Triage
When I was in college my program was pre-med studies and as a result I constantly compare things to the field of medicine. It got so bad that I even wrote my master’s thesis using the metaphor of the organization as an organism. I can get out of control easily. It should not come as too big of a surprise that I often consider my business clients as ailing and in need of some type of organizational medicine.
Everyone has watched enough episodes of MASH or ER to have a firm grasp of the concept of the triage unit. These are the folks that determine which direction the injured go – quickly into emergency treatment, wait in line for the more critical to be attended, or passed along to clergy of one denomination or another for some version of the last rites. Seldom, but once in a while, a patient argues with the medical staff over the decision to be moved in one direction or another. I recently encountered one of those clients.
In this particular case the recently implemented hosted CRM just wasn’t working. Nobody was using it the way that sales management had expected. It did not perform well. Accounts were often assigned to the wrong sales rep. And, nobody really acted like they cared if the system was utilized or not utilized. One sales agent stated during an interview that he stopped using it and nothing ever happened.
The client wanted emergency treatment - get this thing working better as quickly as possible to get user adoption up high. But when we asked what benefit high utilization would gain the company, the answer was, “Because we need utilization to be high to justify the investment!” With a bit more digging we discovered that we had a basic disconnect between the use of CRM and a business purpose for CRM to serve. It was a mystery to the users for sure. This lack of alignment between CRM and the business was just a symptom of other areas also lacking alignment.
The prescription for improvement was to get consensus among the management team to determine what purpose CRM was to serve for the business, how it will benefit the company and the user. Once this was clear and agreed the next step would be to set out a plan for accomplishing the goals, which would include some short term initiatives to address the usability problems. The treatment plan was calling for a comprehensive path to recovery – one that would take some effort on behalf of the patient to get better.
Unfortunately the treatment plan was rejected by the patient who only had tolerance for a quick bandage in order to get back out to the action. “We will make people use the system to give us a forecast – they will benefit from not having to do forecasting manually – that will drive utilization up fine without any of this other unnecessary planning. Just fix the usability and we will be fine.” This was the answer we got in return.
I don’t have any more of the case study to report since this all just transpired, but I don’t think the prognosis can be all that good. We have not attended to the factors that are causing the symptoms. I am hoping to get another chance to write out another prescription when the symptoms get worse



