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A Systemic Approach to Purchasing Negotiations

By David Franklin
Wednesday, February 28, 2007

A Systemic Approach to Purchasing Negotiations

Part One

There are many differing methods for measuring and evaluating business performance. Perhaps the most basic is with a simple calculation: Income – Expense = Profit (Loss). As any business owner can attest, it doesn’t get much more fundamental – or relevant – than that, and the economic success or failure of any business entity can be summed up using that formula. We spend much time looking at the income portion of that equation - let’s spend a moment looking at the expense component.

Profit / Leverage Effect

The term “profit/leverage effect” is used to describe an accounting concept that has a significant effect on a business entity’s financial performance. To demonstrate the importance of this concept, assume that an organization realizes a 5% net profit on its sales. Considering income alone, the company would need to increase sales by $10,000 in order to increase net profitability by $500. But if we set income aside and consider the expense component of the equation in the same context, we find that in order to add $500 to net profitability the organization needs only to cut costs by $500. Every dollar of expense saved goes directly to the bottom line without being diluted by issues of margin. And this is why you’ll usually see that the hard core accountant types, those with advanced degrees in finance and the letters CPA after their name, will usually attack the expense side with every thing they have, and will often treat revenues as almost an afterthought. If they’re being judged – or perhaps even compensated – based upon the bottom line economic performance of the organization, this is where they’re going to earn their keep. And that is why negotiating prices for the products and services we need is critical to our success.

Concepts

Mutual gain. Perhaps the most frequently referred to concept in negotiations is that both sides are expected to win. After all, the end result of the negotiating process should be some type of contractual agreement, and who is going to agree to something that is not beneficial? So that’s where we start – with an understanding that the other side has to win as well.

The role of preparation and practice. Prior to testimony, a good attorney will prep her client by going through all of the questions that she is going to ask, and all of them that she feels her opponent is likely to ask. If a poor answer is offered, she will provide a better one so that when the real testimony begins the client is as prepared as possible. This tactic works quite well in negotiations as well. Where are your weak areas, and what are you going to say when they come up?

Understand the relationship in order to understand the deal. Negotiations contain a significant element of science – but they are also an art form. Specifically, they involve the art of influencing and persuading people. At the heart of these endeavors, are relationships. The more you know about those on the other side of the table the better.

The role of trust and past performance. It is inherently difficult to negotiate with an entity that you don’t trust. And because of that, past performance – including your own – becomes an important aspect of the negotiating process.

 

 


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David Franklin


Mr. Franklin serves as President of Advanced Care Consulting Services, and Vice President of Operations for Advanced Care. He possesses a Masters of Science degree in Health Services Administration from Central Michigan University, a Bachelors of Business Administration degree from Detroit College of Business, and is a Certified Medical Assistant. He has served in a variety of executive positions in various health care systems, including some of the largest hospital-based integrated healthcare delivery systems within the state of Michigan. He has also served as Adjunct Faculty at Baker College and Henry Ford Community College. He has been the author of the " Bottom Line" column in Infusion Magazine since 1999, and has also authored three books on health care administrative matters, including "How Many Employees Do We Need: A Hands-On Guide to Measuring and Managing Health Systems Productivity." Mr. Franklin served on the Board of Directors for the National Home Infusion Association (NHIA) 2001 - 2004, chaired NHIA's Payer Relations and Legislative Affairs Committees, and frequently lectures to national audiences on a variety of healthcare finance and administrative related topics.

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Advanced Care Consulting Services


Advanced Care Consulting Services offers an array of consulting services for hospital, physician, and home care providers. It specializes in Ambulatory Infusion Center (AIC) business development, business performance improvement, productivity management, and other business related healthcare projects. ACCS is also part of the Advanced Care Provider Network, a multi-specialty, multi-disciplinary health care delivery network headquartered in southeastern Michigan that provides disease state management, medical management and consulting services, specialty pharmacy services and products, medical equipment and supplies, and other related health care products and services.

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