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How to achieve consistent implementation of an holistic 2-3 year medical affairs vision and strategy The greatest success can only be achieved if your medical affairs vision and strategy is consistently delivered across the lifetime of the plan. Too often a great long-term strategy is enthusiastically created and kicked-off, only to find that after a year, many of your stakeholders are doing their own thing, dramatically diluting the impact of the original vision. The holistic view is difficult to maintain. Sometimes this is due to lack of engagement or understanding at the outset but often the drift from the holistic approach is because of personnel change. New stakeholders may not be as invested from the start or perhaps they don’t get the same level of immersion and training. And of course, we can’t ignore human nature! Many people have short-term personal career goals that supersede or derail the consistent implementation of your medical affairs vision and strategy. Achieving consistent long-term buy-in for a medical affairs vision involves effective communication, collaboration, and alignment with key stakeholders. Here are some of the challenges that Prism address and overcome when we develop and run long-term medical affairs strategies; ◽ Lack of understanding of purpose: all stakeholders must be briefed on the need for, and value of, applying the vision and strategy consistently across the duration of the plan. ◽ Stakeholder buy-in: the vision and strategy must be relevant, credible, and useful for all stakeholders. We need to identify and understand the needs and expectations of key stakeholders at the planning stage and throughout. ◽ Alignment and consensus: the vision and strategy must be aligned across all stakeholders (discovery, medical, commercial). Excellent cross-functional relationships need to be fostered and maintained to ensure a holistic approach and better alignment with overall organizational goals. ◽ “Realistically aspirational”: the vision and strategy will guide future development and evidence generation, and we need to ensure forward-looking aspects are realistic. ◽ Global to local: consistent, concise and compelling regional communication needs should be identified and enthusiastically applied. Regular updates, workshops and training is critical as is the early agreement on what level of global/regional/local variation will be allowed. Are these steps easy? Of course not. This holistic objective has to be approached with energy and empathy. It needs include regular assessments of the effectiveness of the communication and engagement efforts to make necessary adjustments. If this is led by an experienced in-house and agency team, you have the best chance of success.  

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