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ENHANCED RECOVERY
AFTER SURGERY
Smooth Operators
Ryan Bonifacio, MD
Benedicto Cid
Marjay Gulapa, MD
Tanya Louisse Tysmans, MD
February 15,2020
10 STEP
Marketing Plan for
ENHANCED RECOVERY AFTER
SURGERY (ERAS) for colorectal
surgery
 Multimodal perioperative care pathway
 Designed to achieve early recovery
 Involves several medical professions
using evidence based practices
ERAS
ERAS
Multidisciplinary Team
 improved quality of care
 reduced complications
 reduced hospital stay and re-admissions
 increased efficiency
 reduced healthcare costs
 increasing patient and staff satisfaction
ERAS
Patient & Hospital
Benefits
1. Primary target market
(PTM) – COLORECTAL patients
who need surgery
 Age range: 60-72 y/o
 Males > females
 AB social class
 Red meat, animal fat, low fiber
 Smoker, alcoholic drinker, obese
2. My PTM’s NWD
 Need…. a surgical procedure to
improve health outcomes.
 Want… a procedure with the best
surgical care, improved outcome,
and lower health cost.
 Demand… a surgery with minimal
trauma, less pain, reduced
complications, faster recovery
Describe your PTM needs
Self-Actualization
Needs
(Self-Development
& Realization)
Esteem Needs
(Recognition,
Status)
Social Needs (sense of
belonging, love)
Safety Needs (security, protection)
Physiological needs (food, water, shelter)
Reference: Maslow’s Hierarcy of Needs Marketing Management, 11th ed, Philip Kotler
3a. Direct competitors
Standard procedure
 No surgery:
3a. Indirect competitors
3b.Competitive position map
for ERAS
Price vs
Length
of stay
4-6 days 8-10 days >10days
High
cost
Low
cost
Price vs. Length of stay
3b. Benefit positioning of ERAS vs
Traditional Surgery
4. Identify the gap between
customers and competition
 No other hospital in Tarlac City offers
ERAS
 Better alternative to traditional surgery
5a. Market size
342,493 (Tarlac city’s population) x 9%
incidence of Colorectal cancer x 0.3% AB class
= 92 patients
23 cases in 2019 (23/92 at CLDH)
5b. Estimate the market size
using company data
CLDH
25%
JMC
20%
RGH
15%
LLVMGH
15%
TGH
15%
TPH
10%
Market share
5c. Estimate the market size
using customer data
1. 23 patients per year
5. Market size in pesos
1. Company data = 4.6M
2. Customer Usage data = 23
6a. ERAS
VS
6a. Show how product looks
vs. competition
6b. Features
 Evidence based practices
 Comprehensive perioperative care
 Better health outcomes
 Guaranteed patient satisfaction
7. Price
 200,000 vs 150,000 per
colorectal surgery
 33 % higher vs. competitors
 Pricing strategy= premium pricing
based on added value and benefits
8a. Mass and Personal
Marketing
 Local Mass
Advertising
PR
Events &
experiences
 Personal
Word of mouth
 Brochures, posters, tarps of ERAS
in key hospital areas
 Social media infomercials
 PR / dinner events for disease
awareness
 Lay fora
8a.Service Promotions
8a. Samples of Promo
8b. Competitor promo
9. Place
 Central Luzon Doctors’ Hospital,
Tarlac City
 Delivered preoperatively,
intraoperatively, postoperatively
10. What is the generic
winning strategy?
 Differentiation
1. PTM - colorectal patients
2. NWD – improve health outcomes
3. Choices – local hospitals
4. Gap – no other alternative
5. Market – 25%
Steps 1 to 5
Summary
6. Product / service - ERAS
7. Price – 200k
8. Promo – ads, PR events, infomercials
9. Place – CLDH Tarlac city
10. Generic Winning Strategy -
Differentiation
Steps 6 to 10
Summary headline of the
marketing mix & strategy
ENHANCED RECOVERY
AFTER SURGERY
Smooth Operators
Ryan Bonifacio, MD
Benedicto Cid
Marjay Gulapa, MD
Tanya Louisse Tysmans, MD
February 15,2020
Grading
 Customers (PTM, NWD)- 20%
 Competition (Positioning Map, Market
Size) 30%
 Company (4Ps, Strategy)- 40%
 Power Principles Formatting- 10%

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ERAS 10 Step Marketing Plan

  • 1. ENHANCED RECOVERY AFTER SURGERY Smooth Operators Ryan Bonifacio, MD Benedicto Cid Marjay Gulapa, MD Tanya Louisse Tysmans, MD February 15,2020
  • 2. 10 STEP Marketing Plan for ENHANCED RECOVERY AFTER SURGERY (ERAS) for colorectal surgery
  • 3.  Multimodal perioperative care pathway  Designed to achieve early recovery  Involves several medical professions using evidence based practices ERAS
  • 5.  improved quality of care  reduced complications  reduced hospital stay and re-admissions  increased efficiency  reduced healthcare costs  increasing patient and staff satisfaction ERAS Patient & Hospital Benefits
  • 6. 1. Primary target market (PTM) – COLORECTAL patients who need surgery  Age range: 60-72 y/o  Males > females  AB social class  Red meat, animal fat, low fiber  Smoker, alcoholic drinker, obese
  • 7. 2. My PTM’s NWD  Need…. a surgical procedure to improve health outcomes.  Want… a procedure with the best surgical care, improved outcome, and lower health cost.  Demand… a surgery with minimal trauma, less pain, reduced complications, faster recovery
  • 8. Describe your PTM needs Self-Actualization Needs (Self-Development & Realization) Esteem Needs (Recognition, Status) Social Needs (sense of belonging, love) Safety Needs (security, protection) Physiological needs (food, water, shelter) Reference: Maslow’s Hierarcy of Needs Marketing Management, 11th ed, Philip Kotler
  • 10.  No surgery: 3a. Indirect competitors
  • 11. 3b.Competitive position map for ERAS Price vs Length of stay 4-6 days 8-10 days >10days High cost Low cost Price vs. Length of stay
  • 12. 3b. Benefit positioning of ERAS vs Traditional Surgery
  • 13. 4. Identify the gap between customers and competition  No other hospital in Tarlac City offers ERAS  Better alternative to traditional surgery
  • 14. 5a. Market size 342,493 (Tarlac city’s population) x 9% incidence of Colorectal cancer x 0.3% AB class = 92 patients 23 cases in 2019 (23/92 at CLDH)
  • 15. 5b. Estimate the market size using company data CLDH 25% JMC 20% RGH 15% LLVMGH 15% TGH 15% TPH 10% Market share
  • 16. 5c. Estimate the market size using customer data 1. 23 patients per year
  • 17. 5. Market size in pesos 1. Company data = 4.6M 2. Customer Usage data = 23
  • 19. 6a. Show how product looks vs. competition
  • 20. 6b. Features  Evidence based practices  Comprehensive perioperative care  Better health outcomes  Guaranteed patient satisfaction
  • 21. 7. Price  200,000 vs 150,000 per colorectal surgery  33 % higher vs. competitors  Pricing strategy= premium pricing based on added value and benefits
  • 22. 8a. Mass and Personal Marketing  Local Mass Advertising PR Events & experiences  Personal Word of mouth
  • 23.  Brochures, posters, tarps of ERAS in key hospital areas  Social media infomercials  PR / dinner events for disease awareness  Lay fora 8a.Service Promotions
  • 24. 8a. Samples of Promo
  • 26. 9. Place  Central Luzon Doctors’ Hospital, Tarlac City  Delivered preoperatively, intraoperatively, postoperatively
  • 27. 10. What is the generic winning strategy?  Differentiation
  • 28. 1. PTM - colorectal patients 2. NWD – improve health outcomes 3. Choices – local hospitals 4. Gap – no other alternative 5. Market – 25% Steps 1 to 5 Summary
  • 29. 6. Product / service - ERAS 7. Price – 200k 8. Promo – ads, PR events, infomercials 9. Place – CLDH Tarlac city 10. Generic Winning Strategy - Differentiation Steps 6 to 10 Summary headline of the marketing mix & strategy
  • 30. ENHANCED RECOVERY AFTER SURGERY Smooth Operators Ryan Bonifacio, MD Benedicto Cid Marjay Gulapa, MD Tanya Louisse Tysmans, MD February 15,2020
  • 31. Grading  Customers (PTM, NWD)- 20%  Competition (Positioning Map, Market Size) 30%  Company (4Ps, Strategy)- 40%  Power Principles Formatting- 10%

Editor's Notes

  1. Good afternoon V78 Class we are the smooth operators. Namelly……
  2. Our 10 step marketing plan will be on Enhanced recovery after surgery… Better known as ERAS. What is ERAS?
  3. What is ERAS? Enhanced Recovery after Surgery (ERAS ®) refers to patient-centered, evidence-based, multidisciplinary team developed pathways for a surgical specialty and facility culture to reduce the patient’s surgical stress response, optimize their physiologic function, and facilitate recovery.  Reference:  Enhanced Recovery after Surgery - aana.com  
  4. This involves a…. Evidence Based pathway or protocol for perioperative management involving A team of key professionals, who include: Surgeons, anesthesist, cardiologists, nurses, dietitians, physiotherapists with the aim to reduce the patients stress response, optimize their physiologic function and facilitate fast recovery from surgery.
  5. The functional benefit of ERAS…. Minimal surgical Trauma Less postoperative pain Reduced surgical complications Improve health outcomes Expedite return to baseline health Expedite return to functional status Increase mobility after surgery.
  6. Majority of colorectal cancers occur in people older than 50. Average age for diagnosis for men is 68 and women is 72. For rectal cancer it is age 63 for both men and women. Socio economic Class AB 100,000 to 150,000 ( Income as one of the consideration for ERAS.) 1% of the population, Figurativelly can buy MASLOW AB market small but attractive.
  7. Safety needs ( security and protection): I want this instead of traditional perioperative care because it is safer and allow me to heal faster. Esteem needs (recognition and status). It is a desire to be recognized by peers to having paid more and treated with sophisticated and cutting edge equipments.
  8. Variables: Inpatient vs outpatient, hospital length of stay, cost of the procedure, Minimal surgical trauma, postoperative pain, Brand promises a fast recovery after surgery.  
  9. Chemotherapy, radiation, palliative care, Alternative healing like herbal, acupuncture
  10. Less hospital stay ( 4.5 days vs. 6.9 days) Recovery time shortened by 30%
  11. This are the functional benefits v.s brand matrix of hospital that serves traditional perioperative standard care.
  12. Where is the marketing opportunity? Fast track surgery. What NWDs are not being addressed? Early recovery after surgery What can be the unique selling proposition for the new product? Early recovery after surgery. Traditional positioning has been on broad segments of the market with emphasis on improved health outcome and reduced surgical complications The opportunity lies in eliminating an extended period of post op inconvenience for the patient including complications. ERAS will change all expectations for a standard surgery.
  13. This is a strategy that distinguishes ERAS from traditional surgeries of competitors. Our ERAS services offers faster recovery from surgery, shorter hospital stay and reduced complicationsn