01 · Strategy
Launch strategy reset
The problem. The draft medical plan contained 47 activities, 14 unranked evidence questions, and no explicit decision rights.
What we did. Facilitated an evidence-and-insights workshop; reduced the plan to five imperatives; cascaded objectives into 18 initiatives; assigned accountable owners and quarterly measures.
Result. 100% of initiatives linked to an imperative; 6 duplicative activities stopped; leadership approved a single 180-day plan.
Artifacts
Annual Medical Plan; objective cascade; RACI; decision log; strategy deck
02 · Insights
Stakeholder prioritization
The problem. Coverage expectations were uniform despite large differences in scientific expertise, patient population, research role, and unmet educational need.
What we did. Scored 36 synthetic experts on scientific relevance, network role, evidence-generation fit, unmet need, and engagement objective; calibrated tiers as a team.
Result. Top-tier coverage increased from 58% to 83%; low-value repeat contacts fell 21%; every priority expert had a documented scientific objective.
Artifacts
Stakeholder map; territory plans; engagement tracker; field dashboard
03 · Insights
Insight-to-action engine
The problem. Field notes were rich but unstructured; themes could not be quantified, validated, or tied to decisions.
What we did. Introduced a controlled taxonomy, confidence score, verbatim/interpretation separation, duplicate handling, and a monthly cross-functional synthesis council.
Result. 48 insights became 4 validated themes; 3 content changes and 1 evidence concept were approved; action aging became visible.
Artifacts
Insight taxonomy; insights log; insight-to-action dashboard; monthly readout
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04 · Evidence
Evidence-gap prioritization
The problem. Twenty-two ideas competed for a constrained evidence budget, often supported by advocacy rather than transparent criteria.
What we did. Ranked six evidence gaps, then scored 10 concepts for patient relevance, scientific value, decision impact, feasibility, time-to-answer, and risk.
Result. Three concepts advanced: natural-history RWE, treatment-pattern study, and patient-burden qualitative work; low-value duplication was avoided.
Artifacts
Evidence gap map; concept scorecard; IEP; evidence investment pitch
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05 · Publications
Publication rescue
The problem. Two congress abstracts and three manuscripts had inconsistent owners, data-cut dates, and author-review assumptions.
What we did. Built a dependency-based publication plan with author agreements, review windows, disclosure checks, and red/amber/green milestone rules.
Result. Critical-path slippage surfaced 10 weeks earlier; four risks received owners; one low-priority manuscript was resequenced.
Artifacts
Publication plan; author tracker; milestone dashboard; congress planner
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06 · External
Advisory-board conversion
The problem. The prior advisory board produced a long transcript but no structured synthesis, prioritization, or accountable follow-through.
What we did. Designed six decision-linked questions; coded notes against evidence, practice, education, and implementation themes; separated individual comments from aggregated interpretation.
Result. Seven insights were validated, six actions assigned, and 83% of actions closed or on track at the 30-day review.
Artifacts
Briefing book; discussion guide; readout deck; action log
07 · Medical information
Medical-information service
The problem. Complex inquiries rose around subpopulation evidence and administration; leaders could see volume but not service risk or recurring content needs.
What we did. Added complexity, topic, channel, escalation, approved-source, response-time, and content-gap fields; established 2-day standard and 5-day complex SLA targets.
Result. Overall on-time response reached 91%; two recurring inquiry clusters triggered new response documents and MSL refreshers.
Artifacts
Inquiry log; SLA dashboard; content-gap trigger; escalation matrix
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08 · People
MSL readiness
The problem. All MSLs completed training, but observed scientific-exchange performance varied and two high-risk modules lacked documented remediation.
What we did. Added knowledge checks, role-play rubrics, observed field certification, coaching plans, and quarterly recertification dates.
Result. Certification rose from 63% to 88%; all remediation had owners and due dates; readiness became evidence-based.
Artifacts
Curriculum map; certification tracker; coaching log; readiness dashboard
09 · Governance
Launch-readiness governance
The problem. Readiness was reported through narrative updates that masked dependencies between people, content, systems, and evidence.
What we did. Created a six-domain scorecard with objective evidence, threshold definitions, milestone owners, and a cross-domain dependency log.
Result. Readiness improved from 61% to 82%; three red dependencies were escalated; the executive committee approved targeted recovery actions.
Artifacts
Launch scorecard; risk register; dependency log; launch-readiness deck
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10 · Operations
Budget reallocation
The problem. The budget view grouped spend by vendor and cost center, making it hard to test whether resources followed strategic priorities.
What we did. Mapped forecast and actuals to objectives, initiative type, evidence gap, geography, and quarter; added committed-versus-flexible categorization.
Result. $420K moved from low-impact events and duplicated vendors into RWE, content remediation, and field capability; forecast variance fell below 5%.
Artifacts
Budget model; capacity view; initiative portfolio; investment memo
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11 · Congress
Congress command center
The problem. Abstracts, scientific exchange plans, expert meetings, booth staffing, intelligence questions, and debrief actions lived in separate trackers.
What we did. Built one milestone plan with workstream owners, dependencies, scientific objectives, coverage map, daily synthesis, and post-congress action capture.
Result. All critical milestones met; 22 insights captured using the common taxonomy; debrief actions assigned within five business days.
Artifacts
Congress planner; coverage grid; daily huddle; congress debrief deck
12 · Leadership
Monthly executive value story
The problem. Leadership reviews overemphasized activity counts, obscuring quality, learning, evidence progress, service, readiness, and risk.
What we did. Balanced the scorecard across reach, quality, insight impact, evidence/publication, medical information, people readiness, budget, and compliance.
Result. The monthly review shifted from reporting to decisions: three risks escalated, two resources reallocated, and four actions closed.
Artifacts
Executive dashboard; narrative KPI commentary; QBR deck; decision log
