to selling– Improve outcomes from the use of technology – Industry, solution, customer and sale specific value propositions– Agile and Flexible – easy to modify

• The tool helps in developing “credible” business cases – Focused on value and not function, feature and price – Calculates important financial measures ROI, NPV, TCO, PP, and IRR – Can be used by both value marketing and value selling– Easy to enable the sales team

• Benefits to the solutions development group– Support the development of solution on value, customization & integration– Reduces the solution selling time – status quo elimination (30%)*– Increases the deal size by bundling complementary offerings (30%)*– Improves the win-rates in competitive situations (60%)*– Reduces the risk of technology implementation

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* Source: American Marketing Association

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Business Case Framework for Value of Defensible Disposition

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PredictiveCoding

PredictiveCoding

TotalModel

TotalModel

TapesTapesApplication

Test etc.

ApplicationTest etc.

ApplicationProduction

ApplicationProduction

TotalModel

TotalModel

IncreaseNPV, IRR

IncreaseNPV, IRR

P&LP&L

ROI / PPROI / PP

ConsultingConsulting

SoftwareSoftware

HardwareHardware

Medium &Small App

Medium &Small App

LargeApplications

LargeApplications

Total Model

Total Model

SolutionValue

SolutionValue

OperationsCosts

OperationsCosts

BusinessTransformation

BusinessTransformation

ApplicationDecomm

ApplicationDecomm

e_DiscoveryReview

e_DiscoveryReview

StructuredStorage

StructuredStorage

UnstructuredStorage

UnstructuredStorage

+ + + - - =TechnologyAutomation

TechnologyAutomation

PeopleEffectiveness

PeopleEffectiveness

ProcessStreamlining

ProcessStreamliningTotal

Model

TotalModel

eMail & Sharepoint

eMail & Sharepoint

CollectionCollection

Benefits Costs

ReduceTCO

ReduceTCOReview

ReviewBackup

Backup RiskReduction

RiskReduction

Value

ChangeManagement

ChangeManagementBackup

Backup BackupBackup

Diseases in Scope: Diabetics, High Blood Pressure, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD) , and Depression

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Execution Results and Demonstrating the Value of the Solution

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Year 1 Year 2 Year 3 Year 4 Year 5 TotalTotal In-Flows

0 101,249,959 152,957,073 203,185,118 203,185,118 600,351,634

Total Out-flow

48,658,900 1,200,000 1,200,000 1,200,000 1,200,000 53,458,900

Net Cash Flow(48,658,900) 100,392,599 151,188,839 201,985,118 201,985,118 606,892,734

Incremental cumulative inflow0 101,592,559 253,981,396 457,166,516 660,351,634 660,51,634

Incremental cumulative outflow48,658,900 49,858,900 51,068,900 52,528,900 53,458,900 53,458,900

Net incremental cumulative cash flow(48,658,900) 51,733,659 202,922,496 404,907,616 606, 892,734 606,892,734

Discounted cash flow stream(44,235,364) 82,969,057 113,590,412 137,958,554 125,416,867 415,699,526

Payback PeriodPP

Net Present ValueNPV

Return on Investment ROI

Internal Rate of Return IRR

Total cost of Ownership TCO

1.48 $415,699.526 1135.25% 242.66% $53,458,900

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Solution offerings for developing the value proposition

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1. Business Value Identification – Emerging Solutions - Goal: Quantify value of change and prove the superior value, customized white papers, - Examples – Analytics, Mobility, Healthcare Fraud and Abuse, workforce optimization etc.

2. Business Value Workshop - Solutions with Existing Value Proposition– Goal: Diagnose the attention worthy issues, assumptions, benefits among competing alternatives– Examples – BPM, Telemedicine; RTLS, Digital Hospital, EMR, eReferral etc.

3. Business Value Work steam - Customer Engagements – Goal: Engage with large implementation projects to demonstrate the value of technology transformation– Examples – Legacy transformation, BPM, SOA, & Mobility, Gating process support, Manulife etc.

SalesTeam

Customization

DetailedBusiness

Case

BusinessValue

workstream

SolutionDevelopment

SolutionSale

Business Value

Identification

BusinessValue

Workshop

Why Change? Why Now? Why Our Solution? Why IBM?Engagement SupportPre Sales ActivityDemonstrate Value

Entry PointISSW Entry PointISSW Entry PointISSW

Sales Acceleration

1 2 3

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Benefits of the Approach

1. Connect higher in customer organization (economic buyers / CFO’s) – value

2. Optimal solution pricing through what-if analysis – improved margins3. Improves trust by engaging the customer - consultative process and

approach4. Enables IBM’s global sales force to move towards value-based selling –

ease of use5. Reduces solution sales cycle time – ease of customization6. Present a “One IBM” view (GBS, GTS, SWG, BP) to the customer -

outcomes7. Promotes complementary products and offerings based on value - holistic8. Allows IBM to develop reusable assets using customer funding – leverage9. Provide customer “value” feedback to solution developers – continuous

improvement

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Solution Architecture – Connected to Framework

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Data collectioniPhone, iPad,

Polycom

Network LayerJuniper,

Event ManagementiLog, WBE, Polycom

Integration LayerJuniper, WPS, Polycom

Application LayerSAP, Cerner

Business ProcessLombardiStreamlining

Patient FlowsStreamliningPatient Flows

StreamliningProvider FlowStreamlining

Provider FlowDisease

ManagementDisease

ManagementCare

CoordinationCare

Coordination

Labs andPharmacies

Labs andPharmacies

Enterprise ResourcePlanning - ERP

Enterprise ResourcePlanning - ERP

Electronic MedicalRecords - EMR

Electronic MedicalRecords - EMR

PatientScheduling

PatientScheduling

Intranet and InternetConnectivity

Intranet and InternetConnectivity

Process Automation and Workflow

Process Automation and Workflow

Event Management

Event Management

Event Filtering& Routing

Event Filtering& Routing

RuleEngine

RuleEngine

Alerts andTriggers

Alerts andTriggers

WiredNetwork

WiredNetwork

WirelessNetworkWirelessNetwork

NetworkSecurityNetworkSecurity

NetworkAdministration

NetworkAdministration

Patient devicesPatient devices Provider DevicesProvider Devices

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Appendix – Tool Screenshots

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Tool Assumptions – Customizing the Value Proposition

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Tool Benefits – Enhancing “Credibility” of the Solution

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Tool Calculations – Incorporating Customer Performance Measures

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Tool Overall Benefits – Connecting Roadmap to Implementation

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Tool – Overall costs of the solution – Connects to the Proposal

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Tool – ROI Calculation

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Tool – All the Financial Measures

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