Rand Logistics Management Bonus Agreement

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Rand Logistics Management Bonus Agreement document sample

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							Why Are
We Here?
Tom Peters/ spbt/
Toronto/ 06.17.2002
Q: Why are we
    here?
  A/TP: I am
 increasingly
   unclear.
     All Slides Available at …



tompeters.com
Note: Lavender text in this file is a link.
Brown.
 Nardelli‘s goal ($50B to $100B by 2005):
―… move Home Depot beyond selling
‗goods‘ to selling ‗home services.‘ …
     He wants to capture home
 improvement dollars wherever and
     however they are spent.‖
 E.g.: ―house calls‖ (At-Home Service: $10B by ‘05?) …
―pros shops‖ (Pro Set) … ―home project management‖
   (Project Management System … ―a deeper selling
                      relationship‖).

              Source: USA Today/06.14.2002
One person‘s
 opinion …
Sorry, Elliott/spbt … the issue is
not the delivery of training. The


issue is …   training
for WHAT!
                            Issue #1:

 NOT … ―How to do what we do
          better.‖
    IS …     ―What the hell
            should we be
              doing?*
*I am convinced that both your content and field processes are all screwed up.
    From: ―We are pill peddlers.‖
To: ―We are providers of ‗Integrated,
    demonstrable health- &
wellness-enhancing outcomes‘
… in partnership with … CMOs, HMOs,
state AGs & Govs, Patients, docs … of
  which pills may or may not be a/the
              central part.‖
 E.g.: Should we … abolish drug co.
 salesforces? And replace them with
      … Integrated Marketing
 Services/ Solutions Teams that
  (1) focus on outcomes, (2) include
―sales,‖ ―marketing,‖ ―drug discovery
     process teams,‖ and various
              outsiders?
―No longer are we only an
insurance provider. Today,
    we also offer our customers the
 products and services that help them
   achieve their dreams, whether it‘s
financial security, buying a car, paying
   for home repairs, or even taking a
   dream vacation.‖—Martin Feinstein, CEO,
               Farmers Group
 The Future of Healthcare:


Whoops I
 Golden Age of Patient-centric, Genetics-
       driven Healthcare Looms!
 Current status: $1.3T. 30M-70M uninsured. 90K
   killed and 2M injured p.a. in hospitals. 85%
treatments unproven. Cure depends on locale in
  which treated. 50% prescriptions do not work.
        2X docs. 2X hospitals. IS primitive.
        Accountability & measurement nil.
   And everybody‘s mad and feels powerless:
  docs, patients, nurses, insurers, employers,
 pharma & device cos, hospital administrators
                    and staff.
 The Future of Reps:


Whoops II
 ―Consultative selling
requires dialogue … and
 the time for that dialogue.
 Unfortunately, this seldom
happens in today‘s hurry-up
      complex world of
 pharmaceutical selling.‖—
        newspost/spbt
  Study of 500 Reps*: 65% ―had
face-to-face conversation with the
      physician for less than
  30 seconds per visit. In fact,
   more than half of the 65%
 admitted that the average time is
    less than 15 seconds.‖
                *Holy shit!


           Source: newspost
   ―Research reveals no
evidence of overall superior
 selling behavior related to
     experience beyond
    five years. Quite the
   opposite …‖—newspost/spbt
       ―So, tell
TP/06.2002:



    me about
     reps …
 Pediatric cardiologist & practice head: ―I
   don‘t see them, period. I study, write
papers, use the Web, attend a minimum of
 4 or 5 major conferences a year. My staff
 may see them, but I in general find their
  views uselessly prejudiced. Call it, I‘m
   afraid to say, ‗hucksterism.‘ If I want
       anything at all from them, it‘s
       thoughtfulness—good luck!‖
Urologist & Practice Head: ―A few
    of them—a very few—are
excellent. The good ones are self-
deprecating. If their product is not
  all that great, they‘ll admit it.
Mostly, it‘s a waste of my time. I let
        the staff handle it.‖
  Family Practice Office Administrator (3 Docs, Midsize town)

TP: ―How often does Dr. X see Reps?‖
PA: ―He doesn‘t.‖ [Emphatic.]
TP: ―That was sharp in tone! Why?‖
PA: ―We used to set aside a two-hour block,
once a month. But a lot of the Reps missed
appointments. That, however, was the least of it.
The biggest problems were the Reps who kept
pushing the same thing, visit after visit. They
had absolutely nothing new to say.‖
TP: ―So how does Doc X keep up?‖
PA: ―The Internet.‖ [T.O.V. = ―What else?‖]
Internist (Silicon Valley): ―The Web is
   generally better. I spent a year of
 painstaking study, and now I have a
 system that keeps me informed in a
 ‗push‘ fashion. I began as a skeptic,
    harassed by a few of my techie
patients—and I‘ve become a ‗believer‘
  and proselytizer. Now I find myself
      haranguing other doctors.‖
  Oncologist (Urban Med Center):
―They are, or can be, helpful to the
two-thirds of docs, to be frank, who
 don‘t study much. I‘ve got one or
 two I‘ll call, but otherwise I‘m ‗not
     available.‘ Quiet study, and
  increasingly the Internet, are my
           tools of renewal.‖
 Pharmaceutical exec: ―Truthfully,
we hire attractive women as much
as we can get away with. That plus
  pens are huge influencers—it‘s
what our focus groups tell us.‖ (The
  ―attractive young women‖ theme was a constant
refrain. ―I find it laughable, to a point,‖ a female M.D.
        told me. ―What I fear is that it works.‖)
ER doc/exec: ―It‘s pathetic. The docs
are half assed in their learning styles.
  Most don‘t even pretend they are
 keeping up. Reps? She who has the
best pens wins. Health care is out of
 control—and laughably unscientific.
Whatever your nightmare stories are,
  Tom, trust me and my 25 years of
 experience, the reality is far worse.‖
 Plastic surgeon & practice head: ―My practice
  has changed 100% in the last 10 years. Sadly,
       that‘s not true for three-quarters of my
colleagues. Information technology is a big part
  of it. It‘s extremely user-unfriendly. It took me
     and my partners and office staff a year to
 customize our approach—and as we did so the
role of the reps became less and less important.
   I won‘t even let our staff schedule time with
    them. It‘s inefficient, and most of them are
humorously biased—and insult us by imagining
    it‘s not transparent. I‘m not complaining—
                  but,fact is, I‘m busy.‖
  My voyage: (1) ―Hey, I‘ll do TP‘s
    eLearning pitch.‖ (Not as good as
   Masie‘s.) (2) ―Why do docs waste
 time with reps? Isn‘t the Web the
 answer?‖ (A: Docs don‘t waste time/much
       time with reps.) (3) ―Hey, the
fundamental concept of the selling
  relationship may be all bollixed
              up.‖ (Hmmmmm …)
Health Care Embraces
   Modern IT and
Management Practice

… Maybe.
  Any Idiot‘s
Conclusion: The
   System Is
Busted.                  (And: You are part of the system
 … not spectators from the ―priviledged drug co.s‖)
―We‘re in the Internet
age, and the average
 patient can‘t email
   their doctor.‖
   Donald Berwick, Harvard Med School
                     90%
Want email consultation:
    patients, 15% docs.
   Evidence: Patients do not
pester docs. Time is saved. No
one has sued (shows ―care & connection‖—
     the absence of which is the major cause
                    of suits).

          Source: New York Times/06.06.02
    ―Without being disrespectful, I
consider the U.S. healthcare delivery
system the largest cottage industry in
  the world. There are virtually no
performance measurements and no
    standards. Trying to measure
performance … is the next revolution in
            healthcare.‖
         Richard Huber, former CEO, Aetna
 ―A healthcare delivery system
 characterized by idiosyncratic
     and often ill-informed
judgments must be restructured
   according to evidence-
based medical practice.‖
Demanding Medical Excellence: Doctors and Accountability in
         the Information Age, Michael Millenson
     ―As unsettling as the prevalence of
inappropriate care is the enormous amount of
   what can only be called ignorant care. A
   surprising 85% of everyday medical
treatments have never been scientifically
   validated. … For instance, when family
practitioners in Washington were queried about
  treating a simple urinary tract infection, 82
 physicians came up with an extraordinary 137
                  strategies.‖
 Demanding Medical Excellence: Doctors and Accountability
        in the Information Age, Michael Millenson
―Quality of care is
  the problem, not
   managed care.‖
 Institute of Medicine (from Michael Millenson,
         Demanding Medical Excellence)
RAND(1998): 50%, appropriate
    preventive care. 60%,
recommended treatment, per
 medical studies, for chronic
conditions. 20%, chronic care
treatment that is wrong. 30%
 acute care treatment that is
           wrong.
CDC 1998: 90,000 killed
and 2,000,000 injured
   from nosocomial
[hospital-caused] drug
  errors & infections
1,000,000                                  ―serious
 medication errors per year‖ …
―illegible handwriting, misplaced
decimal points, and missed drug
    interactions and allergies.‖
   Source: Wall Street Journal/ Institute of Medicine
Various studies: 1 in 3,
 1 in 5, 1 in 7, 1 in 20
 patients ―harmed by
      treatment‖
Demanding Medical Excellence: Doctors and Accountability
       in the Information Age, Michael Millenson
RAND (1998): 50%, appropriate
    preventive care. 60%,
recommended treatment, per
 medical studies, for chronic
conditions. 20%, chronic care
treatment that is wrong. 30%
 acute care treatment that is
           wrong.
   YE GADS!         New England Journal of Medicine/
 Harvard Medical Practice Study: 4% error rate (1 of 4
 negligence). ―Subsequent investigations around the
country have confirmed the ubiquity of error.‖ ―In one
 small study of how clinicians perform when patients
have a sudden cardiac arrest, 27 of 30 clinicians made
     an error in using the defibrillator.‖ Mistakes in
administering drugs (1995 study) ―average once every
    hospital admission.‖ ―Lucian Leape, medicine‘s
   leading expert on error, points out that many other
     industries—whether the task is manufacturing
    semiconductors or serving customers at the Ritz
Carlton—simply wouldn‘t countenance error rates like
  those in hospitals.‖—Complications, Atul Gawande
―Established state-of-the-
 art cancer care—about
    which there is no
  longer any debate—is
   erratically applied.‖
    Source: Institute of Medicine‘s
    National Cancer Policy Board
    ―In a disturbing 1991 study, 110
 nurses of varying experience levels
  took a written test of their ability to
calculate medication doses. Eight out
  of 10 made calculation mistakes at
least 10% of the time, while four out
 of 10 made mistakes 30 % of
          the time.‖
Demanding Medical Excellence: Doctors and Accountability
       in the Information Age, Michael Millenson
       ―In health care,

geography is
  destiny.‖
Dartmouth Medical School 1996 report, from
Demanding Medical Excellence: Doctors and
   Accountability in the Information Age,
            Michael Millenson
        Geography Is Destiny
    E.g.: Ft. Myers 4X Manhattan—back
     surgery. Newark 2X New Haven—
 prostatectomy. Rapid City SD 34X Elyria
 OH—breast-conserving surgery. VT, ME,
IA: 3X differences in hysterectomy by age
 70; 8X tonsillectomy; 4X prostatectomy
   (10X Baton Rouge vs. Binghampton).
  Breast cancer screening: 4X NE, FL, MI
           vs. SE, SW. (Source: various)
             Geography Is Destiny
―Often all one must do to acquire a disease is
    to enter a country where a disease is
 recognized—leaving the country will either
 cure the malady or turn it into something else.
… Blood pressure considered treatably high in
 the United States might be considered normal
in England; and the low blood pressure treated
with 85 drugs as well as hydrotherapy and spa
    treatments in Germany would entitle its
   sufferer to lower life insurance rates in the
  United States.‖ —Lynn Payer, Medicine & Culture
 It‘s
    (measurable, systemic)




outcomes,
  stupid!
  ―Practice variation is not caused by ‗bad‘ or
    ‗ignorant‘ doctors. Rather, it is a natural
  consequence of a system that systematically
 tracks neither its processes nor its outcomes,
preferring to presume that good facilities, good
intentions and good training lead automatically
    to good results. Providers remain more
  comfortable with the habits of a guild, where
each craftsman trusts his fellows, than with the
        demands of the information age.‖
 Michael Millenson, Demanding Medical Excellence
Leapfrog Group/med errors: ―Not
 since Jackson Hole Group guru
Paul Ellwood, Jr., M.D., coined the
 term ‗HMO‘ in 1970 has one idea
so fully captured the imagination
   of the healthcare industry.‖—
          HealthLeaders/06.2002
                  Leapfrog Group:
CPOE/Computerized Physician
   Order Entry*
ICU staffing by trained
   intensivists**
EHR/Evidence-based Hospital
   Referral***
*Duh I: Welcome to the computer age.
**Duh II: How about using experts?
***Duh III: If you do stuff a lotta times, you tend to get/be better.

                   Source: HealthLeaders/06.2002
 Empire Blue Cross and Blue
     4% quarterly
 Shield:
bonus for hospitals that
meet Leapfrog‘s CPOE and
 ICU-staffing standards.
      Source: HealthLeaders/06.2002
     The Benefits of …
   FOCUSED EXCELLENCE

Shouldice/Hernia Repair:
30-45 min, 1% recurrence.
  Avg: 90 min, 10%-15%
       recurrence.
     Source: Complications, Atul Gawande
The VHA gets it!            E.g.: Laptop at bedside calls
up patient e-records from one of 1,300 hospitals. Bar-
coded wristband confirms meds. National Center for
  Patient Safety in Ann Arbor. Docs and researchers
 discuss optimal treatment regimens—research center
   in Durham NC. Doc measures & guidelines; e.g.,
  pneumonia vaccinations from 50% to 84%. Blame-
 free system, modeled after airlines. ―What‘s needed
in the U.S. is nothing short of a medical revolution and
     the VHA has gone further than most any other
   organization to revamp its culture and systems.‖—
              Rand/Source:WSJ 12.10.2001
 Computerized Physician Order



Entry/CPOE:   5%
              hospitals
                                     of U.S.



       source: HealthLeaders/06.02
   Winning By Acknowledging Failures

   Wernher Von Braun, the Redstone
 missile engineer who ―confessed‖ &
the bottle of champagne. Award to the
     sailor on the Carl Vinson—for
reporting the lost tool. Amy Edmonson
& the successful nursing units with the
highest reported adverse drug events.
  Source: Karl Weick & Kathleen Sutcliffe, Managing the Unexpected
   PARADOX: Many, many
   formal case reviews …
  failure to systematically/
  systemically/ statistically
look at and act on evidence.
     C.f., Complications, Atul Gawande
    Message: (1) Effective &
 encompassing use of IT  is  the
healthcare revolution. (2) Get on
  all-the-way on board or get
discarded.    (3) The situation as
    it stands is pathetic.
         We hate
Whose motto*:

      change!
  *Choices: AMA, AHA. Both
Tom‘s
World
  NEW
BUSINESS.
  NEW
CONTEXT.
All Bets Are Off.
   ―There will be more
 confusion in the
business world in the next
decade than in any decade in
history. And the current pace of
 change will only accelerate.‖
            Steve Case
Way to Go, Guys …
2002 write downs
   from recent
 acquisitions …
 $1,000,
000,000,
  000*
 *$1 trillion (Source: Harper‘s Index 04.2002)
   The
Destruction
Imperative.
    Forbes100 from 1917 to 1987: 39
 members of the Class of ‘17 were alive
     in ‘87; 18 in ‘87 F100; 18 F100
―survivors‖ underperformed the market
   by 20%; just 2 (2%), GE & Kodak,
 outperformed the market 1917 to 1987.
S&P 500 from 1957 to 1997: 74 members of the Class of ‘57 were
alive in ‘97; 12 (2.4%) of 500 outperformed the market from 1957
                             to 1997.
 Source: Dick Foster & Sarah Kaplan, Creative Destruction: Why
   Companies That Are Built to Last Underperform the Market
  ―Good management was the
 most powerful reason [leading
 firms] failed to stay atop their
  industries. Precisely because these firms
 listened to their customers, invested aggressively in
technologies that would provide their customers more
    and better products of the sort they wanted, and
   because they carefully studied market trends and
     systematically allocated investment capital to
 innovations that promised the best returns, they lost
             their positions of leadership.‖
   Clayton Christensen, The Innovator‘s Dilemma
      Forget>―Learn‖
―The problem is never how
   to get new, innovative
 thoughts into your mind,
but how to get the old
     ones out.‖
        Dee Hock
―When asked to name just one big merger
 that had lived up to expectations, Leon
   Cooperman, former cochairman of
   Goldman Sachs‘ Investment Policy
                       sure
   Committee, answered: I‘m
  there are success stories
    out there, but at this
   moment I draw a blank.‖
      Mark Sirower, The Synergy Trap
―Acquisitions are about
buying market share.
Our challenge is to
create markets. There
is a big difference.‖
      Peter Job, CEO, Reuters
 The [New] Ge Way



DYB.com
  “Change the
  rules before
 somebody else
does.”
     —Ralph Seferian, VP, Oracle
     ―Most of our
 predictions are based
on very linear thinking.
  That‘s why they will
most likely be wrong.‖
Vinod Khosla, in ―GIGATRENDS,‖ Wired 04.01
  Axiom (Hypothesis): We have
been screwed by Benchmarking
 … Best Practice … C.I./Kaizen.
  Axiom (Hypothesis): We need
  Masters of Discontinuity/
  Masters of Ambiguity … in
  discontinuous/ambiguous
            times.
―BIG DRUG MAKERS TRY TO POSTPONE
CUSTOM REGIMENS. Most drugs don‘t work
well for about half the patients for whom they are
      prescribed, and experts believe genetic
      differences are part of the reason. The
 technology for genetic testing is now in use. But
the technique threatens to be so disruptive to the
  business of big drug companies – it could limit
     the market for some of their blockbuster
   products – that many of them are resisting its
                 widespread use.‖
         The Wall Street Journal (06.18.2001)
     ―Pharmacogenomics could
fundamentally change the nature
  of drug discovery and marketing,
      rendering obsolete the
pharmaceutical industry‘s practice of
 spending vast amounts of time and
money to craft a single medicine with
        mass-market appeal.‖
     The Industry Standard (05.28.01)
    Pharmacogenomics: End of Blockbusters
        by End-of-Decade (Reuters/5-22)
  Barrie James, Pharma Strategy Consulting: ―We‘re
 moving from a blunderbuss approach to laser-
guided munitions, and it marks a sea change for
   the industry. The implications for existing
business models are devastating.‖ Allen Roses,
      SVP Genetic Research, GlaxoSmithKline:
―minibuster.‖ Rob Arnold, Euro head of life sciences,
   PWC: ―Once you start dealing with minority
 treatments, small biotechs who are more nimble
and don‘t need $500-million-a-year drugs to make
       money could be at a real advantage.‖
NEW BUSINESS:
  NEW TECH
     IBM‘s Project

   eLiza!*
* ―Self-bootstrapping‖/ ―Artilects‖
                    EKGs
Deep Blue Redux*: 2,240
 … 1,120 heart attacks.
Hans Ohlin          (50 yr old chief of coronary care, Univ of


           : 620.
         Lund/SW)


   Lars Edenbrandt‘s
     software: 738.
          *Only this time it matters!
      ―Most physicians believe that
diagnosis can‘t be reduced to a set of
 generalizations—to a ‗cookbook.‘ …
 How often does my intuition lead me
astray? The radical implication of the
        Swedish study is that the
individualized, intuitive approach that
lies at the center of modern medicine
  is flawed—it causes more mistakes
 than it prevents.‖ —Atul Gawande, Complications
―Unless mankind redesigns
 itself by changing our DNA
through altering our genetic
      makeup, computer-
  generated robots will take
    over the world.‖ – Stephen
Hawking, in the German magazine Focus
IS/IT/Web …
―On the Bus‖ or
 ―Off the Bus.‖
square feet
   Impact No. 1/ Logistics &
          Wal*Mart …
Distribution:
Dell … Amazon.com …
  Autobytel.com …
FedEx … UPS … Ryder
… Cisco … Etc. … Etc.
    … Ad Infinitum.
Autobytel:$400.
Wal*Mart: 13%.

     Source: BW(05.13.2002)
                WebWorld = Everything
     Web as a way to run your business‘s innards
Web as connector for your entire supply-demand chain
Web as ―spider‘s web‖ which re-conceives the industry
         Web/B2B as ultimate wake-up call to
                ―commodity producers‖
   Web as the scourge of slack, inefficiency, sloth,
           bureaucracy, poor customer data
        Web as an Encompassing Way of Life
        Web = Everything (P.D. to after-sales)
     Web forces you to focus on what you do best
Web as entrée, at any size, to World‘s Best at Everything
                 as next door neighbor
―Ebusiness is about rebuilding
  the organization from the
ground up. Most companies today
  are not built to exploit the Internet.
   Their business processes, their
   approvals, their hierarchies, the
number of people they employ … all of
     that is wrong for running an
              ebusiness.‖
         Ray Lane, Kleiner Perkins
  ―There‘s no use trying,‖ said Alice.
―One can‘t believe impossible things.‖
   ―I daresay you haven‘t had much
practice,‖ said the Queen. ―When I was
  your age, I always did it for half an
  hour a day. Why, sometimes I‘ve
believed as many as six impossible
     things before breakfast.‖
              Lewis Carroll
     I‘net …

… allows you to
 dream dreams
you could never
 have dreamed
    before!
HUMANA‘s Dreams. Emphesys: ―Put everything
on the Internet.‖ CEO Mike McCallister, charge
to 200-person ―outside‖ I‘net unit: ―Imagine an
 ideal Web-based health insurance system and
  then create a product as close as possible to
      that vision.‖ Start with own employees:
   SmartSuite. Member employees: ―Plan their
  own coverage and shoulder more costs.‖ Dell
   is model: ―Fully customized health for every
    individual.‖ Marketing pitch for employers:
   ―Buy choice for employees through a single
                 source—Humana.‖
             Source: Fortune/05.27.2002
―Suppose—just suppose—that the Web is a new world
  we‘re just beginning to inhabit. We‘re like the earlier
  European settlers in the United States, living on the
edge of the forest. We don‘t know what‘s there and we
don‘t know exactly what we need to do to find out: Do
we pack mountain climbing gear, desert wear, canoes,
or all three? Of course while the settlers may not have
    known what the geography of the New World was
     going to be, they at least knew that there was a
     geography. The Web, on the other hand, has no
   geography, no landscape. It has no distance. It has
  nothing natural in it. It has few rules of behavior and
 fewer lines of authority. Common sense doesn‘t hold
    here, and uncommon sense hasn‘t yet emerged.‖
          David Weinberger, Small Pieces Loosely Joined
Case:   CRM
Anne Busquet/ American Express
  Not: ―Age of the Internet‖

       ―Age of
      Is:

      Customer
      Control‖
       Amen!


―The Age of the
Never Satisfied
  Customer‖
    Regis McKenna
―The Web enables total
 transparency. People with
 access to relevant information are
 beginning to challenge any type of
  authority. The stupid, loyal and
humble customer, employee, patient
        or citizen is dead.‖
     Kjell Nordström and Jonas Ridderstråle,
                 Funky Business
  ―Parents, doctors, stockbrokers,
 even military leaders are starting to
  lose the authority they once had.
There are all these roles premised on
 access to privileged information. …
What we are witnessing is a
collapse of that advantage,
 prestige and authority.‖
           Michael Lewis, next
―A seismic shift is underway in
    healthcare. The Internet is
delivering vast knowledge and new
choices to consumers—raising their
 expectations and, in many cases,
     handing them the controls.
[Healthcare] consumers are driving
   radical, fundamental change.‖
   Deloitte Research, ―Winning the Loyalty
          of the eHealth Consumer‖
  ―Parents, doctors, stockbrokers,
 even military leaders are starting to
  lose the authority they once had.
There are all these roles premised on
 access to privileged information. …
What we are witnessing is a
collapse of that advantage,
 prestige and authority.‖
           Michael Lewis, next
                ―Teens and young
 Reuters (12.11.01):
 adults are flocking to the Web for
health-related information as much
  as they are downloading music
  and playing games online and
 more often than shopping online,
  according to a national survey
       from the Kaiser Family
           Foundation.‖
 ―We expect consumers to
  move into a position of
  dominance in the early
 years of the new century.‖
  Dean Coddington, Elizabeth Fischer, Keith
Moore & Richard Clarke, Beyond Managed Care
 Today‘s Healthcare ―Consumer‖:


 ―skeptical and
  demanding‖
Source: Ian Morrison, Healthcare in the New Millennium
  ―Medical care has traditionally
 followed a ‗professional‘ model,
based on two assumptions: that
  patients are unable to become
sufficiently informed about their
own care to allow them a pivotal
role, and that medical judgments
      are based on science.‖
 Joseph Blumstein, Vanderbilt Law School
―He shook me up. He put his hand
 on my shoulder, and simply said,
            have got to
‗Old friend, you
  take charge of your
  own medical care.‘ ‖
  Hamilton Jordan, No Such Thing as a Bad Day
      (on a conversation with a doctor pal,
      following Jordan‘s cancer diagnosis)
       Consumer Imperatives
                 Choice
   Control (Self-care, Self-management)
Shared Medical Decision-making
       Customer Service
         Information
           Branding
       Source: Institute for the Future
     ―E-consumers …
      want knowledge
  are already connected
    want convenience
want it to be all about them
       want control.‖
   Douglas Goldstein, e-Healthcare
 ―Savior for the Sick‖
             vs.

―Partner for Good
     Health‖
    Source: NPR/VPR 08.15.00
 ―No one currently
‗owns‘ the eHealth
 Consumer. It‘s an
open playing field.‖
   Deloitte Research, ―Winning the Loyalty
          of the eHealth Consumer‖
  ―We find that eHealth
 consumers are willing to
  pay—and even switch
   health plans—for the
services they most want.‖
   Deloitte Research, ―Winning the Loyalty
          of the eHealth Consumer‖
―The ‗curative model‘ narrowly
focuses on the goal of cure. …
  From many quarters comes
evidence that the view of health
    should be expanded to
 encompass mental, social and
     spiritual well-being.‖
         Institute for the Future
   Internet User,      F
         41
    $63,000 HHI
   64% work FT
    54% moms
6 hours/week online
   Source: NetSmart Research
 Welcome to D.I.Y. Nation: ―Changes
in business processes will emphasize
self service. Your costs as a business

  go down and    perceived
   service     goes up because
    customers are conducting it
          themselves.‖
            Ray Lane, Oracle
―CRM has, almost
universally, failed
   to live up to
 expectations.‖
     Butler Group (UK)
  CGE&Y (Paul Cole): ―Pleasant

Transaction‖ vs.―Systemic
Opportunity.‖ ―Better job
of what we do today‖ vs. ―Re-
      think overall
enterprise strategy.‖
Wells Fargo ($285B): Master of B&C

 $900M since ‘99.      3M  . 1/3rd of chk
    acct customers on line. 5,400
  branches: 4 of 5 who do product
research on line purchase at branch.
  Wire transfer, save 30%; 17% less
  calls. Material diff to bottom line.
          Source: BW Online (03.20.02)
          The left
 Problem #1*:

hand doesn‘t talk
to the right hand.
*And there is no ―Problem #2.‖
―The organizations we created have
  become tyrants. They have taken
control, holding us fettered, creating
barriers that hinder rather than help
 our businesses. The lines that we
  drew on our neat organizational
 diagrams have turned into walls
that no one can scale or penetrate
or even peer over.‖ —Frank Lekanne Deprez &
René Tissen, Zero Space: Moving Beyond Organization Limits.
 ―In an era when terrorists use
 satellite phones and encrypted
  email, US gatekeepers stand
armed against them with pencils
  and paperwork, and archaic
  computer systems that don‘t
        talk to each other.‖
       Boston Globe (09.30.2001)
―Once devised in Riyadh, the tasking order took hours
 to get to the Navy‘s six aircraft carriers—because the
   Navy had failed years earlier to procure the proper
 communications gear that would have connected the
       Navy with its Air Force counterparts. … To
compensate for the lack of communications capability,
 the Navy was forced to fly a daily cargo mission from
   the Persian Gulf and Red Sea to Riyadh in order to
pick up a computer printout of the air mission tasking
   order, then fly back to the carriers, run photocopy
  machines at full tilt, and distribute the documents to
  the air wing squadrons that were planning the next
       strike.‖ –Bill Owens, Lifting the Fog of War
  ―P&G, Unilever and
 Others Are Trying an
  Experiment: Giving
 Marketing More Say
Over Research*‖ Advertising Age
                           —
            (03.25.2002)


               *Duh.
NEW BUSINESS.
  NEW VALUE
 PROPOSITION.
The Heart of the Value
 Added Revolution:
 PSFs Unbound/
 The ―Solutions
  Imperative.‖
Base Case: The
Sameness Trap
―Companies have defined
 so much ‗best practice‘
that they are now more or
      less identical.‖
  Jesper Kunde, A Unique Moment
―The ‗surplus society‘ has a surplus of
    similar companies, employing
     similar people, with similar
 educational backgrounds, coming up
    with similar ideas, producing
  similar things, with similar prices
        and similar quality.‖
  Kjell Nordström and Jonas Ridderstråle, Funky Business
The   Day!
  09.11.2000: HP bids
$18,000,000,000
           for
PricewaterhouseCoopers
  consulting business!
―These days, building
 the best server isn‘t
  enough. That‘s the
    price of entry.‖
   Ann Livermore, Hewlett-Packard
           Systems
 Gerstner‘s IBM:

   Integrator of
 choice. Global Services:
   $35B. Pledge/‘99: Business
Partner Charter. 72 strategic partners,
  aim for 200. Drop many in-house
    programs/products. (BW/12.01).
―We want to be the
    air traffic
  controllers of
   electrons.‖
 Bob Nardelli, GE Power Systems
   ―Customer Satisfaction‖ to
     ―Customer Success‖
   ―We‘re getting better at [Six
 Sigma] every day. But we really
need to think about the customer‘s
   profitability. Are customers‘
bottom lines really benefiting from
     what we provide them?‖
     Bob Nardelli, GE Power Systems
Keep In Mind:   Customer
Satisfaction
versus Customer
   Success
Was: ―Big Iron‖
Transformer Dudes
Division.

      Traffic Controllers
Is: Air
of Electrons.
Was: Bunchof Guys Who
Make Circuit Breakers
Division.

Is: GE   Industrial Systems.
 Nardelli‘s goal ($50B to $100B by 2005):
―… move Home Depot beyond selling
‗goods‘ to selling ‗home services.‘ …
     He wants to capture home
 improvement dollars wherever and
     however they are spent.‖
 E.g.: ―house calls‖ (At-Home Service: $10B by ‘05?) …
―pros shops‖ (Pro Set) … ―home project management‖
   (Project Management System … ―a deeper selling
                      relationship‖).

              Source: USA Today/06.14.2002
 ―UPS wants to take over the
sweet spot in the endless loop
  of goods, information and
 capital that all the packages
     [it moves] represent.‖
 ecompany.com/06.01 (E.g., UPS Logistics
manages the logistics of 4.5M Ford vehicles,
  from 21 mfg. sites to 6,000 NA dealers)
―No longer are we only an
insurance provider. Today,
    we also offer our customers the
 products and services that help them
   achieve their dreams, whether it‘s
financial security, buying a car, paying
   for home repairs, or even taking a
   dream vacation.‖—Martin Feinstein, CEO,
               Farmers Group
  ―Our mission is to go from being the
 world‘s premier timeshare—which is a
large idea in a small industry—to being
 what we call the market makers for
global travel and leisure. We need
 to enable developers to be involved in
    more travel and leisure products,
  rather than just the timeshare side.‖—
      Ken May, RCI (Source: Developments)
―VISIONS OF A BRAND-NAME
OFFICE EMPIRE. Sam Zell is not a man
  plagued by self doubt. Mr. Zell controls public
 companies that own nearly 700 office buildings
in the United States. … Now Mr. Zell says he will
    transform the real estate market by turning
   those REITs into national brands. … Mr. Zell
 believes [clients] will start to view those offices
  as something more than a commodity chosen
  chiefly by price and location.‖ –New York Times
                    (12.16.2001)
   ― ‗Architecture‘ is
becoming a commodity.
Winners will be ‗Turnkey
Facilities Management‘
       providers.‖
         SMPS Exec
―We are a ‗real estate
 facilities consulting‘
organization, not just
  an ‗interior design‘
          firm.‖
Jean Bellas, founder, SPACE (from SMPS Marketer)
Omnicom:   57%              (of

 $6B) from marketing services
NEW BUSINESS.
 NEW BRAND.
  A World of
―Experiences.‖
―Experiences are as
 distinct from services
  as services are from
        goods.‖
Joseph Pine & James Gilmore, The Experience Economy:
     Work Is Theatre & Every Business a Stage
     Experience: ―Rebel Lifestyle!‖

―What we sell is the ability for
  a 43-year-old accountant to
  dress in black leather, ride
through small towns and have
   people be afraid of him.‖
  Harley exec, quoted in Results-Based Leadership
  ―The [Starbucks] Fix‖ Is on …
  ―We have identified a ‗third
place.‘ And I really believe that
sets us apart. The third place is
 that place that‘s not work or
   home. It‘s the place our
customers come for refuge.‖
    Nancy Orsolini, District Manager
―Club Med        is more
than just a ‗resort‘; it‘s a
means of rediscovering
 oneself, of inventing an
   entirely new ‗me.‘ ‖
    Source: Jean-Marie Dru, Disruption
―Guinness as a brand
  is all about community.
It‘s about bringing people
    together and sharing
stories.‖—Ralph Ardill, Imagination, in re
           Guinness Storehouse
Brown.
The ―Experience Ladder‖

   Experiences
     Services
      Goods
   Raw Materials
1940: Cake from flour, sugar (raw
  materials economy): $1.00
1955: Cake from Cake mix (goods
       economy): $2.00
1970: Bakery-made cake (service
       economy): $10.00
1990: Party @ Chuck E. Cheese
(experience economy) $100.00
            Message:
 “Experience” is the
 “Last 80%”
P.S.: ―Experience‖ applies to all work!
 1940: Cake from flour, sugar (raw materials
             economy): $1.00
1955: Cake from Cake mix (goods economy):
                  $2.00
 1970: Bakery-made cake (service
       economy):     $10.00
  1990: Party @ Chuck E. Cheese
(experience economy)      $100.00
       “I see us as being in
Bob Lutz:
   the art business. Art,
entertainment and mobile
     sculpture, which,
   coincidentally, also
    happens to provide
     transportation.”
            Source: NYT 10.19.01
It‘s All About EXPERIENCES: ―Trapper‖ to
  ―Wildlife Damage-control Professional‖

 Trapper: <$20 per beaver pelt.
WDCP: $150/―problem beaver‖;
 $750-$1,000 for flood-control
   piping … so that beavers
           can stay.
            Source: WSJ/05.21.2002
The ―Experience Ladder‖


  Experiences
    Services
     Goods
  Raw Materials
Ladder Position   Measure

Solutions Success
(Experiences)


Services          Satisfaction

Goods             Six-sigma
It all adds up to …
THE BRAND.
The Heart of
Branding …
―WHO ARE
  WE?‖
  ―Most companies tend to equate branding with the
    company‘s marketing. Design a new marketing
    campaign and, voilà, you‘re on course. They are
wrong. The task is much bigger. It is about fulfilling our
   potential … not about a new logo, no matter how
 clever. WHAT IS MY MISSION IN LIFE? WHAT
DO I WANT TO CONVEY TO PEOPLE? HOW DO
 I MAKE SURE THAT WHAT I HAVE TO OFFER
THE WORLD IS ACTUALLY UNIQUE? The brand
has to give of itself, the company has to give of
 itself, the management has to give of itself. To
put it bluntly, it is a matter of whether – or not –
       you want to be … UNIQUE … NOW.‖
              Jesper Kunde, A Unique Moment
―WHAT‘S
  OUR
STORY?‖
―We are in the twilight of a society based on data. As
 information and intelligence become the domain of
computers, society will place more value on the one
  human ability that cannot be automated: emotion.
Imagination, myth, ritual - the language of emotion -
will affect everything from our purchasing decisions
                    Companies will
to how we work with others.
thrive on the basis of their stories
and myths. Companies will need to understand
     that their products are less important than
                    their stories.‖
   Rolf Jensen, Copenhagen Institute for Future Studies
 ―Apple opposes, IBM
 solves, Nike exhorts,
Virgin enlightens, Sony
   dreams, Benetton
protests. … Brands are
 not nouns but verbs.‖
   Source: Jean-Marie Dru, Disruption
  ―EXACTLY
 HOW ARE WE
DRAMATICALLY
 DIFFERENT?‖
1st Law Mktg Physics: OVERT BENEFIT (Focus: 1 or
             2 > 3 or 4/―One Great Thing.‖
             Source #1: Personal Passion)

  2ND Law: REAL REASON TO BELIEVE (Stand &
                       Deliver!)


      3 RD   Law: DRAMATIC
 DIFFERENCE (Execs Don‘t Get It:
               See the next slide.)

 Source: Jump Start Your Business Brain, Doug Hall
             2 Questions:
    “How likely are you to
purchase this new product or
 service?” (95% to 100% weighting by execs)
   “How unique is this new
  product or service?” (0% to 5%*)
 *No exceptions in 20 years – Doug Hall,
    Jump Start Your Business Brain
  ―They [consumer goods company]
 have acquired a bunch of
  products, which is what
   everyone is doing. But
    what‘s the point, the
  message, the story line,
the Big Idea that makes ‗it‘
 all hang together?‖ —Exec,
  major consumer goods company
―You do not merely want to
be the best of the best. You
 want to be considered
 the only ones who do
     what you do.‖
        Jerry Garcia
   Brand = You Must Care!
  ―Success means never
  letting the competition
define you. Instead you have
to define yourself based on a
point of view you care deeply
            about.‖
   Tom Chappell, Tom‘s of Maine
―WHY DOES IT
 MATTER TO
THE CLIENT?‖
―EXACTLY HOW DO I
  PASSIONATELY
   CONVEY THAT
    DRAMATIC
DIFFERENCE TO THE
     CLIENT ?‖
     Branding: Is-Is Not ―Table‖

TNT is not:     TNT is:      TNT is not:
Juvenile      Contemporary   Old-fashioned
Mindless       Meaningful      Elitist
Predictable   Suspenseful          Dull
Frivolous       Exciting           Slow
Superficial     Powerful     Self-important
NEW BUSINESS.
 NEW WORK.
The WOW
  Project.
―Reward excellent
 failures. Punish
     mediocre
   successes.‖
   Phil Daniels, Sydney exec
“Let’s make a
 dent in the
  universe.”
     Steve Jobs
WOW Projects
    for the
 ―Powerless.‖
 Topic: Boss-free
Implementation of
 STM /Stuff That
   MATTERS!
World‘s Biggest Waste …

 Selling ―Up‖
THE IDEA:   Model F4

   Find a Fellow
   Freak Faraway
  F2F!/K2K!/
 1@T/R.F!A.*
*Freak to Freak/ Kook to Kook/ One at a Time/ Ready.Fire!Aim.
   BOTTOM LINE



The Enemy!
    Joe J. Jones
     1942 – 2002
HE WOULDA DONE SOME
  REALLY COOL STUFF
       BUT …
HIS BOSS WOULDN’T   LET
        HIM!
 The greatest danger
     for most of us
is not that our aim is
        too high
    and we miss it,
      but that it is
         too low
   and we reach it.
      Michelangelo
Characteristics of the ―Also rans‖*

      ―Minimize risk‖
   ―Respect the chain of
        command‖
    ―Support the boss‖
      ―Make budget‖
*Fortune, article on ―Most Admired Global Corporations‖
WHO WILL GO TO
STOCKHOLM? (Damn it.)
“Nobody gives
  you power.
 You just take
   it.”—Roseanne
  The
Sales   25.
         The Sales25: Great Salespeople …
1. Know the product. (Find cool mentors, and use them.)
2. Know the company.
3. Know the customer. (Including the customer‘s
consultants.) (And especially the ―corporate culture.‖)
4. Love internal politics at home and abroad.
5. Religiously respect competitors. (No badmouthing, no
matter how provoked.)
6. Wire the customer‘s org. (Relationships at all levels &
functions.)
7. Wire the home team‘s org. and vendors‘ orgs.
(INVEST Big Time time in relationships at all levels & functions.)
(Take junior people in all functions to client meetings.)
 It’s politics,
stupid!  (Play or sit on the sidelines.)
         The Sales25: Great Salespeople …
1. Know the product. (Find cool mentors, and use them.)
2. Know the company.
3. Know the customer. (Including the customer‘s
consultants.) (And especially the ―corporate culture.‖)
4. Love internal politics at home and abroad.
5. Religiously respect competitors. (No badmouthing, no
matter how provoked.)
6. Wire the customer‘s org. (Relationships at all levels &
functions.)
7. Wire the home team‘s org. and vendors‘ orgs.
(INVEST Big Time time in relationships at all levels & functions.)
(Take junior people in all functions to client meetings.)
               Great Salespeople …
8. Never overpromise. (Even if it costs you your job.)
9. Sell only by solving problems-creating profitable
opportunities. (―Our product solves these problems, creates
these unimagined INCREDIBLE opportunities, and will make you
a ton of money—here‘s exactly how.‖) (IS THIS A ―PRODUCT
SALE‖ OR A WOW-ORIGINAL SOLUTION YOU‘LL BE DINING OFF
5 YEARS FROM NOW? THAT WILL BE WRITTEN UP IN THE
TRADE PRESS?)
10. Will involve anybody—including mortal enemies—if
it enhances the scope of the problem we can solve and
increases the scope of the opportunity we can
encompass.
11. Know the Brand Story cold; live the Brand Story. (If
not, leave.)
                 Great Salespeople …
12. Think ―Turnkey.‖ (It‘s always your problem!)
13. Act as ―orchestra conductor‖: You are responsible
for making the whole-damn-network respond. (PERIOD.)
14. Help the customer get to know the vendor‘s
organization & build up their Rolodex.
15. Walk away from bad business. (Even if it gets you fired.)
16. Understand the idea of a ―good loss.‖ (A bold effort
that‘s sometimes better than a lousy win.)
17. Think those who regularly say ―It‘s all a price issue‖
suffer from rampant immaturity & shrunken imagination.
18. Will not give away the store to get a foot in the door.
19. Are wary & respectful of upstarts—the real enemy.
20. Seek several ―cool customers‖—who‘ll drag you into
Tomorrow land.
                    Great Salespeople …
21. Use the word ―partnership‖ obsessively, even
though it is way overused. (―Partnership‖ includes folks at
all levels throughout the supply chain.)
22. Send thank you notes by the truckload. (NOT E-
NOTES.) (Most are for ―little things.‖) (50% of those notes are
sent to those in our company!) Remember birthdays. Use
the word ―we.‖
23. When you look across the table at the customer,
think religiously to yourself: ―HOW CAN I MAKE THIS
DUDE RICH & FAMOUS & GET HIM-HER PROMOTED?‖
24. Great salespeople can affirmatively respond to the
query in an HP banner ad: HAVE YOU CHANGED
CIVILIZATION TODAY?
25. Keep your bloody PowerPoint slides simple!
“The deepest human
        need
need is the
    to be
appreciated.”
     William James
―The two most powerful things
              a kind
    in existence:

        word and a
        thoughtful
         gesture.‖
 Ken Langone, CEO, Invemed Associates [from Ronna
     Lichtenberg, It‘s Not Business, It‘s Personal]
  ―Thank you‖



 17 Men: 8
4 Women: 19
―TAKE THIS QUICK QUIZ: Who manages more things
at once? Who puts more effort into their appearance?
 Who usually takes care of the details? Who finds it
      easier to meet new people? Who asks more
     questions in a conversation? Who is a better
 listener? Who has more interest in communication
     skills? Who is more inclined to get involved?
  Who encourages harmony and agreement? Who
has better intuition? Who works with a longer ‗to do‘
    list? Who enjoys a recap to the day‘s events?
    Who is better at keeping in touch with others?‖

Source: Selling Is a Woman‘s Game: 15 Powerful Reasons Why
  Women Can Outsell Men, Nicki Joy & Susan Kane-Benson
―Investors are looking more and more
 for a relationship with their financial
 advisers. They  want someone
they can trust, someone who
listens. In my experience, in general,
    women may be better at these
 relationship-building skills than are
                men.‖
     Hardwick Simmons, CEO, Prudential Securities
―Women speak and hear a language
of connection and intimacy, and men
speak and hear a language of status
and independence. Men communicate
  to obtain information, establish their
status, and show independence. Women
 communicate to create relationships,
       encourage interaction, and
           exchange feelings.‖
     Judy Rosener, America‘s Competitive Secret
                    Great Salespeople …
21. Use the word ―partnership‖ obsessively, even
though it is way overused. (―Partnership‖ includes folks at
all levels throughout the supply chain.)
22. Send thank you notes by the truckload. (NOT E-
NOTES.) (Most are for ―little things.‖) (50% of those notes are
sent to those in our company!) Remember birthdays. Use
the word ―we.‖
23. When you look across the table at the customer,
think religiously to yourself: ―HOW CAN I MAKE THIS
DUDE RICH & FAMOUS & GET HIM-HER PROMOTED?‖
24. Great salespeople can affirmatively respond to the
query in an HP banner ad: HAVE YOU CHANGED
CIVILIZATION TODAY?
25. Keep your bloody PowerPoint slides simple!
NEW BUSINESS.
  NEW YOU.
 Re-inventing the
Individual: BRAND
     YOU.(Or Else.)
 ―If there is nothing
 very special about
your work, no matter how
 hard you apply yourself, you
  won‘t get noticed, and that
increasingly means you won‘t
    get paid much either.‖
       Michael Goldhaber, Wired
Minimum New Work SurvivalSkillsKit2002
                Mastery
 Rolodex Obsession (vert. to horiz. ―loyalty‖)
        Entrepreneurial Instinct
  CEO/Leader/Businessperson/Closer
           Mistress of Improv
            Sense of Humor
    Intense Appetite for Technology
      Groveling Before the Young
        Embracing ―Marketing‖
          Passion for Renewal
 Sam‘s
Secret #1!
Minimum New Work SurvivalSkillsKit2001
                Mastery
 Rolodex Obsession (vert. to horiz. ―loyalty‖)
        Entrepreneurial Instinct
  CEO/Leader/Businessperson/Closer
           Mistress of Improv
            Sense of Humor
    Intense Appetite for Technology
      Groveling Before the Young
        Embracing ―Marketing‖
          Passion for Renewal
 ―My ancestors were printers in
Amsterdam from 1510 or so until
  1750, andduring that
 entire time they didn‘t
 have to learn anything
          new.‖
  Peter Drucker, Business 2.0 (08.22.00)
―Knowledge becomes obsolete
    incredibly fast. The
  continuing professional
 education of adults is the
No. 1 industry in the next 30
   years … mostly on line.‖
          Peter Drucker,
    Business 2.0 (22August2000)
     3 Weeks in May

―Training‖ & Prep: 187
      ―Work‖: 41
     (―Other‖: 17)
1%
 vs.



367%
 Divas do it. Violinists do it.
Sprinters do it. Golfers do it.
 Pilots do it. Soldiers do it.
 Surgeons do it. Cops do it.
Astronauts do it. Why don‘t
  businesspeople do it?
Invent. Reinvent. Repeat.



       Source: HP banner ad
 Boss Work: The
Talent Imperative.
Brand =
Talent.*
   *Duh.
Model   25/8/53
Sports Franchise GM
   ―The leaders of Great
Groups love talent and know
where to find it. They revel in
   the talent of others.‖
Warren Bennis & Patricia Ward Biederman,
          Organizing Genius
   Visibly energetic/ Passionate/ Enthusiastic … about
                          everything.
          Engaging/ Inspires others. (Inspires the
                         interviewer!)
                Loves messes & pressure.
                 Impatient/ Action fanatic.
                        A finisher.
Exhibits: Fat ―WOW Project‖ Portfolio. (Loves to talk about
                           her work.)
                          Smart.
   Curious/ Eclectic interests/ A little (or more) weird.
   Well-developed sense of humor/ Fun to be around.
                              ******
No. 1 re bosses: Exceptional talent selection & development
    record. (Former co-workers: ―Did you visibly grow while
    working with X?‖ / ―How has the department/team grown
           on a ‗world-class‘ scale during X‘s tenure?‖)
From ―1, 2 or you‘re out‖ [JW]
             to …

  ―Best Talent in
each industry segment to
  build best proprietary
    intangibles‖ [EM]
    Source: Ed Michaels, War for Talent
  ―We believe companies can increase their
   market cap 50 percent in 3 years. Steve
                     changed 20 of
Macadam at Georgia-Pacific
 his 40 box plant managers to put
    more talented, higher paid
  managers in charge. He increased
  profitability from $25 million to $80 million
                   in 2 years.‖
         Ed Michaels, War for Talent
            people are
Message: Some
  better than other
people. Some people
  are a helluva lot
  better than other
       people.
  ―Where do good new ideas come
      from? That‘s simple! From
  differences. Creativity comes
 from unlikely juxtapositions.
The best way to maximize differences
     is to mix ages, cultures and
             disciplines.‖
          Nicholas Negroponte
  ―Diversity defines the health
  and wealth of nations in a new
century. Mighty is the mongrel. The hybrid is hip.
   The impure, the mélange, the adulterated, the
 blemished, the rough, the black-and-blue, the mix-
 and-match – these people are inheriting the earth.
Mixing is the new norm. Mixing trumps isolation. It
spawns creativity, nourishes the human spirit, spurs
    economic growth and empowers nations.‖
           G. Pascal Zachary, The Global Me:
      New Cosmopolitans and the Competitive Edge
―AS LEADERS, WOMEN
RULE: New Studies find
 that female managers
  outshine their male
 counterparts in almost
    every measure‖
Title, Special Report, Business Week, 11.20.00
      Women‘s Strengths Match New Economy
    Imperatives: Link [rather than rank] workers;
   favor interactive-collaborative leadership style
[empowerment beats top-down decision making];
  sustain fruitful collaborations; comfortable with
 sharing information; see redistribution of power
as victory, not surrender; favor multi-dimensional
 feedback; value technical & interpersonal skills,
 individual & group contributions equally; readily
 accept ambiguity; honor intuition as well as pure
     ―rationality‖; inherently flexible; appreciate
                   cultural diversity.
Source: Judy B. Rosener, America‘s Competitive Secret
The Cracked Ones Let in the Light
 ―Our business needs a massive
transfusion of talent, and talent, I
believe, is most likely to be found
 among non-conformists,
 dissenters and rebels.‖
           David Ogilvy
       enough
―Are there
weird people in
 the lab these days?‖
 V. Chmn., pharmaceutical house, to a lab director (06.01)
    MantraM3


Talent = Brand
  What‘s your company‘s …




Employee Value Proposition, per Ed
   Michaels et al., The War for Talent
  EVP = Challenge,
professional growth,
respect, satisfaction,
 opportunity, reward
Source: Ed Michaels et al., The War for Talent
―H.R.‖ to ―H.E.D.‖ ???


    Human
    Enablement
    Department
―I don‘t
know.‖
Leaders-Teachers Do Not ―Transform People‖!
     Instead leaders-mentors-teachers (1) provide a
 context which is marked by (2) access to a luxuriant
 portfolio of meaningful opportunities (projects) which
(3) allow people to fully (and safely, mostly—caveat: ―they‖
don‘t engage unless they‘re ―mad about something‖) express
   their innate curiosity and (4) engage in a vigorous
discovery voyage (alone and in small teams, assisted by an
extensive self-constructed network) by which those people
 (5) go to-create places they (and their mentors-teachers-
   leaders) had never dreamed existed—and then the
 leaders-mentors-teachers (6) applaud like hell, stage
          ―photo-ops,‖ and ring the church bells
      100 times to commemorate the bravery of their
                ―followers‘ ‖ explorations!
THINK WEIRD …
the H.V.A. Bedrock.
        The
 THINK WEIRD:

High Standard
  Deviation
 Enterprise.
                Saviors-in-Waiting

 Disgruntled Customers
Off-the-Scope Competitors
     Rogue Employees
      Fringe Suppliers

Wayne Burkan, Wide Angle Vision: Beat the Competition by Focusing on
    Fringe Competitors, Lost Customers, and Rogue Employees
         Problem #1: ―Corporate
consciousness is predictably centered
   around the mainstream. The best
 customers, biggest competitors, and
model employees are almost invariably
       the focus of attention.‖
 Wayne Burkan, Wide Angle Vision: Beat the Competition by Focusing on
     Fringe Competitors, Lost Customers, and Rogue Employees
 CUSTOMERS: ―Future-
 defining customers may
account for only 2% to 3%
  of your total, but they
  represent a crucial
window on the future.‖
   Adrian Slywotzky, Mercer Consultants
   ―The future has
already happened. It‘s
    just not evenly
     distributed.‖
     Adrian Slywotzky
    W.I.W?


  20 of 26
7 of top 10*
*P&G: Declining domestic sales
 in 20 of 26 categories; 7 of top 10

       (The ―billion-
categories.

  dollar‖ problem.)
   Source: Advertising Age 01.21.2002/BofA Securities
  Primary Obstacles to ―Marketing-driven Change‖

1. Fear of ―cannibalism.‖
2. ―Excessive cult of the
consumer‖/ ―customer driven‖/
―slavery to demographics, market
research and focus groups.‖
3.Creating ―sustainable
advantage.‖
     Source: John-Marie Dru, Disruption
Account planning
has become “focus
group balloting.”
     —Lee Clow
 ―Chivalry is dead. The new code of conduct is
 an active strategy of disrupting the status quo
to create an unsustainable series of competitive
   advantages. This is not an age of defensive
 castles, moats and armor. It is rather an age of
cunning, speed and surprise. It may be hard for
 some to hang up the chain mail of ‗sustainable
      advantage‘ after so many battles. But
 hypercompetition, a state in which sustainable
 advantages are no longer possible, is now the
           only level of competition.‖
 Rich D‘Aveni, Hypercompetition: Managing the Dynamics of
                   Strategic Maneuvering
―BIG DRUG MAKERS TRY TO POSTPONE
CUSTOM REGIMENS. Most drugs don‘t work
well for about half the patients for whom they are
      prescribed, and experts believe genetic
      differences are part of the reason. The
 technology for genetic testing is now in use. But
the technique threatens to be so disruptive to the
  business of big drug companies – it could limit
     the market for some of their blockbuster
   products – that many of them are resisting its
                 widespread use.‖
         The Wall Street Journal (06.18.2001)
     ―Generally, disruptive
 technologies underperform
    established products in
mainstream markets. But they
have other features that a few
  fringe (and generally new)
       customers value.‖
 Clayton Christensen, The Innovator‘s Dilemma
                It sees
―Sony is the epitome of discontinuity.

 all its competitors‘
  accomplishments
merely as conventions
 to be overturned.‖
         Source: Jean-Marie Dru, Disruption
COMPETITORS: ―The      best swordsman
 in the world doesn‘t need to fear
the second best swordsman in the
world; no, the person for him to be afraid of is
 some ignorant antagonist who has never had a
  sword in his hand before; he doesn‘t do the
  thing he ought to do, and so the expert isn‘t
prepared for him; he does the thing he ought not
  to do and often it catches the expert out and
             ends him on the spot.‖
                   Mark Twain
  Employees: ―Are there
  enough weird
people in the lab these
                    days?‖
V. Chmn., pharmaceutical house, to a lab director (06.01)
                   is an ominous
   Suppliers: ―There
  downside to strategic supplier
 relationships. An SSR supplier is not
likely to function as any more than a mirror
 to your organization. Fringe suppliers that
  offer innovative business practices need
                  not apply.‖
 Wayne Burkan, Wide Angle Vision: Beat the Competition by Focusing on
     Fringe Competitors, Lost Customers, and Rogue Employees
      WEIRD IDEAS THAT WORK: (1) Hire slow learners (of the
       organizational code). (1.5) Hire people who make you
    uncomfortable, even those you dislike. (2) Hire people you
  (probably) don‘t need. (3) Use job interviews to get ideas, not
 to screen candidates. (4) Encourage people to ignore and defy
superiors and peers. (5) Find some happy people and get them
     to fight. (6) Reward success and failure, punish inaction.
(7) Decide to do something that will probably fail, then convince
yourself and everyone else that success is certain. (8) Think of
      some ridiculous, impractical things to do, then do them.
(9) Avoid, distract, and bore customers, critics, and anyone who
just wants to talk about money. (10) Don‘t try to learn anything
   from people who seem to have solved the problems you face.
     (11) Forget the past, particularly your company‘s success.
 Bob Sutton, Weird Ideas That Work: 11½ Ideas for Promoting,
            Managing, and Sustaining Innovation
   Advice to Corporate Leaders: ―Consider the
 metaphor of the windmill: You can harness raw
  power but you can‘t control it. … Hire artists,
    clowns, or other disrupters to come in and
challenge your corporate environment. … Hire a
corporate anthropologist to analyze how tolerant
    your organization is of deviants and other
  innovators. … Once the anthropologist
leaves, hire a shaman to drive out the
    evil spirits of conformity. …‖
Source: Ryan Matthews & Watts Wacker, Fast Company (03.02)
             ―Deviance tells
 Deviants, Inc.
  the story of every mass
  market ever created. What
   starts out weird and dangerous
becomes America‘s next big corporate
payday. So are you looking for the next
mass market idea? It‘s out there … way
              out there.‖
Source: Ryan Matthews & Watts Wacker, Fast Company (03.02)
     Big Pharma (Summary):
  (1) Discovery … too complex,
    wrong scientific emphasis.
   (2) Distribution … reps‘ role
under heavy fire. (3) ―Solution‖
= More consolidation = Stupid.
 (D + D = G???) (4) Short your stock.
  NEW
BUSINESS.
  NEW
MARKETS.
       Women
Trends I:


      Roar.*
            *Duh II.
Women & the
Marketspace.
           ?????????
     Home Furnishings … 94%
Vacations … 92% (Adventure Travel … 70%/ $55B travel
                      equipment)

            Houses … 91%
        D.I.Y. (―home projects‖) … 80%
    Consumer Electronics … 51%
          Cars … 60% (90%)
   All consumer purchases … 83%
         Bank Account … 89%
          Health Care … 80%
  2/3rds working women/
50+% working wives > 50%
        80% checks
         61% bills
  53% stock (mutual fund boom)
       43% > $500K
 95% financial decisions/
    29% single handed
$4.8T > Japan
9M/27.5M/$3.6T
  > Germany
Carol Gilligan/ In a Different Voice

  Men: Get away from authority, family
           Women: Connect

         Men: Self-oriented
        Women: Other-oriented

           Men: Rights
       Women: Responsibilities
      FemaleThink/ Popcorn
―Men and women don‘t think the same
  way, don‘t communicate the same
way, don‘t buy for the same reasons.‖
 ―He simply wants the transaction
 to take place. She‘s interested in
creating a relationship. Every place
       women go, they make
           connections.‖
Barbara & Allan Pease, Why Men Don‘t Listen &
 Women Can‘t Read Maps: Women love to
   talk. Men talk silently to themselves.
  Women think aloud. Women talk, men
feel nagged. Women multitask. Women are
    indirect. Men are direct. Women talk
 emotively, men are literal. Men listen like
    statues. Boys like things, girls like
 people. Boys compete, girls cooperate.
      Men hate to be wrong. Men hide
               their emotions.
     Read This Book …

  EVEolution:
 The Eight Truths of
Marketing to Women
  Faith Popcorn & Lys Marigold
   EVEolution: Truth No. 1

Connecting Your Female
  Consumers to Each
Other Connects Them to
      Your Brand
 ―The ‗Connection Proclivity‘ in
women starts early. When asked,
 ‗How was school today?‘ a girl
  usually tells her mother every
detail of what happened, while a
    boy might grunt, ‗Fine.‘ ‖
          EVEolution
                   What If …
 ―What if ExxonMobil or Shell dipped into their
credit card database to help commuting women
    interview and make a choice of car pool
                  partners?‖

  ―What if American Express made a concerted
   effort to connect up female empty-nesters
through on-line and off-line programs, geared to
help women re-enter the workforce with today‘s
                     skills?‖
                  EVEolution
            The New New Jiffy Lube
―In the male mold, Jiffy Lube was going all out
 to deliver quick, efficient service. But, in the
female mold, women were being turned off by
   the ‗let‘s get it fixed fast, no conversation
              required‘ experience.‖
    New JL: ―Control over her environment.
Comfort in the service setting. Trust that her car
  is being serviced properly. Respect for her
            intelligence and ability.‖
                   EVEolution
―Women don‘t buy
      They
brands.

join them.‖
    EVEolution
   Not   !
―Year of the
 Woman‖
 Enterprise Reinvention!
          Recruiting
 Hiring/Rewarding/Promoting
           Structure
          Processes
         Measurement
           Strategy
            Culture
            Vision
          Leadership
THE BRAND ITSELF!
      STATEMENT OF PHILOSOPHY: I am a
 businessperson. An analyst. A pragmatist. The
  enormous social good of increased women‘s
 power is clear to me; but it is not my bailiwick.
   My ―game‖ is haranguing business leaders
  about my fact-based conviction that women‘s
       increasing power – leadership skills
  and purchasing power – is the strongest and
   most dynamic force at work in the American
economy today. Dare I say it as a long-time Palo
  Alto resident … THIS IS EVEN BIGGER THAN
                 THE INTERNET!
                    Tom Peters
Psssst! Wanna
see my “porn”
  collection?
  What is your
―Pull Strategy‖ re
   women???
Trends II: Boomer
Bonanza/Godzilla
     Geezer.
Subject: Marketers & Stupidity


   ―It‘s 18-44,
      stupid!‖
 Subject: Marketers & Stupidity


        ―18-44 is
Or is it:

      stupid,
      stupid!‖
  2000-2010 Stats

18-44: -1%
55+: +21%
 (55-64: +47%)
    Aging/―Elderly‖


 $$$$$$$$$$$$
―I‘m in charge!‖
―NOT ACTING THEIR
AGE: As Baby Boomers
 Zoom into Retirement,
Will America Ever Be the
        Same?‖
      USN&WR Cover/06.01
                      50+
$7T wealth (70%)/$2T annual income
   50% all discretionary spending
79% own homes/40M credit card users
   41% new cars/48% luxury cars
    $610B healthcare spending/
      74% prescription drugs
     5% of advertising targets
      Ken Dychtwald, Age Power: How the 21st
       Century Will Be Ruled by the New Old
      Read This!

  Carol Morgan &
   Doran Levy,
 Marketing to the
Mindset of Boomers
 and Their Elders
   ―Marketers attempts at
reaching those over 50 have
      been miserably
 unsuccessful. No market‘s
 motivations and needs are
 so poorly understood.‖—Peter
   Francese, founding publisher, American
                Demographics
   ―Focused on assessing the
  marketplace based on lifetime
   value (LTV), marketers may
  dismiss the mature market as
 headed to its grave. The reality is
that at 60 a person in the U.S. may
 enjoy 20 or 30 years of life.‖ —Carol
Morgan & Doran Levy, Marketing to the Mindset of Boomers and
                       Their Elders
   ―Women 65 and older spent $14.7
 billion on apparel in 1999, almost as
much as that spent by 25- to 34-year-
  olds. While spending by the older
  women increased by 12% from the
  previous year, that of the younger
  group increased by only 0.1%. But
     who in the fashion industry is
currently pursuing this market?‖ —Carol
Morgan & Doran Levy, Marketing to the Mindset of Boomers and
                       Their Elders
― ‗Age Power‘ will
rule the        21
           century,st

and we are woefully
    unprepared.‖
Ken Dychtwald, Age Power: How the 21st
    Century Will Be Ruled by the New Old
         Are you
 Bottom Line:

   up for totally
 rethinking what
you are here for?
HealthCare              21
    Tom Peters/03.26.2002
     HealthCare21: 21 Ideas for Century21
1. Hospitals kill people. (And those they don‘t kill, they wound.)
   (And they deny it.) (ERRORS RULE!)
2. Hustling ambulances kill pedestrians—and don‘t save patients.
3. Doctors are spoiled brats—who don‘t like measurements.
   Or any form of ―interference.‖ Docs are also cover-up artists …
   par excellence (the REAL Hippocratic Oath: ―DON‘T RAT ON A
   FELLOW DOC‖).
4. Most prescriptions don‘t work … for the PARTICULAR
   individual in question.
5. THERE IS LITTLE ―SCIENCE‖ IN ―MEDICINE.‖ (See state to
    state variations, country to country variations, the general lack
    of agreed upon treatments.)
6. You could save thousands of lives (think Schlindler)—if you
    just outlawed handwritten prescriptions.
7. ―Detailers‖ will disappear … when GenX docs arrive.
                HealthCare21 (Cont.)
8. IS/IT in hospitals is sub-primitive (despite enormous
  expenditures).
9. ELECTRONIC MEDICAL RECORDS … PERIOD. (PLEASE.)
10. Systemic IS/IT is worse—links between docs, insurers,
    providers, patients.
11. The Web WILL Liberate. (Info = Power.) (BELIEVE IT.)
12. 80M BOOMERS RULE. ($$$$$. Desire for c-o-m-p-l-e-t-e
    CONTROL. NOW. ―LEADERSHIP‖ OF AGING PROCESS.)
13. ―Drug Discovery‖ processes at Big Pharma are … hopelessly
    over-complicated.      (???: Bye Bye … Big Pharma.)
14. 90% of the fix: HARVEST THE LOW-HANGING FRUIT. ―They‖
    are … NOT … the Enemy.          Damn it.
15. Insured ―consumers‖ are spoiled brats … who act as if H.C.
    is a Free Good. (MAKE THE BASTIDS PAY … at least a little
    more than a little.)
                 HealthCare21 (Cont.)
16. Genetic engineering & biotech change … EVERYTHING.
    (Within 10 years.)
17. New Medical Devices change … EVERYTHING. (Within 20
    years.)
18. IS/IT changes … EVERYTHING. (Within 10-15 years.)
19. New Docs change … EVERYTHING. (Within 10-15 years.)
20. New Patients change … EVERYTHING. (Within 5 years.)

                           *

                           *
            HealthCare21 (Cont.)

  ALL THIS =
21.


ENORMOUS
OPPORTUNITY.                                     The
Opportunity of Several Lifetimes. (For the Bold & Brave.)
H‘Care WILL be … TOTALLY … re-invented in the next two
decades. (And, hey, it is our largest ―industry.‖)
         Are you
 Bottom Line:

   up for totally
 rethinking what
you are here for?
 Have you
  changed
civilization
   today?
  Source: HP banner ad