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5/7/2004


 

Lunch and Learn
Storytelling as a Strategic Business Tool
11:30AM - 1PM
6/15/2004

 








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Helping Investors Manage Risk

 

Reach the largest Tech Audience in the State
 
Want to advertise?

matt@netsuds.com
 


Email Ad Rates
 

Small ads are $75/ad. Large ads are $125/ad. That's the range. Buying 5 ads at a time cost $50/ad (small) or $90/ad (large). Buying 15 ads at a time cost $35/ad (small) or $60/ad (large).

The email lists reach 5100+ people; mostly in the Twin Cities metro area, mostly in the tech business. The MedSuds email list reaches 2200+ in the Twin Cities.
 

 



Lake Cabin For Rent

1 Acre, very private, premier west Central MN lake (Pelican Lake in Otter Tail County).  Close to many golf courses, fine and casual dining.  Cabin is fully-furnished, cable, phone, central air, dock, excellent swimming. $1500 per week, available June, July and August, 2004.  Also available now for hunting, snowmobiling and cross-country skiing at $500/week.
 

Contact Matt Noah, matt@medicalsuds.com 

 

June 7-8, Minneapolis

The MedSuds™ Report ©

The May 1, 2004 Issue: 

June 9, Minneapolis

Re-sending of this newsletter to any number of colleagues is encouraged provided you also cc: report@medsuds.com.  In return, we will invite recipients to subscribe.  Any other unauthorized re-distribution is a violation of copyright law.

Subscribe to the MedSuds Report at http://www.netsuds.net/mail.htm. You can get the web versions of these reports at http://www.medsuds.com/report/.


In this Issue:

        1.0   Heard on the Net
        2.0   Jobs in the Medtech, Biotech and Life Sciences Market
        3.0   Schedule of Events
        4.0   Tidbits
               4.1    MedSuds on Tour
               4.2   
Email Advertising
               4.3    MedSuds Executive Search - www.medsuds.com/search/
               4.4    MedSuds CEO Roundtable - www.medsuds.com/ceo/
               4.5    Citizen's Council on Health Care
        5.0   M&A: How to Achieve Sane and Successful Mergers and Acquisitions
        6.0   Medical Content is (Still) King
        7.0   Inlet Medical Inc. – Charting their Future in Women’s Health 
        8.0   Guest Writers for this Report


1.0  People And Companies On The Move:

CLICK HERE FOR PEOPLE AND COMPANIES ON THE MOVE

In the past, we've published information about people and companies on the move in our monthly report.  Now you can publish and view that information instantly on our web log (blog)!  To view, click on http://medicalsudsannounce.blogspot.com/.

You can report a change in your job status if you are moving from or to a company in the medtech, biotech or life sciences markets.  Include your new work contact information, not just your personal contact information.  If you don't want to use the BLOG, send me an email at onthemove@medsuds.com.  I'll publish the information for you.  If you are with a 'company on the move', email onthemove@medsuds.com to report (1) the formation of a new start-up, (2) momentum change at an existing start-up, (3) addition of key hires, or (4) a funding event at a start-up.  We do not accept press releases from third parties.  We must hear directly from a company that is ‘on the move’.  You can include a 80 x 100 pixel (width x height) photo in JPG or GIF format.

Why email only to your small email list of associates when you can post this information on the blog and have 2500+ MedSudsers view it.  To publish to the blog send me an email requesting permission.  After you have an account, you can post to the blog as much as you want.  You need only follow some common sense guidelines, e.g. don't post every press release, don't post sales information, don't post defamatory statements, etc.  If you "spam" the blog, you will be removed.


2.0 Jobs in the "medtech, biotech and life sciences" Market

Please email:  matt@medsuds.com to report job openings in the medtech, biotech and life sciences market.  In the body of the message, provide the name of the company and a URL link to the job postings. 

1 Medtronic - http://www.medtronic.com/employment/
1 Diversified Medical - http://www.diversifiedmedicalcorp.com/Careers.htm
2 Transoma Medical - http://www.transomamedical.com/career/index.html
2 Vital Images - http://www.vitalimages.com/about/jobs.php
2 St. Croix Medical, Inc. - http://www.stcroixmedical.com/_private/cgi-bin/positions_list.htx
3 Sinex Aviation Technologies - http://www.sinex.com/about/openings.htm
3 AppTec Laboratory Services - http://www.apptecls.com/employment.htm
3 MR Instruments - http://www.mrinstruments.com/company/careers_index.cfm
3 Velocimed - http://www.velocimed.com/careers.htm
3 HEII – http://www.heii.com/corp/hr/default.asp
   

Thank you for the support many of you have shown to the MedSuds recruiting association with the American Consulting Company.  We have developed a quality and impressive MedSuds candidate database.  We always appreciate the opportunity to discuss how we might help in locating candidates for your open positions.   And, we've added an association with OnCall Staffing - www.oncallstaffing.com.

If you are a hiring manager, you are invited to review our process, our commitment to ethical standards and diversity recruiting, and other areas of interest at: www.americanconsultingcompany.com.  When you identify yourself as a member of the MedSuds association, we will offer you a discounted rate to assist in locating candidates for your company.  And remember, you never pay a fee unless you hire one of our candidates. 

If you are a candidate, visit the ‘Candidate Kit’ at www.americanconsultingcompany.com.  You will find valuable tools to help in your job search.  When you send us your resume, be sure and mention your association with MedSuds.

Renowned entrepreneur and local resume-writing expert Kevin Donlin - www.gresumes.com - is available to assist you in writing a powerful, effective resume.  Kevin can also help you with cover letters and job search coaching.  Contact Kevin at guaranteed.resumes@netsuds.com and tell him Matt Noah referred you.
Read about the new MedSuds Executive Search - www.medsuds.com/search/ - in section 4.3
How did one out-of-work Design Engineer from Ohio get hired -- right over the phone -- after making a simple telephone call to his old manager?  Discover the answer -- and learn about 50 other job search secrets -- in a controversial report ... Click here
Hi Matt -

Thanks for posting our job opening in the NetSuds monthly.  The number of "good" people we had respond to our position is a direct reflection of the exposure received thru NetSuds.  I do not have a quantitative measurement but having posted the same job just 45 days earlier thru the 'normal' means provides a pretty accurate comparison.  The only thing we did differently was use the NetSuds site. 

We have filled the position so the posting can be removed.  Thanks again -

Bradd Strelow
Director of Technology and Innovation. Dakota County Technical College



3.0  Schedule of Events

You can also try our online calendar by clicking here for NetSuds and here for MedSuds.

The web calendars for NetSuds and MedSuds continue to grow in popularity as more and more people use them for the definitive place to find high-tech events in the Twin Cities.  The calendars are free to use for both tracking events and for posting your own events.  To post events, login as "guest" with a password of "guest".  The Calendars are accessed at

NetSuds - http://www.netsuds.net/cgi-bin/calweb/calweb.pl?cal=default
MedSuds - http://www.netsuds.net/cgi-bin/calweb/calweb.pl?cal=MedicalSuds

Non-Minnesota companies conducting events in Minnesota will not be allowed to post events for free.  Events posted to either of these calendars are not immediately available for viewing.  All events will be marked "pending" and will be reviewed for content prior to public viewing.

5/5     NetSuds/MedSuds Winning Investment Presentation Skills Workshop
          http://www.netsuds.com/workshop/investment/

5/19   MedSuds Monopolize Your Marketplace Workshop
          http://www.medicalsuds.com/workshop/mym/

6/7-8  Minnesota Venture Capital Conference
          http://www.mnvcc.com/

6/9     Minnesota M&A Conference
          http://www.mnmac.com/

6/14-  Minneapolis Solution Selling® Workshop
  17    For details and registration, contact MKH Associates, 909.695.1055, ssmkh@cs.com 

6/25-  National Leadership Summit 2004
  26    http://www.netsuds.com/nls2004.htm

7/14   NetSuds/MedSuds High Performance Sales Workshop
          http://www.netsuds.com/workshop/sales/

9/14-  NetSuds/MedSuds Think On Your Feet® Workshop
  15    http://www.netsuds.com/workshop/toyf/

   Previous   Today   Next          Default View    Print Help
 Date  Sorted By  Subject  Sort  Location  Sort
5/5
12-1p
MedicalSuds Winning Investment Presentation Skills Workshop   Parkdale Plaza, 1660 South Highway 100, St. Louis Park, MN 55416
5/6
6:15-8:30p
Biomedical Technology Programs at Anoka-Ramsey Community College InfoSession   Anoka-Ramsey Community College, Coon Rapids Campus
5/8
9-11a
Biomedical Technology Programs at Anoka-Ramsey Community College InfoSession   Anoka-Ramsey Community College, Coon Rapids Campus
5/11
7:30-9:30a
The Joy of SOX: Sarbanes-Oxley Compliance in a Post-Enron Era   Anoka-Ramsey Community College, Coon Rapids Campus
5/19
7a-12p
MedicalSuds Monopolize Your Marketplace Workshop   DoubleTree Hotel, 1500 Park Place Blvd., St. Louis Park, MN 55416.
 

4.0   Tidbits

4.1 MedSuds on Tour

MedSuds welcomes tours of your facility!  Email us if you want to show off your company.  Contact Janet Rebman Lillevold at janet@medsuds.com.

4.1.1  LumiLife 

by MedSuds Editor Janet Rebman Lillevold, 952.249.8254, janet@medsuds.com

Packaging problem?  Require a quick turn around for a customer or clinical trial?  Turning your packaging department on its head to package a product that doesn’t lend itself to easy automation or robotics, or isn’t in your current core competencies for packaging?  LumiLife is a medical manufacturing facility in Bloomington, MN that focuses on delivering solutions to these and other similar problems. 

Started in 1996 by Samnang Chan and his family, LumiLife is an assembly and packaging provider with capabilities for class 10 to 10,000 environments.  Services include:  ultrasonic cleaning and passivation, contract sterilization, lab testing, validation, assembly and packaging, GMP compliance, and full traceability.  LumiLife is an FDA-registered facility and is ISO 9001:2000 certified. 

According to John Dykstra, Business Development Manager, LumiLife is centered on being a service organization to the medical device industry, actively partnering with companies that need or want to outsource their packaging due to capacity, capability, or scheduling issues.  “With our abilities to handle from low to high volume capacities and to package those difficult to automate products, we can provide services to companies ranging from start-ups that lack production capacity to large companies engaged in trial projects.” 

LumiLife has assembly and packaging experience with:  spinal implants, dental implants, orthopedic products, neurological and surgical kits, syringe assemblies, urinary incontinence devices, electronic component assembly, and disposable sterile and non-sterile devices.  LumiLife also offers services in:  package design, process validation, in-process and final inspection, turn-key sourcing and inventorying of materials, and vacuum sealing and nitrogen purge packaging. 

For additional information on LumiLife (www.lumilife.com) or to visit the facility, contact John Dykstra, Business Development Manager, at 952-888-6687, ext. 303.    LumiLife is located at 809 West 106th Street, Minneapolis.

4.2  Email Advertising

The NetSuds (5500+) and MedSuds (2500+) email lists reach 8000+.  The NetSuds email lists are double-opt-in and concentrated on professionals in the communications, IT and Internet markets.  The MedSuds email lists are double-opt-in and concentrated on professionals in the medtech, biotech and life sciences markets.  So, rather than spend your advertising dollars on any other email lists in the Twin Cities, consider the NetSuds and MedSuds lists.  Contact matt@medsuds.com or 612.605.5252.  For current ad rates, visit www.netsuds.com/adrates.htm.

4.3  MedSuds Executive Search

See the following URL for more information on our executive search service - www.medicalsuds.com/search/.  

4.4  MedSuds CEO Roundtable - Next Roundtables starting in June 2004

MedSuds is opening up another group of CEO Roundtables in June 2004.  If you are tech or medtech CEO and want to join us, (the first session is free), contact matt@medsuds.com.  A synopsis of the CEO Roundtable can be found at www.medsuds.com/ceo/  It is repeated here as well.

MedSuds CEO Roundtable

Membership  Only CEOs of tech and medtech companies are allowed to join the MedSuds CEO Roundtable.  If you are a VP, CxO or President, you are not welcome unless you also hold the CEO title.  If you are interested in becoming a member, contact matt@medsuds.com.  Membership is not automatic.  There must be an available spot open in the roundtable.  You must have employees.  Your company must be incorporated.  Your company must be a tech (communications, IT, software, Internet) or medtech (medtech, biotech, life sciences) company.  You must pay a yearly fee of $1200 in advance.  You may not send substitutes to the Roundtable. 

Roles  Unlike the days of knights, kings and Camelot, there is no king of the MedSuds CEO Roundtable; only a facilitator; Matt Noah, CEO of NetSuds.com, Inc.  Knights are replaced by CEOs and the table won't be quite round.

Schedule  The Roundtable will meet at least 10 times per calendar year.  We meet the last Tuesday of every month.  Each meeting lasts between 2 hours starting at 7 am.  A facility convenient to the majority of Roundtable members is used.  A continental breakfast is served.

Our next introductory session (free) has been scheduled for June 2004.  Attendance will be limited to just CEOs.  Contact matt@medsuds.com if you want an invitation.

Purpose  CEOs need resources to assist them in executing their duties and leading their companies.  Boards of Directors and upper management are not always the best or most independent resources upon which to draw.  The CEO Roundtable exists to provide CEOs with an independent resource of wisdom and shared experience.  Your key 'take-aways' from the Roundtable will be accelerated learning - so as to avoid common and uncommon pitfalls -, an expanded network of advisors and colleagues and tools to enhance the productivity and value of your enterprise.

Content  First, networking among the CEO members of a Roundtable is the best and richest content.  Second, the Roundtable facilitator will schedule subject matter experts of interest to the CEOs.  Examples include intellectual property, branding, sales, engineering, marketing, finance, compensation, human resources, M&A, etc. 

Format  Meetings consist primarily of 2 elements.  First, "content" will be presented and discussed.  Second, "discussion" of common problems and solutions will take place.  The facilitator will lead both elements or assign elements to certain CEOs.

Confidentiality  Roundtable meetings are completely confidential.  Nothing said in a roundtable discussion, short of illegal activity, leaves the meeting.  This allows each CEO to feel comfortable discussing issues and subjects he may not feel comfortable speaking about with others.

4.5  Citizen's Council on Health Care

http://www.cchconline.org, FMI: Twila Brase, RN, President, PHONE: 651-646-8935

"Government Should Not Direct the Practice of Medicine," Say Panel of MN Physicians and Business Owners

(St. Paul, Minnesota) - To counter the support of the Minnesota Medical Association and the Minnesota Chamber of Commerce for "best practices" health care legislation, Citizens' Council on Health Care (CCHC) brought together a panel of 4 physicians and 3 business owners today to discuss the issue with the news media:

- Dr. Paul Bearmon, MD

- Mel Brandl, owner, Printmaster

- Dr. Steve Brzica, MD

- Dr. Dale Hammerschmidt, MD

- Dr. Spencer Johnson, MD

- Harold Hamilton, owner, Micro Control Company

- William Wenmark, owner, Now Care Medical Centers

"Government Will Tell Doctors How to Practice Medicine" was the heading of a large display board that listed and described government actions authorized by the House and Senate Health and Human Services Omnibus bills, HF 1681 and SF 1760:

- Impose Bias

- Collaborate with HMOs

- Practice Medicine

- Violate Privacy

- Coerce Doctors

- Control Doctors

- Penalize Non-Compliance

"If the proposed legislation becomes law, state government will be empowered to direct patient care-quite simply, to, disease by disease, tell your doctors how to practice medicine," said Twila Brase, president of CCHC.  "The doctor-patient relationship will be done. The doctor-bureaucrat relationship will begin," said Dr. Steve Brzica, MD, anesthesiologist at Fairview Southdale Hospital.  "If we're going to use a cookbook approach, perhaps we should computerize the process and eliminate doctors," said Harold Hamilton, tongue-in-cheek. Hamilton, owner of Micro Control Company, noted that individual doctors do better than bureaucracies in determining what is best for patients.

The Health and Human Services omnibus bills which contain the "best practices" proposal have passed both the House and Senate and await conference committee action. The Governor signaled his support for the proposal in his State of the State address, saying his administration will "force health care providers to use best practices."

"This is a dangerous proposal, yet there has been virtually no public debate about it. The public must be informed about this proposal before the legislature requires their doctors to work for government first and patients second," concluded Brase.

Citizens' Council on Health Care is an independent, non-profit, free-market health care policy organization located in St. Paul, Minnesota.
 



5.0  M&A: How to Achieve Sane and Successful Mergers and Acquisitions

… by MedSudsers Gary Dion and Susan Follett, Co-Principals, SugarCubed, Inc., specializing in large-scale change management to achieve product delivery performance. Services include due diligence, merger integration, accelerating operational performance, and project recovery. Contact the authors at 503.579.4735 or either Gary.Dion@SugarC.com or Susan.Follett@SugarC.com.

M&A is a central element of growth strategies for today’s companies who seek market leadership. Despite the importance of M&A:

·    70 to 80% of companies that make acquisitions are not satisfied with their outcomes.

·    Approximately 50% of all acquisitions actually damage the original company.

·    Many turnarounds become necessary when M&A goes bad. Frequently, these fail as well.

What accounts for this dismal success rate? There are a variety of possible contributing factors, including lack of leadership, ineffective due diligence, lack of a plan for merger integration, and failures of execution. To look at any one of these alone, though, is to look at the problem much as the blind men who describe an elephant from their various perspectives.

Just as each of the blind men is correct in his description of part of the elephant, each of these contributing factors is part of the answer. Also, just as the blind men individually fail to understand the elephant, achieving sane and successful mergers and acquisitions requires a big-picture approach.

An article in the McKinsey Quarterly, 2001, issue 4, asserts that “A failure to focus on revenue may explain why so many mergers don’t succeed.” Revenue is the essential ingredient for growth, and growth is the overarching goal of most acquisitions.

What does a revenue focus mean?

Any focus on revenue, whether in times of acquisition or not, must have at its core a focus on product operations – the functional organizations that deliver the products on which the company’s revenue is based. These organizations typically include: product management, marketing, engineering/development, engineering services, and customer services and support.

Despite the criticality of product operations, the focus of M&A is frequently skewed to financial and legal considerations of the deal itself. The assumption is often made that organization, process, technology, and culture integration can wait until the transaction is complete. However, when due diligence and negotiation are not based on a thorough understanding of product operations, results can be disastrous.

Furthermore, merger integration is often limited to corporate systems and processes where cost efficiencies are anticipated. Neglect of product operations at this stage is counter-intuitive, considering that the vast majority of acquisitions are initiated to achieve growth – by accelerating expansion of the product portfolio, entering new markets, or increasing share and revenue from existing markets.

What tools are required to support a revenue focus?

Revenue-focused mergers and acquisitions – those that achieve corporate growth – require two things that organizations such as Intel Capital are beginning to understand and adopt:

·    A well-managed M&A life cycle process

·    A methodology that ensures proper attention to product operations – the revenue-producing engine of the company

Experience has taught such companies two key lessons:

  1. The time required to attain the desired operational capability and ROI is as, if not more, important than how long it takes to complete the deal.
  2. Failure to invest in M&A process and methodology ultimately costs more – in expensive corrective action efforts and diminished ROI.

Those companies who have yet to understand the importance of a well-managed M&A life cycle process grounded in a methodology that ensures thorough inspection of product operational capability will likely suffer repeated dissatisfaction with acquisition outcomes.

As John Dryden, seventeenth-century English poet and dramatist, so eloquently put it, “Insanity is doing the same thing over and over again and expecting different results.” Dryden’s view applies no less to M&A.

Still not convinced?

Still skeptical? Do any of these describe your company’s M&A experience?

·    This isn’t our first acquisition. But each time one comes up, we find ourselves scrambling to pull together a due diligence team. And we never seem to catch up.

·    After the deal, the “secrets” come out. That’s when we discover the real issues.

·    The acquired company’s chief architect, who seemed like such a nice guy, is now stymieing the effort to produce an integrated product portfolio.

·    Our cultures and processes are so different. It’s been 18 months, and we still can’t work together.

·    The product architectures are incompatible, and we can’t agree on an approach to fix this.

·    On first examination, the company we acquired looked really good. But they can’t deliver to plan, and customer issues keep derailing us.

·    We keep shifting our key people to the new organization. Now we’re putting our own delivery and market commitments at risk.

What does a well-managed M&A life cycle process include?

An efficient and repeatable M&A life cycle process ensures requirements-based action and criteria-based decision-making at key stages that should include: strategic planning, candidate development, due diligence, integration planning, negotiation, and integration.

1. Strategic Planning

Strategic planning yields an acquisition strategy that includes business objectives, requirements, and value drivers for an acquisition.

This stage allows for acquisition strategies to be developed within the context of the company’s overall business planning process. The acquisition strategy should support business vision and objectives and the growth and market strategy. Along with strategies for internal product development and alliances/partnerships, the acquisition strategy should be an integral component of the corporation’s investment strategy.

2. Candidate Development

Driven by the acquisition strategy, the candidate development stage identifies one or more acquisitions to be pursued.

Target selection requires comparison of candidates in terms of expected ROI; anticipated obstacles, complexities, issues, and risks; intangibles; and an initial understanding of merger integration requirements. In this stage, preliminary due diligence examines broad business, market, financial, and legal considerations. For agreed upon targets, preliminary deal communications and negotiations are conducted.

3. Due Diligence

Due diligence seeks specific, comprehensive knowledge of the candidate’s business, systems, people, processes and tools, products and technology, culture, markets, customers, suppliers, and overall performance capability, for use in guiding negotiation and integration.

The focus of due diligence should be uncovering issues, determining whether or not they are deal killers, and, if not, developing a plan to address them during negotiations and after deal completion. To assist, a gap analysis is performed to assess “what is” against “what is needed.” Recommendations for deal decision-making, terms, and corrective actions are provided to stakeholders and the negotiation team.

A methodology for ensuring a thorough inspection of product operational capability is an essential tool in the due diligence assessment process. (See “What does an operational assessment and integration methodology offer?”)

4. Integration Planning

Guided by the findings of due diligence, the integration planning stage yields a roadmap for achieving the required post-integration business model and associated ROI.

The integration plan addresses all key performance areas, identifying corrective or risk mitigation actions for each gap discovered during due diligence. A core integration team is chartered to develop the plan and lead the integration. The plan may be phased, based on business strategy and priorities, and should include measures of progress, completion, and value. Buy-in from executive management and major stakeholders is essential.

5. Negotiation

The negotiation stage is based on information from strategic planning and due diligence.

Terms of the deal must be defined so as to ensure that business and acquisition objectives, requirements, and value drivers can be achieved. In doing so, priority must be placed on the operational considerations (including people, organization, process, tools, and culture) that are essential for successful integration and ROI.

6. Integration

The integration stage is managed by the core integration team chartered during integration planning.

As the integration plan is executed, regular and consistent measurement of progress, management of issues and risks, and information flow to executive management and stakeholders are essential. Along the way, shifts in business, market, product, or technological strategies may necessitate changes to the plan and must be managed. A post-project review assesses success and identifies process improvement recommendations.

What does an operational assessment and integration methodology offer?

Although problems are not entirely avoidable, the key is uncovering issues early and developing a plan to address them. Therefore, the most successful mergers and acquisitions are guided by a methodology that ensures a comprehensive and thorough inspection of product operational capability.

In our work with companies such as Intel, we use a methodology that:

·    Prescribes a process for preparing for and conducting due diligence and managing findings during negotiation and integration

·    Includes a generic set of performance indicators that can be tailored based on the nature of the deal at hand

The generic performance indicators cover these high-level categories of product operations:

·    Business purpose and market strategy

·    Product and technology

·    Management, leadership, and culture

·    Business operation and organization structure

·    Personnel, expertise, and functional capability

·    Product planning, development, delivery, and support processes and practices

The tailored set of performance indicators is used to generate criteria that define exactly what aspects of the candidate’s operation must be in place for a successful integration and return on investment. These criteria drive interviewing, investigation, and gap analysis during due diligence.

What’s the bottom line?

The most successful mergers and acquisitions are guided – from initial planning through merger integration – by a well-managed life cycle process and a methodology that ensure:

·    Comprehensive and thorough inspection of all aspects of the product technology and operation to be acquired and integrated

·    Decision-making and execution based on an integration plan that directly supports business strategy, objectives, and priorities

·    Early discovery and management of operational and technological issues and risks

In M&A, the “invest now, or pay much more later on” principle is especially true. A sound investment in life cycle and methodology ensures the least disruption to product delivery and sales operations following the transaction. This attention to revenue affords the greatest likelihood of efficiently and expeditiously achieving desired ROI from acquisitions. It’s a formula for sanity and success in M&A.


6.0    Medical Content is (Still) King
              Lead with knowledge, execute with technology

… by MedSudser J. N. Buchwald, Director and CEO of Medwrite Medical Communications (www.medwritecomm.com), a Mpls.-based agency serving device, diagnostics, healthcare, and pharmaceutical businesses worldwide for nearly two decades. Feel free to send comments to jbuchwald@medwritecomm.com, or call 952-941-1660.  Content is (Still) King © 2004 J.N. Buchwald.

Since the nineteenth century, with the founding of peer-reviewed medical journals, physicians and medical researchers have had an international forum for sharing their new developments and for building on one another's progress. Yet, the medical businesses that grew up around that research in the past century have been challenged with the question of how to credibly deliver information to their audiences in an increasingly regulated healthcare arena. 

Despite the almost irresistible impetus to apply the newer media—the internet, interactive multimedia, DVDs, and more—medical organizations must ponder not only which kind but in what instances to insert that media, and how to do so cost effectively. It is sometimes difficult to remember that even in this high-tech communications era, substantive, well-developed, researched content that clarifies medical ideas for a specific audience remains the commodity critical to the successful introduction, sale, and implementation of every medical product. All of the "shockwaves" and streaming video in a webmaster's arsenal cannot disguise inadequately researched, incompletely conceived, poorly written medical content. 

Content is the product

The FDA is the primary market driver of the contemporary U.S. medical industry, closely followed by the peer-review publishing system that oversees the flow of journal content that essentially “legislates” today’s evidence-driven medicine.  Product marketing materials follow on the heels of the investigative and clinical literature, which must be interpreted accurately and published appropriately to be viable long term. Questions of copyright, and what constitutes educational versus promotional material must be answered in the process of developing informational, marketing, and training programs.           

Choosing secondary media

After the presentation of trial results via academic publications, businesses must implement communications programs of all kinds to delineate those data and promote products whose success depends upon them. Choosing new media to accomplish this job is not always the most effective strategy.  Sometimes the very novelty or complexity of a new medium undermines its usefulness. Traditional articles, white papers, slides, training binders, video, audiotapes and demos are still unbeatable tools for a pre-qualified, receptive audience. Nonetheless, in today's fast-paced medical industry, the cost-to-value of creating a web portal or interactive laptop CD-ROM is, in some settings, superior to that of funding traditional media for reasons directly related to the centrality of content visibility in the medical environment.  

Once a premium is placed on expert knowledge assembly, the fit of a variety of high-tech communications delivery vehicles can be considered. 

Portals onto worlds

After a basic “medweb” (website) has established a company’s presence, portals may be excellent corollary windows onto an array of compiled and real-time educational opportunities. Smartly built portals are readily navigable, ushering viewers through richly layered, topic-specific content on disease states, medical procedures, technology, drug-choice algorithms, etc. while providing links to other relevant sites.  

Portals (e.g., www.WebMD.com and www.healthstream.com) can provide credible avenues for disseminating continuing medical education (CME) while providing subtle, logical sponsorship opportunities, including syndication of the portal to facilitate its regional customization. Portals can be developed in concert with strategic partners to offer product and indication information on a revenue-sharing basis as a free, value-added service to target audiences (physicians, patients, healthcare professionals).

Show and tell multimedia

A single CD-ROM can store and present a tremendous amount of localized textual content combined with engaging visuals: audio that reaches out with the warmth of a narrator's voice; live echocardiographic images or video of physicians speaking or performing surgery; patients sharing firsthand experience; and illustrations and animations describing device or drug modes of action. Communicating with audiences through CD-ROM can facilitate interactivity with field reps and customers via uplinks to websites where evaluations may be performed, patient or research information can be logged to a database, and many other interactive tasks administered.  

Medical businesses now may save millions of dollars on trainers, training material, flights and accommodations for the field force by mailing them CD-ROMs loaded with all of the information necessary for their own training and for presentations when calling on physicians—CD-ROM product demos can be launched by sales reps from a physician's desktop computer or from rep laptops. 

Don't work without an intranet

Internet applications available only to employees and affiliates through password-protected access provide a place to quickly obtain shared company knowledge or perform efficient, cost-effective training. New modules can be placed online at any time at minimal cost. Today, intranets serve as virtual libraries for organizations—expressions of the collective learning, or braintrust, of a group.  

Heavy lifting can be taken out of research by expanding an intranet to present targeted case studies or abstracts from the most recent peer-reviewed publications for interested physicians, nurses, or a busy sales force which cannot always keep up with the newest literature. A hired medical communications firm can research and develop original abstracts to conserve your company’s staff resources while keeping internal company knowledge workers and mobile audiences abreast of all new research during the full product lifecycle. 

Garner wide readership with e-zines

Electronic magazines (e-zines, online versions of medical journals/periodicals) or original publications developed and administered by independent communications publishers via unrestricted educational grants provide the option of paperless reading and downloadable issues. Well-promoted e-zines can reach highly targeted or vast international audiences, and can be funded through advertisement and subscription. E-zines may also be sponsored as a service to customers, keeping them close enough to share news with electronically on a regular basis. 

Make the old new

Sometimes using a traditional, but untapped, medium provides a new cutting edge. Increasingly, device and diagnostics product managers and publications coordinators borrow a time-honored pharmaceutical industry tool—journal supplement sponsorship. In doing so, they gain the credibility conferred only by independent publication and by employment of the peer-review process; they garner the opportunity to speak directly to a well-known journal's circulation, and to share disease-state expertise while their products move through preclinical and clinical development. Though not new media, sponsored supplements and monographs garner new audiences and deepen product visibility with the highest level of credibility short of journal articles.  

Caveat emptor

Experienced in-house medical writers and medical communications professionals are responsible for helping businesses maintain the ground rules of FDA regulation and peer-review publication while selecting and developing the media that best showcase their products. When contracting with a medical communications firm, be wary of those that would be all things to all customers. Look for an agency that is not first and foremost versed in advertising or IT; seek a dedicated medical communications agency with direct knowledge of med/pharma, FDA regulation, and medical education accreditation.       

Worth your time and budget

The medical communications partner you seek to support core knowledge assembly objectives and develop key communications programs should offer verifiable data demonstrating ROI, and the following:

• Credentialed, experienced medical writers, editors, illustrators, and new media producers;

• An inspiring capabilities presentation that unambiguously demonstrates best-in-class publications, deep experience, and a large body of work, preferably executed for both local and international medical organizations;

• Accreditation/affiliation to produce CME;

• Medical research expertise through bricks-and-mortar and online biomedical libraries;

• Working partnerships with IT companies that build hardware and software systems that support searchable, updatable content;

• Industry-appropriate rates and proven production schedules;

• Available customer references, a list of significant previous customers, preferably a strong record of repeat business; and

• Professional association affiliations and relationships with educational institutions. 

Technology alone does not constitute value added. High-quality content married to the appropriate media secures competitive advantage every time.


7.0   Inlet Medical Inc. – Charting their Future in Women’s Health 

by MedSuds Editor Janet Rebman Lillevold, 952.249.8254, janet@medsuds.com

“The women’s health industry is a gold mine waiting to happen” according to Lee Jones,  President and Chief Executive Officer of Inlet Medical, Inc.  “The key to winning in women’s health (for Inlet) is to determine a way so that every time a physician touches a patient, he or she uses an Inlet product”. 

Founded in 1992 and then refocused in 1997, Inlet Medical is a privately held medical device company that offers branded procedure-based solutions in the women’s pelvic health market.   Inlet’s strategy is to develop products and procedures that:  meet unmet medical needs; treat a variety of conditions that affect women through the continuum of life stages; offer benefits to doctors, hospitals, and patients; are easy to use; and leverage Inlet’s core technologies.  

Inlet Medical’s current product line consists of laparoscopic surgical products and procedures for:  uterine prolapse repair, uterosacral support after hysterectomy, facilitation of uterine suspension, and facilitation of full-thickness trocar wound closure.  Other applications for the products include litigation of abdominal wall bleeders and tacking of hernia mesh prior to final placement. 

To drive interest and exposure to their products, Inlet uses a two-pronged approach,   targeting both the physician and the patient (consumer) through two distinct websites (inletmedical.com and inletmedical.org).  The primary audience for driving Inlet Medical’s business is the physician, but by also informing the patient, Inlet is using a strategic, consumer-focused education process to indirectly create demand and generate market turns.  Through the consumer web site, consumers can learn about their health issues, understand potential solutions, and through the Patient Connection Program, they can request contact information for physicians in their area who understand their health problems and offer them options.  According to Jones, the offering of options is the key message that Inlet is communicating to target physicians.  Unlike the past, today’s female health consumers are not satisfied with a single, set diagnosis from their physician; they expect and demand alternatives.  And if they don’t receive alternatives; they will go elsewhere. 

Currently, Inlet Medical’s consumer website receives 86,000 visitors (39,000 unique visitors) per month with an average of 5329 pages viewed per day.  Their medical professional site receives 7489 visitors (4813 unique visitors) per month with an average of 414 pages viewed per day.   The medical professional site includes procedure and kit descriptions, clinical study results, case studies, physician training and support, presentations, and other professional information. 

With only two months left in their fiscal year, Inlet Medical is solidly on the road to their first year of profitability and Jones contributes this success to hard work and to their outsourcing business model.  Using the approach that a company must hire the best expertise available, but acknowledging that cash flow is a restriction, Inlet obtains a significant share of their talent on a consulting or project basis.    

What does Inlet Medical outsource?  Their product manufacturing, office operations, product promotion and marketing, and sales (sales representatives and web-based training).  What do they own?  Their marketing, sales (telephone sales, management, training, and customer service), and products.  Why does this approach work?   According to Jones, “it works because outsourcing reduces overhead and cost.  You purchase the top talent only when you need it and outsourcing reduces barriers to action within the company.”   

Inlet Medical has found that not only do they have a streamlined development to launch process with outsourcing, but that you can measure and feel the positive impact of outsourcing savings very quickly.  For example, when Inlet Medical outsourced their credit collection, they went from 60 to 30 days for outstanding receivables.   This decrease in outstanding receivables allowed Inlet Medical to remove one entire month of debt and positively changed their credit view from a banking perspective. 

Inlet Medical’s business model also works because they retain close control of critical functions such as customer service, listening and learning from the physicians and consumers, and then driving their product development and marketing messages appropriately. 

With a continuing, solid sales growth trend, where does Inlet Medical go from here?  Forward in their creation of new and improved solutions for women’s health. 

To obtain additional information on Inlet Medical, Inc., contact Lee Jones at 952-942-5034.  Inlet Medical, Inc. is located at 10340 Viking Drive, Suite 125, Eden Prairie, MN 55344.


8.0   Guest Writers for This Report

The MedSuds Monthly Report welcomes guest writers! If you have a passion for a topic, and you can write, send an email to janet@medsuds.com or matt@medsuds.com. You can even send copies of your work. It needs to be on med-tech, biotech or life sciences topics and can include entrepreneur/investor activities. Good information from our service providers and vendors is also welcome so long as it is not a "commercial" for any one company or individual. 

We will consider any qualified columnists and guest writers.


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Matt Noah

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