1,735 results on '"Clancy, Heather"'
Search Results
2. Hospital‐associated venous thromboembolism prophylaxis use by risk assessment at a large integrated health care network in Northern California.
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Xu, James, Neeman, Elad, Thai, Khanh K., Mishra, Pranita, Schlessinger, David, Clancy, Heather, Myers, Laura, Roubinian, Nareg, Liu, Vincent, and Liu, Raymond
- Published
- 2024
- Full Text
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3. Team is brain: leveraging EHR audit log data for new insights into acute care processes.
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Rose, Christian, Thombley, Robert, Noshad, Morteza, Lu, Yun, Clancy, Heather A, Schlessinger, David, Li, Ron C, Liu, Vincent X, Chen, Jonathan H, and Adler-Milstein, Julia
- Abstract
Objective To determine whether novel measures of contextual factors from multi-site electronic health record (EHR) audit log data can explain variation in clinical process outcomes. Materials and Methods We selected one widely-used process outcome: emergency department (ED)-based team time to deliver tissue plasminogen activator (tPA) to patients with acute ischemic stroke (AIS). We evaluated Epic audit log data (that tracks EHR user-interactions) for 3052 AIS patients aged 18+ who received tPA after presenting to an ED at three Northern California health systems (Stanford Health Care, UCSF Health, and Kaiser Permanente Northern California). Our primary outcome was door-to-needle time (DNT) and we assessed bivariate and multivariate relationships with six audit log-derived measures of treatment team busyness and prior team experience. Results Prior team experience was consistently associated with shorter DNT; teams with greater prior experience specifically on AIS cases had shorter DNT (minutes) across all sites: (Site 1: −94.73, 95% CI: −129.53 to 59.92; Site 2: −80.93, 95% CI: −130.43 to 31.43; Site 3: −42.95, 95% CI: −62.73 to 23.17). Teams with greater prior experience across all types of cases also had shorter DNT at two sites: (Site 1: −6.96, 95% CI: −14.56 to 0.65; Site 2: −19.16, 95% CI: −36.15 to 2.16; Site 3: −11.07, 95% CI: −17.39 to 4.74). Team busyness was not consistently associated with DNT across study sites. Conclusions EHR audit log data offers a novel, scalable approach to measure key contextual factors relevant to clinical process outcomes across multiple sites. Audit log-based measures of team experience were associated with better process outcomes for AIS care, suggesting opportunities to study underlying mechanisms and improve care through deliberate training, team-building, and scheduling to maximize team experience. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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4. Predicting Cardiovascular Events after Sepsis with Death as a Competing Risk.
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Myers, Laura C., Knox, Daniel, Thai, Khanh K., Kipnis, Patricia, Jacobs, Jason, Lee, Catherine, Desai, Manisha, Devis, Ycar, Clancy, Heather, Lu, Yun W., Go, Alan S., Liu, Vincent X., and Walkey, Allan J.
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- 2023
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5. Prospective evaluation of social risks, physical function, and cognitive function in prediction of non-elective rehospitalization and post-discharge mortality.
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Clancy, Heather A., Zhu, Zheng, Gordon, Nancy P., Kipnis, Patricia, Liu, Vincent X., and Escobar, Gabriel J.
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PHYSICAL mobility ,COGNITIVE ability ,PATIENT readmissions ,MEDICAL personnel ,SOCIAL status - Abstract
Background: Increasing evidence suggests that social factors and problems with physical and cognitive function may contribute to patients' rehospitalization risk. Understanding a patient's readmission risk may help healthcare providers develop tailored treatment and post-discharge care plans to reduce readmission and mortality. This study aimed to evaluate whether including patient-reported data on social factors; cognitive status; and physical function improves on a predictive model based on electronic health record (EHR) data alone.Methods: We conducted a prospective study of 1,547 hospitalized adult patients in 3 Kaiser Permanente Northern California hospitals. The main outcomes were non-elective rehospitalization or death within 30 days post-discharge. Exposures included patient-reported social factors and cognitive and physical function (obtained in a pre-discharge interview) and EHR-derived data for comorbidity burden, acute physiology, care directives, prior utilization, and hospital length of stay. We performed bivariate comparisons using Chi-square, t-tests, and Wilcoxon rank-sum tests and assessed correlations between continuous variables using Spearman's rho statistic. For all models, the results reported were obtained after fivefold cross validation.Results: The 1,547 adult patients interviewed were younger (age, p = 0.03) and sicker (COPS2, p < 0.0001) than the rest of the hospitalized population. Of the 6 patient-reported social factors measured, 3 (not living with a spouse/partner, transportation difficulties, health or disability-related limitations in daily activities) were significantly associated (p < 0.05) with the main outcomes, while 3 (living situation concerns, problems with food availability, financial problems) were not. Patient-reported cognitive (p = 0.027) and physical function (p = 0.01) were significantly lower in patients with the main outcomes. None of the patient-reported variables, singly or in combination, improved predictive performance of a model that included acute physiology and longitudinal comorbidity burden (area under the receiver operator characteristic curve was 0.716 for both the EHR model and maximal performance of a random forest model including all predictors).Conclusions: In this insured population, incorporating patient-reported social factors and measures of cognitive and physical function did not improve performance of an EHR-based model predicting 30-day non-elective rehospitalization or mortality. While incorporating patient-reported social and functional status data did not improve ability to predict these outcomes, such data may still be important for improving patient outcomes. [ABSTRACT FROM AUTHOR]- Published
- 2022
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6. Association between Troponin I Levels during Sepsis and Postsepsis Cardiovascular Complications.
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Garcia, Michael A., Rucci, Justin M., Thai, Khanh K., Yun Lu, Kipnis, Patricia, Go, Alan S., Desai, Manisha, Bosch, Nicholas A., Martinez, Adriana, Clancy, Heather, Devis, Ycar, Myers, Laura C., Liu, Vincent X., and Walkey, Allan J.
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TROPONIN ,RESEARCH ,TIME ,RESEARCH methodology ,RETROSPECTIVE studies ,MEDICAL cooperation ,EVALUATION research ,SEPSIS ,RISK assessment ,COMPARATIVE studies ,RESEARCH funding ,HEART diseases ,LONGITUDINAL method ,DISEASE complications - Abstract
Rationale: Sepsis commonly results in elevated serum troponin levels and increased risk for postsepsis cardiovascular complications; however, the association between troponin levels during sepsis and cardiovascular complications after sepsis is unclear.Objectives: To evaluate the association between serum troponin levels during sepsis and 1 year after sepsis cardiovascular events.Methods: We analyzed adults aged ⩾40 years without preexisting cardiovascular disease within 5 years, admitted with sepsis across 21 hospitals from 2011 to 2017. Peak serum troponin I levels during sepsis were grouped as normal (⩽0.04 ng/ml) or tertiles of abnormal (>0.04 to ⩽0.09 ng/ml, >0.09 to ⩽0.42 ng/ml, or >0.42 ng/ml). Multivariable adjusted cause-specific Cox proportional hazards models with death as a competing risk were used to assess associations between peak troponin I levels and a composite cardiovascular outcome (atherosclerotic cardiovascular disease, atrial fibrillation, and heart failure) in the year following sepsis. Models were adjusted for presepsis and intrasepsis factors considered potential confounders.Measurements and Main Results: Among 14,046 eligible adults with troponin I measured, 2,012 (14.3%) experienced the composite cardiovascular outcome, including 832 (10.9%) patients with normal troponin levels, as compared with 370 (17.3%), 376 (17.6%), and 434 (20.3%) patients within each sequential abnormal troponin tertile, respectively (P < 0.001). Patients within the elevated troponin tertiles had increased risks of adverse cardiovascular events (adjusted hazard ratio [aHR]troponin0.04-0.09 = 1.37; 95% confidence interval [CI], 1.20-1.55; aHRtroponin0.09-0.42 = 1.44; 95% CI, 1.27-1.63; and aHRtroponin>0.42 = 1.77; 95% CI, 1.56-2.00).Conclusions: Among patients without preexisting cardiovascular disease, troponin elevation during sepsis identified patients at increased risk for postsepsis cardiovascular complications. Strategies to mitigate cardiovascular complications among this high-risk subset of patients are warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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7. 40 UNDER 40 2016.
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Gallagher, Leigh, Rao, Leena, Cendrowski, Scott, Clancy, Heather, Covello, Lauren, Darrow, Barb, Fehrenbacher, Katie, Gandel, Stephen, Griffith, Erin, Hackett, Robert, Kokalitcheva, Kia, Lev-Ram, Michal, Mukherjee, Sy, Newmyer, Tory, Vandermey, Anne, Vanian, Jonathan, Walt, Vivienne, Wieczner, Jen, and Zarya, Valentina
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CORPORATE history ,FINANCE ,EMPLOYMENT ,ATTITUDE (Psychology) - Abstract
A cover story is presented that profiles various businesspeople under the age of 40. Those discussed include Brendan Bechtel, the CEO (Chief Executive Officer) of the engineering and construction company Bechtel Group, Ye Jianming, the chairman and executive director of the CEFC China Energy company, and Jake Sullivan, the Senior Policy Adviser for the Hillary for America political campaign. Additional details regarding those noted are also offered, including their corporate history and whether or not they work for a family business.
- Published
- 2016
8. 40 UNDER FORTY.
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Roberts, Daniel, Arora, Rupali, Cendrowski, Scott, Chew, Jonathan, Cipriani, Jason, Clancy, Heather, Fry, Erika, Gandel, Stephen, Geier, Ben, Griffith, Erin, Groden, Claire, Hackett, Robert, Kokalitcheva, Kia, Kowitt, Beth, Lashinsky, Adam, Lev-ram, Michal, Lorenzetti, Laura, Matthews, Chris, Newmyer, Tory, and Nusca, Andrew
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PERSONS -- Social aspects - Abstract
The article offers information on several people in the sports, health care, finance, real estate, and entertainment industry who are considered the most influential people in the 40 Under 40 list from the "Fortune Magazine." The people included in the list are Adam Neumann, Ryan Graves, and James Park. Also included in the list are Taylor Swift, Jessica Alba, and Ronda Rousey.
- Published
- 2015
9. Training in the Conduct of Population-Based Multi-Site and Multi-Disciplinary Studies: the Cancer Research Network's Scholars Program.
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Buist, Diana, Field, Terry, Banegas, Matthew, Clancy, Heather, Doria-Rose, V., Epstein, Mara, Greenlee, Robert, McDonald, Sarah, Nichols, Hazel, Pawloski, Pamala, Kushi, Lawrence, Buist, Diana S M, Field, Terry S, Banegas, Matthew P, Clancy, Heather A, Doria-Rose, V Paul, Epstein, Mara M, Greenlee, Robert T, Nichols, Hazel B, and Pawloski, Pamala A
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EDUCATION ,MEDICAL care ,MEDICAL care research ,MENTORING ,ONCOLOGY ,RESEARCH funding ,RESEARCH personnel ,ORGANIZATIONAL goals - Abstract
Expanding research capacity of large research networks within health care delivery systems requires strategically training both embedded and external investigators in necessary skills for this purpose. Researchers new to these settings frequently lack the skills and specialized knowledge conducive to multi-site and multi-disciplinary research set in delivery systems. This report describes the goals and components of the Cancer Research Network (CRN) Scholars Program, a 26-month training program developed to increase the capacity for cancer research conducted within the network's participating sites, its progression from training embedded investigators to a mix of internal and external investigators, and the content evolution of the training program. The CRN Scholars program was launched in 2007 to assist junior investigators from member sites develop independent and sustainable research programs within the CRN. Resulting from CRN's increased emphasis on promoting external collaborations, the 2013 Scholars program began recruiting junior investigators from external institutions committed to conducting delivery system science. Based on involvement of this broader population and feedback from prior Scholar cohorts, the program has honed its focus on specific opportunities and issues encountered in conducting cancer research within health care delivery systems. Efficiency and effectiveness of working within networks is accelerated by strategic and mentored navigation of these networks. Investing in training programs specific to these settings provides the opportunity to improve multi-disciplinary and multi-institutional collaboration, particularly for early-stage investigators. Aspects of the CRN Scholars Program may help inform others considering developing similar programs to expand delivery system research or within large, multi-disciplinary research networks. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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10. Collaborating on Data, Science, and Infrastructure: The 20-Year Journey of the Cancer Research Network.
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Doria-Rose, V. Paul, Greenlee, Robert T., Buist, Diana S. M., Miglioretti, Diana L., Corley, Douglas A., Brown, Jeffrey S., Clancy, Heather A., Tuzzio, Leah, Moy, Lisa M., Hornbrook, Mark C., Brown, Martin L., Ritzwoller, Debra P., Kushi, Lawrence H., and Greene, Sarah M.
- Abstract
The Cancer Research Network (CRN) is a consortium of 12 research groups, each affiliated with a nonprofit integrated health care delivery system, that was first funded in 1998. The overall goal of the CRN is to support and facilitate collaborative cancer research within its component delivery systems. This paper describes the CRN's 20-year experience and evolution. The network combined its members' scientific capabilities and data resources to create an infrastructure that has ultimately supported over 275 projects. Insights about the strengths and limitations of electronic health data for research, approaches to optimizing multidisciplinary collaboration, and the role of a health services research infrastructure to complement traditional clinical trials and large observational datasets are described, along with recommendations for other research consortia. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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11. Practice Patterns and Outcomes Associated With Anticoagulation Use Following Sepsis Hospitalizations With New-Onset Atrial Fibrillation.
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Walkey, Allan J., Myers, Laura C., Thai, Khanh K., Kipnis, Patricia, Desai, Manisha, Go, Alan S., Lu, Yun, Clancy, Heather, Devis, Ycar, Neugebauer, Romain, and Liu, Vincent X.
- Published
- 2023
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12. The Cancer Research Network: a platform for epidemiologic and health services research on cancer prevention, care, and outcomes in large, stable populations.
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Chubak, Jessica, Ziebell, Rebecca, Greenlee, Robert, Honda, Stacey, Hornbrook, Mark, Epstein, Mara, Nekhlyudov, Larissa, Pawloski, Pamala, Ritzwoller, Debra, Ghai, Nirupa, Feigelson, Heather, Clancy, Heather, Doria-Rose, V., Kushi, Lawrence, Greenlee, Robert T, Hornbrook, Mark C, Pawloski, Pamala A, Ritzwoller, Debra P, Ghai, Nirupa R, and Feigelson, Heather Spencer
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TUMOR prevention ,TUMOR treatment ,MEDICAL care ,MEDICAL care research ,RESEARCH funding ,TUMORS - Abstract
Purpose: The ability to collect data on patients for long periods prior to, during, and after a cancer diagnosis is critical for studies of cancer etiology, prevention, treatment, outcomes, and costs. We describe such data capacities within the Cancer Research Network (CRN), a cooperative agreement between the National Cancer Institute (NCI) and organized health care systems across the United States.Methods: Data were extracted from each CRN site's virtual data warehouse using a centrally written and locally executed program. We computed the percent of patients continuously enrolled ≥1, ≥5, and ≥10 years before cancer diagnosis in 2012-2015 (year varied by CRN site). To describe retention after diagnosis, we computed the cumulative percentages enrolled, deceased, and disenrolled each year after the diagnosis for patients diagnosed in 2000.Results: Approximately 8 million people were enrolled in ten CRN health plans on December 31, 2014 or 2015 (year varied by CRN site). Among more than 30,000 recent cancer diagnoses, 70 % were enrolled for ≥5 years and 56 % for ≥10 years before diagnosis. Among 25,274 cancers diagnosed in 2000, 28 % were still enrolled in 2010, 45 % had died, and 27 % had disenrolled from CRN health systems.Conclusions: Health plan enrollment before cancer diagnosis was generally long in the CRN, and the proportion of patients lost to follow-up after diagnosis was low. With long enrollment histories among cancer patients pre-diagnosis and low post-diagnosis disenrollment, the CRN provides an excellent platform for epidemiologic and health services research on cancer incidence, outcomes, and costs. [ABSTRACT FROM AUTHOR]- Published
- 2016
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13. TECH TAKES THE FIELD.
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Clancy, Heather
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MOBILE apps in business ,REPAIR & maintenance services ,SPARE parts ,SCHEDULING software ,COMPUTER software - Abstract
The article discusses mobile technology used by U.S. field technicians to improve their work. Topics include the acquisition of the field technician technology firm Service-Max by the company General Electric Co. (GE), the use of technology to predict which parts will be needed in repairs, and the use of technology to schedule appointments more accurately.
- Published
- 2017
14. Trends and Risk Factors for Venous Thromboembolism Among Hospitalized Medical Patients.
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Neeman, Elad, Liu, Vincent, Mishra, Pranita, Thai, Khanh K., Xu, James, Clancy, Heather A., Schlessinger, David, and Liu, Raymond
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- 2022
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15. Comparison of Interviewer-Administered and Automated Self-Administered 24-Hour Dietary Recalls in 3 Diverse Integrated Health Systems.
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Thompson, Frances E., Dixit-Joshi, Sujata, Potischman, Nancy, Dodd, Kevin W., Kirkpatrick, Sharon I., Kushi, Lawrence H., Alexander, Gwen L., Coleman, Laura A., Zimmerman, Thea P., Sundaram, Maria E., Clancy, Heather A., Groesbeck, Michelle, Douglass, Deirdre, George, Stephanie M., Schap, TusaRebecca E., and Subar, Amy F.
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COMPARATIVE studies ,CONFIDENCE intervals ,DIET ,EPIDEMIOLOGICAL research ,INGESTION ,INTEGRATED health care delivery ,INTERNET ,MEMORY ,NUTRITION ,POPULATION ,QUESTIONNAIRES ,RESEARCH funding ,SELF medication ,TELEPHONES ,ACQUISITION of data ,EVALUATION of human services programs ,DATA analysis software ,DESCRIPTIVE statistics ,ODDS ratio - Abstract
Twenty-four-hour dietary recalls provide high-quality intake data but have been prohibitively expensive for large epidemiologic studies. This study's goal was to assess whether the web-based Automated Self-Administered 24-Hour Recall (ASA24) performs similarly enough to the standard interviewer-administered, Automated Multiple-Pass Method (AMPM) 24-hour dietary recall to be considered a viable alternative. In 2010-2011, 1,081 adults from 3 integrated health systems in Detroit, Michigan; Marshfield,Wisconsin; and Kaiser-Permanente Northern California participated in a field trial. A quota design ensured a diverse sample by sex, age, and race/ethnicity. Each participant was asked to complete 2 recalls and was randomly assigned to 1 of 4 protocols differing by type of recall and administration order. For energy, the mean intakes were 2,425 versus 2,374 kcal for men and 1,876 versus 1,906 kcal for women by AMPM and ASA24, respectively. Of 20 nutrients/food groups analyzed and controlling for false discovery rate, 87%were judged equivalent at the 20% bound. ASA24 was preferred overAMPM by 70% of the respondents. Attrition was lower in the ASA24/AMPM study group than in the AMPM/ASA24 group, and it was lower in the ASA24/ASA24 group than in the AMPM/AMPM group. ASA24 offers the potential to collect high-quality dietary intake information at low cost with less attrition. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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16. 40 UNDER 40 2016.
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Gallagher, Leigh, Cendrowski, Scott, Clancy, Heather, Covello, Lauren, Darrow, Barb, Fehrenbacher, Katie, Gandel, Stephen, Griffith, Erin, Hackett, Robert, Kokalitcheva, Kia, Lev-ram, Michal, Mukherjee, Sy, Newmyer, Tory, Vandermey, Anne, Vanian, Jonathan, Walt, Vivienne, Wieczner, Jen, Zarya, Valentina, and Rao, Leena
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BUSINESSPEOPLE ,EXECUTIVES - Abstract
The article profiles the top entrepreneurs and executives of 2016 under the age of 40. Topics discussed include the career history of Brendan Bechtel, chief executive officer (CEO) of the engineering and construction company Bechtel Group, the strategies employed by CEFC China Energy chairman Ye Jianming to establish the Chinese oil company and the roles played by Jake Sullivan in U.S. presidential candidate Hillary Clinton's 2016 campaign and during her term as U.S. Secretary of State.
- Published
- 2016
17. 40 UNDER 40 2016.
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Gallagher, Leigh, Cendrowski, Scott, Clancy, Heather, Covello, Lauren, Darrow, Barb, Fehrenbacher, Katie, Gandel, Stephen, Griffith, Erin, Hackett, Robert, Kokalitcheva, Kia, Lev-ram, Michal, Mukherjee, Sy, Newmyer, Tory, Vandermey, Anne, Vanian, Jonathan, Walt, Vivienne, Wieczner, Jen, Zarya, Valentina, and Rao, Leena
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EXECUTIVES - Abstract
The article presents the 2016 edition of the 40 Under 40 list compiled by the magazine "Fortune." Bechtel Group chief executive officer (CEO) Brendan Bechtel topped the list, followed by CEFC China Energy chairman and executive director Ye Jianming, Hillary for America senior policy adviser Jake Sullivan, and former French economy minister Emmanuel Macron. Their achievements in their respective organization are provided, including awards they received.
- Published
- 2016
18. SALESFORCE SETS ITS SIGHTS ON $20 BILLION.
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Clancy, Heather
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BUSINESS forecasting ,BUSINESS revenue ,SOFTWARE as a service ,BUSINESSPEOPLE ,MOBILE apps ,BUSINESS planning ,FINANCE ,ECONOMICS ,PRICES - Abstract
The article discusses the Salesforce.com Inc. (Salesforce) cloud-software firm's 20 billion dollar revenue target, and it mentions executive Marc Benioff, as well as Salesforce's assemblage of a team of strategists who are tasked with convincing companies about the benefits of investing in digital technologies such as data analytics, mobile devices, and cloud computing. Sales of Salesforce's business development-related Ignite mobile app are assessed, along with spending on sales and marketing.
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- 2016
19. 40 UNDER FORTY.
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Arora, Rupali, Cendrowski, Scott, Chew, Jonathan, Cipriani, Jason, Clancy, Heather, Fry, Erika, Gandel, Stephen, Geier, Ben, Griffith, Erin, Groden, Claire, Hackett, Robert, Kokalitcheva, Kia, Kowitt, Beth, Lashinsky, Adam, Lev-ram, Michal, Lorenzetti, Laura, Matthews, Chris, Newmyer, Tory, Nusca, Andrew, and O'brien, Luke
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LEADERS ,BUSINESS - Abstract
The article profiles 40 business and culture leaders under 40 years of age including Wework co-founder and chief executive officer (CEO) Adam Neumann, Fitbit co-founder and CEO James Park, and DraftKings co-founder and CEO Jason Robins. It also profiles entertainer Taylor Swift, TaskRabbit chief operating officer (COO) Stacy Brown-Philpot, and mixed-martial-arts fighter Ronda Rousey.
- Published
- 2015
20. 40 UNDER FORTY.
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Arora, Rupali, Cendrowski, Scott, Chew, Jonathan, Cipriani, Jason, Clancy, Heather, Fry, Erika, Gandel, Stephen, Geier, Ben, Griffith, Erin, Groden, Claire, Hackett, Robert, Kokalitcheva, Kia, Kowitt, Beth, Lashinsky, Adam, Lev-ram, Michal, Lorenzetti, Laura, Matthews, Chris, Newmyer, Tory, Nusca, Andrew, and O'brien, Luke
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- NEUMANN, Adam, 1979-, GRAVES, Ryan, PARK, James, 1975-, SWIFT, Taylor, 1989-, ALBA, Jessica, 1981-, ROUSEY, Ronda, 1987-
- Abstract
The article presents information on people in the sports, health care, finance, real estate, and entertainment industry who are considered the most influential people in the 40 Under 40 list from the "Fortune Magazine." Some of the people included in the list are founder of WeWork Adam Neumann, Uber executive Ryan Graves, and Fitbit chief executive officer James Park, as well as singer Taylor Swift, actress Jessica Alba, and mixed martial arts fighter Ronda Rousey.
- Published
- 2015
21. Validation of AJCC TNM staging for breast tumors diagnosed before 2004 in cancer registries.
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Kwan ML, Haque R, Lee VS, Joanie Chung WL, Avila CC, Clancy HA, Quinn VP, Kushi LH, Kwan, Marilyn L, Haque, Reina, Lee, Valerie S, Joanie Chung, W-L, Avila, Chantal C, Clancy, Heather A, Quinn, Virginia P, and Kushi, Lawrence H
- Abstract
Purpose: American Joint Committee on Cancer (AJCC) Tumor (T), Nodal (N), and Metastatic (M) staging is commonly used in clinical practice for treatment decisions, yet before 2004, Surveillance Epidemiology and End Results (SEER)-affiliated cancer registries did not routinely include TNM staging defined by AJCC criteria, reporting instead SEER Summary Staging.Methods: We developed and validated an algorithm to determine AJCC TNM staging from Extent of Disease information for 17,133 female breast cancer cases diagnosed from 1988 to 2003 in the cancer registries of Kaiser Permanente Northern and Southern California. Test characteristics (percent agreement, Cohen's kappa, sensitivity, specificity) were calculated to compare derived TNM with gold-standard TNM available in the registry.Results: Agreement for TNM variables was excellent (range 0.91-1.00 for percent agreement and Cohen's kappa). The sensitivity and specificity, respectively, of the algorithm for AJCC TNM Version 6 staging were as follows: Stage 0 (0.99, 1.00), Stage I (0.97, 0.98), Stage II (0.91, 0.96), Stage III (0.69, 0.99), and Stage IV (0.92, 1.00). Stage III had lower sensitivity due to reclassification of supraclavicular lymph node positivity from M1 (Stage IV) to N3 (Stage IIIC) in AJCC Version 6.Conclusions: Derived AJCC staging for breast tumors diagnosed before 2004 is feasible and accurate using cancer registry data. [ABSTRACT FROM AUTHOR]- Published
- 2012
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22. OBAYA (obesity and adverse health outcomes in young adults): feasibility of a population-based multiethnic cohort study using electronic medical records.
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Koebnick, Corinna, Smith, Ning, Huang, Karl, Martinez, Mayra P., Clancy, Heather A., Williams, Andrew E., and Kushi, Lawrence H.
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CHRONIC diseases & psychology ,CHRONIC disease risk factors ,OBESITY complications ,BODY weight ,CENSUS ,ETHNIC groups ,INFORMATION storage & retrieval systems ,MEDICAL databases ,LONGITUDINAL method ,MANAGED care programs ,STATURE ,CROSS-sectional method ,DESCRIPTIVE statistics - Abstract
Background: Although obesity is a risk factor for many chronic diseases, we have only limited knowledge of the magnitude of these associations in young adults. A multiethnic cohort of young adults was established to close current knowledge gaps; cohort demographics, cohort retention, and the potential influence of migration bias were investigated. Methods: For this population-based cross-sectional study, demographics, and measured weight and height were extracted from electronic medical records of 1,929,470 patients aged 20 to 39 years enrolled in two integrated health plans in California from 2007 to 2009. Results: The cohort included about 84.4% of Kaiser Permanente California members in this age group who had a medical encounter during the study period and represented about 18.2% of the underlying population in the same age group in California. The age distribution of the cohort was relatively comparable to the underlying population in California Census 2010 population, but the proportion of women and ethnic/racial minorities was slightly higher. The three-year retention rate was 68.4%. Conclusion: These data suggest the feasibility of our study for medium-term follow-up based on sufficient membership retention rates. While nationwide 6% of young adults are extremely obese, we know little to adequately quantify the health burden attributable to obesity, especially extreme obesity, in this age group. This cohort of young adults provides a unique opportunity to investigate associations of obesity-related factors and risk of cancer in a large multiethnic population. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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23. HOW AM I DOING?
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Clancy, Heather
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BIG business ,EMPLOYEE reviews ,SUPERIOR-subordinate relationship - Abstract
The article discusses plans by large U.S. companies to move away from performance reviews and offer more frequent feedback between employees and managers.
- Published
- 2017
24. 7 Security QUESTIONS TO ASK YOUR SaaS PROVIDER.
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Clancy, Heather
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COMPUTER software ,SOFTWARE architecture ,COMPUTER software usability ,DATA encryption - Abstract
The article presents questions and answers related to software-as-a-service including the handling of penetration testing and how it is done, the sign-on, access and authentication policies, and the encryption policies that would protect data when transferred or stored. INSETS: ONE & DONE;UP TO STANDARD?.
- Published
- 2008
25. can AMD regain your trust?
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Rooney, Paula, Moltzen, Edward F., and Clancy, Heather
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PRODUCT liability ,MOTHERBOARDS ,INTEGRATED circuits ,COMPUTER industry - Abstract
The article discusses the AMD Validated Solutions (AVS) motherboard replacement program of Advanced Micro Devices Inc. (AMD) in the U.S. According to the author, the program promises to provide a new set of services, including a 15 month stability guarantee on their products, 48 hour return services, technical support and a 24x7 access to support site. AVS is one of the several channel initiatives to be offered and marketed by AMD in preparation for their new product launching.
- Published
- 2007
26. Ready, Set, Go.
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Rooney, Paula, Darrow, Barbara, Cowley, Stacy, and Clancy, Heather
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MARKETING channels ,COMPUTER software industry ,MICROSOFT operating systems ,OFFICE practice automation ,COMPUTER software ,CONFERENCES & conventions - Abstract
The article looks at issues that will be discussed at Velocity 2006, the annual partner conference of Microsoft Corp. in Redmond, Washington. Microsoft will assure its partners with revenue growth and profitability increases arising from its development of the next-generation People Ready software portfolio. Microsoft launched enhanced partner programs. It will also launch expanded Office suites and servers and will promote the use of Vista, its first major Windows client upgrade in five years.
- Published
- 2006
27. feeding the channel.
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Clancy, Heather
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WAGE surveys ,HIGH technology industries ,PROFIT margins ,REBATES - Abstract
The article discusses the result from the 2006 CRN Channel Compensation Survey citing the profit margins of high-technology vendors in the U.S. It was observed that solution providers concentrated on the recurring revenue that their value-added services deliver than their margins and rebates. Infrastructure integrator Networked Information Systems' co-president Bob Murphy considered beneficial margins to be in the 15-20 percent range. INSETS: Marginal Improvement;Satisfaction Vs. Importance.
- Published
- 2006
28. AMD ON THE CHANNEL.
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Clancy, Heather
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EXECUTIVES ,INTERNET servers - Abstract
The article presents an interview with Henri Richard, Executive Vice president and chief sales and marketing officer of Advanced Micro Devices Inc. (AMD). When asked about his top priority in system building for 2006, he refers to the strategic priorities of AMD as a whole. Richard believes that the system builder community has a large role with regard to expanding its company's success in marketing. He comments on the share of system builders in the server market.
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- 2006
29. 2006 TO WATCH.
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Longwell, John, Neel, Dan, Zarley, Craig, Darrow, Barbara, McLaughlin, Kevin, Campbell, Scott, Hagendorf-Follett, Jennifer, Ohlhorst, Frank J., Kenedy, Kristen, Kovar, Joseph F., Hooper, Larry, Clancy, Heather, Moltzen, Edward F., and Rooney, Paula
- Subjects
INTERNET industry ,APPLICATION service providers ,CUSTOMER services - Abstract
The article reports on the developments related to the field of innovative technology in the U.S. Managed services are expected to have an increase, according to surveys. Hewlett-Packard chief vowed to be more stringent in teaming with solution providers. Industries struggled to be savvy with the notion of Software As A Service. The development of mobile application has increased according to research. The national service networks facilitate services for customers of solution providers.
- Published
- 2005
30. Lighting The WAY.
- Author
-
Clancy, Heather
- Subjects
APPLICATION service providers ,UNIFIED messaging ,WIRELESS communications ,SMALL business ,DATA transmission systems ,EMAIL systems - Abstract
The article reports that solution providers are finding new and innovative ways to sell emerging technologies to their SMB customers. Ducharme, a channel pioneer in unified messaging systems back in 1999, said what makes solution providers all the more convincing in representing emerging technologies to the small-business market is that many are themselves small businesses. Ducharme said the importance of finding the right champion within an account also cannot be underestimated.
- Published
- 2005
31. Feeling them in: PROVEN WAYS TO GENERATE DEMAND.
- Author
-
Clancy, Heather, Burke, Steven, Zarley, Craig, and Frischling, Steven E.
- Subjects
BUSINESS enterprises ,INTERPERSONAL relations ,INFORMATION technology ,APPLICATION service providers ,COMPUTER software industry ,DECISION making - Abstract
The article presents information on the importance of trusted relationships in businesses. Despite ongoing debate over the value of indirect vs. direct sales models, the fact remains that high-tech vendors need solution providers to generate demand for their products and technologies in a significant subset of the information technology (IT) market. An exclusive survey examining the dynamics of IT decision-making among business and IT executives at end-user organizations shows longstanding relationships are by far solution providers' most effective form of sales demand and revenue generation.
- Published
- 2005
32. PARTNERS ARE MICROSOFT'S ACE IN THE HOLE.
- Author
-
Darrow, Barbara and Clancy, Heather
- Subjects
SMALL business ,MEETINGS ,MOBILE businesses ,BUSINESS enterprises ,COMPUTER software industry - Abstract
The article informs that Microsoft Corp. revises 18-month-old Next-Gen Partner Program to cash in on what it sees as a billion-dollar opportunity in small business. One highlight of the numerous channel program revisions unveiled last week to some 6,000 solution providers at the Microsoft Worldwide Partner Conference is a new Small Business Specialist designation, which could prove a balm for smaller Registered partners. The vendor also is adding new Custom Development and Mobility Solutions competencies to the still-evolving Next-Gen Partner Program and, as promised, it outlined Licensing and System Builder paths.
- Published
- 2005
33. services BOOSTER.
- Author
-
Clancy, Heather
- Subjects
APPLICATION service providers ,SYSTEMS integrators ,ASSOCIATIONS, institutions, etc. ,COMPUTER service industry - Abstract
Focuses on the attempts of national services organizations to increase its solution providers and systems integrators. Offers of Coast Solutions Group and INService; Background of INService; Factor that attracted major manufacturers in the networking space according to Network Computing Architects President and CEO Tom Gobielle; Advantages of the recruiting solution providers and systems integrators. INSET: COAST SOLUTIONS LETS VARs SHARPEN SERVICES FOCUS.
- Published
- 2005
34. charting CISCO'S PROGRESS.
- Author
-
Follett, Jennifer Hagendorf and Clancy, Heather
- Subjects
BUSINESS partnerships ,MARKETING channels ,APPLICATION service providers ,AMERICAN business enterprises - Abstract
Focuses on the relation of the Cisco Systems Inc. with its solution provider channel partners. Leadership of the company in the IP communications, wireless and computer security markets; Attitudes of solution providers towards the company; Strategies employed by the company to improve its relation with channel partners. INSET: CISCO FORGES TIGHTER LINKS BETWEEN SALES TEAM, PARTNERS.
- Published
- 2004
35. where in the WORLD?
- Author
-
Clancy, Heather
- Subjects
OFFSHORE assembly industry ,CONFERENCES & conventions ,CONTRACTING out ,APPLICATION service providers - Abstract
Provides information on several offshore companies that will be at the 2004 Outsource World Conference in New York looking for U.S. solution providers to partner with. Infosys of Bangalore, India; EPAM of Russia; ComArch of Krakow, Poland; CGI Group of Toronto, Ontario.
- Published
- 2004
36. what's the deal.
- Author
-
Clancy, Heather and Zarley, Craig
- Subjects
COMPUTER value-added resellers ,COMPUTER industry customer services ,RECORDING & registration ,LIMITED partnership -- Registration & transfer - Abstract
Offers a look at vendor deal-registration programs among solution providers in the U.S. Benefits of deal-registration programs in preserving solution provider margins; Information on major computer companies that offer deal-registration plans for solution providers; Flaws of the program. INSETS: IBM PARTNER LOGICALIS: DEAL REGISTRATION CAN IMPEDE GROWTH;Rewarding Disclosure.
- Published
- 2004
37. A NEW MIND-SET.
- Author
-
Clancy, Heather
- Subjects
EMPLOYEE training ,MOBILE apps ,AUDIOVISUAL education - Abstract
The article looks at employee training, reporting on a trend toward shorter-format, video-based training materials such as mobile apps for use on smartphones and tablet computers. It says the trend reflects the goal of making training more effective with contemporary workers used to the fast pace of online social media. Companies cited include retailer Walmart and Internet payments company PayPal.
- Published
- 2017
38. Mikkel Svane / Zendesk.
- Author
-
Clancy, Heather
- Subjects
CHIEF executive officers - Abstract
The article presents a profile of the chief executive officer of the customer service software company Zendesk Mikkel Svane.
- Published
- 2016
39. Show and Tell.
- Author
-
Clancy, Heather
- Subjects
COMPUTERS in marketing ,ADVERTISING campaigns ,NETWORK hubs ,TEAMS in the workplace ,COST effectiveness - Abstract
The article focuses on how financial services company Mastercard monitors marketing campaigns through the use of its Conversation Suite which consists of marketing tools such as Insights Alley and Real-Time Marketing Lab. It says that the hub provides better access to data, reveals messages that are most effective, and helps the marketing teams to control expenses in creating videos, slogans, or images. Comment from Raja Rajamannar, chief marketing officer of MasterCard, is also mentioned.
- Published
- 2016
40. April Underwood / Slack.
- Author
-
Clancy, Heather
- Subjects
WOMEN executives ,EMPLOYEES - Abstract
The article features April Underwood, vice president of product at computer software startup Slack, who plans to change the company's messaging software into a place for workplace collaboration.
- Published
- 2016
41. Gym Class Heroes.
- Author
-
Clancy, Heather
- Subjects
MEDICAL care costs ,EMPLOYEE medical care ,HEALTH insurance - Abstract
The article discusses the use of biometrics-driven software by energy company Williams Cos. to reduce health care costs for employees. The system is part of a deal secured with software startup Limeade in 2014. The system is said to be capable of tracking fluctuations in biometrics that could pose problems to the job and using them to encourage participation in fitness programs. Employees at Williams can get a discount on medical plan premiums if they reach certain fitness goals.
- Published
- 2015
42. IT'S EASIER to be GREEN.
- Author
-
Clancy, Heather
- Subjects
ENVIRONMENTAL protection ,COMPUTER service industry ,CONSERVATION of natural resources ,ENVIRONMENTAL law ,APPROPRIATE technology - Abstract
The article discusses the implementation of environmentally friendly initiative for solution providers companies. Companies across the channel discusses energy efficiency, recycling, refurbishment and other environmental initiatives of high-profile publicity and advantages of new state laws regulating the aging technology. Furthermore, investors, local universities, utilities and private sectors are focused on clean energy alternatives.
- Published
- 2007
43. New TO THE SCENE.
- Author
-
Clancy, Heather
- Subjects
CAREER development ,EXECUTIVES - Abstract
The article reports career developments of executives from the hardware and security industries in the U.S. Sharon Brindley was recruited as vice president of the U.S. channels at Lexmark International Inc. John DiLullo, former executive at Cisco Systems, was hired by Sonicwall Inc. as vice president of worldwide sales. Keith Goodwin was promoted to senior vice president of worldwide sales of Cisco Systems Inc. John Johasky was appointed by Samsung Information Technology Division as vice president of marketing. Jerry Lumpkin has joined Toshiba Digital Products Division as vice president of business channel sales.
- Published
- 2006
44. Pay It Forward.
- Author
-
Clancy, Heather
- Subjects
BUSINESS research ,APPLICATION service providers ,VALUE-added resellers ,FINANCIAL performance ,BUSINESS forecasting ,REVENUE - Abstract
The article reports that, through its benchmarking research of approximately 650 solution provider organizations, Service Leadership has identified three primary models by which VARs, resellers and IT services organizations can be categorized. The first, dubbed Product Resale, describes a company that relies mainly on product sales for 60 percent to 85 percent of its revenue. The second model, called Project Services, refers to solution provider organizations that drive revenue through a series of definable projects that combine product sales and services engagements. The final structure, Recurring Services, is for companies that have tied at least 40 percent to 60 percent of their revenue to service offerings with a predictable, ongoing payment stream. INSETS: Giving Employees An Ownership Stake Pays Off For Services Firm;IT Solutions Takes A Not-One-Size-Fits-All Services Approach.
- Published
- 2005
45. what's the deal.
- Author
-
Clancy, Heather and Zarley, Craig
- Subjects
INFORMATION technology ,BUSINESS planning ,PLANNING ,STRATEGIC planning ,MARKETING channels ,RETAIL industry - Abstract
Vendor deal-registration programs are becoming more popular, as of June 2004. Channel reaction to the programs runs the gamut - they can offer protection and add margin to a sale, but they can also be tough to manage. For most solution providers, the growing popularity of these programs is forcing them to weigh the protection offered against the internal resources needed to administer the process. This article focuses on how information technology professionals who use the programs, think they can earn substantial margin by playing the game. INSET: Rewarding Disclosure.
- Published
- 2004
46. 10 INTEGRATORS IN THE SECURITY FASTLANE.
- Author
-
Longwell, John, Clancy, Heather, and Long, Timothy
- Subjects
APPLICATION service providers - Abstract
The article features ten United States-based solution providers that are experiencing fast growth in the area of security. The companies are profiled in terms of years in business, number of employees, sales growth in 2003, percentage of sales in security, product-to-services revenue mix, key vendors and key distributors. These companies are: Kansas City, Missouri-based Fishnet Security; Branchburg, New Jersey-based Atrion Communications Resources; Pittsburgh, Pennsylvania-based Redsiren; Cincinnati, Ohio-based Cadre Information Security; Fairfax, Virginia-based Anteon International; Portsmouth, New Hampshire-based Adaptive Communications; Holliston, Massachusetts-based Conqwest; Knoxville, Tennessee-based Sword & Shield Enterprise Security; Centennial, Colorado-based DirSec; and Charlotte, North Carolina-based Global Linking Solutions.
- Published
- 2004
47. Adapting to a new HP.
- Author
-
Clancy, Heather
- Subjects
BUSINESS planning ,INDUSTRIAL management ,CONFERENCES & conventions - Abstract
Hewlett-Packard Co.'s chairman and chief executive officer Carly Fiorina has detailed her plans to unify the company's commercial and enterprise units, at the annual Americas Partner Conference held in Los Angeles, California in the week prior to March 29, 2004. She also outlined the five reasons for partners to align themselves with Hewlett-Packard. These are: its scope and scale; its four billion dollars annual investment in innovation in areas such as management, mobility and security; its ability to assemble compelling solutions and services offerings the channel can in turn sell to customers; its continued investment in programs; and its commitment to mutual profitability. Company's partners welcomed the channel message however some are worried that the channel march will not be embraced by the field.
- Published
- 2004
48. WALKING THE TALK.
- Author
-
Clancy, Heather
- Subjects
STRATEGIC alliances (Business) ,BUSINESS networks ,MARKETING agreements ,COMPUTER software industry ,COMPUTER industry - Abstract
Vendor channel executives are shifting direction, no longer able to ignore the fact that to capture new markets they must reward solution providers and distributors for their ability to represent end-to-end solutions and business applications. Veritas Software Corp., for one, is using its distributors to identify prospects, build custom financing programs and develop bundles specific to the SMB market. Likewise, Cisco Systems Inc. is aligning with its distribution partners to identify and profile viable SMB customer targets. Elsewhere, the channel team at Intel Corp. is busy on two main fronts: shoring up support of distribution partners that work closely with smaller VAR and forging alliances that pair its offerings with those of other key vendors. Software developers Microsoft Corp. and Symantec Corp., meanwhile, are also creating alliances with other vendors. And from all indications, ongoing channel reorganizations at IBM Corp., Hewlett-Packard Co., and Sun Microsystems Inc. will provide partners with a single entry point for channel concerns and are also designed to better position the major systems companies to accommodate the solution-selling mind-set. INSETS: NEW ALLIANCES TAKE MANY FORMS, BUT ALL ARE CHANGING . . .;VENDORS GET BACK ON TRACK.
- Published
- 2004
49. BUYING HABIT$.
- Author
-
Clancy, Heather
- Subjects
COMPUTER software industry ,PURCHASING ,DECISION making ,LOYALTY ,COMPUTER value-added resellers - Abstract
Focuses on the trends in buying behavior of solution software providers in the U.S. Factors driving sourcing decisions; Buying relationships with business-critical vendors; Loyalty to broadline distributors; Evidence that some value-added resellers are open to considering bundles.
- Published
- 2004
50. SAFETY first.
- Author
-
Clancy, Heather
- Subjects
FORUMS ,COMPUTER security ,COMPUTER industry - Abstract
Presents a roundtable discussion on customer education regarding computer network security in the U.S. Professional background of the participants in the discussion; Issues in the computer industry which were talked about by the participants; Views on the concept of return on investment in the sales of security solutions; Utilization of security appliances. INSET: MICROSOFT'S SECURITY WOES A BOON TO CHANNEL.
- Published
- 2003
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