2011 Marketing Lecture

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    Professor Perri

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    A salesperson? Advertising? Public relations? Buying an ad in the yellow

    pages?

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    Marketing: the process of exchangingsomething of value, usually money, forsomething you need or want

    Key concepts: Needs

    Wants and demand Value

    Satisfaction

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    In performing activities directed at

    meeting peoples needs pharmacistsplay the role of apersonal marketer: Dispensing, OTC counseling, counseling patients, teaching

    pharmacy students, performing a pharmacotherapy review

    But, there is a mindset - I am a healthcare professional, not a fast talking usedcar salesman.

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    Should HC be advertised? How do you know if you need surgery? You certainly dont learn this from an

    ad. What about needing Nexium? Can you, should you, learn this from anad?

    Credibility and experience Do YOUwant to be the FIRSTyour surgeon operates on?

    Many patients have limited ability to differentiateservices and products Perhaps because we dont make the patients experience remarkable?

    Hard to maintain quality encounter to encounter Some patient experiences go better than others.

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    People and groups other than pharmacists are in control ofpharmacy. PBMs, Corporations, Government

    We tend to focus too much on the prescription and not onthe service component (counseling) that is of most valueto the patient.

    Balancing clinical and business roles.

    The most trusted professional.. While this is true, people must expect very little.

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    And the pharmacist shortage may be nearly over Changes in staffing and customer service

    New technology and services Transient communities

    1 in 5 customers move every year

    College town?

    Patient perceptions

    I just love [insert your favorite doctor, pharmacist, pharmacy] and there issomeone whose experience is quite different.

    Should pharmacists be able to influence this perception.?

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    Advertising = providing information Pharmacists = provide information

    So, It should be apparent we need to get the word out.

    Recognize there will be differences in the way customersperceive advertising information.

    Need to pay close attention to our marketing

    philosophy.

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    TOMA, but for whom?

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    Markets, market segments and target markets, more on this in a coupleminutes, but first:

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    Product Orientation

    What do you have to sell

    then sell it.

    Marketing Orientation Find out what people

    needthen createproducts to satisfy theseneeds.

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    COMPANY PRODUCT ORIENTED MARKET ORIENTED

    AOL WE PROVIDE ONLINE

    SERVICES

    WE CREATE CUSTOMER

    CONNECTIVITY, ANYTIME

    ANYWHERE

    HOME DEPOT WE SELL TOOLS AND HOME

    REPAIR EQUIP

    WE PROVIDE ADVICE AND

    SOLUTIONSNIKE WE SELL SHOES WE HELP PEOPLE

    EXPERIENCE COMPETITION,

    WINNING

    REVLON WE SELL COSMETICS WE SELL MEMORIES,

    HOPES, DREAMS

    WAL MART WE RUN DISCOUNT STORES WE DELIVER LOW PRICES

    EVERYDAY

    GREYHOUND BUS WE MOVE PEOPLE FROM

    POINT A TO B

    WE BRING PEOPLE

    TOGETHER

    B&O RAILROAD WE MOVE MATERIALS EVEN WARREN BUFFET

    COULDNT HELP THE RAILS!

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    Develop marketing plan

    This is a business plan that maps out an overall

    strategy on how we will reach and meet ourcustomers needs, better than the competition.

    Basically, how we will become Remarkable

    Bottom line, must determine how to manipulate

    the 4 Ps and 4 Is to maximize customersatisfaction.

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    StrengthsWeaknessesOpportunities

    Threats

    ResourceAnalysis

    Set MarketingGoals

    DevelopMarketingStrategy

    ImplementationEvaluation

    The Marketing Process

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    Market summary Define your product and set marketing goals

    Identify and select target markets Establish competitive advantages Design and implement marketing strategies Evaluate success, revise and adjust plans

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    Setting the stage: Strengths and weaknesses Opportunities and threats Legal considerations Social, ethical, political issues New technology

    What is it that you think customers want the most? Is there anything about your idea, practice site,

    pharmacy that is remarkable?

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    Market: past, present, & future

    Review changes in economic, political, legalissues, market share of competitors, other players,market shifts, costs, pricing, SWOT, etc.

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    Early Adopters/

    Pioneers

    Mass Market/

    Followers

    End of Life

    Time

    Number

    ofcustomers

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    The competitivelandscape -SWOT

    Provide an overviewof productcompetitors, theirstrengths andweaknesses

    Position eachcompetitors productagainst new product

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    STMH

    YourPractice

    CD

    Performance

    Price

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    Individuals

    PersonalCharacteristics

    SituationalFactors

    ProductQuality Service

    Quality

    PriceCustomerSatisfaction

    Factors Affecting Customer Satisfaction:Does this product/service make them

    happy and solve their problems?

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    Describe product/service being marketed

    What exactly is our product?

    Think about this: When you go to buy a hair dryer what are

    you really buying? Better looking hair, not a heat gun.

    What are you buying when you purchase a prescription?

    Determine the objectives we wish to reach

    Number of patients per month?

    Dollars of revenue?

    Some measure of patient satisfaction, improvedoutcomes, quality of life?

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    A process of:

    Identifying customer needs

    Figuring out just who your customers are What do they have in common

    How can you meet these customers needs

    Assessing and comparing various customer

    groups to see who you want to target

    Though Question: You cant be all things to all people, or can you?

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    Market

    All those who might need pharmacy care. Segment

    Groups with similarities Demographics

    Psychographics

    Lifestyle

    Pediatric, diabetes, HRT, gerontology, ambulatorycare, lipids, asthma, allergy

    Target Market

    Segment identified on which you wish to focus yourmarketing efforts.

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    Homogeneous Group with similar needs, wants and demand

    Accessible

    Can be reached with available advertising Durable Will continue to be profitable in the future

    Measurable You can learn about needs, tastes and preferences

    easily Substantial Is a large enough group to justify entry into the

    market.

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    Who is the target market for yourimmunization program?

    Travelers? Yearly flu-shots? Child & adolescents? Homogeneous?

    Accessible?

    Durable?

    Measureable?

    Substantial?

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    HCTZ vs. Geodon

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    The 4 Ps of productmarketing Price

    level, value, convenience Place

    Convenience, hours, delivery,charge, decor

    Product Assortment, advice,

    satisfaction Promotion

    Product v. image oriented

    The 4 Is of servicemarketing Intangible

    It is a perception Inseparable

    Tied to the bottle of pills

    Not Inventory How many counseling sessions

    do you have in you today? Individualized

    Each patient encounter is goingto be differentthe patientand you

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    Philip Kotler, Marketing Professional Services

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    Wholesale and retail issues 3rdParty Reimbursement Prices

    AWP, WAC, MAC, FUL, Cost-to-dispense, Professional fee, delivery fee,

    administrative fee, generic incentive, acquisition cost?

    Cash price Competition

    Walmart $4

    Insurance co-pays and price Credit

    Visa, MC, Amex, Discover, in house credit accounts, discount cards

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    Convenient location

    Customer access to the pharmacy / pharmacist

    Is on-line a consideration?

    Is this even a place issue?

    What about phones? (i.e., CVS Rapid Refill)

    Attractiveness of the: External store Location

    Layout inside the store

    Delivery (and maybe even mail delivery)

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    Possible Pharmacy CareClinic sites examined in

    2001

    Sketchy

    $$$

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    1500 square feet

    Lab

    Business office

    Waiting area

    Lavatory

    Storage

    3 patient exam / education rooms

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    What is our product?

    How do customers see it?

    Is product the same for

    everyone?

    Think about needs, wants

    and demand, how do thesefit with prescriptions?

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    Tangible

    Less Tangible

    Bottle of pills

    CokeCars

    CosmeticsAdvertising

    Teaching

    Patient Counseling

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    Some experts claim you dont have a fixedamount of service on the shelf in the

    pharmacy. However, many pharmacists disagree and think there is a limit to how manypatients you can counsel in a day of work. It has been suggested to limitpharmacists work day to about 120-140 Rxes working with a single tech.

    http://www.usalaw.com/articles/pharmacist-pharmacy-errors/pharmacist-workload---north-carolina-board-of-pharmacy.php

    But it is true there is no fixed limit, andtechnically, they cant be counted.

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    Advertising, public relations, personal selling and in-store promotions.

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    Sell more existing product/services to current customers Market penetration

    Sell existing products to new customers Market expansion

    Sell new products to existing customers Development

    Sell new products to new customers Diversification

    The strategy you choose, will impact the decisions you makewith regard to the 4Ps and the 4 Is

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    Strategy & execution

    Overview of strategy Utilize existing patient base for office based appointments

    Advertise to community for health screening activities Overview of media & timing

    Newspaper, radio and cable TV ads

    Overview of ad spending

    $10K for 30-60 day campaign, with LIMITED newspaper ads (30spots on cable = $3000, 1 small ad in newspaper could cost ofthat!)

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    Strategy & execution

    PR strategies

    PR plan highlights Have backup PR plan including editorial

    calendars, speaking engagements, conference

    schedules, etc.

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    Direct marketing

    Sales calls to other physicians / groups

    Third-party marketing

    Co-marketing arrangements with other

    companies

    US Wellness

    Novartis State DHR

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    Social Media

    Is not the traditional unidirectional broadcast

    paradigm that most marketers are used to. Use of

    social media means you must understand how to

    listen to and engage with users, continually

    optimize and refine your message, and rapidly

    adapt to changing technical and legal realities.

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    Social Media

    Listen

    Twitter, Facebook

    Keyword searches to identify blogs, wiki, informationabout the competition, industry, etc.

    Both positive and negative: Actress, Jenny McCarthyclaimed her child became autistic as a result of avaccination. True? False? Does it matter?

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    Engage You want to

    make sure youcontrol your

    content.

    Monitor roguecontent.

    Discussiongroups

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    Engage:

    Tools like Facebook, Twitter and YouTube provide greatplatforms to listen and engage people in discussions.

    Unlike traditional broadcast advertising, social mediaallows marketers to measure the audience, and in somecases, the actual conversions that result from a campaign.

    Interactions on Facebook and other channels often are

    accompanied by rich and detailed user profiles. Marketershave visibility into the demographics, interests, andhistories of individual users on those channels.

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    Depends on the product/service balance For any given product, there will be a unique

    product/service mix and decisions need to be

    tailored to each situation. Consider how decisions will be different for

    each of the following: An OTC bottle of Geritol

    The 33rdrefill of a patients HCTZ A new prescription for Lipitor

    A new prescription for Lortab

    First time oral contraceptive prescription

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    The best product mix decisions are the onesthat meets our target markets needs.

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    Lots of questions to ask:

    When do we start?

    Promotion budget

    Detailed budget information

    Will billing strategy be in place?

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    Jan Feb Mar Apr May Jun July Sep Oct Nov Dec

    Phase 1

    Phase 2

    Phase 3

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    First year, second year, etc. goals

    Numbers are good.

    Specific, measurable and realistic?

    Economic measures of success/failure Requirements for success

    Personal satisfaction?

    Financial considerations?

    Patient health, contribution to the community and

    society?

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    18-month schedule highlights Timing

    Isolate timing dependencies critical to success

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    Jan Feb Mar Apr May Jun July Sep Oct Nov Dec

    Task 2

    Task 3

    Task 4

    Task 1

    Milestone

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    Hope you have a great spring break!