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Sales Force Effectiveness Andre’ Harrell Head of Sales Operations

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Sales Force Effectiveness Study Research

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Page 1: Sales Force Effectiveness Study

Sales ForceEffectiveness

Andre’ Harrell Head of Sales Operations

Page 2: Sales Force Effectiveness Study

Sales Organization Benchmark

Page 3: Sales Force Effectiveness Study

Study Overview

Objectives

• Access BioPharm’s sales organization practices and future business strategy

• Identify opportunities in sales force effectiveness (SFE) to support future success

• Provide recommendations for improvement

Method/Respondents

• Interviews conducted among Management Team, Regional Directors, BSMs and GHTMs

• During Nov and Dec 2006

Page 4: Sales Force Effectiveness Study

Study Overview– organization info

– job descriptions

– BSM promotional criteria

– AB 07 plan

– Product Plans

– salary & comp

– performance ratings

– call patterns

– compensation and incentive plans

– termination data

– eVoice survey

– Leadership Competency model

• Additional Data Sources

Page 5: Sales Force Effectiveness Study

Key Findings

Overall Biopharm SFE Capabilities• In general all six areas (Culture, Organization,

Management, People, Sales, Recognition) viewed as important

• Ratings of SFE strengths clustered in middle (3-5 on a 1-7 scale). – People and rewards scoring highest

– management process lowest.

Page 6: Sales Force Effectiveness Study

Key Findings

Culture• Traditional outcome focused on culture, changing to greater

emphasis on accountability and behavior

• Concern of becoming ‘big pharma’ and losing unique culture: due to changing and growing organization

• Potential disconnect between field and management– New leadership – Lack of internal promotions

Page 7: Sales Force Effectiveness Study

Key Findings

Organization• Low staff turnover

• Anticipated growth in 2007 (37 new Managers plus additional management) will require management support through Management Processes

• Lack of tools to manage sales force (training, reporting and feedback now in development)

• Unclear performance expectations for sales force success

• Unbalanced Sales performance management ratings

Page 8: Sales Force Effectiveness Study

Key Findings

People• Lack of promotion from within perceived as negative by the field

• Field is unsure of career path/opportunities

• Promotion criteria unclear

Page 9: Sales Force Effectiveness Study

Key Findings

Reward & Recognition– Exceptional base salary; and incentive payments (target and actual) are

highest quartile for BRDs, BMS and GHTHs – IC earnings inconsistent: T2 earnings significantly less than T1

Field: – Constantly changing IC Plan – Perception of no incentive to exceed 100% – Unsure about ‘perq point’ consistency among Regions, etc.

Management: – ‘True’ performance hard to measure – Wide IC variations

Page 10: Sales Force Effectiveness Study

Health Care Professionals’ Reporting of Representative Visits

Sales Force Effectiveness StudyBSM Field force

Page 11: Sales Force Effectiveness Study

Study Overview

Objectives

Establish baseline sales effectiveness measures for the Biopharm’s sales forces:

-Access

-Type of visits

-Delivery of content

-Desired rep. attributes

-Rep. effectiveness

-Competition (competitive tactics)

Page 12: Sales Force Effectiveness Study

Study Overview

Methodology

Multidimensional research project incl. various qualitative interviews and quantitative surveys

Telephone IDIs and Hardcopy rep visit forms

Interviews spanned from 5 min. to 75 min

Statistically significant differences are shown at the 95% confidence level

Respondents• Physicians (61) HEMs and PHEMs

• Nurses (12)

• Front office staff (33)

• Sales managers (17)

Page 13: Sales Force Effectiveness Study

Key findings• Most specialty reps are viewed as good, but there are

great reps. . .– Great reps tend to provide value to the practice and have

developed long lasting, “service-oriented” relationships that make them essential to the practice

– Great reps also understand the needs of the practice and do not engage in “hard selling” tactics

– Physicians are not opposed to “selling” or “the close,” however, they want the reps to adapt their message(s) to the needs of the office

“A great rep will close without you even knowing it”…good reps try to close but often sound like…now let’s take a break to hear from our sponsor” (PHEM)

Page 14: Sales Force Effectiveness Study

Key Findings

Access

• Practices are adopting stricter access policies with some requiring badges and many limited days and hours for reps, as well as number of reps per day

– Enforcing these protocols is difficult

– Better access is gained with schedule appointments

– Competing reps appear to be scheduling more visits than NNI (64% vs. 50%)

– Our managers report some difficulty accessing their physicians (15%-25% of the time)

• BSMs leverage their existing relationships to gain better access

• When access is restricted BSMs use creativity to gain access

– Use hemophilia chapter events

– Become part of the hemophilia community

Page 15: Sales Force Effectiveness Study

Key Findings

Share of Attention• BSMs compete with more then just

hemophilia reps• Present reps need to create a “need” to

maintain current share of attention levels• More freq visits assoc. with top of mind reps

– most assoc. with positive impressions• Need to establish value to seek freq access –

need something new

Visits • Visits once a month are the most effective

– BMS call frequency viewed as just right by majority

Several HCPs report wanting to see more of the Competing reps

Share of Attention% of representative visits over six weeks

n = 154

Baxter26%

Wyeth14%

Novo Nordisk

10%

Bayer8%

Other*42%

Page 16: Sales Force Effectiveness Study

Key findings

Description of Call

Present Co

n=16

Company 1

N=40

Company 2

N=21

Company 3

N=13

Detail 68.8%b 41.0% 47.6% 53.8%

Sample drop 0.0% 7.7% 4.8% 15.4%

Literature drop 25.0% 23.1% 38.1% 15.4%

Service call 6.3% 23.1% 9.5% 15.4%

Checking-in 0.0% 44.4% 100.0% 100.0%

Follow-up 0.0% 22.2% 0.0% 0.0%

Logistics for programs/education 100.0% 33.3% 0.0% 0.0%

Staff training 0.0% 5.1% 0.0% 0.0%

Present Co engaging in more details, while competing reps focus on service

Page 17: Sales Force Effectiveness Study

Key findings

Sales Call Effectiveness

Present Co

n=16

Company 1

N=40

Company2

N=21

Company 3

N=13

Rating of Overall Effectiveness 8.6 8.1 8.3 8.4

Presented clinical information 75.0%b 30.8%c 52.4% 46.2%

Consider the information presented        

relevant 100.0% 89.7% 85.7% 100.0%

impactful 93.8% 64.1% 81.0% 76.9%

new to you 50.0% 43.6% 52.4% 38.5%

important to your practice 93.8% 87.2% 85.7% 100.0%

Our managers scored well overall – with new marketing information and new messages BSMs can only improve upon their standing

Page 18: Sales Force Effectiveness Study

Key findings

Product Messages• HCPs report that many visits do not include a message, however our

managers nearly always deliver a product message

– New indication & Safety/Efficacy messages dominate“Product has been approved by FDA for use in patients with acquired

hemophilia for treatment of bleeding episodes and prevention of bleeding before surgery.”

• BSMs are delivering more complete product messages then competitors and these messages appear to be “landing” – keep up the good work!

– Competing Product Messages -“Reviewed reconstitution and administration procedures.”; “Use in bleeding disorders.”

Page 19: Sales Force Effectiveness Study

Key findings

Perceptions • Hemophilia reps are viewed similarly on many key

effectiveness metrics -knowledgeable, professional and responsive– Our managers are viewed very positively but there is room for

improvement – Rep tenure is important but a good, well trained rep can over come lack of

tenure – more tenured reps tend to get more time with HCPs– More time leads to more positive impressions of reps

• Although perceived as more effective than Company 1 during sales visits, Company 1 reps were consider to be top tier by over 70% of HCPs , while Present Co managers were considered top tier by approx. 50%– The perception of Company 1 superiority is primarily a result of what they

do and the resources they have, rather than their personal or professional qualities

Page 20: Sales Force Effectiveness Study

Key findings

Rating of Rep Interaction

Present Co

n=16

Company 1

N=40

Company 2

N=21

Company 3

N=13

Professionalism 8.8 8.4 8.6 8.3

Respectful of time 9.1 8.5 9.0 8.2

Makes good use of time 9.1 8.6 9.0 8.6

Knowledgeable about own product 9.3 8.5 8.8 8.5

Responsiveness 8.6 8.7 8.8 8.2

Provides value to me and my office 8.6 8.5 8.9 8.0

Understands my practice 8.6 8.5 8.8 8.1

Helpful 9.1 8.5 9.0 8.2

Page 21: Sales Force Effectiveness Study

Key findings

Closing Strategies – Scheduled Calls

Sales Call Closing

Present Co

n=16

Company1

N=40

Company 2

N=21

Company3

N=13

scheduled a follow-up discussion or invited you to participate in a company sponsored program 62.5% 34.8% 23.1% 44.4%

asked you to begin prescribing, or prescribe more of… 50.0% 34.8% 38.5% 22.2%

Rating of Representative's Interaction with you

9.3 8.8 8.4 7.8

Closing the call

Our managers are trying to deliver a solid product message and close each call with a call to action – opportunity to ask for the business more often

Page 22: Sales Force Effectiveness Study

Key findings

Opportunities• More HEMS (58.3%) specify a brand than PHEMs (50.0%)

• HEMs report physicians are generally involved in the decision process (65%) compared to 45% of PHEMs

• 33% PHEMs believe patients have a say in treatment decisions compared to 7.5% HEMs

• PHEMS also place a value on the role of Managed Care (30.8%) versus HEMs (17.7%)

Page 23: Sales Force Effectiveness Study

Additional LearningProduct® Message testing• The perception of positioning of Product for congenital hemophilia is:

– Very effective for serious bleeds– Use in the hospital– Not suitable for home use because the half-life is too short

• PHEMs and HEMs view Product differently – Why?• ITT and Competing Product seem to get the nod for home

maintenance and prophylactic use• Recombinant safety no longer enough to drive Product growth; HCPs

have already taken action

Page 24: Sales Force Effectiveness Study

Opportunities

• Our reps enjoy good access, effective closing strategies can help to maximize efforts

Page 25: Sales Force Effectiveness Study

Opportunities

• Our reps enjoy good access, effective closing strategies can help to maximize efforts

• Explore role of drop-ins in order to maximize sales effort

Page 26: Sales Force Effectiveness Study

Opportunities

• Our reps enjoy good access, effective closing strategies can help to maximize efforts

• Explore role of drop-ins in order to maximize sales effort

• HEMS and PHEMs perceptions are different, explore and capitalize on this difference

Page 27: Sales Force Effectiveness Study

Health Care Professionals’ Reporting of Representative Visits

Sales Force Effectiveness StudyGHTM Field force

Page 28: Sales Force Effectiveness Study

Study Overview

Objectives

Establish baseline sales effectiveness measures for the Biopharm’s sales forces:

-Access

-Type of visits

-Delivery of content

-Desired rep. attributes

-Rep. effectiveness

-Competition (competitive tactics)

Page 29: Sales Force Effectiveness Study

Study Overview

Methodology

Multidimensional research project incl. various qualitative interviews and quantitative surveys

Telephone IDIs and Hardcopy rep visit forms

Interviews spanned from 5 min. to 75 min

Statistically significant differences are shown at the 95% confidence level

Respondents•HCPs (79): ENDOs, PEDs and Nurses

•Front office staff (45)

•Sales managers (16)

Page 30: Sales Force Effectiveness Study

Key FindingsAccess• Providing value is key to office access

“Anything that saves the office time and provides the best care for the patient brings value.” (GHTM)

“Physicians, nurses and staff members look to us as serving them and the patients. Patients are the priority, whatever they need, and if you can ‘pull it off’ is rewarded in getting sales.” (GHTM)

• Physicians have been very loyal to both Company 2 and Company 3. Product specialty managers are trying to change those relationships.

• Main challenge - not being able to compete with competitors with respect to value-added services

Page 31: Sales Force Effectiveness Study

Key Findings

Main concerns surrounding Access

• SMN completion services a concern for GHTMS• Helping Office Staff draft Managed Care/insurance

appeals letters• Patient Education• Providing speaking programs

Page 32: Sales Force Effectiveness Study

Key FindingsAccess

• Reps that provide more value-added services are granted greater access to the practice – not always the physician

• Nurses are viable targets with some possessing significant influence on product choice

• Access is being restricted with limited days and times for rep visits; gaining time with physicians is highly competitive– Better access gained with scheduled visits

• Company 2 focuses more on scheduled (57%)• Present Co is balanced with 50% sched/ 50% drop-in

Page 33: Sales Force Effectiveness Study

Key FindingsShare of Attention

• Company 3 clearly adopting a high freq call strategy

• Present Co reps need to create a “need” to maintain current share of attention levels

– Need to provide a value

Visits

• More visits equal more opportunity

• HCPs rate longer visits higher in terms of overall effectiveness and interaction

– GHTM call frequency viewed as just right by majority

– GHTMs have an opportunity to increase visits

Several HCPs report that Company 1 and Company 2 reps visit too much – is this hurting sales?

Share of Attention% of representative visits over six weeks

n = 285

Genentech17%

Lilly28%

Other*14%

Novo Nordisk

16%

Pfizer17%

Serono8%

Page 34: Sales Force Effectiveness Study

Key Findings

Description of Call

Present Co

(n=46)

Company 1

(n=53)

Company 2

(n=68)Company 3

(n=53)

Sample drop 34.8% 18.9% 22.1% 30.2%

Literature drop 17.4% 7.5% 8.8% 9.4%

Service call 21.7% 26.4% 17.6% 22.6%

Checking-in 26.1% 43.4% 48.5% 34.0%

Follow-up 58.3% 56.5% 45.5% 77.8% c

Logistics for programs/education 25.0% 17.4% 42.4% d 0.0%

Staff training 16.7% 26.1% 12.1% 22.2%

Present Co and Company 1 reps engage in more details, while Company 2 reps focus on service

Page 35: Sales Force Effectiveness Study

Key Findings

Sales Call Effectiveness

Present Co

(n=46)

Company 1

(n=53)

Company2

(n=68)Company 3

(n=53)

Rating of Overall Effectiveness 8.6 8.8 8.2 7.7

Presented clinical information 17.4% 24.5% 26.5% 35.8%

Consider the information presented

relevant 91.3% 81.1% 70.6% 81.1%

impactful 91.3% 81.1% 70.6% 81.1%

new to you 73.9% 71.7% 54.4% 54.7%

important to your practice 41.3% 37.7% 27.9% 28.3%

Present Co and Company 1 both receive high scores

Company 2 tends to present more clinical information but the information does not appear to be new or important to HCPs

GHTMs provide relevant and impactful information

Page 36: Sales Force Effectiveness Study

Key Findings

Marketing • GHTMs are happy with the Product marketing materials

“Present Co marketing material is wonderful.”

“I use the brochure and detail pieces.”

• Yet, use of the materials depends on the circumstances“I use the marketing materials primarily when I’m new to an office,

and early on when I’m establishing a relationship.”

– Company 2 reps appear to be using detail aids more than NNI

• The GHTMs have additional needs as well“Managed care is a hot topic right now, and I need the tools to resolve the issues they’re facing.”

Page 37: Sales Force Effectiveness Study

Key FindingsPerceptions • Not all GH reps are the same – Company 2 and Present Co

reps are rated very high on key rep effective attributes• Although NNI Reps track with Company 2 reps on all

effectiveness metrics; Company 2 reps are perceived as Top Tier reps more often then Present Co reps.

“[Company image affects a rep] to start with. One person may have a level playing field to start with, another may have an incline.” (PED)

• Company 2 reps are perceived to be top tier by 90% of the HCPs interviewed; 78% consider Present Co reps top tier– Only 52% consider Company 2 top tier; while 71%

consider Company 1 to be top tier

Page 38: Sales Force Effectiveness Study

Key FindingsKey comparisons – Company 1 v. Present Co • Company 1 first to market product; very tenured

– Attain longer visits– Make more service calls

• Both visit HCP offices about twice a month - compared to Company 2 and Company 3 that strive for once a week

• Present Co reps most often give a product message; Company 1 reps are equally likely to discuss product availability/coverage, programs, service, or patient resources– Company 1 reps discuss more value-added services (HCP and patient

educational opportunities)– Company 1 reps are much more likely than any other company’s reps to

schedule a follow-up discussion • The perception of Company 1’s superiority is primarily a result of what

they do and the resources they have, rather than personal attributes

Page 39: Sales Force Effectiveness Study

Key Findings

Opportunities - Rotations

• Many HCPs report that rotations are in place but when asked to describe how the rotation worked – all respondents had difficulty explaining how it worked– In theory there is a set rotation– in reality that rotation can be influenced

• Our managers have an incredible opportunity to influence rotations– GHTMs are detailing HCPs more often than their competitors– They are perceived as very effective – Have the opportunity to close a solid message with a call to action

Page 40: Sales Force Effectiveness Study

Key Findings

Closing Strategies – Scheduled Calls

Sales Call ClosingPresent Co

(n=46)

Company 1

(n=53)Company 2

(n=68)Company 3

(n=53)

scheduled a follow-up discussion or invited you to participate in a company sponsored program 39.1% 66.7% 31.0% 25.0%

asked you to begin prescribing, or prescribe more of… 43.5% 30.0% 31.0% 70.8%

Rating of Representative's Interaction with you

9.6c 9.8c 7.7 8.5

Closing the call

Company 2 asking for the business, GHMTs making an attempt to close the call – Company 1 focused on follow-upGHTMs interactions with HCPs rate very high compared to Company 3 and Company 2

Page 41: Sales Force Effectiveness Study

Opportunities

• Our managers are well liked and perceived to be very knowledgeable, professional and effective – what they need to do is “ask for the business”– Can’t assume fairness in rotation

– Rotations can be influenced !

Page 42: Sales Force Effectiveness Study

Opportunities

• Our managers are well liked and perceived to be very knowledgeable, professional and effective – what they need to do is “ask for the business”– Can’t assume fairness in rotation

– Rotations can be influenced !

• GHTMs are detailing HCPs more often than their competitors– Opportunity to close with a solid message with a call to

action