This is my Keynote presentation to Pharma Forum Russia, St. Petersburg, May 23rd, 2013.
It gives an outline of crucial elements in building a new market approach to different markets.
Pharma's new business model:
consumer centric approaches
to increase ROI
Health Business Consult
Innovating the way we care
Assistant
professor
of
professional
development
Consultant
pharma
>25
yrs
Trainer
of
HC
specialists
&
doctors
Chairman
ISATT
Development
Retail
formula
pharmacists
Strategic
advisor
Social
media
#hcsmeu
Classic
Music
Health
care
technology Ehealth
-‐
Telecare
Chronic
diseases
challenge
Drums
&
Trombone
Disc
jockey
Drimpy
ParIcipatory
HC
PlaJorm
Rob Halkes
@rohal
The
FOX
group
LLC
US
Pharma
commercial
development
On fundamentals of Protection of Public Health
Russian Federation, Jan. 1st 2012.
.. A new system of accountable officials and ..
responsibility of healthcare budget holders
Rules of interaction between the pharmaceutical
industry and physicians
Standards of providing medical and drug aid
Regional structure under which high cost nosologies will be
purchased and supervised by regions
Cegedim white paper april, 2012
CEO Panel at Russian
Pharmaceutical Forum 2012
• Uncertainty / Stability ? / Predictability?
• Goals of the Government?
• Access for patients to medicines?
• Reimbursement?
• Local market conditions?
What makes your influence
as a pharma company?
“ What you actually DO in the local market will
make that your voice can be heard...
What makes your influence
as a pharma company?
“ What you actually DO in the local market will
make that your voice can be heard...
...It makes the difference
between being seen
as ‘helping’ instead of ‘exploiting’”
Elections to Russian
State Duma
Modernization program
- the stage of active
development of the
budget
Presidential Election
Year of treatment
standards
Regional modeling of
drug compensation
programs
Preparing of patient
registries
Slow down of
concentration process
in distribution chain
First innovation
products of Russian
Pharma companies
The beginning of
activity of self-
regulatory
organizations
Licensing of
healthcare
professionals
Start the process of
consolidation of
regional programs
reimbursement
Launch of
reimbursement
pilot
program in
regions
Launch of
reimbursement
program in
regions
The mass
privatization of
HCP
Bln
$
25
Bln
$75
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Figure 1:
Long Term Development Scenario of Russia Pharmaceutical industry
Source: Cegedim aggregated opinion from industry experts:
government employees, industry leaders, anlaysts
• Healthcare, life expectancy
Russia not in good shape
• Is there enough budget?
(Popovich)
• No reimbursement
• Uncertainty of policy and
regulations
• Procurement issues
• “Interchangeability”
• No data
• Formal - Informal
• Many different (competing)
players in the channel
• Advertising rules are not clear
• Russia too big for “big pharma?”
May 2013: “- -” and “++” to pharma?
• Healthcare, life expectancy
Russia not in good shape
• Is there enough budget?
(Popovich)
• No reimbursement
• Uncertainty of policy and
regulations
• Procurement issues
• “Interchangeability”
• No data
• Formal - Informal
• Many different (competing)
players in the channel
• Advertising rules are not clear
• Russia too big for “big pharma?”
• Healthcare, life expectancy Russia
not in good shape
• PharmaMed 2020
• Roadmap for health care
• Market is still growing (12%)
• Middle class is growing
• Collaboration with authorities,
national, regional, local
(physician committees)
• Patients’ access to medicine
• Standards of medical treatment
• Not so much cooperation between
protagonists in care..
May 2013: “- -” and “++” to pharma?
2006 - Liberalisation of HC market:
• Health Care Insurance (HCI) for
everyone - obliged;
• HCI companies have:
- Power of selection of care providers
- Buying power: pharma tenders, to
their patients,
- Policy towards integrated, chronic
care -> initiated cooperations of care
providers in health care groups for
family care
• Regional / Local Rx decisions by local
protocol committees
NL as compared with Russia
2006 - Liberalisation of HC market:
• Health Care Insurance (HCI) for
everyone - obliged;
• HCI companies have:
- Power of selection of care providers
- Buying power: pharma tenders, to
their patients,
- Policy towards integrated, chronic
care -> initiated cooperations of care
providers in health care groups for
family care
• Regional / Local Rx decisions by local
protocol committees
NL as compared with Russia
1.6 Prijsontwikkeling receptgeneesmiddelen op basis van SFK prijsindex (januari 1996=100),
afzet gewogen gemiddelde)
Bron: Stichting Farmaceutische Kengetallen
100%
Invoering Wet Geneesmiddelenprijzen
Invoering claw back
Start convenantsperiode
Introductie
vrije prijzen
Transitieakkoord
Tijdelijke invoering
maatregel “De Geus”
(Individueel)
Preferentiebeleid
Verhoging claw back
Akkoord VWS - KNMP
90%
80%
70%
60%
40%
50%
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
//
• Diminishing access to prescribers: about 50% in 2006;
• Growing influence of new stakeholders Rx:
health care insurance companies, local protocol committees,
• Growing pressure to prescribe generics,
• More Regulation of Pharma promotion, by the government,
• Deteriorating image of the pharmaceutical industry in general,
• Growing Costs of health care on national political agenda
• Slower registration and decisions about reimbursement
The Dutch Case
If pharma wants to distinguish itself, it needs to
show first that it understands the way their direct
(Rx)customers, health care providers are to
develop!
The Dutch Case
If pharma wants to distinguish itself, it needs to
show first that it understands the way their direct
(Rx)customers, health care providers are to
develop!
The Dutch Case
....is all about
“being there, locally”
to demonstrate that
pharma does
understand
and can make the
difference to
situations!
If pharma wants to distinguish itself, it needs to
show first that it understands the way their direct
(Rx)customers, health care providers are to
develop!
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑ Focused Development
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑ Focused Development
☑ Customer Centric
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑ Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑ Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
☑ New ways to co-operate to better care
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑ Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
☑ New ways to co-operate to better care
☑ Integrating classic, Sales
Marketing and Medical
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑ Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
☑ New ways to co-operate to better care
☑ Integrating classic, Sales
Marketing and Medical
☑ Integrated Business Cycles
Key Customer Focus
A new commercial Approach for Pharma
Putting (the right) customers first
☑ Focused Development
☑ Customer Centric
☑ Value Innovation in Proposition
☑ New ways to co-operate to better care
☑ Integrating classic, Sales
Marketing and Medical
☑ Integrated Business Cycles
Effective adaptation
to different market conditions
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• Pull resources together
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• What customers - how to select
• Pull resources together
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• What customers - how to select
• Take the journey
step by step
• Pull resources together
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• What customers - how to select
• Take the journey
step by step
• Pull resources together
• Act
Customer Centric
Focus And Collaboration
• Think
• What is going on
• With what can you help
to create better care
• What customers - how to select
• Take the journey
step by step
• Pull resources together
• Act
• Market intelligence
• Added value
• Align and Integrate
internal silo’s
•Segmentation
Targeting
• Tactics and
operations
• Develop partnership
Customer Centric
AddValue
The general principle for business growth
works the same for pharmaceutical marketing
Commodities
Specialties
Services
Experiences
Competition
Clients’needs
Differentiated
Prices
Alike
Market Top Value
Desired
Not relevant
AddValue
Create an integrated offering
From Product to Care
Rx
Drug profile
Pharmaceutical
and pharma economically
Product Core
1st layer
therapy
2nd layer
therapy
Product
Information on
Characteristics, features,
functionality and effects
AddValue
Create an integrated offering
From Product to Care
Rx
Focus on adequate use
for the individual patient
in the right condition
Drug profile
Pharmaceutical
and pharma economically
Product Core
1st layer
therapy
2nd layer
therapy
Product
Information on
Characteristics, features,
functionality and effects
Augmented brand
Support, service by
marketing tools
through different channels
AddValue
Create an integrated offering
From Product to Care
Rx
A. Professional Support from
HC professionals and others
for the patient
B. Cooperation and synergy
between co-acting
care providers
Focus on adequate use
for the individual patient
in the right condition
Drug profile
Pharmaceutical
and pharma economically
Product Core
1st layer
therapy
2nd layer
therapy
Product
Information on
Characteristics, features,
functionality and effects
Augmented brand
Support, service by
marketing tools
through different channels
Value proposition
A. Patient oriented health
care activities by Health
Care Professionals
B. Increasing HC effects by
improvement of care and
health processes
The Chalkboard Sketch of
A new Commercial Market Approach
Basic Considerations.
What market conditions,
what tools,
what applications?
Tools specifically:
Access and Added Value
Profiling, segmentation, targeting
Sales teams
Multidisciplinary accountplan design
Edetailing multi channel social media
Partnership development
The Chalkboard Sketch of
A new Commercial Market Approach
Basic Considerations.
What market conditions,
what tools,
what applications?
Market
Conditions
Differentiate approaches
To Key Customer Focus !
Individual Rx promotion
KEY
Accounts
Make Focus your
main stream
Business
APproach
•Fulfillment
• Evaluating
•Planning
• Selecting
• Managing
Market
Conditions
Differentiate approaches
To Key Customer Focus !
Individual Rx promotion
KEY
Accounts
?
What are the
Points of intervention
to create focus
Make Focus your
main stream
Business
APproach
•Fulfillment
• Evaluating
•Planning
• Selecting
• Managing
• Market
Conditions
Differentiate To Key Customer Focus
Individual Rx promotion
• What are
the points of
INtervention
to create
Focus ?
KEy
Accounts
• Care &
Therapy
Conditions
• Rx
Conditions
• Account
Conditions
• Patients’
Conditions
•Individual Rx promotion
• Market
Conditions
• Care &
Therapy
Conditions
•RxConditions
• Account
Conditions
• Patients’
Conditions
Key Focus
Accounts
What tools to use?
•Individual Rx promotion
ROS
• Market
Conditions
• Care &
Therapy
Conditions
•RxConditions
• Account
Conditions
• Patients’
Conditions
Key Focus
Accounts
What tools to use?
•Individual Rx promotion
ROI
ROS
• Market
Conditions
• Care &
Therapy
Conditions
•RxConditions
• Account
Conditions
• Patients’
Conditions
Key Focus
Accounts
What tools to use?
₷ $
€ £
¢ ¥
•Individual Rx promotion
• Market Access
•Account profiling
•Segmentation & targeting
For quantity & quality!
• Mutlidisciplinairy Design
of Account PLans!
• Account specific
development of
partnership!
ROI
ROS
• Market
Conditions
• Care &
Therapy
Conditions
•RxConditions
• Account
Conditions
• Patients’
Conditions
Key Focus
Accounts
• KAM, CRM and
cLosed loop marketing
• Multi channel management
•Care Support Services
•Social Media
•Social Media
•Ehealth
What tools to use?
₷ $
€ £
¢ ¥
•eDetailing
• Standards of
treatment
We need a Market Approach
.. that selects , focuses and builds on the right customers
We need a Market Approach
.. that selects , focuses and builds on the right customers
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
4 Development of Partnership
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
4 Development of Partnership
From promotion via collaboration to cocreation
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
4 Development of Partnership
From promotion via collaboration to cocreation
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
5 Integrated Care Support
We need a Market Approach
.. that selects , focuses and builds on the right customers
3 System of promotion
- edetailing/online/social media
- multichannel management
- multidisciplinary accountdesign
- tailormade propositions
4 Development of Partnership
From promotion via collaboration to cocreation
2 Segmentation and Targeting
on both Potential and Quality Characteristics
1 System of Market Access :
Keyword: Localizing to local Rx committees
“Guided Navigation”
5 Integrated Care Support
Account- Marketing en Medical management
We need a Market Approach
.. that selects , focuses and builds on the right customers
We need a Market Approach
.. that selects , focuses and builds on the right customers
Some Examples:
Market Access
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
Segmentation
Targeting
Promotion Partnership
Market Access
- National & Regional & Local
- Not just launch and registration
- KOL - DMU ~ (in)formal
- Committee’s (EDL - Standards)
- Status Quo of Care
- Profiles of markets
- Org/Inst/DMU/Care Providers
Market Access
- National & Regional & Local
- Not just launch and registration
- KOL - DMU ~ (in)formal
- Committee’s (EDL - Standards)
- Status Quo of Care
- Profiles of markets
- Org/Inst/DMU/Care Providers
❍ MA = Pharma & Health Economy ≠ Promotion
Market Access
- National & Regional & Local
- Not just launch and registration
- KOL - DMU ~ (in)formal
- Committee’s (EDL - Standards)
- Status Quo of Care
- Profiles of markets
- Org/Inst/DMU/Care Providers
❍ Education and communications characteristics
❍ MA = Pharma & Health Economy ≠ Promotion
Market Access
- National & Regional & Local
- Not just launch and registration
- KOL - DMU ~ (in)formal
- Committee’s (EDL - Standards)
- Status Quo of Care
- Profiles of markets
- Org/Inst/DMU/Care Providers
❍ Added value
Depending upon stage of development process
❍ Education and communications characteristics
❍ MA = Pharma & Health Economy ≠ Promotion
Market Access
Stimulating developments in the market
Depending on stage of process:
Internal Department“Heath Care Affairs”
Working with marketing and Medical/KOL- mngmnt
Market Access
Stimulating developments in the market
Depending on stage of process:
Internal Department“Heath Care Affairs”
Working with marketing and Medical/KOL- mngmnt
❍ Building relationship between Physicians & Pharmacists
Market Access
Stimulating developments in the market
Depending on stage of process:
Internal Department“Heath Care Affairs”
Working with marketing and Medical/KOL- mngmnt
❍ E.g.: innovation fund for local care providers
❍ Building relationship between Physicians & Pharmacists
Individuals Networks AccountsDMU’s
Not just individuals,
but their networks too,
their accessibility and feasibility for success
to You!
Rx Accounts
Segmentation -Targeting
Profile and Classify
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
Profile and Classify
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Profile and Classify
Quality of Account:
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Profile and Classify
Quality of Account:
• Quality of organization & organizational development
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Profile and Classify
Quality of Account:
• Quality of organization & organizational development
• Quality of care provision and development of care
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Profile and Classify
Quality of Account:
• Quality of organization & organizational development
• Quality of care provision and development of care
• Quality of our relationship with this Account/DMU
Potential:
• Estimate of feasible volume of business with this account,
i.e.: Factual numbers x Chance of Success
“You don’t want to spend time and money in a lost case”
AND
Segment 1 Segment 2
Segment 3 Segment 4
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4Develop
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4Develop Build
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Co-create
Develop Build
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Co-create Partner
Develop Build
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Segment 1 Segment 2
Segment 3 Segment 4
Co-create Partner
Develop Build
Relationship
Professional
&
Care Profile
Account
Differentiate within a new
segmentation
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Co-CreateCo-
Operate
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Co-CreateCo-
Operate
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Co-CreateCo-
Operate
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-CreateCo-
Operate
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
•Inform
•Educate
Develop &
Create
Co-Create
•Show
Co-
Operate
•Demo
Develop your promotion
Create a path of development
From (e)detailing to partnership
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
•Service
•Share•Inform
•Educate
•Collaborate
Develop &
Create
Co-Create
•Support•Show
Co-
Operate
•Demo
Develop your promotion
Create a path of development
From (e)detailing to partnership
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
Develop your promotion
In the course of this roadmap
from (e)detailing to partnership
you might want to:
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
Develop your promotion
In the course of this roadmap
from (e)detailing to partnership
you might want to:
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
• Expand physicians’ internal relations with
external ones through social media
Develop your promotion
In the course of this roadmap
from (e)detailing to partnership
you might want to:
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
• Expand physicians’ internal relations with
external ones through social media
• Multi Channel Management
Use different channels of communication
Develop your promotion
In the course of this roadmap
from (e)detailing to partnership
you might want to:
Detail
e-
Detail
Promote
& Engage
Connect
& Interact
Develop &
Create
Co-Create
Co-Operate
• Expand physicians’ internal relations with
external ones through social media
• Multi Channel Management
Use different channels of communication
• Add mobile
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Service
Offering
Sponsoring
Commitment
on
mutual effort
Cooperation to
realize
goals
Implementation Contract:
Agreement at DMU level, on effort.
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Service
Offering
Sponsoring
Commitment
on
mutual effort
Cooperation to
realize
goals
Implementation Contract:
Agreement at DMU level, on effort.
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Commitment
to joint
Results
Service
Offering
Sponsoring
Commitment
on
mutual effort
Design
and realization of
tailor made
solutions
Contract to design and implement
Based on customer knowledge,
and in co-maker-ship.
Cooperation to
realize
goals
Implementation Contract:
Agreement at DMU level, on effort.
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
4.
Level of
Integration
3.
Partner
Level
1.
Level of
Transaction
2.
Level of
Cooperation
Multi party deal
on Health
Outcomes
Commitment
to joint
Results
Service
Offering
Sponsoring
Commitment
on
mutual effort
Targeting
healthcare
outcomes
with more
stakeholders
Contract to integrated care
with more parties:
outcome directed, long term,
In development and improvement.
Design
and realization of
tailor made
solutions
Contract to design and implement
Based on customer knowledge,
and in co-maker-ship.
Cooperation to
realize
goals
Implementation Contract:
Agreement at DMU level, on effort.
These are our
services
Sponsor contract:
Utilizing capacity,
Experience and“know how”.
Development
of
Partnership
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
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