Saturday, August 31, 2019
Stefan Thomke
9-603-022 REV: OCTOBER 28, 2002 STEFAN THOMKE Bank of America (A) The banking industry is ripe for innovation. We need to grow through value creation and excellent service that is appreciated by customers as opposed to price alone. ââ¬â Milton Jones, president, Georgia Banking Group ââ¬Å"I wonder if weââ¬â¢re being ââ¬Ëoverrewardedââ¬â¢! â⬠exclaimed Warren Butler to Amy Brady, the executive responsible for Bank of Americaââ¬â¢s Innovation & Development (I&D) Team in Atlanta, Georgia.As an executive in the consumer bankââ¬â¢s quality and productivity group, Butler led innovation and process change in Bradyââ¬â¢s group, which was responsible for testing new product and service concepts for the th bankââ¬â¢s branches. In the companyââ¬â¢s elegant 55 floor conference room on a day in May 2002, the two prepared for a team meeting on an important strategic decision that would affect how experimentation would be done in the I&D Market. Seeds of change wer e in the air at Bank of America.Indeed, earlier in the day, Butler had escorted an astonished visitor, a European banking executive, on a tour of some two dozen real-life ââ¬Å"laboratoriesâ⬠in Atlanta. Each was a fully operating banking branch, yet in every location new product and service concepts were being tested continuously. Experiments included ââ¬Å"virtual tellers,â⬠video monitors displaying financial and investment news, computer stations uploading images of personal checks, and ââ¬Å"hosting stations. â⬠(See Exhibit 1 for a selection of experiments carried out in a single branch. Currently, the I&D team had 25 bank branches in Atlanta in its experimentation portfolio. Senior management, however, had now offered them additional branches across the country that could expand experimentation capacity by nearly 50%. This offer appeared a vindication of the I&D Market project, which had been launched as an experiment itself only two years earlier. This rewa rd posed some tough questions. Would increasing the size of its innovation laboratories aid or inhibit the groupââ¬â¢s ability to develop new product and services? What would be the effect on the group itself?The issue of whether it was a dedicated research and development (R&D) operation or not had yet to be resolved. And, finally, what kinds of expectations would be placed on the group if its size were to increase so dramatically? ________________________________________________________________________________________________________________ Professor Stefan Thomke and Research Associate Ashok Nimgade prepared this case. HBS cases are developed solely as the basis for class discussion. Cases are not intended to serve as endorsements, sources of primary data, or illustrations of effective or ineffective management.Copyright à © 2002 President and Fellows of Harvard College. To order copies or request permission to reproduce materials, call 1-800-545-7685, write Harvard Business School Publishing, Boston, MA 02163, or go to http://www. hbsp. harvard. edu. No part of this publication may be reproduced, stored in a retrieval system, used in a spreadsheet, or transmitted in any form or by any meansââ¬âelectronic, mechanical, photocopying, recording, or otherwiseââ¬âwithout the permission of Harvard Business School. 603-022 Bank of America (A) Bank of America: A Pioneer in BankingMany innovative banks have gone out of business, often because they deviated from the ââ¬Å"best practicesâ⬠followed by most. ââ¬â Rick Parsons, executive vice president, Strategic Projects When Bank of America was formed in 1998 through a merger between California-based Bank of America and NationsBank of North Carolina, it could be proud of a long and rich history that spanned more than 150 years. Under its last CEO, the colorful but controversial Hugh McColl, the company had gone on a three-decade-long acquisition binge that resulted in a truly nationwide bank.In the fitting end to an era of hunting, McColl left his last annual meeting wearing cowboy boots and jeans on his way to a turkey shoot in Texas. Toward the end of the 20th century, Bank of America was the second-largest national bank with nearly 4,500 banking centers in 21 states, more than any other financial services company and with most of them in the high-growth belts of the South and the West Coast (see Exhibit 2 for a map of the bankââ¬â¢s regional market share). In the United States, the bank served 27 million households and two million businesses and processed more checks per day than the Federal Reserve System.Globally, it boasted over 140,000 employees across 190 nations, over $8 billion in annual revenues, $360 billion in deposits, and some $600 billion in assets (see Exhibit 3 for key financial data). Yet, increasing competition ensured that Bank of America could not rest on its laurels. Like many of its successful peers, its growth had been driven by cost reduction a nd consolidation. From 1985 until 2000, the number of U. S. banks had dwindled from around 14,000 to about 7,000. These still large numbersââ¬âespecially when compared with there being only six major banks in Canadaââ¬â reflected the highly competitive nature of the U.S. banking industry as well as its regional focus. Driving consolidation had been a realization that while service was local, products were national. Despite this realization, however, banks continued viewing financial services as commodities, and this bottom-line orientation did not make for an industry rife with innovation. In the estimation of Butler, a senior vice president and industry veteran, ââ¬Å"Peopleââ¬â¢s expectations for banks are very low; in fact, theyââ¬â¢re used to being treated badly by banks. To meet the challenges of an increasingly competitive environment, Bank of America had started decentralizing its national operations and encouraged branch managers to undertake more responsibili ties. According to reengineering expert Michael Hammer, however, the era of acquisitions had left the bank with ââ¬Å"the loopiest organizational structure Iââ¬â¢d ever seenâ⬠ââ¬âorganized partly by customer, partly by geography, and partly by product (see Exhibit 4 for a section of the bankââ¬â¢s organization). As CEO Kenneth Lewis put it, ââ¬Å"Weââ¬â¢d talk about customer satisfaction, then go out and buy that next bank. 1 For the new century, however, things would change. Fortune magazine observed: The hunter will become a farmer. ââ¬Å"Organic growthâ⬠is the strategy, reduced earnings volatility and greater profitability the goals. The plan is to make more money from essentially the same customers by selling more services. In the huge Consumer & Commercial bank, which generated 65% of earnings, that means getting a bigger ââ¬Å"share of walletâ⬠by encouraging 1 T. A. Stewart, ââ¬Å"BA: Where the Money Is,â⬠Fortune, September 3, 2001. 2 B ank of America (A) 03-022 consumers to consolidate their banking andââ¬âthe Holy Grailââ¬âbring their portfolios over from Fidelity and Merrill Lynch. 2 Few banks, however, had formal efforts under way that would generate the continuous stream of new products and services needed to grow organically. Only in recent years did banks start filing for patent applications. When innovation occurred, it did so only in specific areas: the Fifth/Third Bank in Ohio, for instance, innovated on the cost side, while Washington Mutual (WAMU) innovated on the service side.Many large banks had pockets of innovation that quite often simply remained thatââ¬â pockets. WAMU, one of the more innovative U. S. banks, had aggressively started opening traditional as well as experimental branches, sometimes directly across the street from Bank of Americaââ¬â¢s I&D Market branches. Taking a cue from retailers such as department stores as well as coffee retailer Starbucks, WAMU started its Occasi o pilot program. A concierge at the front entrance and several casually dressed roving sales representatives carrying mobile handheld computer devices answered customer questions.Several strategically placed teller stations replaced the traditional monolithic teller counter. Play areas for children also provided parents more time for banking. The first five Occasio branches opened in Las Vegas in April 2000, and customers opened checking accounts at twice the rate of regular branches. 3 For most banks, however, little sense of urgency existed. The State of Innovation in Banking Our banking branches havenââ¬â¢t really changed much in the last hundred years. If Jesse James brought his gang here, heââ¬â¢d still know where to go for the cash. Al Groover, senior process design consultant and I&D Team design lead One of the first actions Lewis took when becoming CEO was to consult several outside executives in areas from e-commerce to process management on what they considered to be ââ¬Å"best management practice. â⬠ââ¬Å"Process and competence will win,â⬠insisted Lewis, who also announced a Six Sigma quality program to reduce errors and streamline processes. In his focus on operational excellence, Lewis tried to rectify a situation that, according to a leading financial consultant, could be best described as ââ¬Å"banks are very good at being mediocre at a lot of different things. 4 Innovation, too, would require a revolution. That banks traditionally downplayed product and service development was reflected by a near universal lack of R&D departments. The comforting, stolid shadow of the three-piece-suited banker, after all, still loomed over most large banks. New products and services in the banking industry, if and when they came, generally arose from marketing departments, which lacked the formal processes, methodologies, and resource commitments that companies in many other industries took for granted.In fact, even inspired senior executive s with sufficient initiative could, through relatively informal channels, bring their own ideas to test markets. Although banks had IT departments, these primarily supported ongoing infrastructure changes in technology and software. 2 Ibid. 3 WAMM Web site at . 4 T. A. Stewart, ââ¬Å"BA: Where the Money Is,â⬠Fortune, September 3, 2001. 3 603-022 Bank of America (A) In the late 1990s, however, several converging forces led Bank of America to launch its formalized system for product and service development, the I&D Team.First, along with other industries, the bank began appreciating the value of continuous experimentation and testing in its efforts to grow through innovation. Second, Internet fever had nurtured a spirit of innovation everywhere, including the banking world. Third, banks began realizing that value creation had to be based on the voice of the customer to grow revenue and deepen customer relationships. Bank of America initially viewed the emerging Internet as a wa y to overcome geography. This led to a strategy of moving customers out of branches.As a result, according to Butler, ââ¬Å"Sometimes we were downright rude in our attempts to get people out of our branches. But eventually we realized that people like dealing with people and therefore branches were our strongest base. â⬠Frank Petrilli, president of TD Waterhouse, the countryââ¬â¢s second-largest discount brokerage, also acknowledged that ââ¬Å"branches are a crucial customer acquisition tool which solicits 30% to 50% of our clients through the 160 offices in the U. S. The branches are continuous advertising outlets, allowing us to spend only $58 per new account, compared with our online competitors that have cost up to $250. 5 The question then became how to change the role of the branches to balance customersââ¬â¢ needs for a human touch with the bankââ¬â¢s desire for cost-efficient, high-technology-based transaction platforms. The strategists at Bank of America re alized that such a balance could not be found overnight; nor, in a world of changing technologies, could solutions ever prove permanent. A dynamic test bed for experimenting with new banking concepts had to be found. The Innovation & Development Team VisionThe Innovation and Development Market is a test bed for creative ideas to increase customer satisfaction and grow revenues. ââ¬â Amy Brady, senior vice president, I&D Team executive Every day, Bank of America processed 3. 8 million transactionsââ¬âincluding more checks than the entire Federal Reserve System. A typical noncommercial customer entered a branch every nine days and used an ATM nearly three times a week. 6 Thus, even a 99. 9% success rate would still mushroom into over one million mistakes a year and expose consumers to problems ranging anywhere from paycheck deposit errors to bill mispayments.It was feared, therefore, that ââ¬Å"experimentâ⬠and ââ¬Å"mistakesâ⬠would be considered synonymous. Yet i f consumers wanted Swiss-watch precision for their money, they also craved Mediterranean warmth for their service experiences. At about the same time that WAMU was taking a page from successful retailers to create more inviting bank branches, so too was Bank of America thinking about how to experiment with the human dimension of its bank branches as well as the human-technology interfaces.To reduce risks of large-scale failure, the bank confined its experimentation to a set of bank branches eventually called the ââ¬Å"I&D Market. â⬠In the controlled environment of these laboratory branches, routine transactions could be handled efficiently while customersââ¬â¢ wishes for a good experience could be studied and experimented with. The bank could explore myriad questions: Could peopleââ¬â¢s waiting time in line be made more tolerable? Was there even a need for lines? Could technology-inexperienced customers relate well to American Banker, October 7, 1999. 6 T. A. Stewart, à ¢â¬Å"BA: Where the Money Is,â⬠Fortune, September 3, 2001. 4 Bank of America (A) 603-022 using keyboards and other devices? How best could staff members coach customers about Internet banking options? The goal was to boost customer and staff satisfaction at bank branches, which would ideally boost revenue growth within a given customer base while secondarily lowering staff turnover. The original idea for the I&D Market came from different sources, including several senior executives. Proceeding with the Innovation & Development Market project was a no brainer,â⬠according to Rick Parsons, one such executive. ââ¬Å"What was trickier were issues such as execution and budgeting of the project. For execution-level leadership, we assigned Amy Brady, Rob Johnson, and Warren Butler, all managers with good track records of getting results on a day-to-day basis. â⬠The team sought to establish a process whereby ideas could be generated, collated, and queued up for systematic , objective evaluation (see Exhibit 5 for its product and service innovation process).For the few ideas that made it through this ââ¬Å"filter,â⬠experiments would be designed and planned for the I&D Market branches. Successful experimentsââ¬âdetermined on the basis of consumer satisfaction or revenue growthââ¬âcould then be recommended to senior management for a national rollout To set up the new system for innovation, little upfront financial investment was required, as many team members worked part time on the project. Soon, however, the team grew to roughly a dozen managers, who often worked evenings and weekends.The 2001 budget allocation was $11 million, of which only $6. 3 million was spent on the teamââ¬â¢s experiments. Management considered this allocation generous, even for a company with $8 billion in revenues. The companyââ¬â¢s senior leadership resisted any attempts to carve out a ââ¬Å"president-levelâ⬠special budget for the innovation and pr ocess change team, arguing that, instead of enabling it to become another cost center, the groupââ¬â¢s funding should be tied directly to the performance of the 25 I&D banking centers.These branches also ââ¬Å"brought their own checkbookâ⬠and paid for part of the experiments themselves. Intensive initial debates had centered on whether the new group should operate as a stand-alone R&D center. Those in favor argued that a specific budget for new products and service development would protect the team from the day-to-day responsibilities of running a bank. Without such protection, the risk always existed that short-term market pressure would stifle long-term thinking and opportunities.It would also prevent comparisons between new concepts and mature products or even help prevent premature testing in live conditions. Thus, products and services under development could incubate properly without risking premature termination. After all, no automobile company would want a custom er to walk up to one of its dealers and drive away with an untested prototype car. And finally, creating an R&D group charged to tinker allowed for much more organizational focus on innovation rather than a group that was supposed to also show operating results.Many executives, however, felt that a separate R&D center would run the risk of becoming ââ¬Å"too hypothetical and impractical. â⬠Some feared that results from the I&D Market might then not prove duplicable elsewhere. Marrying experiments with real-world banking facilities would thus decrease cycle time for rollout. As Jones reflected on the thinking of the bankââ¬â¢s senior leadership: ââ¬Å"We were really looking at being able to execute fastââ¬âso making a separate R&D center is harder. Furthermore, ideas in some R&D centers never get a chance to see the light of day. But the issue of dual operating and innovation responsibility was hardly settled. As one employee in a feedback seminar put it succinctly, â â¬Å"We are building a plane as we are flying it. â⬠Indeed, the issue was still up in the air in May 2002. 5 603-022 Bank of America (A) The Vision at Work: Atlantaââ¬â¢s I&D Market Branches For a variety of reasons, Bank of America settled on Atlanta as the site for its I&D Market. The bank branches here boasted the most advanced communications infrastructure, with T1 and broadband communication lines installed.Atlanta also represented a ââ¬Å"stableâ⬠market, with the bankââ¬â¢s last major acquisition there in 1996. Finally, Atlanta lay a stoneââ¬â¢s throw from the bankââ¬â¢s national headquarters in Charlotte, North Carolina. Of its 200 branches in Atlanta, Bank of America initially gave 20 to the I&D Team. This hardly proved an imposition on the Mid-South Banking Group. The locations generally came from richer neighborhoods where customers were more computer literate and interested in a wider range of services.The I&D Team also replaced the conventional à ¢â¬Å"one size fits allâ⬠mentality with three different types of branches configured to satisfy varying customer needs: ââ¬Å"express centers,â⬠where consumers could quickly perform routine transactions; ââ¬Å"financial centers,â⬠where consumers could access more complex technologies and more highly trained associates for a wider range of services; and ââ¬Å"traditional centers,â⬠which provided conventional banking services, albeit with enhanced processes and technologies (see Exhibit 6 for a brief description of the banking centers).The Atlanta I&D Market included 5 express centers, 5 financial centers, and 15 traditional centers. The group unveiled its first remodeled branchââ¬âa financial centerââ¬âin the posh Buckhead section of Atlanta at a cost of about $1 million, for mostly technology. The other branches were remodeled to one of the three branch types and reopened shortly thereafter. Customers entering any financial center were greeted by a host at the doorââ¬âan idea taken from department and clothing stores. Customers no longer needed to sign in to see bank officers.At freestanding low kiosks, associates stood ready to perform transactions such as opening accounts, creating loans, retrieving copies of old checks, or, in some instances, even selling stocks and mutual funds. None of these associates had private offices. Customers could visit an ââ¬Å"investment barâ⬠with computers where, once online, they could bank, check personal portfolios, or just surf the Internet. Customers waiting for tellers could pass the few minutes in line watching television news monitors above the tellersââ¬â¢ desks or observing electronic stock tickers running along another wall.Some branches featured ââ¬Å"investment centersâ⬠where customers, sipping complimentary coffee, could lounge on couches reading magazines, newspapers, or financial journals or hook up their personal computers. All these nontraditional items w ere, in fact, experiments. The flat-panel monitors above the tellers, for instance, represented part of the ââ¬Å"Transaction Zone Mediaâ⬠experiment (detailed in a later section); the instant retrieval of old checks comprised the ââ¬Å"ImageViewâ⬠experiment; the investment centers and complimentary coffee, too, came under experimental scrutiny.All branches closely monitored customer reactions to these innovations through a variety of means, including customer satisfaction surveys and statistics on such factors as revenue growth, deposit growth, and number of services used by each customer. Prior to introducing these experiments into the I&D Market branches, the team actually rehearsed how the activity should occur. So, in a ââ¬Å"prototype centerâ⬠in Charlotte, North Carolina, people acted out how the host would behave as he or she handed off customers to specialists.They choreographed how a bank associate (not a specialist) might spend only 30 minutes with a cu stomer to set up a mortgage. To maximize the fidelity of these prototype rehearsals, actual specialists mimicked the intervening steps. When all the kinks were worked out in this rehearsal process, the experiment was launched in the ââ¬Å"living laboratory. â⬠The Walt Disney Company designed and taught them a ââ¬Å"Bank of America Spiritâ⬠programââ¬âdemonstrated in theme parks and taught through seminars as a service approach to other industriesââ¬âwhich was a principal motivator of the team. 6 Bank of America (A) 603-022The staff at local branches put the ââ¬Å"Bank of America Spiritâ⬠into action in different ways. They got to know their customers better, more personally. And the results were impressive. Bank teller Kemaly Jacques recalled: ââ¬Å"One customer had been boycotting our branch for the past three months because of poor service; now he swears he wonââ¬â¢t go anywhere else. â⬠The host, a key figure who guided customers as they entere d the branch toward appropriate services, became a great success story, though at the outset the role confused some customers, particularly those with complex transactions. ââ¬Å"Where do I sign in? many would ask. Host Kilah Willingham, who had worked her way up the organization from teller to loan officer, described the hostââ¬â¢s role as follows: I spend up to five minutes probing customer needs. I also intercept people going toward the old-fashioned tellers and usher them toward our innovative stations [where ââ¬Å"experimentalâ⬠technologies were offered]. A lot of customers are wary of technological change, for instance, of having the camera on them at the virtual personal banker station. My role is to make them comfortable here. I like not knowing whatââ¬â¢s coming up next; it keeps me on my toes.During the early months, however, planning and running experiments tied up tellers and associates in meetings for almost 30%-50% of their time (later this would drop to about 25%). On one occasion, a fill-in teller, providing temporary coverage during one of the meetings, mistakenly gave a customer a ââ¬Å"dye pack,â⬠a fake wad of dollar notes meant for use only during robberies. As the customer walked out, the wad started smoking in his pocket and exploded. The Bank of America Spirit, however, persevered. Hosts and tellers emerging from the meeting showed their service experiments to firemen arriving at the scene. ââ¬Å"This is so cool! cried out one fireman before opening an account. Experimentation, Learning, and Measurement At the end of the day, the most critical aspect of experimentation and learning is measurement. Measurements will defend you if done right; otherwise they will inhibit you. ââ¬â Milton Jones, president, Georgia Banking Group Of the many difficulties the team faced, one of the thorniest was resolving ââ¬Å"how toâ⬠questions: how to gauge success of a concept, how to prioritize which concepts would be tested , how to run several experiments at once, and how to avoid the novelty factor itself from altering the experimental outcome.Moreover, according to Butler: ââ¬Å"While we were building R&D capabilities, those controlling the purse strings thought we were doing just a one-time experiment. â⬠Thus, the problem list included one last addition: how to defend the I&D Market itself from budget cuts. The team selected concepts to be tested on the basis of available funding, business fit, and business case. To some extent, just continuing with the evaluation process served as a natural filter for ideas. But with many ideas and concepts that needed formal testing, according to team managers Joann Donlan and Mark Lewis, ââ¬Å"Even top-priority experiments need prioritization. As a result, the team started assigning priorities (high, medium, or low) based on the assumed impact to customers, and Brady and Butler made the final decisions about which product or service concepts to actually test. By May 2002, more than 200 new ideas had been generated, of which 40 made it to testing, 36 were successfully implemented and measured, and 20 were recommended or had been already rolled out nationally. Only four experiments eventually failedââ¬âand one of these became a ââ¬Å"redefinedâ⬠concept. 7 603-022 Bank of America (A)Central to the teamââ¬â¢s innovation process was how quickly people could learn from experiments, and measurements played an important role. The group amassed considerable experience and mastery of the subtle factors that affected learning. High-fidelity experiments The team sought to ensure that its experiments mirrored reality, or possessed high ââ¬Å"fidelity. â⬠Concepts that worked only inside their branches, after all, had little value to senior management interested in the scale effect of national rollouts. But high fidelity also meant high cost and commitment, which was hard to justify when ideas were at an early stage.Sometimes , low-fidelity tests using small focus groups gave the team an alternative during the very early stages of idea assessment. Experiments requiring minimal human intervention, such as news monitors over the tellerââ¬â¢s counter, for instance, would likely work just as well in regular branches as in I&D Market branches. But not all innovations might transfer perfectly in the course of a nationwide rollout. For instance, would staff in a regular branch provide the handholding and attention required to initiate technophobes to a virtual teller?In such cases, the insistence by upper management that experimentation occur in a live banking situation helped ensure high fidelity and confidence in the teamââ¬â¢s learning. Minimize the effect of noise Isolating the effect of a particular experiment on a bank branchââ¬â¢s performance meant being clear on what that effect was in itself, minus ââ¬Å"noiseâ⬠factors. Such noise could arise from a variety of sources such as seasonal p erformance fluctuations and changing market or even weather conditions. To minimize the effect of noise on learning, the team made heavy use of two techniques, repetition of trials and experimental controls.First, repeating the same experiment at one branch or running it simultaneously at different branches averaged out the effect of noise and thus reduced the possibility of obscuring the changes that teams were interested in observing and measuring. It would also ensure that success of a given concept would not rely on factors unique to a given branch. Second, pairing up two similar branches, one with an experiment (the ââ¬Å"interventionâ⬠) and the other running under normal conditions (the ââ¬Å"controlâ⬠), enabled the team to attribute differences between the branches primarily to the intervention itself.It could draw on controls from the I&D Market, or even from other branches in Atlanta or nearby regions such as North Carolina. The best controls, however, were like ly the very same I&D Market branches themselves in a before-and-after type of experiment; if properly done, this would help factor out the so-called Hawthorne effect. The Hawthorne effect referred to the implications of actually participating in an experiment and how that might affect its outcome. The team was aware this was possible, given the direct and indirect pressure on staff to perform. Willingham acknowledged, ââ¬Å"We are spoiled.We get special corporate shirts, we get parties; every quarter we have special ââ¬Ëletââ¬â¢s talkââ¬â¢ sessions. We associates can even contact the regional manager if we need. Other associates envy us. So we had better do well. â⬠Rapid feedback The cycle time for any given experiment carried out by the I&D Team was specified at 90 days. This did not include a preliminary ââ¬Å"washoutâ⬠period of a couple of weeks during which the novelty for both staff and customers hopefully subsided. Obviously, shorter turnaround time for feedback would help experimenters learn and prepare modified experiments more rapidly.Occasionally, it became quickly evident after the first few days if a concept would flop or succeed. Only rarely, however, did the team remove flops prematurely. On one occasion the team canceled a mortgage loan program after just a 30-day trial, primarily because getting credit approvals took far too long. The early termination allowed for quicker revision of this experiment, leading to a successful mortgage program. Increase experimentation capacity The number of experiments a single branch could run depended on available floor space and personnel, among other things.Less capacity would force the team to cram more experiments into one branch. If no capacity remained, the team could be forced to 8 Bank of America (A) 603-022 do things sequentially, which, in turn, would slow the entire concept-evaluation process. If the team succumbed to the understandable temptation of cramming too many experimen ts in a single branch, it would be hard to analyze the contribution of each individual experimentââ¬âanother signal-to-noise problem. A single branch might have as many as 15 active experiments running at any given time.If customers loved an experiment, however, it was left in the branch even after the 90-day trial period. This being the real world, after all, the branches could not simply pull the plug on something customers had grown to relish. Measurement team leader Scott Arcure admitted, ââ¬Å"We often worry about changing too many chemicals in the mix and wonder about which one made it explode. As bankers, weââ¬â¢re not experts at this type of measurement. â⬠The team planned to bring in a statistics expert to help sort out the effects of multiple variables.One of the bankââ¬â¢s outside research partners suggested moving to an entirely different market for further experiments. But the group was focused on its Atlanta market. With the customer satisfaction perce ntage higher than in traditional bank branches, some felt that capacity still remained for assessing additional experiments. In any case, Arcure warned that ââ¬Å"the Hawthorne effect would spike again in any new bank branch. â⬠The biggest problem with experimenting in a real-world laboratory was balancing innovation with a need for bottom-line success.Pursuing radical innovations would allow the team to explore entirely new possibilities; an incrementalist approach, however, allowed for improving current banking processes. Successful radical innovations would bring glory to the team. But home runs came at the cost of strikeouts. With its future not ensured, the team could simply not take outrageous chances. Many tests thus ended up validating ideas that were likely to succeed. Team members readily acknowledged such to be the case for host stations Transaction Zone Media and Bank of America Spirit.According to Teri Gann, a former regional executive, ââ¬Å"Interestingly, and not surprisingly, many of our successes, such as the host station, have been simple and low cost. â⬠The biggest impact so far came from Bank of America Spiritââ¬âtechnologically, a nonrevolutionary program transplanted wholesale from Disney. While the original vision called for a 30% failure rate, the actual rate in the first year hovered close to 10%. Butler commented, ââ¬Å"Weââ¬â¢re trying to sell ourselves to the bank. If we have too many failures, we just wonââ¬â¢t be accepted.Currently, we may have failure within concepts, but not failure in concepts. â⬠ââ¬Å"We might tweak a process, but everything conforms to the status quo,â⬠observed Wells Stanwick, Bank of America manager of channel strategy. ââ¬Å"Could we try out a more radical concept such as providing branch offices similar to attorney offices in large office buildings for wealthy customers? â⬠Deborah McAdams, banking center manager, agreed: ââ¬Å"Letââ¬â¢s do something really i nnovative, such as trying out loan machines similar to automatic teller machines like they do in Japan.When I mention this, some people arenââ¬â¢t sure if I am joking. â⬠Concepts that appeared intuitively obvious did not always prove so in reality. Such was the case for innovation and for financial payback. Team leaders wondered if a ââ¬Å"breakthroughâ⬠product should be measured through its degree of innovation or through financial payback or both. According to Brady, ââ¬Å"Our metric should be how an innovation affects the bottom line two years out, rather than looking for instant feedback [through customer satisfaction]. â⬠Problems with assessing innovation soon surfaced.What might appear radical to one person, for instance a ââ¬Å"mobile tellerâ⬠to a technophobe, might prove less radical from a purely technical standpoint. Nor did the innovation team take financial performance into account, largely because of an anticipated lag of 18 months to 2 yea rs in going from concept to rollout beyond Atlanta. The I&D Market, instead, would settle on the proxy measure of consumer satisfaction. Many team members recognized the shortcomings of their measurement process. Gann stated, ââ¬Å"I believe weââ¬â¢re doing the wrong thing by measuring the I&D Market staff on productivity, not innovation. But, she added, More learning comes from more radical experiments 9 603-022 Bank of America (A) ââ¬Å"You canââ¬â¢t chase two rabbits at the same time. â⬠Some team members pointed to WAMU as a possible benchmark, for it was ââ¬Å"a competitor willing to change and willing to raise the bar. â⬠The Transaction Zone Media Experiment A good example of the bankââ¬â¢s new innovation process at work was the Transaction Zone Media (TZM) experiment. Internal researchers, who ââ¬Å"interceptedâ⬠some 1,000 customers at bank lines, noted that after about three minutes the gap between actual and perceived wait time rose exponential ly.Two focus groups with sales associates and a formal analysis by the Gallup organization provided further corroborationââ¬âand the TZM experiment was born. The team speculated, based on published psychology literature, that ââ¬Å"entertainingâ⬠clients through television monitors above the lobby tellers would reduce perceived wait times by at least 15%. The team chose one enhanced ââ¬Å"traditional centerâ⬠for the TZM experiment and another one as a control branch so it could maximize learning from the experiment. In the summer of 2001, the team installed monitors set to the Atlanta-based news station CNN over teller booths in the branch.The team then waited for a weekââ¬â¢s washout period to allow the novelty to wear off before measuring results for the subsequent two weeks. Results from the TZM-equipped branch showed that the number of people who overestimated their actual wait times dropped from 32% to 15%. During the same period, none of the other branches reported drops of this magnitude. In fact, the control branch saw an increase in over-estimated wait times from 15%ââ¬â26% (see Exhibit 7 for results from the experiment). Though these were encouraging results, the team still had to prove to senior management that TZM could positively affect the corporate bottom line.To do so, the team relied on a model that used the easily measurable ââ¬Å"customer satisfaction indexâ⬠(based on a 30-question survey) as a proxy for future revenue growth. Prior studies indicated that every one-point improvement in a customer satisfaction index corresponded to $1. 40 in added annual revenue per household from increased customer purchases and retention. A banking center (branch) with a customer base of 10,000 households would thus increase its annual revenues by $28,000 should the index increase by just two points.Percentages generally ranged in the mid-80s in Atlantaââ¬â¢s I&D Market and in the high 70s to low 80s nationally. The team me asured an overall 1. 7% increase after installation of the TZM monitors. Sufficiently encouraged, it entered a second phase, to study and optimize the impact of more varied programming, advertising, and sound speaker parameters. While the benefits of the TZM program were laudable, the team now had to consider whether they outweighed the costs. Studies indicated that it would cost some $22,000 to install the special TV monitors at each I&D Market branch.For a national rollout, the estimated economies of scale would bring costs down to about $10,000 per site. Incentive and Compensation Issues: Tellers Do Not Like Change Another thorny ââ¬Å"how toâ⬠issue the team faced was how to motivate its staff. Couldââ¬âand shouldââ¬âthe performance of employees who were part of continuous experimentation be measured and rewarded conventionally? At the Atlanta branches, Bank of America tellers earned about $20,000 a year; annual turnover averaged about 50%. The next step up from te ller was sales associate; people in this job helped 10 Bank of America (A) 603-022 ustomers start up savings or checking accounts, fill out mortgage applications, notarize documents, and entice customers with new services. At I&D Market branches, some associates could serve as hostsââ¬âmaking many decisions without bringing in the branch manager. Some 30%ââ¬â50% of associatesââ¬â¢ compensation derived from performance bonuses based on a decade-old point system that used sales quotasââ¬âwhere points varied according to product, customer satisfaction, local market demographics, as well as managerial discretion. Given this system, associates were tempted to ignore customersââ¬â¢ actual needs. For instance, they would encourage customers to open up a checking account, which yields one point, rather than a savings account, which yields none,â⬠said an internal financial consultant. For the first several months, the I&D Market maintained the conventional incentive s cheme. The sales associates seemed to relish the additional pressure. But it soon became apparent that they would have to spend as much as a quarter of their time in special training sessions, not to mention ââ¬Å"alternateâ⬠time working as hosts, an experiment that yielded no bonus points.The staff, thus, began feeling disadvantaged by their rewards as hosts, since they faced the same monthly quota of points despite having less time with customers as part of an actual selling activity. For some, however, being part of the experiment proved reward in itself. ââ¬Å"I would not go back to my old job,â⬠said one associate who looked forward to working every morning. ââ¬Å"It would be like stepping several years back in terms of technology and service. â⬠Annual ââ¬Å"Bank of America Spiritâ⬠motivational sessions with vibrant music and motivational speakers reinforced this sense of exclusivity.Yet cracks in the prevailing incentive scheme began showing. ââ¬Å" Letââ¬â¢s be realistic,â⬠one sales associate admitted, ââ¬Å"you canââ¬â¢t be happy all day long; sometimes you have to fake it. â⬠In January 2001, senior management switched associates in all 25 branches to fixed-incentive compensation. Most of them welcomed the change, which added to the feeling of being special. It also represented a commitment from top management to the experimentation process. But not all staff thrived under the new fixed incentives.One executive complained that ââ¬Å"those in the I&D Market branches now thought they didnââ¬â¢t have to chin to the same level as others. â⬠Another manager had to reassign an associate ââ¬Å"since that person now sat passively at a desk; the team mentality of working for the customer proved foreign to her. â⬠With all the attention and resources dedicated to the I&D Team, some senior executives echoed a growing impatience that it was time ââ¬Å"to pay the piper. â⬠Resentment from personnel in other conventional branches might also have fueled this feeling.The group already enjoyed more resources than other branches, and there was a fear that different incentive schemes would remove them further from the daily realities of banking. There was also uncertainty whether the concepts tested in prototype form would work nationally because of different market conditions. As Allen Jones, a regional executive, pointed out, ââ¬Å"If a test is successful only under fixed-incentive schemes, then we canââ¬â¢t roll it out elsewhere. â⬠With growing discomfort, senior management switched the staff back to the old point-based incentive system after just a six-month trial.Not surprisingly, with this about-face the behavior of the staff reverted as well. Hosts, for instance, became reluctant to send customers over to insurance agents because they got no points for such referrals. On two occasions, in fact, supervisors witnessed a host undertake entire transactions just to make his points quota rather than direct customers to associates. The about-face also led one staff member to question Brady about senior managementââ¬â¢s commitment to the I&D Market vision. What concerned Brady and Butler the most, however, was the impact of incentives on the learning and quality of in-branch experiments. 1 603-022 Bank of America (A) First-Year Performance I see the following challenges for the I&D Market: ownership, evaluation, and continued support in a changing environment. The solution is to highlight successes, have a good batting average, rapid experimentation cycles, and maintain awareness at senior management level. ââ¬â Milton Jones, president, Georgia Banking Group By traditional banking measures, the I&D Market performance appeared less than stellar. Overall deposit growth in 2001 stood at just 0. 5%, compared with 3. 7% growth in other Atlanta branches.In terms of revenue, however, I&D branches did about 10% better than traditional branches. Some ex periments proved quite effective; for instance, a ââ¬Å"loan solutionsâ⬠experiment generated an extra $700,000 in the first quarter in all 15 participating I&D branches combined. With all additional costs factored in, however, the I&D Market was not, at least on a pilot scale, a winning proposition. The team therefore wondered about how senior management would react to its performance in an environment where many programs throughout the bank were being axed.Were comparisons with traditional benchmarks fair, given its mission of being the bankââ¬â¢s product and service development laboratory? Despite just a slight rise in customer volume, many associates observed a larger spike in customer satisfaction, with some customers now coming from longer distances just to bank at the new branches. Another promising trend not captured by traditional measures involved personnel turnover. Except for an initial turnover spike, annual teller turnover had dropped from 50% over the past th ree years to 28%.In the last quarter of 2001, annualized teller turnover had dropped to as low as 20%, but it was unclear how much of this stemmed from employment uncertainties in the aftermath of the terrorist attacks on September 11, 2001. At the same time, some senior executives viewed the I&D Market as the crown jewels of the Atlanta branches. The bank offered tours of its gleaming prototype facilities to customers, Bank of America executives, visitors from other industries, and even competing banks. ââ¬Å"Everyoneââ¬â¢s eyes are on us,â⬠admitted Allen Jones. ââ¬Å"Just last week, one of the bankââ¬â¢s top executives visited us. In 2001 the I&D Team received an additional five branches as part of a corporate reorganization that would increase each regional managerââ¬â¢s branch portfolio. While these measures increased operating budgets, they did not boost the research budget for experimentation and testing. Brady and Butler wondered how to deal with the unexpect ed ââ¬Å"reward. â⬠Some people even suggested leaving these five new branches untouched to serve as additional experimental controls. Ultimately, the five branches joined the ongoing experimental portfolio, bringing the total to 25. The new branches added much-needed experimentation capacity.Operationally, however, taking on additional branches stretched the teamââ¬â¢s efforts thin, since it required staff retraining and the setup of additional experiments, let alone all the minor logistics of managing branches that literally involved running among them all day long. With the potential drag of these branches on overall portfolio performance, the team also worried about increased corporate pressure for positive results. A Vote of Confidence? ââ¬Å"We had a good first year,â⬠Brady said as the last of the small group took their seats at the conference table overlooking downtown Atlanta. [The year] 2001 was our year to prove the I&D Team vision; 2002 is our year to grow up. At the end of this year I will have to restate our case, but 12 Bank of America (A) 603-022 hopefully to double funding. â⬠The I&D Team had been one of the few projects to survive companywide cuts, albeit with a smaller budget. ââ¬Å"We still make a small profit in our branches,â⬠Brady added, ââ¬Å"and potentially, this could cover our salaries, but it is too early to say. â⬠Next, Brady explained how the bankââ¬â¢s senior leadership had offered the group yet another ââ¬Å"rewardâ⬠of additional branches across the country.These branches could expand experimentation capacity by some 40%ââ¬â60% and take the strain off the 25 branches that were piling up so many experiments. But only about half the team responded to the news with smilesââ¬âjust as Brady and Butler had expected. The team had debated almost since inception the use of external control branches from North Carolina or even other Mid-Atlantic or East Coast regions. Some felt that geo graphy did not matter in this Internet age, as long as demographics, customer profiles, and size of banking centers were comparable.Others, such as Stanwick, disagreed: ââ¬Å"The prospect of using, say, North Carolina branches as controls for our Atlanta Innovation and Development Market scares me to death. â⬠Those in favor of taking on the new branches pointed to the limited experimentation capacity and the increasing testing backlog. In 2002 alone, 26 new experiments were added to about 25 on-going tests carried over from 2001, bringing the number of active experiments to more than 50 (see Exhibit 8a for the groupââ¬â¢s growing idea pipeline).They argued that more experimentation capacity allowed for faster evaluation of ideas through the running of more tests simultaneously and reduced feedback times because of potentially lower capacity utilization (see Exhibit 8b). Alternatively, the bank could run fewer simultaneous experiments and obtain cleaner and more reliable re sults. They further noted that the team by now had gained much experience in running experiments. In any case, it took the same time to design concepts for one center as for 10.Having a larger portfolio of branches might also make scale-up and national rollout of successful concepts easier and quicker. By making a big splash within the corporation, the I&D Team could win greater prominence. Because the offered branches were underperfomers, the team would look good in case of turnarounds but lose little if these new branches failed. Those against taking on the additional branches argued that the current 25 branches (or even fewer) in the portfolio were optimal. Taking on five branches within Atlanta had been difficult enough.Ten additional branches would be difficult to manage even if they were all in Atlanta. How much harder would it be for Atlanta managers, who were already stretched thin, to simply march into another branch and say, ââ¬Å"Hi, weââ¬â¢re here to test. â⬠Sp ecifically, some pointed out that associates in other states such as California appeared more individual than team oriented. Experience had also shown that associates would need to spend a quarter of their time undergoing additional training. In Atlanta, increased demands on tellers and associates had led to an initial rise in turnover (before eventually declining).Who could predict teller and associate turnover in a different geographic area? Some executives further noted that a larger I&D Market would increase the drag on the balance sheet, potentially stifling innovation. Too large a market might also confuse customers using more than one branch. Brady and Butler jotted down the rapidly flying ideas. Soon they would formulate a recommendation to the bankââ¬â¢s senior leadership about whether to accept new branches into its experimentation portfolio. One thing that stuck in both their minds was, ironically, ââ¬Å"failure. In particular, the need for failure so as to generate m ore learning. Failures had been few and far between so farââ¬âindeed, the last failure was that of a mortgage loan experiment whose post-mortem analyses indicated ââ¬Å"red tapeâ⬠as the cause, that is, too much paperwork at the back end. Hardly a ââ¬Å"revolutionaryâ⬠experiment, thought Brady; hardly somethingââ¬âeven if it had workedââ¬âremarkable. For both Brady and Butler, the words of their superior, Jones, an enthusiastic champion of their efforts, rang loud: ââ¬Å"So far, most of our experiments have been successful.Perhaps we donââ¬â¢t fail often enough. â⬠13 603-022 -14- Exhibit 1 Examples of Selected Experiments in Atlantaââ¬â¢s Buckhead Financial Center Media Wall Main Stock Ticker Assisted Work Station Self-Service Internet Tool Host Station Source: Bank of America. 603-022 -15- Exhibit 2 Bank of Americaââ¬â¢s Regional Deposit Market Position and Share (consumer and commercial banking) Source: Bank of America Web site, . Deposits are as of June 2001. 603-022 Bank of America (A) Exhibit 3 Selected Financials and Operating Data (dollars in millions, except per-share data)Bank of America Year Cost of goods sold Selling and administrative expenses Research and development expenses ROA ROE Market value Total interest income Total interest expenses Net interest income Provision for loan losses Net interest income after provision for loan losses Other Income Salaries, occupancy, and equipment Depreciation Total other expenses Pre-tax income Income taxes Income before extraordinary Items & discontinued operations Earnings per share basic from operations Earnings per share diluted from operations 2001 22,290 12,718 n. a. 1. 14 98,158 38,293 18,003 20,290 4,287 16,003 8,564 12,718 1,732 14,450 10,117 3,325 6,792 4. 8 4. 71 2000 27,351 12,255 n. a. 1. 2 15. 8 74,025 43,258 24,816 18,442 2,535 15,907 9,920 12,255 1,784 14,039 11,788 4,271 7,517 4. 77 4. 72 1999 20,906 12,281 n. a. 1. 2 17. 8 84,179 37,588 19,086 18,237 1,820 16,417 9,996 12,281 1,917 14,198 12,215 4,333 7,882 4. 77 4. 68 Source: Compustat. 16 603-022 -17- Exhibit 4 Section of Bank of Americaââ¬â¢s Organizational Chart Ken Lewis Chairman and CEO Consumer/ Commercial Bank Banking Center Channel Commercial ChannelSmall Business Banking Channel Premier Channel MiddleMarket Treasury Management Quality & Productivity (Milton Jones) Consumer & Commercial Bank Credit Processing Mid-South Banking Group Banking Center Channel Support Liability Risk Management Network Strategy / Location Planning Innovation & Development (Amy Brady) (Warren Butler) Source: Bank of America. 603-022 Bank of America (A) Exhibit 5 The I&D Marketââ¬â¢s Product and Service Innovation Process and Activities 2. Planning & Design 5. Recommend 1. Idea Conception The Innovation Process 3.Implement 4. Test ! Accepts, implements, and tests ideas and concepts (ââ¬Å"experimentsâ⬠) ! Optimizes speed to market and cost ! Coordinates activities and decisions thro ugh stages Market Rollout = Go / No Go 1. Idea Conception Conceive Ideas Input: Ideas/Info Output: Updated Idea Queue Desired outcome Assess Ideas Input: Updated Idea Queue Output: Approved Ideas Decision Ideas Input: Approved Ideas Output: List of Prioritized Ideas Success factors Key measures Desired outcome Success factors Key measures Desired outcome Success factors Key measuresInnovative ideas generated through internal and external sources Bank awareness and commitment # of total ideas % of approved ideas Rapid design, build and rollout planning Minimal planning time Timing and quality of design Cycle time for design types Ratio of redesigns Successful implementation of ideas Successful integration Zero market overload Cycle time Market readiness On-time implementation Stable operating environment for testing of new concepts and ideas Fast feedback of results Meeting test and mkt. oals Test cycle < 90 days Operating results Idea evaluation and national market rollout Quality r ecommendation package Cycle time Clarity/completeness 2. Planning and Design Assign and Scope Input: Prioritized Ideas Output: Design Needs Complete Design Input: Design Needs Output: Design Plan Build Rollout Plan Input: Detail Design Output: Rollout Plan 3. Implement Develop Test Plan Input: Individual Rollout Plan Output: Integrated Rollout Plan Implement Idea Input: Integrated Rollout Plan Output: Implemented Ideas 4. Test Manage the Market Monitor PerformanceInput: Output: Implemented Ideas Data Results Desired outcome Success factors Key measures Desired outcome Success factors Key measures Report Results Input: Output: Data/Research Test/Mkt Reports Conclusions Improve I&D Process Input: Process/Output Measures Output: Enhancements 5. Recommend Complete Recommendation Input: Idea Test Results Output: Recommendation Review/Approve Recommendation Input: Recommendation Output: Approval Communicate Recommendation Input: Approval Output: Communication Source: Bank of America. 18 B ank of America (A) 603-022 Exhibit 6Banking Branches in the Innovation and Development Experimentation Portfolio Financial Centers (5): Provide ability to advise across product line with expanded people, technology, process, and environment capabilities Express Centers (5): Provide fast, friendly, convenient access for routine transactions with self-directed options and teller services Traditional Centers (15): Provide traditional banking products and services with enhanced processes and technology Source: Bank of America. 19 603-022 Bank of America (A) Exhibit 7 Data from Transaction Zone Media (TZM) ExperimentThe TZM Experiment: ! Flat-panel monitors above bank tellers broadcast news for people waiting for service. ! Do such customers perceive shorter waiting times to service? ! Are such customers more satisfied with their banking experience? Actual versus Perceived Waiting Time (Customers who wait > 5 minutes) D iffe re nce 8. 16 Pre-Tes t 6. 17 P erc eived Tim e A c tual Tim e E xperimental Site: 32% 7. 04 Post-Test 6. 14 Tim e (m in) 0 2 4 6 8 10 15% ! Prior to installation of TZM, customers who waited longer than five minutes significantly overestimated their waiting time (32%). After installation, overestimates for the same customer group dropped to 15%. Control Branch: 8. 48 Pre-Tes t 7. 38 P erc eived Tim e A c tual Tim e 15% ! No experimental intervention was carried out during the observation period. ! Control branch had very similar customer demographics to experimental site. ! During the observation period, overestimates actually increased from 15% to 26%. 9. 27 Post-Test 7. 37 Tim e (m in) 0 2 4 6 8 10 26% Source: Bank of America. 20 Bank of America (A) 603-022 Exhibit 8a List of Product or Service Concepts Waiting to be TestedJanuary 13 (4) (10) 10 0 10 (7) -8 (7) -9 February 5 (1) (6) 6 0 6 (1) +29 March 27 4 (1) 1 0 1 (20) -21 April 3 0 (4) 4 0 4 (5) +16 May 27 0 (6) 6 0 6 (40) +7 Total 75 (1) (27) 27 0 27 Process Measure Inflow of new ideas be fore assessment* Ideas put on hold/reactivated Assessments completed ââ¬â recommended for design/testing ââ¬â not approved Ideas moved to design/testing New ideas discontinued (before or during assessment) Change in idea backlog** * New ideas come from brainstorming workshops, employee input, etc. * The January 1, 2002, backlog of new ideas awaiting a decision (assessment or discontinuation) is about two months. Source: Bank of America. Exhibit 8b Waiting Time Waiting for a Resource According to queuing theory, the waiting time for a resource increases gradually as more of the resource is used. But when the utilization passes 70%, delays increase dramatically. 0 40 50 70 80 90 100 60 Percent of Resource Utiliza tion Source: S. Thomke, ââ¬Å"Enlightened Experimentation: The New Imperative for Innovation,â⬠Harvard Business Review, February 2001. 21
Friday, August 30, 2019
Chronic Obstructive Pulmonary Disease Essay
Introduction ââ¬Å"Chronic obstructive pulmonary disease (COPD) is a lung ailment that is characterized by a persistent blockage of airflow from the lungsâ⬠( World Health Organisation (WHO) website, nd). This report will examine the causes, symptoms and treatment of COPD. It will discuss current statistics on COPD and some of the current treatments available. Multiple sources were used including websites, leaflets and government documents. Over 440,000 people in Ireland are thought to have COPD ( Living with COPD website, nd). By 2020, it is predicted to be the third leading cause of death worldwide (Living with COPD website, 2013). A recent COPD audit in Europe discovered that 50% of sufferers will die or be readmitted to hospital within a 3 month period (Living with COPD website, 2013). Approximately 1400 people die every year from the condition (Oireachtas website, 2013). Ireland has one of the highest incidents of death in Europe from COPD (Living with COPD website, 2013). COPD is an irreversible lung disease which causes permanent lung damage. In COPD, the airflow to the lungs become narrower and blocked and breathing becomes difficult (COPD Support website, nd). COPD is an umbrella term for Chronic Bronchitis and Emphysema (Living with COPD website, nd). Causes The single biggest cause of COPD is smoking. 80-90% of people with the condition have COPD due to smoking. (COPD Support website, 2009). Other causes are air pollution, exposure to fumes or dust particles at work, passive smoking, recurring respiratory infections in early life and a rare genetic disorder called Alpha-1 Antitrypsin Deficiency (National Heart, Lung and Blood Institute website, nd). Diagnosis and Symptoms A breathing test called Spirometry is used to diagnose COPD (COPD FOUNDATION Website, nd). The test measures how well a person breathes. In Ireland, access to Spirometry Tests is not available nationwide and tests must be carried out in hospital (Oireachtas website, 2013). Early diagnosis can greatly slow down the condition (National Health Service website, 2012). Often COPD is diagnosed after a person has anà exacerbation of the condition (American Thoracic website, nd). An exacerbation of COPD means theà symptoms have become more severe. It is generally caused by an infection in the lungs and hospitalisation is required which leads to diagnosis of the condition ( American Thoracic website, nd). Symptoms of COPD include wheezing, persistent cough with mucus that will not go away, breathlessness completing everyday tasks and difficulty taking deep breaths (American Lung Association website, nd). Symptoms typically start to emerge from the age of 40 years onwards (Living with Copd website, 2013). Long term complications associated with COPD include, weight loss and swallowing issues known as Dysphagia (Queensland Health and The Australian Lung Foundation, 2012). Swallowing issues can arise as the patient can often breathe when eating, which causes food to enter the lungs. This can lead to reflux, indigestion problems, difficulty in finishing meals and lung infections (Queensland Health and The Australian Lung Foundation, 2012). Stages There are 4 stages of COPD: Mild, Moderate , Severe and Very Severe (End Stage) (COPD International website, nd). Mild: The person may have slight breathlessness and may or may not have a cough but is unaware they have COPD (COPD International website, nd). Moderate: Breathlessness carrying out day to day tasks, may or may not have frequent cough with mucus. At this stage the condition is normally diagnosedà as symptoms become more severe (COPD International website, nd). Severe: COPD greatly affects the quality of life, physical activity is limited, exacerbations of COPD are much more frequent (COPD International website, nd). Very Severe/End Stage; At this stage oxygen is required continuously, any exertion at all is difficult. Chronic Respiratory Failure and/or Heart Failure and death occurs (Kenny,T 2011). This knowledge would enable a Healthcare Support Worker to identify the early signs of the condition, have an increased awareness of a patient with a persistent cough, frequent colds or chest infections and encourage the patient to seek medical help for a diagnosis. Treatments Stopping smoking is critical in treating COPD, as giving up smoking greatly prevents the condition worsening. Inhalers are generally used to control and relieve symptoms of COPD. Short-Acting Inhalers are used to alleviate breathlessness, Long-Acting Inhalers which work over 12 hours to relieve symptoms, and Steroid Inhalers also assist breathing (British Lung Foundation website, nd). Oxygen Therapy is used in severe COPD. Patients may require oxygen for day to day tasks, when sleeping or in some cases, 24 hours a day. Oxygen is available in tanks, liquid form or oxygen concentrators (COPD Support website, nd). Pulmonary Rehabilitation Programmes also plays a vital role in the treatment of COPD (Oireachtas website, 2013). In Ireland, programmes are normally ran over 20 sessions, with patients attending two to three times a week. Group numbers are limited to a maximum of 15 people. The programme consists of Exercise, Nutrition to increase fitness levels and Education to increase the patients awareness of the condition (Health Service Executive website, 2013). COPD patients have been shown to gain hugely from Pulmonary Rehabilitation Programmes, improving quality of life, reducing hospital admissions and increasing survival chances (Oireachtas website, 2013). A person with COPD uses 10 times the energy to breathe than a person without the condition. It is important to replace lost calories, maintain weight and also to protect the immune system against colds and fluââ¬â¢s (American Lung website, nd). Foods high in both energy, sugar and fat such as fried foods, full fat dairy products and readymade meals are recommended to encourage weight gain. However it is important that a healthy diet is also maintained (COPD Education website, nd). Supplement drinks are often recommended to increase calorie intake between meals. If swallowing issues occur, soft foods such as soups and stews are recommended and patients are encouraged to eat several smaller meals throughout the day (COPD Education website, nd). With this knowledge a HealthCare Worker would ensure that meals are small but nutritious at regular intervals . A HealthCare Support Worker would also consider how meals are prepared as softer, more manageable foods may be required. Conclusion This report has examined the causes, symptoms and treatments of COPD. This report discussed current statistics regarding the condition and some of the treatments available. From researching this report it is clear that more public awareness of COPD in Ireland is essential to highlight the link between COPD and smoking. COPD needs to feature strongly in Anti-smoking campaigns to promote this awareness, which would enable early diagnosis and treatment.
Thursday, August 29, 2019
The world's oceans, should ocean protected area exist Essay
The world's oceans, should ocean protected area exist - Essay Example Marine resources are so much important for the humans as ââ¬Å"97 % of all the water on the Earth is in the oceansâ⬠(Yang) and because ââ¬Å"71% of Earthââ¬â¢s surfaceâ⬠(Woods Hole Oceanographic) is covered by oceans. Stabilizing climate temperatures, exchanging of climate gases, and increasing biodiversity are parts of benefits that the ocean yields us. Similarly, ocean produces half of the oxygen that the humans breathe and offers a great environmental condition that keeps organisms alive and growing. As Langreth has rightly pointed out ocean offers shelter to an estimated ââ¬Å"five million species, most of which have not yet been classifiedâ⬠(Langreth). However, manââ¬â¢s indiscriminate actions such as dumping waste materials, oils, overfishing, and noise pollutions pose great threat to the marine life in oceans. It is imperative that man protects and conserves marine life through such radical measures as the marine protected areas. It can thus be seen that implementation of marine protected areas can offer the best solution for the uncontrolled overfishing and overexploitation of marine life. In 2010 a decade-long international survey of ocean life showed that overfishing caused the disappearance of 90% of the big fishes from the oceans including the largest animal on the planet- the blue whale. More than one million species are living in ocean and they are primarily the victims of overfishing. Certain species such as bluefin tuna have already been destroyed or disappeared from the ocean. While overfishing has led to the disappearance of tens of thousands of bluefin tuna across the seas of Northern Europe in the 1930s and 1940s it has contributed to the vanishing of Halibut from the North Atlantic during the 19th century (Overfished and under-protected: Oceans on the brink of catastrophic collapse). Similarly, trawling towards is one of the methods for fishing and it is really harmful to the ocean. Bottom-trawling which involves
Wednesday, August 28, 2019
Literature Review Coursework Example | Topics and Well Written Essays - 250 words
Literature Review - Coursework Example I have gained deeper and wider understanding of the concept as compared to the one-dimensional thought I had about the concept. I thought literature review involved analyzing the findings of other peopleââ¬â¢s work. However, I have discovered that it also involves analyzing the theoretical and methodological approaches used by other researchers. Literature review only provides supportive information important for making a foundation for new research. It acts as an update of the level of knowledge on the topic so that the researcher can advance from there. I have done several literature reviews but the most interesting one was on the topic of managing family businesses. The process is challenging, time consuming and requires focus on the specific area of knowledge since important information is mixed up with irrelevant information. Organizing the important pieces of information from each author requires thorough understanding of the topic, focus, dedication, and experience. A good literature review should have smooth and logical flow of ideas, which are consistent, relevant, and appropriate for the study
Tuesday, August 27, 2019
Economics of Organisation Essay Example | Topics and Well Written Essays - 3750 words
Economics of Organisation - Essay Example In this article, Ribstein (2002) argues that since principals do not directly participate in the daily decision-making process, they lose the ability to influence the practice on how decisions are made. Likewise, once the voters delegate their duties to the politicians, the politicians could opt to follow their interests rather than those of the agents. In addition, in such a relationship, the voters become the hostage of the politicians. The principal-agency problem can further be extrapolated to the health sector, where the health providers can act as imperfect agents of patients by prescribing unnecessary drugs. This paper assesses the principal-agency problems in explaining failures of corporate governance. The paper further examines how the recent regulatory framework has been used to mitigate the principal- agent problem. 2. 0 The principal-agency theory In the article, Theory of the firm: managerial behavior, agency costs and ownership structure, Jensen and Meckling, suggest m anagers as being the agents of the shareholders (Huber, 2002). The principal model guides agency relationships where the shareholders, otherwise known as the principals, delegates duties to the agents to act on their behalf. The model is defined by a number of features, which are defined in the following section. Firstly, as suggested by Bodie, Alex and Alan, agents undertake actions, which determine the payoff to the principal (2002). In other words, the effort of the agent determines the profits realized by the principal. Secondly, within a principal-agent relationship, the concept of information symmetry arises. In this regard, the principals can be able to observe the outcomes of agentsââ¬â¢ actions but monitoring the agentsââ¬â¢ actions is almost impossible. In instances where an imperfect contract exists, the agents could be encouraged to act to carry out actions that benefit their interests, and the possibility of a moral hazard happening becomes even more real if there is a large information asymmetry. To address the problem of information asymmetry, the principals could put in place monitoring mechanisms and initiate incentive contracts. The board of directors remains one of the common used weapons, in reduction of information symmetry by monitoring and ratifying the most important decisions carried out by the management. Beside acting on the behalf of the shareholders, the board of directors is also supposed to control resource allocation and accompanying risks. Thirdly, the agent-principal relationships assume that agentââ¬â¢s preferences differ from the principals. When the agents and the principals have differing risk preferences a conflict of interest occurs. Just to illustrate further, the shareholders may be risk-averse while the management is risk-neutral, which means the management is incentivized to make risky decisions against the will of their principals. If such a situation happens, the board of directors is mandated to ensure th e interest of the management, and the shareholders are aligned. To deal with the challenges that are associated with the principal-agent relationships, the principals may result to outcome-based incentives. This
Monday, August 26, 2019
Discuss the representations of Queen Elizabeth I in contemporary Essay
Discuss the representations of Queen Elizabeth I in contemporary literary works and art - Essay Example She had come to the throne following the death of her half-sister Mary in 1588. It can be seen on the Art Web site Steven van der Meulen. It was possibly painted as part of Elizabethââ¬â¢s quest for a husband as it was common to send such pictures to possible suitors. Earlier there had been the beautiful coronation portrait by an unknown artist, now in the National Portrait Gallery, in which she holds firmly the symbols of her power ââ¬â the orb and sceptre. There are many more portraits of the Queen further on in her reign. Two portraits of 1565, linked to the web page Portrait of Elizabeth I, show her as almost masculine, perhaps because it was necessary to emphasize that this young woman was as capable as a male monarch. John Bettes the Younger painted a stern picture in the1580s. The queenââ¬â¢s gown, as in many other portraits, is covered with symbolic meaning ââ¬â Tudor roses. In her hand she holds a staff with the fleur de lys at the top ââ¬â symbol of the connection with France. In the Rainbow portrait by Isaac Oliver, now to be seen at Hatfield House, she is posing as Astraea, a virginal heroine. Her gown is richly embroidered with English wild flowers. Her pearls are a symbol of virginity and the crown symbolizes her royal status. The crescent above her crown is symbolic of the goddess of the moon. On her left arm is a snake, symbolizing wisdom and in its mouth a ruby, which represents the queenââ¬â¢s heart ââ¬â the queenââ¬â¢s wisdom holds her emotions in check. The celestial sphere again is a symbol of wisdom and shows again that the Queen is in control of nature. All these works can be seen on the web pages ââ¬ËPortrait of Elizabeth Iââ¬â¢. These are only a sample of many visual depictions. One of the most famous literary references to Elizabeth is in Spenserââ¬â¢s ââ¬ËFaerie Queenââ¬â¢ where she, as well as being in several allegorical roles, appears as the queen of the fairies. Fairies in Elizabethan times were not thought of
Sunday, August 25, 2019
An Accident that Has Changed the Life Essay Example | Topics and Well Written Essays - 1000 words
An Accident that Has Changed the Life - Essay Example My friend was walking ahead of me at a slower pace waiting for me to join him. Suddenly I heard screeching off breaks from a car and as I looked ahead, all I could see was my friend lying on the ground covered in a pool of blood. For once, I thought that I was in a dream but as I gained myself, I realized it was a reality and had to do something to save my friend. I rushed to him, called for an ambulance since the car that had hit him had swayed off the road and could not help him. Fortunately, a Good Samaritan offered to drive us to the nearest hospital. All through the journey, my friend did not move or make any sound and I was in complete denial that he could be dead. However, when we reached the hospital, the doctors rushed him to the emergency room and a few minutes later, he was pronounced dead. After the death of my friend, I was affected a lot and my parents had to schedule an appointment for some counseling sessions for me and after some time, I had to accept the fact that m y friend was gone but this whole incidence changed my life and from that point I changed a lot of views on very many things. After the incidence, I developed a phobia for roads and would never walk close to any major highways and roads. I would do everything to avoid walking in any road that had motorists and only felt safe in footpaths and streets that had no motorists. I came to understand that an accident can happen at any time on the road and that one has to be very careful especially when crossing major roads. Before this accident, I used to cross major highways at zebra crossing points but later on, I realized that the safest way to cross a road was by the use of flyovers. I, therefore, would opt to follow the long ways than to follow a shortcut that had speeding cars. In addition, when forced to cross the road, I have developed a habit of waiting for all the cars to pass and cross only when I cannot spot a car in any direction however far it may seem to be. Before the acciden t, I did not know much about road signs. By then I did not have a driving license and for that reason, I never noticed the importance of road signs. I later noticed that road signs are very important especially to drivers. The driver who hit my friend was at a higher speed in a place that had a road sign indicating that there were children crossing. The driver ignored this sign and for this reason, my friend lost his life. I, therefore, vowed that to become a driver, I had to ensure that I know all the road signs and be able to apply them in an everyday situation. I, therefore, believe that this accident influenced me a lot in terms of driving. I, therefore, believe that in the future I will be a good driver and would ensure that I obey all the road signs. This incident also influenced my society a lot. Before the accident, this spot was found of over speeding cars and as a result, many people had been killed at this same point. It was because of this incident that people said it wa s enough and there was demonstration all over the area. People wanted a final solution to this problem. They pressed for action to be taken to ensure that cars would be slower at this point. Because of this, several road signs were put in this place to indicate that there were schoolchildren crossing. In addition to that, several bumps were placed in this location to ensure that motorist would be slower at this point. The bumps, therefore, helped reduce many accident cases at this location. In addition, a zebra crossing was put in this place and helped many people in crossing this busy road. It was, therefore, a relief for most people in the community. To my friends mum, the whole incidence was a total transformation for her.
Saturday, August 24, 2019
POLICY MAKING IN THE UK Essay Example | Topics and Well Written Essays - 500 words
POLICY MAKING IN THE UK - Essay Example nd its prevention were recognized a hundred years ago, political concern and legal steps to stop this problem started from the 1950s (Joseph Rowntree Foundation, 2000). It has become an acute problem nowadays because Smoking remains the main cause of preventable disease and premature death in the UK. In England alone, over 80,000 deaths per year are due to smoking and about 8.5 million people still smoke in England today. (dh.gov.uk). In the case of UK, the anti-tobacco strategy is carried as a cross-government initiative involving a variety of departments and agencies. The Health Department has the overall responsibility for the delivery of anti-tobacco strategy through formulation of strict laws. UK government formulated its anti-tobacco policy to the extent that it did not want young people to be exposed to tobacco promotions and advertisements and importantly wanted to make it difficult for the young people to get hold of tobacco and tobacco related product of cigarette. As far a s the promotions and advertisements are concerned, the UK government believes that if children or young people are not exposed to it, it will not create an urge among them to smoke. Tobacco policy currently rests on claims: tobacco advertising and promotion are the major reasons why young people begin to smoke; so all forms of tobacco advertising and promotion, including tobacco displays, should be banned. (Basham). As part of the anti-tobacco policy, the government came up with the Health Bill 2009. The key proposals in the bill are the need for the commercial shops to remove tobacco displays and importantly restrict the sale of cigarettes from vending machines. Removing tobacco displays will in a way prevent prospective children and young people from being exposed to the promotions and will also support smokers who want to quit as displays prompt impulse purchases undermining efforts to give up. (dh.gov.uk). Also, the proposal to restrict or even ban the sale of cigarettes from the
Cisco Essay Example | Topics and Well Written Essays - 2000 words
Cisco - Essay Example ntation of the strategy that we believe will help Cisco goes through the economic downturn and position it to take advantage of the rebound that we hope will happen soon. In 1997 Cisco structured its business around three distinct business units: Enterprise, Service Provider and SMB (Small and Medium Business). The organizational structure was designed to address two major new market opportunities at that time: the service provider migration to IP services and the adoption of IP products by small and medium-sized businesses through channel distribution. The change was a clear move from a product-focused structure, which had been Ciscoââ¬â¢s organization model since its beginning, to a customer-oriented, solutions-based structure. All of Ciscoââ¬â¢s research-and-development, marketing and solution integration would be organized under the three Lines of Business. The Line of Business teams were responsible of defining and implementing both market and operational strategies that enabled them to deliver end-to-end solutions to their target customers. The main objective of the organizational alignment was to increase focus on specific and dedicated customer to provide complete end-to-end solutions, including system integration, integrated software, and network management. The different Line of businesses at the time had nothing in common. The fact that Cisco was making higher profit and phenomenal growth in the networking industry meant Cisco did not have to worry so much on costs since margins were very high. In August-2001, Cisco changed its organizational structure to deal with the changing environment of the industry and customer requirements, and to position the company as a dominant force in the networking industry. Customer segments and product requirements that were distinct in the past had come under the same umbrella. The downturn in the telecom and networking industry across the technology sector in early pushed Cisco to act quickly to minimize costs and
Friday, August 23, 2019
Public anthropology Essay Example | Topics and Well Written Essays - 500 words
Public anthropology - Essay Example Therefore, this book review will resolve to bring about the importance and relevance of cultural anthropology. According to the book ââ¬Å"Why a Public Anthropology?â⬠by Borofsky Rob, the ethnography-writing point of view is to elaborate and depict the relevancy and importance of cultural anthropology. The writerââ¬â¢s point of view is to tell people that cultural anthropology can help transform the world through bringing institutional accountability and transparency among political and social activities. Anthropology can achieve this by creating a wider view of knowing and understanding of different important challenges that otherwise we might fail to understand. The authorââ¬â¢s style of writing is formal or rather official because the message is first hand and directed figuratively to the relevant audience. This collective, elaborative form of writing used by the writer suits the audience due to its mind capturing language. The writer clearly defines the bookââ¬â¢s concepts since the writer portrays cultural anthropology as a clear subject with clearly explained concepts that places elements of understanding within a cultural context perspective. This makes it easier for the audience to see sense in what seems unfamiliar, exotic, and strange. In addition, the development of the authorââ¬â¢s ideas is chronological. The author begins by describing steps to follow during collection and analysis of cultural anthropology data. The author goes ahead to highlight primary tools that other anthropologists used in view of transforming the world using cultural anthropology. Further, the authorââ¬â¢s ideas have a systematic order since they show what the audience ought to expect at the beginning of a book, then follows to convey the main message and concludes with the relevant remarks. The areas intended and covered by the book include primary tools used for collecting and analyzing data in cultural anthropology, how both anthropologists and non-anthropologists can
Thursday, August 22, 2019
The concept of attention Essay Example for Free
The concept of attention Essay How do you define the concept of attention? à à à à à à à à à à à The psychological concept of attention refers to the selective processing and concentration done by the brain.à Attention is something that focuses on a particular aspect of the environment, while the others are being ignored or unnoticed.à The attention of the individual is that part of the dynamic occurrences in the environment wherein the brain is concentrated on. For instance, when taking an exam, the attention is centered on the exam itself, but not on the people passing by the windows. à Hence, attention is a brain function that essentially centers on a particular event happening around the person.à Although oneââ¬â¢s attention may not necessarily on external and occurring incidents, but like the case of daydreaming, on things that are present on oneââ¬â¢s mind. à à à à à à à à à à à The level of attention of an individual can also have its variation, from focused attention to divided attention.à There are also instances when this attention becomes sustained or un-sustained, or even selective.à Dynamic neurological activities in the brain occur, which enables the person to generate a particular kind of attention. Can attention be consciously allocated to tasks? à à à à à à à à à à à The attention of the individual can be consciously allocated to task, as the particular focus of a person can be something that is fine-tuned or dictated by the brain.à As was mentioned, different levels and types of attention can occur, and tasks are effectively done if there is focused attention.à Being primarily a neurological function, attention therefore can be a conscious effort by the individual, and if one so desires to focus attention on a task, then it is a possibility.à The mere desire to commit to a task creates a certain kind of stimulus that signals the brain to focus on such task.à This focused attention hence enables the individual to allocate oneself to that task dictated and determined by oneââ¬â¢s consciousness. à à à à à à à à à à à The opposite of attention is being confused or distracted, and these psychological states can be something that is uncontrollable or unmanageable, in cases wherein the person has high physical stress or metal disorders.à In such cases, then committing oneââ¬â¢s attention to a task would be a tedious and difficult task, as there are other neurological activities occurring in the brain.à This therefore removes oneââ¬â¢s focused attention, and the attention becomes divided or alternating. What is the relationship between attention and cognition? à à à à à à à à à à à The concept of attention is in fact a cognitive process, and in this sense, attention then plays an important role in cognition.à Cognition would ultimately be reliant on the focused attention of the individual, as this would determine the information processing and brain function of the person.à In addition, attention is argued to have connections to the working memory which enables the process of recognition and retention, depending on the attention level of the individual. à à à à à à à à à à à Scientific studies would show the neurological functions are triggered or have direct relationship to the ability of the person to focus his/her attention in a particular task, which then establishes the relationship between cognition and attention.à Cognitive processes can only have effective and sustained outcomes if the individual has focused attention. References Myers, David. (2008). Exploring Psychology. New York: Worth Publishers. Styles, Elizabeth. (2006). The Psychology of Attention. Hove: Psychology Press. Willingham, Daniel. (2006). Cognition: The Thinking Animal, 3rd Edition. United States: à à à à à à à à à Prentice Hall.
Wednesday, August 21, 2019
Marketing analysis of internet portal Sulekha.com
Marketing analysis of internet portal Sulekha.com Sulekha.com is a groundbreaking site for multiple reasons, one of them being that, it is a completely member-contributed website; almost all of its 500,000+ pages of content are contributed by tens of thousands of Indians from over 50 countries. It is best place to blog, to interact and to make friends. Sulekha has blogs, social networking, classifieds, events, yellow pages, among other services and has definitely come a long way in a short span of time. It is the leading provider of integrated online event promotion and management, membership and fundraising services to offline organizations. It has served more than 500 advertisers in more than 10 business domains and helped meet their marketing and sales objectives. Sulekha has become a highly sought-after online advertising medium because of its unparalleled reach, unprecedented targeting (by age, gender, city, sub-ethnicity and income) and integrated offline/online promotions. Today, Sulekha serves an exponentially growing online and mobile member base of 6.2 million in over 50 cities in India, US and elsewhere as the: (a)Most popular online/mobile provider of YP business search results to users and business leads to small to medium business advertisers and merchants (b)Most popular online/mobile provider of classifieds in the broadest range of categories (c)Most popular social media site offering largest events/opinions/reviews in targeted domains. More Indians use Sulekha.com than any other source online or offline to find local businesses and interact and transact with each other for the broadest range of needs all across India, US and elsewhere. Sulekha.coms assets include: The largest listing of general Classifieds. The most comprehensive and accurate Yellow Pages business listings in India. The largest number of Small to Medium Business advertisers in the online/mobile space. The largest base of member-generated content amongst Indian sites that spurs local commerce. A sophisticated and scalable mobile/online platform that serves millions of users on a daily basis. Sulekha.com continues to rapidly expand its user and customer base both through its own sales force and through a growing network of prominent alliances with major mobile and online partners such as Reliance, Vodafone, Airtel, Spice, Sify and othersà ¢Ã¢â ¬Ã ¦.making the use of Classifieds and Local Search easy and ubiquitous. Every business that is listed on Sulekha yellow Pages has its own profile page, where in people can add information about that business, pictures, work hours, map coordinates and contact details. From the profile page visitors are given an option to either call the business or send a free text message to the business. Visitors can at anytime save the information about the business on their phone from the website. Since its inception Sulekha has developed many applications for mobile platforms and for social networking platforms such as Facebook. The Facebook applications include a restaurant finder and an application to browse through Classifieds. They have also developed an application for the Nokia N97 which allows the user to browse through all the services offered by the company. It is a fully funded company, headquartered in Austin (Texas, US) and with operations in US and India. The website has not advertised on TV in India to date as we always felt there would be a lot of wastage in reaching an audience that is not yet on online.Sulekha.com has been recognized as one of the Top Six Largest Internet Media Portals in India and a pioneer in marrying community and commerce in a distinctive manner. BUSINESS MODEL Launching a Web-based start-up had to be either an act of sheer bravado or the result of a carefully conceived business plan. Satya Prabhakar was banking on the latter, but in effect, he fit into the former category. For, the dotcom bubble had burst and portals were not considered the promised route to success. Yet, Prabhakar persisted.. He quit his well-paying job with ATT in the US, put in his savings and investments worth $25,000, and set up sulekha.com at 37. Sulekha was a dream of setting up an online community for Indians worldwide that took shape when he was employed, and the conviction of its success saw him actually write the code for the site. He turned his vocation to occupation despite the risks involved and the misgivings of the people around him. When Im 55, I dont want to regret not having done something, he justifies his move. Its also his business philosophy. He attributes it to the concept of regret minimisation framework coined by Jeff Bezos, the founder of amazon.com. Another influence for Prabhakar has been Paulo Coelhos The Alchemist, a tale about following ones dream and finding out what one is capable of. Whats the worst that could have happened? he asks. If this venture had failed, I knew I could have gone back to a job. As for the familys responsibility, Prabhakar was unfazed because he had kept aside sufficient funds to last them at least a year. True to his conviction, Sulekha soon took on a life of its own. The next logical step was to set up a space where buyers and sellers could meet. So the classifieds version of Sulekha was born and it took about two-and-a-half years for the site to break even. About an year or so after this, Prabhakar began thinking of taking the business to India. By 2005, he had moved back home and set up headquarters in Chennai. Though the business model for the e-venture was in place, India threw up several unique challenges for Sulekha. The sheer size of the population was daunting. The other, more critical, aspect involved convincing small businesses that the Internet was not necessarily a parallel universe, but that it could be a powerful tool if it was exploited in the right manner. So, Prabhakar tweaked his model to suit the country-instead of a regular classifieds site, he sold Sulekha purely as a mechanism for gathering business leads. This means that a small business can advertise on Sulekha with the assurance of a certain number of leads being generated. A user (buyer) who goes to Sulekha is given the option of asking for a specific product or service and his contacts are then sent to the advertiser as a lead. This implies that the user is assured a veritable flood of targeted responses. What makes Sulekhas Indian business model unique is that the advertisers largely small businesses have literally nothing to do online. They pay for the leads-Sulekha could be a skywriting site for all that it matters to them. Theres absolutely no commerce conducted online, so there are no security issues. As Prabhakar says, all he really needed to have in place was a crack sales team. They (people) are my real assets. Everything else that sulekha.com owns can fit into a hard disk, he says. So while recruiting, he looks for people with the right attitude: those who regard problems as challenges and enjoy their work. However, reactions took time to convert into revenue. It was three years before Sulekha broke even, but there has been no looking back since then. From Rs 50,000 worth of business that was transacted in a month initially, the site has moved on to making at least twice this amount in a day. The company has offices in five cities across the country-Bangalore, Chennai, Mumbai, Hyderabad and Delhi-and plans to open more. Today, Sulekha is what Prabhakar always wanted it to be: Not just a site that people love to visit, but a site that people have to visit. Authoritarianism obviously pays. Users are happy with Sulekha, which gets a large number of repeat visitors, according to Prabhakar. But the portals success has given rise to innumerable rumours. When you attain a certain size, theres nothing people can do except talk, he says. While they are talking, he is moving into different media, including mobile phones. The bottom line is clear: Prabhakar wants Sulekha to be everyones default option. Sulekha.com is succeeding today by identifying and firmly establishing first-mover leadership role in multiple areas, and by managing its resources smartly and is preparing to launch the first Indian electronic bookstore aimed at selling downloadable content to end-users. It has won unanimous praise from numerous Indian and foreign media for its unique approach and commercial success. REVENUE MODEL: Sulekha derives its revenues in India through a performance guaranteed response model through which they have served a customer base of nearly 20,000 SMB customers and hundreds of major brands. Sulekha.com continues to rapidly expand its user and customer base both through its own sales force and through a growing network of prominent alliances with major mobile and online partners such as Vodafone, Reliance, Sify and others, making the use of Classifieds and Local Search easy and ubiquitous. Sulekha, which drives its revenues primarily from businesses, instead of the end consumers, is working out plans to rope in more channel partners who will drive online traffic to the websites. The company which recently launched its assured advertising solution for small business, aims to attract about 50,000 businesses to advertise in the portal by the end of the year. The company is giving advertisers the guarantee to succeed, and if an advertiser feel that his target of getting a certain number of responses has not been met, Sulekha.com is assuring to run the same advertisement till they met the business demand. CUSTOMER VALUE PROPOSITION User-generated content, focus on the social media targeted at specifically Indians and on generating a revenue with local commerce within the community has been the unique value proposition (UVP) for Sulekha.com according to Sulekha.com co-founder and CEO Satya Prabhakar. Sulekha.com has now migrated and replicated there success in the online space to the mobile platform by providing services classifieds as well as mobile blogging in the current months. They want to expand by offerings, by creating more alliances with print media and mobile service providers. Sulekha realizes this goal in a profitable manner by creating a flexible and powerful interactive platform that connects Indians worldwide through a variety of popular and powerful services. Here are some concrete examples of how they do it: Social Capital: Sulekha provides the most popular platform for expression and discussions (articles/columns, Coffeehouse, Weblogs) that allows exchange of thoughts and opinions. Sulekha has helped raised over $1 million / Rs. 5 crores for hundreds of cultural and charitable organizations in promoting and selling tickets for their funds and events. Economic Capital: Sulekha runs the most popular online classifieds service in North America (and soon worldwide) that allows for the exchange of products and services among Indians. Also, Sulekha has also started a fund, collected. Political Capital: Sulekha provides a powerful platform for Indian organizations worldwide to promote and find support for petitions advocating their causes. The Smart Techie magazine has released a list of Top 25 most promising internet companies in India. The list includes BigAdda(social networking), Yatra.com(travel), Zapak(gaming), and Sulekha.com(local commerce). CONCLUSION: Some of the trends for the coming year as predicted by Sulekha.com show that: The ability to target online users by geography has improved, and its a lot cheaper now. Local advertisers can now be sure that only local eyeballs will see their ad. One can develop a reputation very quickly online, adding to his credibility and opening more doors for themselves all without setting foot outside the house. Witnessing tremendous response from tier-II cities for local business search online, we feel that these cities in a very short span of time will engulf the online space. The online space will also see frenzied activity with Marketers tightening their purse strings with a lot of stress on creative experimentation. Corporate houses, big and small will look at diversification in a big way ways to synergize or differentiate their value offering to the end consumer. Small business will continue to grow and are expected to embrace technology more in the future due to the sheer economic viability attached to this medium. Innovation will become a benchmark to leverage and sustain customer interest and loyalty. Apart from the online space, innovation in the mobile space will be tremendous with mobile commerce becoming a key platform for business convergence after the opening up of 3G networks. AWARD WON BY SULEKHA: PC World(June 2008) rated Sulekha.com the Best Local Search Site in India. MSN (July 2008) rated Sulekha.com the Best WAP Site in India for Local Commerce. CNBC (Oct 2008): Sulekha.comà ¢Ã¢â ¬Ã ¦the largest online Classifieds and Yellow Pages in India. Venture Beat(May 2008): A merger between Facebook and Craigslist may seem like a pipe dream but in India its already happening. The web community Sulekha has quickly grown to become Indias largest user-generated content siteà ¢Ã¢â ¬Ã ¦with 6 million members Financial Times(UK): Sulekha.comà ¢Ã¢â ¬Ã ¦the worlds largest online Indian communityà ¢Ã¢â ¬Ã ¦is extraordinarily sticky some visitors call it addictiveà ¢Ã¢â ¬Ã ¦
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