This document discusses the differences between BPO executives and in-house salespeople when following up on leads. BPO executives make many calls each day but focus on closing deals quickly, while in-house salespeople make fewer calls but have more touches with leads to set appointments and close deals over multiple interactions. It recommends implementing an inside sales team rather than a BPO to improve lead follow-up and increase the ratio of leads to walk-ins/demos to ultimately boost the ratio of leads to admissions. The inside sales role is more suitable than a BPO executive for following up on leads effectively through multiple contacts to move them down the sales funnel.