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Well, we’ve talked about the importance of getting staff into a practice who complement the practice –are aligned with the practice’s values. Now let’s examine the actual effects of staff turnover on the practice.

S

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

taff turnover affects the practice in four main areas: Productivity, Financial Returns, Long Term Viability, and Satisfaction to the Physician. Let’s look at them.

EFFECTS ON PRODUCTIVITY Increasing work for the r

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

maining staff. This is rather obvious, but think about the work that’s left undone. If a clinical staffer has to cover the phones because the receptionist is gone, some work is going to be omitted. It might be her

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

egular clinical work or the phone answering, depending on which she feels is more important. But other staff get involved too, and she will likely make her choice based on the amount of flak she gets from other staff

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

members and even her sense of duty to the practice. But one of those jobs will not be done well, and staff and customers know it’s not being done well.

Lower morale for ‘good’ staff. Staff who work hard – those wit

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

a sense of duty and industry, tend to be much more negatively affected by the increased work generated by high staff turnover. Most of the time they like to get things done completely and done well, which is almost

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

mpossible when a vacant position’s work is being covered. Consequently, and this is a killer, it’s the best staff who tend to be most depressed or angry about vacancies, and are more likely to walk if the situation r

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

mains unresolved. Increased errors and omissions in paperwork. This is another problem whose cause is rooted in the distraction and gloominess of covering multiple jobs and knowing it’s not being done well. Even a

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

onscientious employee will make errors if the distraction is great enough; and if it’s constant over the course of weeks (waiting for a replacement) the problem is compounded.

EFFECTS ON FINANCIAL RETURNS Decreased

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

ncome due to reduced productivity. Whether it’s because they’re physically missing or that they can’t do as much when they’re filling in for others, missing staff mean you’re just not going to bill the dollars. With

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

vacancies, the physician can’t work as fast, technical work is delayed, information may not be collected, mailings are delayed – all result in a combination of lower billed amounts and delays in billing.

Increased li

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

bility to the practice. Sadly, in our litigious society people have become conditioned to look for a place to fix blame, and of course physicians are considered a prime target. Consider, then, the extra risk a pract

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

ce with high staff turnover is incurring when staff are covering for vacancies. They are distracted by unhappy patients and fellow staff members, are working in areas outside their training or skill areas, or are jus

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

plain mentally blunted from the extra work. Errors are easy to make, and the situation is such that it offers trial attorneys a field day when they get the case before a judge or jury. “How long had this situation

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

een going on, Doctor?”, or “What did you do to be sure errors were found and corrected?” go a long way toward making a physician wonder why he or she didn’t go into a gentler field, like brick laying or alligator wres

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

ling. Dollars will go out the door at worst in settlements, at best as increased insurance costs.

TIPS AND TRICKS FIRST, to prevent turnover, have regular meetings with your staff to discuss how to run things bette

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

. Keep the agenda very short – What are the top two things you’d like to see improved? or How do YOU think we can do this better?. And then be quiet and take notes. When you do this kind of meeting, be SURE to fo

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

low up and address the ideas that come up. Be honest, if you don’t think an idea is workable tell them so, but look for ways to implement as many of the ideas as possible. When employees know that you are listening

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

nd that something will be done, they are much more likely to stick around. Not only that, but they’ll work harder and enjoy the job more.

SECOND, write up a set of interview questions for each position in the pract

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

ce, and have a plan for immediate action when a staff member leaves. Fast replacement will keep staff happier, maintain productivity, reduce rework and liability, and improve your patient satisfaction. It’s worth it

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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