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“Beyond the Pill”

How Pharma can add value toHealthCare
and create better business
Assistant	
  professor	
  of	
  professional	
  development
Consultant	
  Pharma	
  and	
  Health	
  Care	
  	
  >25	
  yrs
Trainer	
  of	
  HC	
  specialists	
  &	
  doctors,	
  Med.Reps,	
  etc.
Development	
  Retail	
  formula	
  pharmacists
Strategy	
  development	
  and	
  implementation
Social	
  media	
  applications
Digital	
  (e)Detailing	
  
Ehealth	
  applications	
  	
  
Chronic	
  disease	
  care	
  paths
Rob Halkes
@rohal
The	
  FOX	
  group	
  
Health	
  Business	
  
Consultants	
  US
Pharma	
  Commercial	
  Development
Health20
	
  &	
  Doctors20
Market	
  campaign,	
  	
  KAM,	
  Cross	
  functional	
  collaboration
Co	
  creative	
  developments
PatientView

MyHealthApps	
  
Are Patients Being Served?
How about Effectiveness and
Efficiency of Healthcare?
“Beyond the Pill”
How Pharma can AddValue toHealthCare
and create better business
“Beyond the Pill”
How Pharma can AddValue toHealthCare
and create better business
I.What is “Beyond the Pill”
II. Examples
III. Case exercise: what in Russia?
IV. Perspectives and Q&A
Changing environments to Pharma 

pressures on prices remain
Commodity
Trap
Changing environments to Pharma 

pressures on prices remain
Commodity
Trap
Low cost
position
AddedValue
position
Prices
Market Top Value
AddValue
Break out of this trap 

with a new buying perspective
Commodity
Trap
Break out of this trap 

with a new buying perspective
Commodity
Trap
Buy for less
Price
Break out of this trap 

with a new buying perspective
Buy Better
Price / Quality
Buy for less
Price
Break out of this trap 

with a new buying perspective
Buy Better
Price / Quality
Consume
Better
Customer
Value
Buy for less
Price
Break out of this trap 

with a new buying perspective
Buy Better
Price / Quality
Consume
Better
Customer
Value
Sell Better
Value to the
Customer’s
Customer
Buy for less
Price
Break out of this trap 

with a new buying perspective
Buy Better
Price / Quality
Consume
Better
Customer
Value
Sell Better
Value to the
Customer’s
Customer
Buy for less
Price
AddValue
The general principle for business growth
works the same for pharmaceutical marketing
Commodities
Specialties
Services
Experiences
AddValue
The general principle for business growth
works the same for pharmaceutical marketing
Commodities
Specialties
Services
Experiences
Competition
Differentiated
Alike
AddValue
The general principle for business growth
works the same for pharmaceutical marketing
Commodities
Specialties
Services
Experiences
Competition
Differentiated
Alike
Clients’needs
Desired
Not relevant
AddValue
The general principle for business growth
works the same for pharmaceutical marketing
Commodities
Specialties
Services
Experiences
Competition
Differentiated
Alike
PricesMarket Top Value
Clients’needs
Desired
Not relevant
Examples
Traditional Services from the Industry?
Product
Brochures
Folders
Online Calls
Edetails
Training
Courses
Conferences Forum
discussions
etc.
Brand Services
Support and
Services to
compliance:
Rx blocks
Dosing aids
Drug information,
etc. Patient flyers
on line support
patient
Administering
Instructions
Patient Education,
etc.
Value proposition
Structuring of care
processes,
filling in the gaps in
patient support,
Creating
collaboration
between
stakeholders
Examples
Traditional Services from the Industry?
Reasons to AddValue ‘Beyond the Pill’
Reasons to AddValue ‘Beyond the Pill’
• Create a Unique Selling Position (USP)

Make the distinction with the competition

and new entrants to the market
Reasons to AddValue ‘Beyond the Pill’
• Create a Unique Selling Position (USP)

Make the distinction with the competition

and new entrants to the market
• Create better care by supporting compliance
and self management of patients
Reasons to AddValue ‘Beyond the Pill’
• Create a Unique Selling Position (USP)

Make the distinction with the competition

and new entrants to the market
• Create better

care processes

directed at integrated care
• Create better care by supporting compliance
and self management of patients
Reasons to AddValue ‘Beyond the Pill’
• Create a Unique Selling Position (USP)

Make the distinction with the competition

and new entrants to the market
• Create better

care processes

directed at integrated care
• Create better care by supporting compliance
and self management of patients
• The Industry has the resources and the expertise
Reasons to AddValue ‘Beyond the Pill’
• Create a Unique Selling Position (USP)

Make the distinction with the competition

and new entrants to the market
• Create better

care processes

directed at integrated care
• Create better care by supporting compliance
and self management of patients
• The Industry has the resources and the expertise
• To create better health outcomes
Reasons to AddValue ‘Beyond the Pill’
• Create a Unique Selling Position (USP)

Make the distinction with the competition

and new entrants to the market
• To prepare for applications of personalized medicine
• Create better

care processes

directed at integrated care
• Create better care by supporting compliance
and self management of patients
• The Industry has the resources and the expertise
• To create better health outcomes
“BEYOND THE PILL” - 

2011 – 2013 FIRST ATTEMPTS
• Patent Expirations / Loss of blockbuster
• Changing market conditions: generics, loss of access, new stakeholders
• Disease Management – focus Compliance : Failed – skepticism

(“Compliance is simply not about forgetting”)
• Change of focus: from intervention to outcome 

with payers and governments
• Change in medical perspective towards personalized medicine 

Grounded Gene Tech - Biosimilars
• New technology (ehealth, mhealth)
WHY?
Don’t work“to” health care providers
Work with them
Examples
Janssen Pharmaceuticals “Care4Today”
Novo Nordisk “Cities Changing Diabetes”
Grünenthal “ChangePain”
Sanofi & Medtronic
MSD “Closer Care”
Bayer Grants4Apps
Grünenthal “ChangePain”
Based on study of unmet needs for better treatment
a protocol was developed with EFIC.
All kinds of support material for physicians and patients

have been developed and disseminated on line

See here
Grünenthal “ChangePain”
See Website Here
Janssen Healthcare Innovation
Intends to transform healthcare for the consumer with outcomes focused solutions.

There are currently four sub-branded solutions within Care4Today™:

Heart Health Solutions, Mental Health Solutions, Mobile Health Manager and
Orthopaedic Solutions. See Here
Closercare from MSD is a remote monitoring 

service designed to support improved self-care

for patients with long term conditions. 

The service comprises of a number of modules 

that can be purchased as individual components 

or as part of a fully bespoke end-to-end service.
See here
Integrated Care by Sanofi
Eddie Chan, Global Head of Customer Solutions and Innovation of 

Sanofi-Aventis, presents here their vision on delivering drugs, services and
medical devices (in close cooperation with Medtronic) to enable integrated
care. Here he presents his three layers of added value services.
See the presentation here
Enhance patient 

experience and literacy
Integrate additional

products, devices, services
Optimize care delivery and
“guarantee” outcomes
See Website here
BAYER is looking for healthcare technology projects
through their funding program Grants4Apps.They
offer support to innovative healthcare startups and
developer teams. See the site here
See Website here
Novo Nordisk has taken a bold step in its fight against
diabetes by the initiative of “cities changing diabetes”. 

With a specific program of research and partnership with
local authorities and institutions, they try to reform the
urban environment for people with diabetes. 

See the site here
SCENARIOS FOR PHARMA

TO CREATE ADDEDVALUE
SCENARIOS FOR PHARMA

TO CREATE ADDEDVALUE
Traditional
Services
To educate and
promote
SCENARIOS FOR PHARMA

TO CREATE ADDEDVALUE
Traditional
Services
To educate and
promote
Focus on
Unique
Services to
Therapy area
SCENARIOS FOR PHARMA

TO CREATE ADDEDVALUE
Traditional
Services
To educate and
promote
Focus on
Unique
Services to
Therapy area
Providing
necessary
Services to fill
in gaps and
align
SCENARIOS FOR PHARMA

TO CREATE ADDEDVALUE
Traditional
Services
To educate and
promote
Focus on
Unique
Services to
Therapy area
Providing
necessary
Services to fill
in gaps and
align
Integrated care
& Outcomes
Connect,
structure,
Innovate
TO CREATE ADDEDVALUE SERVICES

ANDTO RESEARCH AND IMPLEMENTTHEM..
There are Four Dimensions that come
into play:

1. What services do you select to add
to healthcare provision?
2. How will you align with stakeholders
in development and implementation
to create and deliver the services in
practice?
3. What partners and stakeholders do
you need? And, how are the needed
relations with them defined and
contracted?
4. What process of development do
you envision to realize it?
MANY OPPORTUNITIES ARISE WHENYOU 

LOOK AT PLAYERS, SYSTEMS AND 

COLLABORATION IN CARE ….
GP Nurs
Pharm
Pharm
Ass.
Lab Spec. Fysio
Etc.
- Structuring of healthcare
process
- Creating collaboration
- Integrating infrastructure
Apps
IT
Admin
Data
Info
Comm
Finances
Towards
Better outcomes
For less costs
Pharma Devices
Payers
MANY OPPORTUNITIES ARISE WHENYOU 

LOOK AT PLAYERS, SYSTEMS AND 

COLLABORATION IN CARE ….
YOU MIGHT SPECIFICALLY WANTTO USE METHODS OF
CO-CREATIONTO COLLABORATE WITH PATIENTS,
PHYSICIANS AND OTHERS, LIKE PAYERS..
Experience co-creation is is an effective method to innovate
value to patients in a personalized way, in collaboration with all
relevant stakeholders. See here
YOU MIGHT SPECIFICALLY WANTTO REFLECT ON HOW
YOU WANTYOUR INVESTMENTSTO BE REIMBURSED….
1. Services rendered create more Rx
2. Pay for services
3. Partners in delivery of care
Share Costs and Return 

Payers will 

participate in these partnerships
YOU MIGHT SPECIFICALLY WANTTO REFLECT ON HOW
YOU WANTYOUR INVESTMENTSTO BE REIMBURSED….
-1
0
+1
+2
+3
Acquaintance
Mutual Information
Building relation

Delivery of standard

Info. & Services
Product / Rx
Disease Information
Promotion
Products/Brands /

Rx Care / Disease
Broadening & 

Deepening
DMU & KA

Relations Mngmnt
Service Marketing;

Collaboration in 

implementation –

to shared intentions
Partnership for

Mutual benefits from 

improved Care
Inform, Promote
Service,
Demonstrate
Pharmaceutical,
Brand & Disease
Co-creation 

to develop

Tailored Innovations
Multi Stakeholder
Contract to 

shared delivery
Rep Visits

Detailing
General on Line
Alignment for

Relation
Development
Multidisciplinary

Brand delivery 

for Client 

Satisfaction – 

Int. cooperation
“All for One – 

One for All”
Common 

Investments
to ROI
Engagement Intention Delivery Capabilities
Services 

Re.: Rx, Therapy, 

Disease info. & support
For Shared Intentions

& cooperative planning
Company’s 

Position/Expertise

Products/Diseases
Product offering

Basic brand services
Cross Functional

planning to customer

obvious needs 

Pricing /Education/
Standard Support
Integrated expertise 

for disease & 

customer care
Tailored Optimization 

of Care Delivery

Improved Outcomes
Continuous 

innovation, research

& experiment
World class 

Frontier 

R&D
Benchmark 

Advanced 

Innovation
Contact &
Profile
Connect &
Relate
Build &
Collaborate
Develop & 

Co-Create
Partner
YOU MIGHT ALSO WANTTO LOOK AT HOWYOU
DEVELOP RELATIONS WITHYOUR CLIENTSTO WORK SO
CLOSELYTOGETHER..
Detail
e-

Detail
Promote
& Engage
Connect
& Interact
•Service
•Share•Inform
•Educate
•Collaborate
Develop &
Create
Co-Create
•Support
•Co-Evaluate
• Create Integrated
Patient Care
• Create partnerships
•Show
Co-
Operate
•Demo
ANDYOU MIGHT SPECIFICALLY WANTYOUR
PROMOTION EFFORTSTO ALIGN WITHYOUR NEW
ADDEDVALUE, SO ASTO PULL CUSTOMERSTOYOU..
You might want to learn about your opportunities, 

drivers and barriers, through a master class about 

value added services for the health industry…
We look forward to that!

Drs.A.R.J. Halkes MHA
rob.halkes@healthbusinessconsult.com
P.O. Box 292
5050 AG Goirle
The Netherlands
M +31 6 31 66 2595
T http://www.twitter.com/rohal
F http://www.facebook.com/rob.halkes 
L http://nl.linkedin.com/in/arjhalkes 
W www.healthbusinessconsult.com 
 

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Beyond the Pill

  • 1. “Beyond the Pill”
 How Pharma can add value toHealthCare and create better business
  • 2. Assistant  professor  of  professional  development Consultant  Pharma  and  Health  Care    >25  yrs Trainer  of  HC  specialists  &  doctors,  Med.Reps,  etc. Development  Retail  formula  pharmacists Strategy  development  and  implementation Social  media  applications Digital  (e)Detailing   Ehealth  applications     Chronic  disease  care  paths Rob Halkes @rohal The  FOX  group   Health  Business   Consultants  US Pharma  Commercial  Development Health20  &  Doctors20 Market  campaign,    KAM,  Cross  functional  collaboration Co  creative  developments PatientView
 MyHealthApps  
  • 4. How about Effectiveness and Efficiency of Healthcare?
  • 5.
  • 6. “Beyond the Pill” How Pharma can AddValue toHealthCare and create better business
  • 7. “Beyond the Pill” How Pharma can AddValue toHealthCare and create better business I.What is “Beyond the Pill” II. Examples III. Case exercise: what in Russia? IV. Perspectives and Q&A
  • 8. Changing environments to Pharma 
 pressures on prices remain Commodity Trap
  • 9. Changing environments to Pharma 
 pressures on prices remain Commodity Trap Low cost position AddedValue position Prices Market Top Value AddValue
  • 10. Break out of this trap 
 with a new buying perspective Commodity Trap
  • 11. Break out of this trap 
 with a new buying perspective Commodity Trap Buy for less Price
  • 12. Break out of this trap 
 with a new buying perspective Buy Better Price / Quality Buy for less Price
  • 13. Break out of this trap 
 with a new buying perspective Buy Better Price / Quality Consume Better Customer Value Buy for less Price
  • 14. Break out of this trap 
 with a new buying perspective Buy Better Price / Quality Consume Better Customer Value Sell Better Value to the Customer’s Customer Buy for less Price
  • 15. Break out of this trap 
 with a new buying perspective Buy Better Price / Quality Consume Better Customer Value Sell Better Value to the Customer’s Customer Buy for less Price
  • 16. AddValue The general principle for business growth works the same for pharmaceutical marketing Commodities Specialties Services Experiences
  • 17. AddValue The general principle for business growth works the same for pharmaceutical marketing Commodities Specialties Services Experiences Competition Differentiated Alike
  • 18. AddValue The general principle for business growth works the same for pharmaceutical marketing Commodities Specialties Services Experiences Competition Differentiated Alike Clients’needs Desired Not relevant
  • 19. AddValue The general principle for business growth works the same for pharmaceutical marketing Commodities Specialties Services Experiences Competition Differentiated Alike PricesMarket Top Value Clients’needs Desired Not relevant
  • 21. Product Brochures Folders Online Calls Edetails Training Courses Conferences Forum discussions etc. Brand Services Support and Services to compliance: Rx blocks Dosing aids Drug information, etc. Patient flyers on line support patient Administering Instructions Patient Education, etc. Value proposition Structuring of care processes, filling in the gaps in patient support, Creating collaboration between stakeholders Examples Traditional Services from the Industry?
  • 22. Reasons to AddValue ‘Beyond the Pill’
  • 23. Reasons to AddValue ‘Beyond the Pill’ • Create a Unique Selling Position (USP)
 Make the distinction with the competition
 and new entrants to the market
  • 24. Reasons to AddValue ‘Beyond the Pill’ • Create a Unique Selling Position (USP)
 Make the distinction with the competition
 and new entrants to the market • Create better care by supporting compliance and self management of patients
  • 25. Reasons to AddValue ‘Beyond the Pill’ • Create a Unique Selling Position (USP)
 Make the distinction with the competition
 and new entrants to the market • Create better
 care processes
 directed at integrated care • Create better care by supporting compliance and self management of patients
  • 26. Reasons to AddValue ‘Beyond the Pill’ • Create a Unique Selling Position (USP)
 Make the distinction with the competition
 and new entrants to the market • Create better
 care processes
 directed at integrated care • Create better care by supporting compliance and self management of patients • The Industry has the resources and the expertise
  • 27. Reasons to AddValue ‘Beyond the Pill’ • Create a Unique Selling Position (USP)
 Make the distinction with the competition
 and new entrants to the market • Create better
 care processes
 directed at integrated care • Create better care by supporting compliance and self management of patients • The Industry has the resources and the expertise • To create better health outcomes
  • 28. Reasons to AddValue ‘Beyond the Pill’ • Create a Unique Selling Position (USP)
 Make the distinction with the competition
 and new entrants to the market • To prepare for applications of personalized medicine • Create better
 care processes
 directed at integrated care • Create better care by supporting compliance and self management of patients • The Industry has the resources and the expertise • To create better health outcomes
  • 29. “BEYOND THE PILL” - 
 2011 – 2013 FIRST ATTEMPTS • Patent Expirations / Loss of blockbuster • Changing market conditions: generics, loss of access, new stakeholders • Disease Management – focus Compliance : Failed – skepticism
 (“Compliance is simply not about forgetting”) • Change of focus: from intervention to outcome 
 with payers and governments • Change in medical perspective towards personalized medicine 
 Grounded Gene Tech - Biosimilars • New technology (ehealth, mhealth) WHY?
  • 30. Don’t work“to” health care providers Work with them
  • 31. Examples Janssen Pharmaceuticals “Care4Today” Novo Nordisk “Cities Changing Diabetes” Grünenthal “ChangePain” Sanofi & Medtronic MSD “Closer Care” Bayer Grants4Apps
  • 32. Grünenthal “ChangePain” Based on study of unmet needs for better treatment a protocol was developed with EFIC. All kinds of support material for physicians and patients
 have been developed and disseminated on line
 See here
  • 34. Janssen Healthcare Innovation Intends to transform healthcare for the consumer with outcomes focused solutions.
 There are currently four sub-branded solutions within Care4Today™:
 Heart Health Solutions, Mental Health Solutions, Mobile Health Manager and Orthopaedic Solutions. See Here
  • 35. Closercare from MSD is a remote monitoring 
 service designed to support improved self-care
 for patients with long term conditions. 
 The service comprises of a number of modules 
 that can be purchased as individual components 
 or as part of a fully bespoke end-to-end service. See here
  • 36. Integrated Care by Sanofi Eddie Chan, Global Head of Customer Solutions and Innovation of 
 Sanofi-Aventis, presents here their vision on delivering drugs, services and medical devices (in close cooperation with Medtronic) to enable integrated care. Here he presents his three layers of added value services. See the presentation here
  • 37. Enhance patient 
 experience and literacy Integrate additional
 products, devices, services Optimize care delivery and “guarantee” outcomes
  • 39. BAYER is looking for healthcare technology projects through their funding program Grants4Apps.They offer support to innovative healthcare startups and developer teams. See the site here
  • 41. Novo Nordisk has taken a bold step in its fight against diabetes by the initiative of “cities changing diabetes”. 
 With a specific program of research and partnership with local authorities and institutions, they try to reform the urban environment for people with diabetes. 
 See the site here
  • 42. SCENARIOS FOR PHARMA
 TO CREATE ADDEDVALUE
  • 43. SCENARIOS FOR PHARMA
 TO CREATE ADDEDVALUE Traditional Services To educate and promote
  • 44. SCENARIOS FOR PHARMA
 TO CREATE ADDEDVALUE Traditional Services To educate and promote Focus on Unique Services to Therapy area
  • 45. SCENARIOS FOR PHARMA
 TO CREATE ADDEDVALUE Traditional Services To educate and promote Focus on Unique Services to Therapy area Providing necessary Services to fill in gaps and align
  • 46. SCENARIOS FOR PHARMA
 TO CREATE ADDEDVALUE Traditional Services To educate and promote Focus on Unique Services to Therapy area Providing necessary Services to fill in gaps and align Integrated care & Outcomes Connect, structure, Innovate
  • 47. TO CREATE ADDEDVALUE SERVICES
 ANDTO RESEARCH AND IMPLEMENTTHEM.. There are Four Dimensions that come into play:
 1. What services do you select to add to healthcare provision? 2. How will you align with stakeholders in development and implementation to create and deliver the services in practice? 3. What partners and stakeholders do you need? And, how are the needed relations with them defined and contracted? 4. What process of development do you envision to realize it?
  • 48. MANY OPPORTUNITIES ARISE WHENYOU 
 LOOK AT PLAYERS, SYSTEMS AND 
 COLLABORATION IN CARE ….
  • 49. GP Nurs Pharm Pharm Ass. Lab Spec. Fysio Etc. - Structuring of healthcare process - Creating collaboration - Integrating infrastructure Apps IT Admin Data Info Comm Finances Towards Better outcomes For less costs Pharma Devices Payers MANY OPPORTUNITIES ARISE WHENYOU 
 LOOK AT PLAYERS, SYSTEMS AND 
 COLLABORATION IN CARE ….
  • 50. YOU MIGHT SPECIFICALLY WANTTO USE METHODS OF CO-CREATIONTO COLLABORATE WITH PATIENTS, PHYSICIANS AND OTHERS, LIKE PAYERS.. Experience co-creation is is an effective method to innovate value to patients in a personalized way, in collaboration with all relevant stakeholders. See here
  • 51. YOU MIGHT SPECIFICALLY WANTTO REFLECT ON HOW YOU WANTYOUR INVESTMENTSTO BE REIMBURSED….
  • 52. 1. Services rendered create more Rx 2. Pay for services 3. Partners in delivery of care Share Costs and Return 
 Payers will 
 participate in these partnerships YOU MIGHT SPECIFICALLY WANTTO REFLECT ON HOW YOU WANTYOUR INVESTMENTSTO BE REIMBURSED….
  • 53. -1 0 +1 +2 +3 Acquaintance Mutual Information Building relation
 Delivery of standard
 Info. & Services Product / Rx Disease Information Promotion Products/Brands /
 Rx Care / Disease Broadening & 
 Deepening DMU & KA
 Relations Mngmnt Service Marketing;
 Collaboration in 
 implementation –
 to shared intentions Partnership for
 Mutual benefits from 
 improved Care Inform, Promote Service, Demonstrate Pharmaceutical, Brand & Disease Co-creation 
 to develop
 Tailored Innovations Multi Stakeholder Contract to 
 shared delivery Rep Visits
 Detailing General on Line Alignment for
 Relation Development Multidisciplinary
 Brand delivery 
 for Client 
 Satisfaction – 
 Int. cooperation “All for One – 
 One for All” Common 
 Investments to ROI Engagement Intention Delivery Capabilities Services 
 Re.: Rx, Therapy, 
 Disease info. & support For Shared Intentions
 & cooperative planning Company’s 
 Position/Expertise
 Products/Diseases Product offering
 Basic brand services Cross Functional
 planning to customer
 obvious needs 
 Pricing /Education/ Standard Support Integrated expertise 
 for disease & 
 customer care Tailored Optimization 
 of Care Delivery
 Improved Outcomes Continuous 
 innovation, research
 & experiment World class 
 Frontier 
 R&D Benchmark 
 Advanced 
 Innovation Contact & Profile Connect & Relate Build & Collaborate Develop & 
 Co-Create Partner YOU MIGHT ALSO WANTTO LOOK AT HOWYOU DEVELOP RELATIONS WITHYOUR CLIENTSTO WORK SO CLOSELYTOGETHER..
  • 54. Detail e-
 Detail Promote & Engage Connect & Interact •Service •Share•Inform •Educate •Collaborate Develop & Create Co-Create •Support •Co-Evaluate • Create Integrated Patient Care • Create partnerships •Show Co- Operate •Demo ANDYOU MIGHT SPECIFICALLY WANTYOUR PROMOTION EFFORTSTO ALIGN WITHYOUR NEW ADDEDVALUE, SO ASTO PULL CUSTOMERSTOYOU..
  • 55. You might want to learn about your opportunities, 
 drivers and barriers, through a master class about 
 value added services for the health industry… We look forward to that!

  • 56. Drs.A.R.J. Halkes MHA rob.halkes@healthbusinessconsult.com P.O. Box 292 5050 AG Goirle The Netherlands M +31 6 31 66 2595 T http://www.twitter.com/rohal F http://www.facebook.com/rob.halkes  L http://nl.linkedin.com/in/arjhalkes  W www.healthbusinessconsult.com