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FROM TO
Single, High-End Technology Products and Services Solutions that Solve Clinical and Economic Challenges
■ Performance-driven innovations ■ Simultaneous focus onoutcomes, costs, access & quality Customer-
■ No focus on costs/access/quality ■ Facilitating consumer-driven health Driven
■ Developed by distinguished experts ■ Innovations developed locally (anywhere), shared Innovation
■ Originating primarily from developed markets globally
access to medical care and supporting consumer-driven health- priate to change consumers‘ minds. In the following, the authors
care solutions. describe the shifting focus of GE and the performance implica-
In line with recent suggestions by different marketing author- tions of healthymagination.
ities (Kotler et al. 2010; Marketing Science Institute 2010; Rust et
al. 2010), GE‘s business transformation, as represented by
healthymagination, focused on three main areas: innovation, Customer-Driven Innovation
stakeholder orientation and communication channels (figure 1). Due to healthymagination, GE adjusted its innovation focus from
First, there is an urgent need for innovation in terms of the deliv- single, high-end technology products towards solutions for cus-
ery of healthcare. In the past, healthcare innovations focused on tomers that solve clinical and economic challenges. While in the
outcomes and were mainly created by distinguished healthcare past healthcare innovation at GE was characterized by cost-inten-
institutions primarily in developed countries. In today’s intercon- sive, performance-driven solutions, current activities aim at
nected world, healthcare innovations can be developed anywhere introducing more affordable, simpler solutions. In line with the
and shared globally almost instantaneously while simultaneously ideas of Chesbrough (2003) and Ulwick (2005), GE integrates
focusing on outcomes, cost, access, and quality. Second, health- customer input to determine opportunities to reduce costs,
care providers need to broaden their stakeholder orientation. The improve quality and increase access. However, GE not only coop-
traditional orientation towards hospitals and physicians is insuf- erates with its traditional customers, hospitals and physicians, but
ficient, given the many different stakeholders within the health- also with patients and their relatives, governmental organizations
care arena. Third, a real dialogue regarding healthcare issues is and other market players. The resulting customer-driven inno-
required to create awareness for people‘s health habits. Tradi- vations focus on four fields: information acceleration, efficient
tional one-way communication channels appear to be inappro- technology, local access and engaging patients.
Two years into its six-year commitment, GE has 43 validated products and
services supporting its mission and has touched more than 234,000,000 lives.
AgileTroc Brivo
Asset Ma- Lullaty- LOGIO CT315s
nagement Warmers CSs Brivo
CT325s
Light- Eng- MR- Volusen Discovery Optima 903 Driad Discovery Optima
speed MAC Brivo strom Touch Automa- PET/CT CT Blood Spot CT750 MR430s Vscan
VCT XTe 800 DR-P Care- (MR Elas- ted Tech- 690 660s Collection HD 15T
stollon tography) nology (7) Cards
■ Information Acceleration: GE advances the adoption of health- ers can be a significant obstacle or offering medical technologies
care information technology to provide hospitals and doctors which can be used in primary care settings, thus reducing the need
with decision support and productivity tools. For example, a for hospital referrals. Designing products that address the needs of
joint venture between GE, Omnyx and the University of Pitts- underserved markets is just the first step towards improving access.
burgh Medical Center is developing a digital platform for lab As a next step, the product has to be introduced successfully into
pathology to improve diagnostics and lower costs. those markets and has to show that it actually contributes to
■ Efficient Technology: GE develops technologies that help cus- improving healthcare in a sustainable manner.
tomers utilize their existing infrastructure more efficiently. For Improved quality of care can take many forms, ranging from
example, GE‘s AgileTrac Asset Manager allows hospitals to use reduced morbidity and mortality rates to fewer unnecessary hos-
equipment more efficiently so fewer pieces of equipment need pitalizations, a reduced number of medical errors, or enhanced
to be purchased. The RFID tracking system also reduces the patient comfort and quality of life. Improvements in the quality of
demand for rental equipment, minimizes equipment theft and care can result from the use of technologies that are established and
loss, helps ensure proper equipment sanitation and maintenance proven, or from new technologies showing potential or actual
and provides critical data needed for accurate capital budgeting. improvement over existing products. Figure 2 shows an example
of a successful innovation, Optima CT660, which has been fully
healthymagination-validated because it reduces costs by 15% and
increases access and quality of care by 15%.
» A real dialogue regarding
healthcare issues is required to
Multiple Stakeholder Orientation
create awareness for people‘s But healthymagination means more than just new products. GE
health habits. « Healthcare was traditionally a B2B company focusing on hospitals
and physicians as their customers. However, this was a myopic cus-
tomer orientation in two different ways. First, GE did not suffi-
■ Local Access: GE creates services and devices that are targeted ciently consider consumers – the customers of their customers: the
to meet the specific needs of specific regions, e.g., rural and patients who are treated with GE‘s devices and their relatives. Thus,
underserved regions that need the essentials of healthcare, GE missed the opportunity to benefit from the pull of the market.
energy, and financing. In such regions, GE is cooperating with Second, GE is now also putting more emphasis on additional
the Nobel-prize winning Grameen Bank of Bangladesh to healthcare stakeholders, e.g., governmental organizations, inde-
develop a sustainable rural health model that will reduce mater- pendent opinion leaders, competitors and cooperation partners,
nal and infant mortality by more than 20 percent. and their own employees. In doing so, GE is becoming a company
■ Engaging Patients: GE supports consumer-driven health pro- with a multiple stakeholder orientation which helps to balance the
grams and innovative hospital programs that boost and moti- interests of all relevant market players and the unfolding market
vate consumer health awareness and activity. For example, GE needs (Ferrell et al. 2010). Different activities of GE address con-
and Intel are working together and combining their complemen- sumers (patients and relatives), customers (hospitals and physi-
tary skills to accelerate the innovation and commercialization of cians), health agencies and healthcare providers, and their own
next-generation home health technologies, including new areas employees.
such as fall prevention, medication compliance, and monitoring To address patients and their relatives, GE supplies these con-
of sleep apnea, cardiovascular disease, diabetes and personal sumers with the tools they need to make healthier choices every
wellness. day. For example, GE partnered with the Cleveland Clinic and
To get fully certified as a healthymagination initiative, innovations Ochsner Health System and conducted a national consumer study
have to both reduce costs and increase access and quality of care in the United States to gain a better understanding of people’s
by at least 15%. These achievements are externally controlled. health habits and to ultimately improve the way patients commu-
Oxford Analytica has developed a rigorous evidence-based method nicate with their doctors. The study revealed a large gap between
for reviewing GE’s portfolio of innovations and assessing on a sys- individuals’ and doctors’ perceptions of healthy living. While most
tematic basis whether they meet the healthymagination criteria, Americans grade themselves with „A“ or „B“, doctors give Ameri-
i.e., drive improvements in cost, quality and access to health serv- cans low grades on personal health (GE et al. 2010). These results
ices. Cost savings may result from a variety of factors, such as became the cornerstone of a global campaign – The Year of Better
decreased treatment time, fewer unnecessary interventions, Health for More People – designed to inspire people to lead health-
reduced length of hospital stay or lower administration costs. ier and more productive lives.
Increased access to health services and technologies can take Doctors, nurses and hospital administrators still are key contact
various forms, such as providing medical equipment to develop- persons for GE. Addressing their needs, GE Performance Solutions
ing and rural markets where the travel distance to healthcare cent- has saved approximately US$ 91 million in unnecessary costs by
helping hospitals across the United States to simplify processes, Just like innovations, the stakeholder orientation of GE also
open up additional capacity to treat people using current infra- helps reduce costs and increase access and quality (figure 3).
structure and ensuring the right tools are on hand to address Addressing multiple stakeholders leads to more insights regarding
patient needs. 98 percent of these costs were recurring year after the needs of different healthcare actors, unlocks hidden synergies
year. This means that GE has worked with hospital partners to save and contributes to the objectives of healthymagination.
almost half a billion in unnecessary costs over the next five years.
Due to lower costs and a simpler system, doctors and nurses can
now offer better care to more people. Multiple Communication Channels
In addition, GE is striving for partnerships with key health agen- Besides developing healthymagination-certified innovations and
cies and healthcare providers to offer solutions to some of the introducing a multiple stakeholder orientation, GE also improved
world’s most critical health needs. For example, GE‘s partnership its connection with healthcare consumers. More specifically, GE
with the UK in its National Stroke Strategy aims to reduce the death now takes the healthymagination message directly to consumers
rate from stroke by raising awareness of early warning signs and to help them change their approach to health. Due to the general
implementing a clinically validated three-minute MRI stroke pro- changes in consumers‘ communication behavior (Li/Bernoff 2008)
tocol. This helps ensure patients are scanned as soon as possible to and the alarming results of the national consumer study in the
avoid losing crucial time. United States, GE also revised its communication strategy. While
Furthermore, GE realized that healthcare starts at home. Although in the past the focus was on traditional communication channels,
GE has been providing employees with health coverage since the mainly communicating through brochures and by educating
1930s, it just recently started to lead the charge in improving work- healthcare providers, the focus has now moved towards interactive
place health through Health Ahead, an innovative employee engage- communication using multiple channels. A real dialogue among
ment program. Employees and their family members are encour- patients and providers has been established, including traditional
aged to improve their health. They receive financial incentives to media, healthcare ambassadors, digital media, social networks, and
induce them to live a healthier life, e.g., by engaging in regular exer- mobile applications.
cise or developing healthy eating habits. GE sites across the globe GE used a large global event, the 2010 Winter Olympics in Van-
will be certified based on health- and wellness-related measures, couver, to launch the most comprehensive health communications
including subsidized healthy foods in cafeterias and lower-cost fit- program in GE history. The advertising campaign in traditional
ness center options. This program could not only lead to $75 mil- media allowed GE to reach millions of consumers in the United
lion of savings, it will also significantly improve the health of GE‘s States and Canada simultaneously. A heavy-rotation television
employees and transform them into healthcare mavens. campaign was launched on NBC during the Opening Ceremo-
Consumers Customers
(Patients and Relatives) (Hospitals and Physicians)
nies, and print and digital ads appeared in top-tier publications of sleep patterns. These apps, which have been downloaded more
like the Wall Street Journal, USA Today, Washington Post and than half a million times, are now in the hands of people around
New York Times. GE also utilized outdoor ad space for added the world, providing solutions to common health issues, like help-
exposure in major markets in both Canada and the United States. ing women have healthier pregnancies and encouraging long-
To start a conversation with consumers, the company enlisted term weight loss.
Olympic athletes like Michelle Kwan and Scott Hamilton as The empowerment of consumers through multiple forms of
healthcare ambassadors to speak directly to consumers about communication creates easy access to valuable information and
health habits. Furthermore, GE re-launched healthymagination. contributes to the cost saving, access and quality commitments of
com, a consumer-friendly site which informs about the program healthymagination (figure 4).
and related projects, offers mobile applications for consumers and
features stories and blog posts around health topics. Online expo-
sure was further increased by presence on Facebook, Twitter, Key Results of healthymagination
HowCast, GOOD magazine and YouTube. Together with How- Launched two years ago, the healthymagination initiative of GE
Cast, GE developed a viral video campaign, the healthymagina- with its clear commitment to customer-driven innovation, multi-
tion “Physical Challenge”, featuring 6 YouTube stars that told GE’s ple stakeholder orientation and utilization of a wide range of com-
story and created videos solely for this campaign. These videos munication channels has proven a huge success. Not only was GE
gained over 10 million views, with a high user engagement dem- able to strengthen its competitive positioning, healthymagination
onstrated by 110,000 comments and 250,000 ratings with an aver- also contributed to the wealth of all targeted stakeholders. Success-
age of 4.7 out of 5 stars (HowCast 2011). In partnership with Med- ful stakeholders, in turn, not only create demand for GE‘s products
Help, the world’s largest health social network, GE created a but also provide critical public assets and a supportive environment
number of mobile applications to help consumers access helpful (Porter/Kramer 2011).
health information. Some of the apps featured are „Morsel“, an Physicians and hospitals benefit from 43 products and services
educational tool to help people make healthier choices, „Pic that have been validated and have touched more than 234,000,000
Healthy“, an interactive photo food diary, or „Sleep on it“, a tracker lives. People around the world are gaining access to better and
more affordable health technologies and services. GE is using the research and development facilities, to China in order to be closer
power of reverse innovation – a new model of product develop- to developing markets.
ment that empowers local teams to develop technologies in their Surprisingly, another challenge for healthymagination is inter-
country, for their country – to address local needs and enable nal rather than external. The message and the values of the cam-
access to technology where it may never have been available paign have been well received by clinicians, but GE‘s sales team
before. Examples include the US$ 500 MACi cardiology device still has to be motivated to use healthymagination as an additional
for India, which allows physicians to give scans for the cost of a tool to engage with customers. Although 90% of GE sales repre-
bottle of water, as well as the Brivo CT for China, which brings sentatives believe that the healthymagination message had a pos-
lower-cost CT technology to hospitals that were not able to afford itive impact on customers’ perception, its commercial activation
it before. needs to be stepped up. Sales representatives need to be trained
GE also helps employees to manage their health more efficiently. better to overcome customer misconceptions that reduced costs
Today, more than 100 GE sites have achieved HealthAhead certi- are equivalent to reduced prices and improved quality is exclu-
fication, with more than 300 additional sites planned in 2011. sively linked to increased reliability. Also, the third pillar of the ini-
Nearly 100,000 employees participated in this year’s HealthAhead tiative, increased access, will need to be emphasized more, since
Day, a global program designed to encourage employees to make only half of the sales teams surveyed could name all three pillars
healthy choices. of the initiative.
An analysis of GE‘s brand image with healthcare professionals There is a strong correlation between cost and access, especially
before and after the start of the initiative showed a significant in developing countries. If GE is able to significantly reduce costs of
impact. GE is increasingly perceived as a reliable and innovative health procedures, this will directly lead to a broader access and
high-tech company; over 89% of clinicians felt more positive after adoption of these procedures in the emerging world. To achieve this,
being exposed to healthymagination and 82% indicated that it GE opened its innovation approach and included external partners
made them at least somewhat more likely to purchase GE products with a fresh view on healthcare problems. The healthymagination
in the future. challenge is a crowdsourcing-based open innovation approach by GE
Finally, due to an improved business performance and a reduc- and several venture capital partners. It is an open call for businesses,
tion in expenditures on healthcare for its employees and retirees, entrepreneurs, innovators and students with breakthrough ideas for
GE now rewards its investors with a long-term organic growth in the detection and treatment of breast cancer. Up to US$ 100 million
the healthcare sector, which amounts to 2–3 times the U.S. Gross may be invested globally and will enable GE to gather innovative
Domestic Product. ideas and discover new potential partners.
to do so they have to open up on multiple levels, including inno- Porter, M.E./Kramer, M.R. (2011): Creating Shared Value, in: Harvard Business
Review, 89, 1/2, pp. 62-77.
vation and communication.
Rust, R.T./Moorman, C./Bhalla, G. (2010): Rethinking Marketing, in: Harvard
The use of new and multiple forms of communication creates Business Review, 88, 1/2, pp. 94-101.
easy access to clear, actionable information. Thus, healthcare pro- Trumann, M./Herhausen, D. (2008): Ecomagination – Ein Unternehmen posi-
viders can help consumers participate in improving the quality and tioniert sich nachhaltig, in: Marketing Review St. Gallen, 25, 4, pp. 23-27.
Ulwick, A.W. (2005): What Customers Want: Using Outcome-Driven Innova-
cost of the care they receive.
tion to Create Breakthrough Products and Services, Boston.
References
Chesbrough, H.W. (2003): Open Innovation: The New Imperative for Creat- The Authors
ing and Profiting from Technology, Boston.
Ferrell, O.C./Gonzalez-Padron, T.L./Hult, G.T.M./Maignan, I. (2010): From
Market Orientation to Stakeholder Orientation, in: Journal of Public Policy Dr. Dennis Herhausen
& Marketing, 29, 1, pp. 93–96. Project Leader at the Institute of Marketing, University
GE/Cleveland Clinic/Ochsner Health System (2010): Better Health Study, of St. Gallen
http://www.healthymagination.com/projects/better-health-study, accessed E-Mail: dennis.herhausen@unisg.ch
13.05.2011.
HowCast (2011): GE Healthymagination Case Study, http://www.howcast.com/
videos/407601-HowcastGE-Healthymagination-Case-Study, accessed 16.05.11.
Dipl.-Ök. Markus Trumann
Kotler, P./Kartajaya, H./Setiawan, I. (2010): Marketing 3.0 – From Products to Pricing Leader, GE Healthcare Germany
Customers to the Human Spirit, Hoboken. E-Mail: markus.trumann@ge.com
Li, C./Bernoff, J. (2008): Groundswell – Winning in a World Transformed by
Social Technologies, Boston.
Prof. Dr. Marcus Schögel
Marketing Science Institute (2010): MSI Research Priorities 2010–2012 – A
Guide to MSI Research Programs and Procedures, http://www.msi.org/ Director at the Institute of Marketing, University of St.
research, accessed 15.05.2011. Gallen
OECD (2010): OECD Health Data 2010 – Statistics and Indicators, http://stats. E-Mail: marcus.schoegel@unisg.ch
oecd.org, accessed 16.05.2011.
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