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5th Annual
Clinical Trial Performance Metrics

 Using metrics to improve performance and productivity
 20-21 February 2008, London, UK
Objectives of metrics

    "Project Management in Clinical Trials" will provide presentations aimed to help
    you learn the importance of project manager tools, and how to overcome the
    trials in clinical trial recruitment, helping you to complete clinical trial projects on
    time and on budget.

    … providing essential training in … PRINCE2 project management methodology,
    this event is vital to project management success.




2                                    21st February 2008 London
                                            Diana Taylor
Involving metrics early in a new employee’s work:
risks and benefits



     The dual nature of metrics and performance - balancing the odds


     Individual metrics for the individual employee?


     Life with metrics for medical writers at a CRO: an example




3                             21st February 2008 London
                                     Diana Taylor
The scores of “killed”
                                                John Mueller holds the Woody Hayes Chair of
                                                National Security Studies at Ohio State University



    250

    200

    150

    100

     50

      0
          Total killed   Killed shirt   Killed Shirt     Good killed Sex Scenes
                             ON             OFF            by bad

                 Rambo 1                    2                   3                 4

4                                21st February 2008 London
                                        Diana Taylor
5   21st February 2008 London
           Diana Taylor
TIME                               QUALITY




             MONEY

6          21st February 2008 London
                  Diana Taylor
Metrics and performance

    Pennsylvania, Philadelphia, Germantown, 1878              Frederick Winslow Taylor

    Scientific management in business

        Measurement of industrial productivity

        Maximal efficiency
          − Managers
          − Workers
          − Machines

        Time and motion studies

    Best methods for performing a task in the least amount of time


7                                 21st February 2008 London
                                         Diana Taylor
Frederick Winslow Taylor

    Improvement of efficiency and maximisation of profit

    Ethical behaviour of people towards increase of their income

    Increase of the company size to obtain the advantages of division of labour and
    specialisation of tasks

        Cooperation between management and workers

        Selection, training and development of workers
          − Cooperative and innovative workforce
          − Trained and qualified management
          − Enforcement of standardisation of methods



8                                 21st February 2008 London
                                         Diana Taylor
Individual metrics for the individual employee?

    Stahanov




9                  21st February 2008 London
                          Diana Taylor
10   21st February 2008 London
            Diana Taylor
11   21st February 2008 London
            Diana Taylor
Metrics and CRO

     Miriam Shuchman, M.D.
     Commercializing Clinical Trials — Risks and Benefits of the CRO Boom
     NEJM Volume 357:1365-1368 October 4, 2007, Number 14




12                             21st February 2008 London
                                      Diana Taylor
Life with metrics for medical writers

     Graduating

     Recruiting

     Training

     Retaining




Karen Wooley, CEO ProScribe Medical Communications
              Associate Professor, University of Queensland


13                             21st February 2008 London
                                      Diana Taylor
Graduating
     NY Times 7 December 2004 “What corporate America can’t build: a sentence”

“National Commission on Writing (US) … concluded that a third of employees in the nation’s
   blue-chip companies wrote poorly and that businesses were spending as much as $3.1billion
   annually on remedial training”

“It’s not that companies want to hire Tolstoy … but they need people who can write clearly, and
    many employees and (job) applicants fall short of that standard.”

“… are chaotically written, resulting in a whole cycle of confusion”

banks send their employees on remedial writing courses

because “… people now just let thoughts drool out ...” (spoiled by writing SMS and on screen)

and on business behaviour courses

“Even C.E.O.’s need writing help … They’re in denial, and who’s going to argue with the boss?”

“Considering how highly educated our people are, many can’t write clearly in their … work.”


14                                    21st February 2008 London
                                             Diana Taylor
Graduating
     NY times 21 January 2008 “New York measuring teachers by test scores”

     2,500 teachers in New York City are being measured on how much their students improve on annual standardised tests;

Objective: to determine how much a teacher has contributed to students’ growth

Primary variables: “predicted gain” for a teacher’s class against students’ actual gains

Design: parallel groups of teachers in 2 x 140 schools

           1)   teachers are judged by students’ achievements:
                how many students in their classes meet basic progress goals
                how much student performance grows each year
                how that improvement compares with the performance of
                similar students with other teachers

           2) principles make subjective evaluations

Results:        teachers ratings will be made public

Conduct:        teachers have not been told,
                data have already been collected,
                no previous announcement on how these results will be used, but eventually for:
                  performance evaluation,
                  bonus allocation,
                  tenure/redundancies

Weaknesses: “These tests were never intended and have never been validated for the use of evaluating teachers.”
            “There is no way that any of this current data could actually, fairly, honestly or with any integrity be used
              to isolate the contributions of an individual teacher.”
             “It is going to tell you some things you don’t know, but it will miss the other things that go on …”



15                                                     21st February 2008 London
                                                              Diana Taylor
Graduating



     educators nationwide are struggling to figure out
     how to find, train and measure good teachers –
     who teach well or who force students to learn well?

     finding high-quality teachers is crucial to improving student learning




16                                   21st February 2008 London
                                            Diana Taylor
How to determine what makes a good medical writer

     Education

     Academic records

     Certification

     “excellent written communication skills”

     “right qualification on paper”

     Cannot assume that someone who writes well will be a great medical writer.




17                                    21st February 2008 London
                                             Diana Taylor
Requirements for a Medical Writer

     Application documents

         PhD, publications, flawless cover letter and CV, evidence of documents
         written, references from previous employers, web presence

     Technical skills

         Reading and understanding listings, tables and figure

         Summarising data into text

         Designing tables and figures

         Designing templates

         Computer skills


18                                21st February 2008 London
                                         Diana Taylor
Requirements for a Medical Writer

     Knowledge of Laws and Regulations

         ICH Guidelines
           − ICH E3
           − ICH E6

         European and National laws

         The Declaration of Helsinki

     Language skills

         Translations

         Editing

         Proof reading


19                                     21st February 2008 London
                                              Diana Taylor
Technical skills – relatively easy, timely feedback

     Writing skills – much harder and very time consuming

     Thinking skills

     Behaviour?




20                                  21st February 2008 London
                                           Diana Taylor
Diana Andreeva Taylor
Author, Berlin




http://healthywords.edublogs.org




21                           21st February 2008 London
                                    Diana Taylor
Thank you

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Slideshare London Metrix21022008

  • 1. 5th Annual Clinical Trial Performance Metrics Using metrics to improve performance and productivity 20-21 February 2008, London, UK
  • 2. Objectives of metrics "Project Management in Clinical Trials" will provide presentations aimed to help you learn the importance of project manager tools, and how to overcome the trials in clinical trial recruitment, helping you to complete clinical trial projects on time and on budget. … providing essential training in … PRINCE2 project management methodology, this event is vital to project management success. 2 21st February 2008 London Diana Taylor
  • 3. Involving metrics early in a new employee’s work: risks and benefits The dual nature of metrics and performance - balancing the odds Individual metrics for the individual employee? Life with metrics for medical writers at a CRO: an example 3 21st February 2008 London Diana Taylor
  • 4. The scores of “killed” John Mueller holds the Woody Hayes Chair of National Security Studies at Ohio State University 250 200 150 100 50 0 Total killed Killed shirt Killed Shirt Good killed Sex Scenes ON OFF by bad Rambo 1 2 3 4 4 21st February 2008 London Diana Taylor
  • 5. 5 21st February 2008 London Diana Taylor
  • 6. TIME QUALITY MONEY 6 21st February 2008 London Diana Taylor
  • 7. Metrics and performance Pennsylvania, Philadelphia, Germantown, 1878 Frederick Winslow Taylor Scientific management in business Measurement of industrial productivity Maximal efficiency − Managers − Workers − Machines Time and motion studies Best methods for performing a task in the least amount of time 7 21st February 2008 London Diana Taylor
  • 8. Frederick Winslow Taylor Improvement of efficiency and maximisation of profit Ethical behaviour of people towards increase of their income Increase of the company size to obtain the advantages of division of labour and specialisation of tasks Cooperation between management and workers Selection, training and development of workers − Cooperative and innovative workforce − Trained and qualified management − Enforcement of standardisation of methods 8 21st February 2008 London Diana Taylor
  • 9. Individual metrics for the individual employee? Stahanov 9 21st February 2008 London Diana Taylor
  • 10. 10 21st February 2008 London Diana Taylor
  • 11. 11 21st February 2008 London Diana Taylor
  • 12. Metrics and CRO Miriam Shuchman, M.D. Commercializing Clinical Trials — Risks and Benefits of the CRO Boom NEJM Volume 357:1365-1368 October 4, 2007, Number 14 12 21st February 2008 London Diana Taylor
  • 13. Life with metrics for medical writers Graduating Recruiting Training Retaining Karen Wooley, CEO ProScribe Medical Communications Associate Professor, University of Queensland 13 21st February 2008 London Diana Taylor
  • 14. Graduating NY Times 7 December 2004 “What corporate America can’t build: a sentence” “National Commission on Writing (US) … concluded that a third of employees in the nation’s blue-chip companies wrote poorly and that businesses were spending as much as $3.1billion annually on remedial training” “It’s not that companies want to hire Tolstoy … but they need people who can write clearly, and many employees and (job) applicants fall short of that standard.” “… are chaotically written, resulting in a whole cycle of confusion” banks send their employees on remedial writing courses because “… people now just let thoughts drool out ...” (spoiled by writing SMS and on screen) and on business behaviour courses “Even C.E.O.’s need writing help … They’re in denial, and who’s going to argue with the boss?” “Considering how highly educated our people are, many can’t write clearly in their … work.” 14 21st February 2008 London Diana Taylor
  • 15. Graduating NY times 21 January 2008 “New York measuring teachers by test scores” 2,500 teachers in New York City are being measured on how much their students improve on annual standardised tests; Objective: to determine how much a teacher has contributed to students’ growth Primary variables: “predicted gain” for a teacher’s class against students’ actual gains Design: parallel groups of teachers in 2 x 140 schools 1) teachers are judged by students’ achievements: how many students in their classes meet basic progress goals how much student performance grows each year how that improvement compares with the performance of similar students with other teachers 2) principles make subjective evaluations Results: teachers ratings will be made public Conduct: teachers have not been told, data have already been collected, no previous announcement on how these results will be used, but eventually for: performance evaluation, bonus allocation, tenure/redundancies Weaknesses: “These tests were never intended and have never been validated for the use of evaluating teachers.” “There is no way that any of this current data could actually, fairly, honestly or with any integrity be used to isolate the contributions of an individual teacher.” “It is going to tell you some things you don’t know, but it will miss the other things that go on …” 15 21st February 2008 London Diana Taylor
  • 16. Graduating educators nationwide are struggling to figure out how to find, train and measure good teachers – who teach well or who force students to learn well? finding high-quality teachers is crucial to improving student learning 16 21st February 2008 London Diana Taylor
  • 17. How to determine what makes a good medical writer Education Academic records Certification “excellent written communication skills” “right qualification on paper” Cannot assume that someone who writes well will be a great medical writer. 17 21st February 2008 London Diana Taylor
  • 18. Requirements for a Medical Writer Application documents PhD, publications, flawless cover letter and CV, evidence of documents written, references from previous employers, web presence Technical skills Reading and understanding listings, tables and figure Summarising data into text Designing tables and figures Designing templates Computer skills 18 21st February 2008 London Diana Taylor
  • 19. Requirements for a Medical Writer Knowledge of Laws and Regulations ICH Guidelines − ICH E3 − ICH E6 European and National laws The Declaration of Helsinki Language skills Translations Editing Proof reading 19 21st February 2008 London Diana Taylor
  • 20. Technical skills – relatively easy, timely feedback Writing skills – much harder and very time consuming Thinking skills Behaviour? 20 21st February 2008 London Diana Taylor
  • 21. Diana Andreeva Taylor Author, Berlin http://healthywords.edublogs.org 21 21st February 2008 London Diana Taylor