WHICH HOSPITAL DISTRICTS WILL REDUCE??

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So I heard that some area metro areas might be heavily hit more so than the others. I heard possibly LA, MIAMI. SEATTLE, SAN FRANCISCO, BOSTON..is any of this correct? If so , do we know what the reduction will look like?
 




So I heard that some area metro areas might be heavily hit more so than the others. I heard possibly LA, MIAMI. SEATTLE, SAN FRANCISCO, BOSTON..is any of this correct? If so , do we know what the reduction will look like?

Hospital districts will most likely cease to exist within the next two years.
 








Oh come on stick to the question. Who then will call on the hospitals? So do we know what districts will reduce Jan 1?

The reps will still be there, but they'll be folded into regular districts, just like the old days (you know....the 90's). I covered the country's biggest medical school system (4 hospitals) by myself and never was in a hospital district.

You will welcome it. As a DSM I almost never worked with my hospital rep. He didn't need help, and he couldn't sneak around as easily with me along.
 








Under Obamacare, there will be no hospital reps. They will be banned from all government facilities.


Oh really so I have a few years!

Well government hospitals are not the only ones that Hospital PSS's call on ..hello! Furthermore, I still have not gotten an answer. They said certain metro areas would be hit hard..what % of Hospital 1 PSS in these high target market areas will hit? And what areas?
 




Oh really so I have a few years!

Well government hospitals are not the only ones that Hospital PSS's call on ..hello! Furthermore, I still have not gotten an answer. They said certain metro areas would be hit hard..what % of Hospital 1 PSS in these high target market areas will hit? And what areas?

Perhaps were most H 2 reps slide over to CNS, and the span drops.

Where ever that is. I don't think its as obvious as the MC side.
 












In general MM did make it sound as though hospital 1 would stay with the same number of reps with the anticipated launch of Brilinta. Hospital DSM's went from 50 nationwide last year to 37. This year they will go from 37 to 29. It sounds like hospital 1 has bought at least one more year. I hope Mal will be staying on. Now before the hospital haters start cheering don't forget that Seroquel IR goes generic in 2011 followed quickly by other major brands. Further cuts for all of the sales forces are inevitable.
 




Oh really so I have a few years!

Well government hospitals are not the only ones that Hospital PSS's call on ..hello! Furthermore, I still have not gotten an answer. They said certain metro areas would be hit hard..what % of Hospital 1 PSS in these high target market areas will hit? And what areas?

You've missed the point. Under Obamacare all hospitals will be government controlled.
 




You've missed the point. Under Obamacare all hospitals will be government controlled.

No missed point, I think you have! I will try to answer that persons original question. Before I do that, since Obamacare was mentioned, let me touch on that. If and when this passes, do you have any idea when this will come to pass.?..perhaps 2011..2012.2013..so we have time!

To answer or try to answer the question of the main poster. I think MM touched on this that there would be no major changes for H1. THat being said, I know that there are H1 and RPT people that will be downsized by a significant % 25% + in certain areas. In these areas where there is more than enough H1's, I would think perhaps they would be effected? I am not sure, so I will just trust the leader MM and what he had stated. I can tell you here, our H1s do nothing but expect RPT,H2 and at time MCl to help them..pathetic! Oh yes they try to act and look busy around management..of course!!
 




No missed point, I think you have! I will try to answer that persons original question. Before I do that, since Obamacare was mentioned, let me touch on that. If and when this passes, do you have any idea when this will come to pass.?..perhaps 2011..2012.2013..so we have time!

To answer or try to answer the question of the main poster. I think MM touched on this that there would be no major changes for H1. THat being said, I know that there are H1 and RPT people that will be downsized by a significant % 25% + in certain areas. In these areas where there is more than enough H1's, I would think perhaps they would be effected? I am not sure, so I will just trust the leader MM and what he had stated. I can tell you here, our H1s do nothing but expect RPT,H2 and at time MCl to help them..pathetic! Oh yes they try to act and look busy around management..of course!!

I get what you are saying.

The story has always been that there needs to be collaboration between the teams. At one end there is sure top be none, and people will complain they never see the H 1 rep. At the other there is tight collaboration and people will say everyone else did the work.

I am sure there is some truth in both stories, though I am not sure if there is any satisfactory resolution to your accusations. At this stage I don't see the H 1 team being reduced, but with the H 2's moving to CNS it impacts span, and so it impacts the management headcount.
 




So I heard that some area metro areas might be heavily hit more so than the others. I heard possibly LA, MIAMI. SEATTLE, SAN FRANCISCO, BOSTON..is any of this correct? If so , do we know what the reduction will look like?

That was the MC story, not hospital. Hospital last the H 2 s everywhere as they get absorbed into CNS.
 




I get what you are saying.

The story has always been that there needs to be collaboration between the teams. At one end there is sure top be none, and people will complain they never see the H 1 rep. At the other there is tight collaboration and people will say everyone else did the work.

I am sure there is some truth in both stories, though I am not sure if there is any satisfactory resolution to your accusations. At this stage I don't see the H 1 team being reduced, but with the H 2's moving to CNS it impacts span, and so it impacts the management headcount.
I have held several different sales positions on several teams and hands down, H1 is the best sales position to be in. H2 would have been my second choice but not now that they are being rolled into just another mouthpiece for CNS marketing vomit. Anyone who says otherwise is jealous.
 




Oh really so I have a few years!

Well government hospitals are not the only ones that Hospital PSS's call on ..hello! Furthermore, I still have not gotten an answer. They said certain metro areas would be hit hard..what % of Hospital 1 PSS in these high target market areas will hit? And what areas?

You still don't seem to understand. Hospital reps are an investment in future business, not for short team profits. Their value is in having trained physicians coming out of the teaching hospital already habituated to prescribing a given product, and to develop speakers from the faculty. You must understand that Hospital reps are very expensive to maintain, and usually cost more than they bring in. I know hospital reps who spend $100,000/year on food, and their drugs often are only on formulary in generic form.

Therefore, when companies encounter short-term cash flow difficulties, the quickest response has often been to cut hospital reps entirely. You might think that is a short sighted solution to a temporary problem, but that's the way bean counters think.

For a company with lousy senior management, as with AZ, don't be surprised if they decide to stop investing in hospital reps for a few years. This might not be the answer you want to hear, but it's realistic. I would look for at least a 50% cut in the number of hospital reps, elimination of separate hospital districts, and severe reduction of the formerly huge spending budgets Hospital reps have enjoyed in the past.

Hope for the best, but plan for the worst.
 




You still don't seem to understand. Hospital reps are an investment in future business, not for short team profits. Their value is in having trained physicians coming out of the teaching hospital already habituated to prescribing a given product, and to develop speakers from the faculty. You must understand that Hospital reps are very expensive to maintain, and usually cost more than they bring in. I know hospital reps who spend $100,000/year on food, and their drugs often are only on formulary in generic form.

Therefore, when companies encounter short-term cash flow difficulties, the quickest response has often been to cut hospital reps entirely. You might think that is a short sighted solution to a temporary problem, but that's the way bean counters think.

For a company with lousy senior management, as with AZ, don't be surprised if they decide to stop investing in hospital reps for a few years. This might not be the answer you want to hear, but it's realistic. I would look for at least a 50% cut in the number of hospital reps, elimination of separate hospital districts, and severe reduction of the formerly huge spending budgets Hospital reps have enjoyed in the past.

Hope for the best, but plan for the worst.
You obviously have not been paying attention. Every Pharma company is reducing their sales forces. The predominant theme is that there is no longer value in mulitple MC sales teams. Most are looking to go back to one PSS per territory with all the brands. So that would mean that eventually we would need about 600 MC PSSs in total. What would the odds be that you would survive that? I will take my odds as one of a few H1 PSSs since at least I have my own territory now with no counterparts.
 




You still don't seem to understand. Hospital reps are an investment in future business, not for short team profits. Their value is in having trained physicians coming out of the teaching hospital already habituated to prescribing a given product, and to develop speakers from the faculty. You must understand that Hospital reps are very expensive to maintain, and usually cost more than they bring in. I know hospital reps who spend $100,000/year on food, and their drugs often are only on formulary in generic form.

Therefore, when companies encounter short-term cash flow difficulties, the quickest response has often been to cut hospital reps entirely. You might think that is a short sighted solution to a temporary problem, but that's the way bean counters think.

For a company with lousy senior management, as with AZ, don't be surprised if they decide to stop investing in hospital reps for a few years. This might not be the answer you want to hear, but it's realistic. I would look for at least a 50% cut in the number of hospital reps, elimination of separate hospital districts, and severe reduction of the formerly huge spending budgets Hospital reps have enjoyed in the past.

Hope for the best, but plan for the worst.

What bs. I bet you sit at meetings and tell your friends what a genius you are. You don't know anyone who has spent that sort of money in all of AZ. There isn't $100 k in the hospital district lunch budget.
H2 has moved. That is the downsize in hospital. Apart from management span of control changes.
 




What bs. I bet you sit at meetings and tell your friends what a genius you are. You don't know anyone who has spent that sort of money in all of AZ. There isn't $100 k in the hospital district lunch budget.
H2 has moved. That is the downsize in hospital. Apart from management span of control changes.


Yes to the above poster...we know that this bozo who think s he or she has an understanding of Hospital business is smoking something.

Hospital has never ever had big budgets. LEts talk about BIG budgets..oh I know MC people th at we had access meals spent a ton..I mean a ton! Then CNS folks whose budget was huge. So as far as Hospital... I would agree a change coming again...but not sure how it will look. I suspect more H1s will be gone this time next year.
 




Yes to the above poster...we know that this bozo who think s he or she has an understanding of Hospital business is smoking something.

Hospital has never ever had big budgets. LEts talk about BIG budgets..oh I know MC people th at we had access meals spent a ton..I mean a ton! Then CNS folks whose budget was huge. So as far as Hospital... I would agree a change coming again...but not sure how it will look. I suspect more H1s will be gone this time next year.

When I was THE hospital rep at a major midwest medical center If I told you which one you'd know who I am) you my food budget was $50,000/6 months. I had over 500 house-staff and four hospitals. But in exchange for a $400/lunch you could make a group presentation to over 100 docs and enter them all as calls. You'd be surprised how rapidly you can burn through the money. But then, those were the days when higher higher could find their heinies with both hands. Being rookies, you won't remember that. That's the truth. If you can't believe it, it's your problem, but don't call someone a liar until you've walked a mile in their shoes.