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The Art and Science of
                       Decision-Making:
                     Industry Perspective

                                                     Surya P. Chitra
                                                    AstraZeneca LP
                                                     Delaware, USA


International Conference on Operational Quantitative Management
04 August 2006
                                                                  1
Change is Inevitable



                   Decision Making Needs to be Dynamic



            Blend of Experience & Calculated Decisions




International Conference on Operational Quantitative Management
04 August 2006
                                                                  2
Transition to New Global Economy




                                 Operational/ Business Model




International Conference on Operational Quantitative Management
04 August 2006
                                                                  3
Drivers/ Influencers for Change


                                                                     Transparency
Reach                                                                  - Product
                                                       Technology
 - Product                                                             - Price
                                                            &
 - Geographic                                                          - Value
                                                       Information
 - Easily                                                              - Services
 - Supply Chain                                                        - Supply




  International Conference on Operational Quantitative Management
  04 August 2006
Drivers & Business Model Changes
                                                    DRIVERS/ INFLUENCERS

   Cost Inefficiencies                         Cost of Capital                          Competitive Products
   Price Pressures                             Long Development Cycles                  Low entry Barriers


 Oil/ Petrochemicals                             Electronics
                                                                                     Personal Care
                                                                     Chemical/                   Pharmaceuticals
                               Automotive                            Specialties


1970                          1980                                  1990                 2000                  2010


                                BUSINESS MODEL CHANGES/ STRATEGIES

  Cost Management                            Emerging Market Strategy              Geographic Leveraging
  Differentiation Model                      All to Segmented Targets              Customer/Value Management

  International Conference on Operational Quantitative Management
  04 August 2006
                                                                     5
In a moment of decision,
         the best thing you can do
           is the right thing to do.
    The worst thing you can do is nothing.

                                                                      Theodore Roosevelt



International Conference on Operational Quantitative Management
04 August 2006
                                                                  6
The Challenge

          “To survive & sustain growth in the

      dynamically changing global markets,
   companies and organizations need to make

          flexible and actionable decisions”

         WE SHOULD MANAGE RISKS TO BALANCE DECISIONS

International Conference on Operational Quantitative Management
04 August 2006
                                                                  7
Growth Risks/Decisions

                                                                         PRODUCERS
                     CUSTOMERS                           Balance Risks     - Innovation
                       - Value
                                                                           - Efficiency
                       - Speed
                                                                           - Low Cost
                       - Long Life
                                                         INDUSTRY’S
                                                         SUSTAINED
                                                           GROWTH
                   INNOVATION                                            INCREMENTAL
                     - Novel                                              - Extensions
                     - Quality                                            - Formulation
                                                            Weighted
                     - Lasting                                            - Delivery
                                                            Decisions

        REVOLUTIONARY CHANGES NEED RADICAL DECISIONS
International Conference on Operational Quantitative Management
04 August 2006
Transformation
                                                                      RADICAL
TRADITIONAL

                                                                      1. True Innovation
Brand Extensions
                                                                      2. Risk & Uncertainty
Formulation Changes
                                                                         Management
Geographic Expansion
                                                                      3. Simpler Structure/
Mergers & Acquisitions
                                                                         Effective Decisions
Vertical Integration
                                                                      4. Value Chain Leverage
Re-engineering Costs
                                                                      5. Adaptive Flexibility
Out Sourcing




International Conference on Operational Quantitative Management
04 August 2006
                                                                  9
INNOVATION
                             NOT INCREMENTAL INNOVATION
                              “Marginal Benefit to Patients but
                             Boost Short-term Corporate Profit”

   PHARMACEUTICAL RADICAL INNOVATION
“Optimum Medical and Economic Value to Patients”

          Individualized Medicine                                        Disease Management
                         Biologics                                     Biomarkers/ Diagnostics
    RADICAL DECISIONS CAN BE MADE BY CALCULATED RISKS

International Conference on Operational Quantitative Management
04 August 2006
                                                                  10
RISK: CALCULATING UNCERTAINTY


23Aug05                                                                  25Aug05




                                                                         29Aug05
27Aug05




  International Conference on Operational Quantitative Management
  04 August 2006
                                                                    11
RISK: PRODUCT DEVELOPMENT

                  Revenue Potential
                                          More
                                                                                              Early
                                                                                              Stage
                                                           25%

                                Target
                                                                     55%
                                        Fewer



                                                                                85%




                                                  Early                               Late
                                                                 Target
                                                          Product Launch
           Revenue Potential
                                       More




                                                                                               Late
                         Target
                                                                                              Stage
                                                                               55%
                                      Fewer




                                                                                        85%



                                                 Early                                Late
                                                                 Target
                                                          Product Launch
International Conference on Operational Quantitative Management
04 August 2006
                                                                          12
RISK: PHARMACEUTICAL VALUE CHAIN

                                                         PRODUCTION      PRODUCT LAUNCH
                  R&D
       Drug                    Clinical                    Formulation   Marketing   Distribution
  Discovery                                              & Manufacture    & Sales
                          Development

   PROGRAM RISK                                                          PRODUCT RISK
                   Project Risk                                             Launch Risk
                   Execution Risk                                           Competitive Risk
                   Regulatory Risk                                          Regulatory Risk

           Decisions Based on More Past                                   Decisions Based on
           Experience Than Risk Models                                   Statistical Risk Models

International Conference on Operational Quantitative Management
04 August 2006
                                                                  13
STRUCTURE REDESIGN
     M & A Created Complex Organizations

             Building Blocks for Change

•Rules                                    •Simple
•Processes                                •Flexible
             Decisions    Structure

                                •Speed
     Information   Motivation   •Adaptation
    •Technology
    •Knowledge Share
VALUE CHAIN RESTRUCTURE

                          PRODUCTION         PRODUCT LAUNCH
         R&D
  Drug        Clinical     Formulation      Marketing    Distribution
Discovery                 & Manufacture       & Sales
            Development

  24%          76%                   2005 Expenditures
                                                        R&D
                                                        16%
                                         Op. Profit
                                           26%
 Which parts of Each                                          COGS
 Function is Crucial to                                        16%
 Company’s Value                                        Admin
 Chain?                                                  7%
                                              Sales
                                               35%
ADAPTIVE FLEXIBILITY

• ADAPTATION
   • External Dynamics
   • Technology
   • Globalization
   • Uncertainty



   • FLEXIBITY
      • Operations
      • Strategies
      • Structure
      • Innovation
quot;Change is the law of life and those
       who look only to the past or the
    present are certain to miss the future.quot;

                                                                       - John F. Kennedy



International Conference on Operational Quantitative Management
04 August 2006
                                                                  17
Need For Change

       “To sustain the growth for better living
  globally, we need to prepare and plan our
         decisions with adaptive flexibility and
                                            scientific rigor”


International Conference on Operational Quantitative Management
04 August 2006
                                                                  18
SUMMARY
• Incremental & Radical Innovation
  • Balancing the Decisions
• Managing Risk & Uncertainty
  • Risk Models and Forecast
• Simpler/ Effective Organizations
  • Speedy & Adaptive Decisions
• Value Chain Management
  • Prioritized Decisions
CONCLUSIONS
                      Change is Inevitable in The Industry



                   Decision Making Needs to be Dynamic



            Blend of Experience & Calculated Decisions

                               It’s Not the Science,
                     It’s What Science Forces one to Decide

International Conference on Operational Quantitative Management
04 August 2006
                                                                  20

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The Art & Science of Decision Making - Key Note Speech

  • 1. The Art and Science of Decision-Making: Industry Perspective Surya P. Chitra AstraZeneca LP Delaware, USA International Conference on Operational Quantitative Management 04 August 2006 1
  • 2. Change is Inevitable Decision Making Needs to be Dynamic Blend of Experience & Calculated Decisions International Conference on Operational Quantitative Management 04 August 2006 2
  • 3. Transition to New Global Economy Operational/ Business Model International Conference on Operational Quantitative Management 04 August 2006 3
  • 4. Drivers/ Influencers for Change Transparency Reach - Product Technology - Product - Price & - Geographic - Value Information - Easily - Services - Supply Chain - Supply International Conference on Operational Quantitative Management 04 August 2006
  • 5. Drivers & Business Model Changes DRIVERS/ INFLUENCERS Cost Inefficiencies Cost of Capital Competitive Products Price Pressures Long Development Cycles Low entry Barriers Oil/ Petrochemicals Electronics Personal Care Chemical/ Pharmaceuticals Automotive Specialties 1970 1980 1990 2000 2010 BUSINESS MODEL CHANGES/ STRATEGIES Cost Management Emerging Market Strategy Geographic Leveraging Differentiation Model All to Segmented Targets Customer/Value Management International Conference on Operational Quantitative Management 04 August 2006 5
  • 6. In a moment of decision, the best thing you can do is the right thing to do. The worst thing you can do is nothing. Theodore Roosevelt International Conference on Operational Quantitative Management 04 August 2006 6
  • 7. The Challenge “To survive & sustain growth in the dynamically changing global markets, companies and organizations need to make flexible and actionable decisions” WE SHOULD MANAGE RISKS TO BALANCE DECISIONS International Conference on Operational Quantitative Management 04 August 2006 7
  • 8. Growth Risks/Decisions PRODUCERS CUSTOMERS Balance Risks - Innovation - Value - Efficiency - Speed - Low Cost - Long Life INDUSTRY’S SUSTAINED GROWTH INNOVATION INCREMENTAL - Novel - Extensions - Quality - Formulation Weighted - Lasting - Delivery Decisions REVOLUTIONARY CHANGES NEED RADICAL DECISIONS International Conference on Operational Quantitative Management 04 August 2006
  • 9. Transformation RADICAL TRADITIONAL 1. True Innovation Brand Extensions 2. Risk & Uncertainty Formulation Changes Management Geographic Expansion 3. Simpler Structure/ Mergers & Acquisitions Effective Decisions Vertical Integration 4. Value Chain Leverage Re-engineering Costs 5. Adaptive Flexibility Out Sourcing International Conference on Operational Quantitative Management 04 August 2006 9
  • 10. INNOVATION NOT INCREMENTAL INNOVATION “Marginal Benefit to Patients but Boost Short-term Corporate Profit” PHARMACEUTICAL RADICAL INNOVATION “Optimum Medical and Economic Value to Patients” Individualized Medicine Disease Management Biologics Biomarkers/ Diagnostics RADICAL DECISIONS CAN BE MADE BY CALCULATED RISKS International Conference on Operational Quantitative Management 04 August 2006 10
  • 11. RISK: CALCULATING UNCERTAINTY 23Aug05 25Aug05 29Aug05 27Aug05 International Conference on Operational Quantitative Management 04 August 2006 11
  • 12. RISK: PRODUCT DEVELOPMENT Revenue Potential More Early Stage 25% Target 55% Fewer 85% Early Late Target Product Launch Revenue Potential More Late Target Stage 55% Fewer 85% Early Late Target Product Launch International Conference on Operational Quantitative Management 04 August 2006 12
  • 13. RISK: PHARMACEUTICAL VALUE CHAIN PRODUCTION PRODUCT LAUNCH R&D Drug Clinical Formulation Marketing Distribution Discovery & Manufacture & Sales Development PROGRAM RISK PRODUCT RISK Project Risk Launch Risk Execution Risk Competitive Risk Regulatory Risk Regulatory Risk Decisions Based on More Past Decisions Based on Experience Than Risk Models Statistical Risk Models International Conference on Operational Quantitative Management 04 August 2006 13
  • 14. STRUCTURE REDESIGN M & A Created Complex Organizations Building Blocks for Change •Rules •Simple •Processes •Flexible Decisions Structure •Speed Information Motivation •Adaptation •Technology •Knowledge Share
  • 15. VALUE CHAIN RESTRUCTURE PRODUCTION PRODUCT LAUNCH R&D Drug Clinical Formulation Marketing Distribution Discovery & Manufacture & Sales Development 24% 76% 2005 Expenditures R&D 16% Op. Profit 26% Which parts of Each COGS Function is Crucial to 16% Company’s Value Admin Chain? 7% Sales 35%
  • 16. ADAPTIVE FLEXIBILITY • ADAPTATION • External Dynamics • Technology • Globalization • Uncertainty • FLEXIBITY • Operations • Strategies • Structure • Innovation
  • 17. quot;Change is the law of life and those who look only to the past or the present are certain to miss the future.quot; - John F. Kennedy International Conference on Operational Quantitative Management 04 August 2006 17
  • 18. Need For Change “To sustain the growth for better living globally, we need to prepare and plan our decisions with adaptive flexibility and scientific rigor” International Conference on Operational Quantitative Management 04 August 2006 18
  • 19. SUMMARY • Incremental & Radical Innovation • Balancing the Decisions • Managing Risk & Uncertainty • Risk Models and Forecast • Simpler/ Effective Organizations • Speedy & Adaptive Decisions • Value Chain Management • Prioritized Decisions
  • 20. CONCLUSIONS Change is Inevitable in The Industry Decision Making Needs to be Dynamic Blend of Experience & Calculated Decisions It’s Not the Science, It’s What Science Forces one to Decide International Conference on Operational Quantitative Management 04 August 2006 20