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White Guide and Orange Guide Formatting Project - Pfizer

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<strong>Orange</strong> <strong>Guide</strong> – Chapter 5: Interactions with Health Systems <strong>and</strong> Medical Groups<br />

Presenting Financial Metrics to a Customer<br />

Q. My Integrated Delivery Network customer wants to know how a<br />

screening/disease identification collaboration on which we are partnering<br />

might help improve their economic performance in either additional care<br />

identified (new patients) or costs averted (e.g., reduced unnecessary readmissions).<br />

Can we assist in projecting what potential financial impact this<br />

work may have for them?<br />

A. In presenting a proposed collaboration to a customer, you may, as a general<br />

matter, present general financial metrics from the proposed initiative based<br />

upon publicly available, credible information. You should always use credible<br />

sources that have been approved for such use, <strong>and</strong> never provide any<br />

guarantees around achieving such financial goals. You should always include<br />

appropriate disclaimers when presenting financial metrics (see the Use of<br />

Disclaimers section earlier in this Supplement). Remember, presentations<br />

must be approved before use with customers.<br />

Use of Publicly Available Information<br />

Q. What is an example of credible <strong>and</strong> reliable publicly available information?<br />

A. That depends. In deciding whether something is credible <strong>and</strong> reliable you<br />

should ask yourself whether a “reasonable person” would consider the source<br />

credible <strong>and</strong> reliable. That will sometimes depend on the facts. Generally,<br />

medical journals, governmental (e.g., CMS) websites as well as the particular<br />

customer website are examples of credible <strong>and</strong> reliable sources.<br />

Q. If credible <strong>and</strong> reliable publicly available information indicates that the<br />

typical rate of readmissions (within 14 days) for COPD is 12% <strong>and</strong> my<br />

customer’s hospital is currently at 21% can I, with appropriate approvals, do<br />

a simple analysis of the cost of that additional 9%. If the customer’s rates<br />

are not publicly available can I ask for that information <strong>and</strong> do the analysis to<br />

calculate potential costs <strong>and</strong> possible savings from a collaboration?<br />

A. If all the information needed to calculate potential loss to the customer for a<br />

readmission rate higher than the typical is publicly available then you may<br />

provide such information to the customer <strong>and</strong> disclose the basis of such<br />

calculation <strong>and</strong> the source. In the event the customer’s rate is not publicly<br />

available, rather than requesting the customer’s rate you should provide the<br />

potential loss for each percent above the typical rate. Once again, you<br />

should disclose the source <strong>and</strong> the basis for such calculation. The customer<br />

may then proceed to calculate its loss based upon its specific readmission<br />

rate.<br />

108<br />

Rev. 09/12<br />

Page 13 of 18

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