HVTDC Helps Medical Publication
Organize Itself for the Future

“Brown (of HVTDC) helped the organization put together a new method of processing orders. By changing the workflow in this area, we were able to increase our efficiency. In addition, with the help of Mr. Brown we have written a detailed Sales and Marketing Plan that has helped keep our efforts in line with our long and short-term goals.”

Doris Peter, Ph.D.,
Publisher
The Medical Letter


The Medical Letter is a non-profit organization founded in 1958 by Arthur Kallet, the co-founder and former director of Consumers Union, and Dr. Harold Aaron, a former medical advisor to Consumers Union. The Medical Letter, through its newsletters, handbooks and software, publishes critical appraisals of drugs and therapeutics for health care professionals. Its editorial process produces a consensus of expert opinions, without the influence of the pharmaceutical industry. The Medical Letter is completely independent; it is supported solely by subscription fees and accepts no advertising, grants or donations.


Ralph Brown, a business consultant for the Hudson Valley Technology Development Center, had spoken to several staff members at The Medical Letter who suggested he call the publisher, Doris Peter, Ph.D. Initially reluctant, she finally met with him to discuss the operation in the spring of 2001.


“We met and spoke about the organization, its structure, reporting relationships, and human resources,” says Brown. “However, we both realized that our priority would be in the financial area, due to declines in subscriptions and revenue for its flagship publication. We examined current profit-and-loss statements as well as projections for three years out. It became obvious that if the organization were to grow, it would have to focus on launching new products and/or publications.”


“We then looked at how The Medical Letter was organized. There was no concrete infrastructure; the organization chart was unclear relating to chain-of-command and reporting relationships. For many years, the marketing department relied solely on direct mail, and employee benefits and salaries were escalating at a rate higher than revenue and sales growth.”


Brown began working intensively with Dr. Peter, who arranged for him to meet with key employees, one at a time, so that he could keep his focus and understand how the organization really worked. He examined the reporting structure, studied the costs and overhead situation, and made specific recommendations in all operating areas.


Brown suggested that Dr. Peter hire a new marketing director who would report directly to her. They developed a profile, criteria, and a job description for the prospective candidates. Dr. Peter and Brown further discussed how the Internet and securing site licenses could be part of the business model for developing additional revenue, and Brown assisted in hiring a sales director to address site license initiatives. Brown also suggested several improvements in customer service that were successfully implemented. These improvements included extending call center hours, as well as initiating both outbound sales calls and inbound upselling/cross selling programs. In addition, Brown worked with Dr. Peter to create a formal structure for developing new products, resulting in the development of several new products/publications that were recently launched. On the cost-control side, Brown developed a salary grid that Dr. Peter instituted for both performance reviews and wage administration.


In September 2002 the organization introduced its first new newsletter, Treatment Guidelines from The Medical Letter, a monthly publication. This new publication offers review articles of drug classes for treatment of common disorders, such as diabetes, asthma, and hypertension, as well as bacterial and viral infections. Revenue from this new publication has permitted The Medical Letter to improve existing products, develop additional new products and hire key personnel to facilitate the improvements and additions.


Dr. Peter notes other changes as well. “Brown helped the organization put together a new method of processing orders. By changing the workflow in this area, we were able to increase our efficiency. In addition, with the help of Mr. Brown we have written a detailed Sales and Marketing Plan that has helped keep our efforts in line with our long and short-term goals.”


Brown says, “The changes at The Medical Letter did two things: they stemmed a decline in sales and revenue, and positioned the organization for steady growth. They are on track to remain independent, without any outside funding, in today’s competitive environment.”


For additional information, call 845-896-6934.

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