Microsoft Office System Customer Solution Case study New Client Management Solution Streamlines Studies for Drug Researcher Case save Studyan estimated $1,500 “We’ll per month in labor-related costs. We’re able to reconcile our client/revenue records faster and with fewer people involved. In addition, we intuitively know we have 5 to 10 percent better client tracking accuracy, so no client interaction slips through the cracks.” Sue Brown Vice President of Administration National Clinical Research A s a drug researcher evaluating new medications for drug companies, National Clinical Research was challenged by how to best track study client visits and associated revenue streams—historically a manual, labor-intensive process. The company averages 80 or more concurrent studies that involve hundreds of clients over trial periods lasting months or years. Using Microsoft Office Professional Edition 2003 and Microsoft Office InfoPath 2003, a new client management solution precisely schedules and tracks all people in a study and is projected to save the company more than $45,000 annually. CUSTOMER PROFILE BUSINESS SITUATION SOLUTION National Clinical Research (NCR) conducts research to evaluate new medications before they are approved by the U.S. Food and Drug Administration for use by the general public. The company is located in Richmond, Virginia. The company has 25 employees and conducts clinical drug studies for companies such as Merck and Pfizer. NCR faced three major business pain points: paperbased client and revenue tracking, gaps in interoffice communications, and high client recruitment costs. With more than 80 concurrent studies underway that required multiple client visits over months or years, the job of managing and communicating client information had become overwhelming. Microsoft® Office Professional Edition 2003 and Microsoft Office InfoPathTM 2003 information gathering program are at the heart of NCR’s solution. Microsoft Office Outlook® 2003 messaging and collaboration client is used as a client scheduler and office communications tool. In addition, Microsoft Office Access 2003 and InfoPath 2003 were used to create a client data entry form linked to an easily queried database. BENEFITS Streamlined client tracking generates a total of $45,000 annually in reduced labor costs and increased revenue. Saves time. More-efficient office collaboration eliminates many meetings and facilitates document sharing. Lowers recruitment costs by 30% via identifying past clients for use in new studies. “Capturing client information for our database was primarily a stand-alone, manual process that wasn’t integrated well with other points of contact with the client. This meant it was labor intensive to store and retrieve accurate information. We see the new client tracking solution helping us capture better information at least 30 percent faster.” James M. McKenney President and Chief Executive Officer National Clinical Research National Clinical Research conducts research to evaluate new medications for the treatment of major medical problems. A form of clinical research, the clinical trial is a carefully designed study of the effect of a new drug, medical treatment, or medical device on a group of patients or study participants. Most clinical trials are funded by the manufacturer of the drug or the device being tested. Drugs must pass three phases of clinical trials and demonstrate effectiveness and safety before they can be approved by the U.S. Food and Drug Administration for use by the general public. NCR tries to determine: The best dose(s) of the medicine to produce the desired effect The effectiveness of the medicine in treating the medical condition—for example, how well a medication lowers blood pressure in patients with high blood pressure The side effects associated with the medicine The effectiveness and safety of the drug in special populations of people—for example, in older individuals The usefulness of the medicine in treating conditions other than the one it is intended to treat In addition to research on new medicines to treat medical conditions, NCR occasionally works with other products including nutritional therapies (for example, food products that help lower blood cholesterol levels) and medical devices (home blood sugar testers). NCR was experiencing three major pain points: tracking revenue per client, inefficient internal office collaboration, and high cost of recruitment. Manual client and revenue tracking. One of the biggest challenges for NCR was the daily tracking of revenue. During any given month, NCR could be managing 80 different clinical trials with an average of 25 clients per trial InfoPath 2003 was used to quickly create easy-to-use input forms that reduced inefficient data entry and enabled more accurate gathering of client information. and different revenue values per client. Client visit data had to be exported from Microsoft® Outlook® 2000 to WordPad. There, it was manipulated into a form that could be exported to Microsoft Excel where a spreadsheet was created, with final analysis being done manually. “The process was both time consuming and error prone,” says Sue Brown, Vice President of Administration. “At the end of each study, it was not unusual to have a 10 to 15 percent discrepancy in revenue between our records and the sponsors’ records. Reconciling the variances had to be done manually and took a huge chunk of time.” Inefficient interoffice communications and collaboration. Seven coordinators and four assistants had to share a common computer workstation for scheduling and e-mail communications. The result was chronic scheduling conflicts and lack of coordination among internal staff. “We were losing an hour per day per coordinator resolving scheduling conflicts,” says Brown. “In addition, our patient care representative still needed to spend an additional four hours each Friday afternoon making sure there were no conflicts for the following week. All of our staff needed access to the same shared calendar and the ability to share communications and files.” High recruitment costs. The average cost of finding a research client ranges from $250 to $1,500 per individual, depending on the cost and the length of recruitment advertising time period. For specialized studies, the cost can be significantly higher. When NCR can find a prior participant that qualifies for a new study, the cost savings is dramatic. To address these challenges, NCR was seeking a solution that would better manage current and future clients. Using Microsoft Office Professional Edition 2003 with Microsoft Office Access 2003 and Microsoft Office Excel 2003, Internal Computer Services, National Clinical Research’s technology partner, was able to create a robust client management solution that integrated the study participant schedule in Outlook with a client database. The solution captures daily revenue rapidly, improves internal communications, and reduces recruiting costs. NCR uses Outlook 2003 as a shared calendar, client scheduler, and communications tool. The shared calendar holds all client appointments and is an integral part of the daily routine for all staff members. When a client checks in with the receptionist, a Microsoft Office InfoPath 2003 generated application form is used to gather basic information. This information is submitted to Access 2003, providing Access 2003 with the information necessary to track client appointments and tally daily revenue. The receptionist queries on the client’s name and populates the remaining fields of the custom InfoPath form—for example, the study in which they are participating, the visit number, and a revenue figure associated with that particular visit. That information is sent back to the central Access 2003 database. At this point in the data flow, only NCR management is able to access the revenue information as part of business operations. As an additional control element, only an authorized user can next launch the Excel 2003 application that serves as the user interface. An Excel 2003 worksheet populates, on demand, all study clients who came to “The benefits of Outlook 2003 were so compelling that we decided to provide computers for most of our staff. We realized that we could save significant time scheduling participants, mailing documents rather than copying them, and communicating with e-mail versus in-person meetings.” Kristen Sale Regulatory and Administration Manager National Clinical Research NCR on a specific day. Data such as the study the client was in, the visit number, and dollar value of the visit is automatically pulled from the Access 2003 database. This allows total daily revenue to be calculated. “We immediately saw the advantages of using InfoPath forms and Access 2003 for NCR’s solution. For example, InfoPath allowed us to quickly create easy-to-use forms that reduced repetitious data entry and gathered client information more accurately. And, the Access database had a new manual backup capability that gave NCR extra control.” “The overall client management solution was immediately usable because it had a familiar Microsoft Office interface,” says Kristen Sale, Regulatory and Administration Manager. “Other industry line-ofbusiness solutions we considered would have required extensive training and a long series of data inputs before we could get any reports produced. We now have a solution that is simple, affordable, and gets the job done.” Gray Blankenship IT Project Manager Internal Computer Services Streamlined Study Client Tracking With the new client management solution, precise records can be kept for each study participant more easily. “We’ll save an estimated $1,500 per month in labor-related costs,” says Sue Brown, Vice President of Administration at National Clinical Research. “We’re able to reconcile our client/revenue records faster and with fewer people involved. In addition, we intuitively know we have 5 to 10 percent better client tracking accuracy, so no client interaction slips through the cracks.” Part of streamlining client tracking is ensuring the database is up-to-date and secure. NCR’s IT consultant found that Access 2003 could give their customer extra assurance. “We immediately saw the advantages of using InfoPath forms and Access 2003 for NCR’s solution,” says Gray Blankenship, IT Project Manager, Internal Computer Services. “For example, InfoPath allowed us to quickly create easy-to-use forms that reduced repetitious data entry and gathered client information more accurately. And, the Access database had a new manual backup capability that gave NCR extra control.” Lower Recruitment Costs NCR has a database of more than 10,000 clients. By using improved database structure and queries to recruit previous clients for new studies, NCR reduces its per-person recruitment costs. Since clients are already familiar with NCR and clinical testing procedures recruitment periods are shortened. “We have always tried to use our database of prior clients to find qualified participants for new studies,” says Sales. “However, capturing client information for our database was primarily a stand-alone, manual process that wasn’t integrated well with other points of contact with the client. This meant it was labor intensive to store and retrieve accurate information. We can see the new client tracking solution helping us capture better information at least 30 percent faster. For example, in a ‘competitive enrollment’–type study when we have a short period of time to find as many clients as possible, we are now able to rapidly find potential clients and get the word to them about an upcoming study. More participants mean more revenue.” Another benefit of keeping tabs on past clients is that NCR is better able to convince sponsors that it can complete studies on time, one of the most important criteria for clinical trial vendor selection. “We see the new client tracking solution as a definite competitive advantage,” says James M. McKenney, President and CEO. “It should help us conclude our study obligations to the sponsor in an efficient manner, and this should bring us new business.” Efficient Interoffice Collaboration, Calendaring, and Scheduling Most of NCR’s staff now has desktop computer access to Outlook 2003, which provides a common shared calendar for client scheduling and robust interoffice email communications. New powerful sort options (By Conversation and By Attachments) are proving to be very helpful with coordinators who need to track team assignments and reports. Sorting e-mail by attachments allows the team coordinator to quickly assess who has responded to an assignment with a report document. “The benefits of Outlook 2003 were so compelling that we decided to provide computers for most of our staff,” said Kristen Sale, Regulatory and Administration Manager. “We realized that we could save significant time scheduling participants, mailing documents rather than copying them, and communicating with e-mail versus in-person meetings.” Microsoft® Office System Microsoft Office Professional Edition 2003 Microsoft Office Word 2003 Microsoft Office Outlook 2003 Microsoft Office Access 2003 Microsoft Office Excel 2003 Microsoft Office InfoPathTM 2003 Hardware Compaq Proliant ML 350 Dell Optiplex GX 260 Dell Latitude D 600 Notebooks Partner Internal Computer Services Microsoft Office is the business world’s chosen environment for information work that provides the software, servers, and services that help you succeed by transforming information into impact. 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