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    While writing an article recently on effective ways to bridge the IT/Management communication gap, I realized that few of us are eager to take responsibility in our business lives to make something different happen and be part of the solution.

    Indeed, we have a culture based on blaming: sellers would obviously close more sales if it weren't for the buyer; decisions could easily get made in meetings if people could make up their minds; systems would get designed correctly if the users could get it right the first time; teammates would get along if it weren't for those in
    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
    the team that were difficult, etc. etc. In other words, it's HIS/HER fault.

    The problem is that unless each of us is willing and able to take the responsibility to create a win-win interaction, nothing gets fixed.

    While I can't offer a formula to teach folks how to eagerly seek out this level of responsibility, I can offer a communication formula, as embedded in The Buying Facilitation Method®. There is a way to not only take responsibility for every communication, but to ensure that your communication partners are supporting your effort effectively.

    Let's look at the
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    seller/buyer system as a model for responsible communication. Buying Facilitation® offers sellers (or changERs - anyone wishing to create change of any kind) a way to take responsibility for creating the parameters of a buyer's (or changEEs) decision; it systematically leads buyers through all of the sometimes hidden, often idiosyncratic issues that need to be taken into account before a decision to do something different can get made.

    Yet when buyers turn the tables and want something from sellers, and try to get a seller's behavior to meet their needs, the buyer is the
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    person responsible - hence, the buyer becomes the 'seller' of change and is therefore the one needing to 'own' the responsibility for creating an avenue to get their needs met.

    In other words, whoever wants something from the interaction is the seller. Optimally, both parties understand the need to move the mantle of 'seller' and 'buyer' back and forth between communication partners. WHOSE RESPONSIBILITY IS IT ANYWAY?

    On a business trip some years ago, my business partner had to leave unexpectedly. That meant I had to rent a car to get to the airport. Now, I'm on the
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    road all the time; I don't always really know what city I'm in, and certainly don't remember highways.

    I went to the nearest car rental company and began filling out the paperwork to get my car. As the papers were being completed, I asked the clerk how to get to the airport. Without looking up he mumbled:

    "Go outside, get onto 17, go 'til you get to 35 and you'll see signs for the airport."

    "Do I take a right or left on 17? Do I go north or south on 35?"

    "Go outside, get onto 17, go 'til you get to 35 and you'll see signs for the airport."

    "I don't think you heard me
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    , so let me say it again. DO I TAKE A RIGHT or a LEFT on 17?????"

    "Look lady, just do as I say: Go outside, get onto 17, go 'til you get to 35 and you'll see signs for the airport."

    By this time I was furious. My head was screaming at me: What the Hell is His Problem? I'm THE CUSTOMER here! Doesn't that idiot KNOW I'm THE CUSTOMER and I SHOULD GET WHAT I WANT? WHY ISN'T HE RESPONDING PROPERLY???"

    Just as I was about to scream at him, which he was expecting and glaring right back at me, I moved into my coach/witness self-talk: Yo, Sharon Drew. YOU ARE THE ONE WHO NEEDS
    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
    TO GET TO THE AIRPORT. NOT HIM. YOU ARE THE SELLER HERE!!!!!!!! BE NICE OR YOU'LL BE IN THIS DAMN TOWN FOREVER.

    I smiled at the red-faced clerk and said, sweetly, "See, I've got a problem. I have a terrible time with directions and get lost frequently. Would you mind making a map to get me to the airport? That would be so much easier than verbal directions. I'd really appreciate it. Thanks." "No problem." And it was done.

    I had a belief that just because I was the 'customer' that I was the one who should get what I wanted. But in this case I had to become the 'seller' a
    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
    nd sell the clerk the idea of giving me what I needed in the way I needed it, separate from his accustomed response. He became my buyer. IT'S NOT ABOUT RIGHT - IT'S ABOUT RELATIONSHIP

    We all face this problem daily: we believe we're right, that we need something done OUR way, that the other person is beholden to us to give us what we want OUR way, and that we're being perfectly reasonable and understandable, in word choice, request, or outcome. Indeed, we might even BE right. But that's not the point: we're seeking a communication, not a monologue.

    We forget that we ar
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    e operating out of our own set of beliefs and values and that others have separate and different beliefs and values. Stir into the mix our often disparate communication capabilities, skill sets, goals, job descriptions - and we're off and running.... in different directions. Then we can say things like:

    - it wasn't my fault; I was clear;

    - he seemed to understand me when I was speaking with him;

    - when I left, we had agreed. I don't know what happened;

    - I thought we were on the same page. I didn't realize until too late how far apart we were;

    - what's his/her proble
    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
    m?

    - obviously not a decision-maker; not smart enough;

    - I was speaking perfectly plain English. The guy's a jerk.

    Let's assume that everyone is doing the best they can do. Let's also assume that most people are nice, and willing to be helpful. So what happens that makes them jerks?

    What's happening is that the other person is hearing us through their unique, very idiosyncratic beliefs systems and filters. Studies have shown that we only listen for data that will concur with what we already believe or are comfortable with.

    When we get new data, it's up for grabs as t
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    o how we accept it. According to accepted learning theories (G.M. Edelman and G Lowenstein as per discussion in Driven: How Human Nature Shapes our Choices by Paul Lawrence and Nitin Nohria) if there is a small gap between what the listener is hearing that is familiar and what is divergent, a perceived large gap between the two, or non-perceived large gap, there will be no response or a fear-based response to the talker. It's only when there is a perceived medium gap will any action be taken - and then the listener will attempt to close the gap by following his/her own st
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    andard operating procedure.

    In other words, people don't like to be out of their comfort zone.

    So if you've got something to say to someone that involves - something new to think about, - some need for change, - anger/annoyance about something the listener didn't realize s/he created or didn't create with purpose, the odds of being heard in a way that supports collaboration are minimal at best.

    The sad thing is that relationships get damaged when one person gets annoyed that their communication partner is not responding 'appropriately ("You're not hearing me!")', o
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    r 'adequately' ("You didn't respond to what I just said."), or 'sufficiently' ('buyers are liars' fits here). HOW DO WE TALK TO EACH OTHER RESPONSIBLY

    In order to ensure that our communications are received the way we want them understood, we need a way to create a 'we space' between communicators.

    That means, someone - the 'seller' or the person wishing something from the communication - must make sure that each person is heard, understands what's being said, and responds appropriately.

    I'd love to tell you that each person in all interactions are willing to take res
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ponsibility, but that's just not true. Prospects have no reason to make sure they are being heard, or hear, efficiently; hostile partners or teammates don't care if they hear you or not; etc. Try convincing a teenager that they need to hear you lecture. Particularly when we get into our individual 'stuff', when our beliefs get triggered, it's very difficult - if not impossible - to really hear the person who's triggered our discomfort.

    We're not talking about 'right' here; we're talking about taking a level of responsibility above and beyond the normal 'communication' le
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    vel, and working toward a collaboration regardless of who might be in the 'right'.

    So how do you take responsibility for another person's communication? How do you correct misinterpretations - before they happen? How do you fix something gone - or going - wrong?

    While there are several complex skills that are required to support this level of communication integrity, there are some simple behaviors that can go a long way toward making a difference. Primary is the recognition of a problem to begin with. Let's look here at the noticing aspect, the correcting aspect, and t
    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
    he make-sure-it-continues-to-go-right aspect.

    Noticing if it's working or not:

    1. physical. Note the other person's demeanor. Notice facial expressions and posture. Was there a shift? Does there seem to be confusion? Does the facial expression seem to be congruent, but the words are not in total alignment with your end of the communication? If it doesn't seem right to you, it probably isn't. There's probably a glitch somewhere between what you thought you said and what they thought you said.

    2. emotional. Are you both in rapport? How do you know? Do you continue in rap
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    port as the communication proceeds? Do the words used have a natural cadence of up and down? Is there some malleability to your communication partner's voice, rather than a stern or emotionless voice tone? Has this person gone from comfort to discomfort? From soft to hard, or from light to heavy? If you are feeling discomfort, the other person is also.

    3. mental. Are the messages you are sending being heard in the connotation you imply? If your message isn't being received properly you will hear a non-sequitor in response. Or you will hear what sounds like a normal respo
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    nse, but the affect/pitch/tone will be flat.

    Correcting a misperception:

    When you notice something is awry, you must go in and fix it immediately or it gets carried along within the dialogue as a huge sore that no one is attending to but is acutely impacting the communication. As one of my client's from Boston once said, it's like the turd in the punchbowl: everyone knows it's there, but everyone avoids it; everyone claims they are not thirsty and no one will take the responsibility to fix it, so they move on to another party where they can get punch. It's lose-lose.

    I
    .

    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
    'm suggesting that the person who wants something from the communication make sure the punch bowl is clean.

    As the owner of the communication, you must be the one to say: "Excuse me. I think there might be a confusion in our communication. I hear you saying X and it seems to me you might have heard me say Y. Is that true?"

    or

    "It seems to me you're annoyed by what I said, and that wasn't my intent. I want to make sure we stay on the same page: can you tell me what you heard me say so I can either correct it or re-state it?"

    or

    "It sounds as if you've lost interest i
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    n our conversation. Is there anything you need me to know in order to get back on track with you?"

    Because communication is a two-way exercise, losing the Receiver means you're not communicating. That might be ok in some situations, but not in others - especially when your job or relationship depends on it.

    The question I leave you with is: What would you need to know or believe differently to be wiling to take responsibility for both sides of a communication? What are you currently missing to make that happen?

    It might make the difference between success and failure.


    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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