Product stickiness in health systems is achieved through deep workflow integration. By embedding a solution into the daily processes of every stakeholder—from medical assistants to billing coordinators—it becomes entrenched and difficult to replace, mirroring the zero-churn model of EMR giant Epic.
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A sale is just the first step. The true measure of product-market fit is high retention, specifically when the product becomes so integrated into a customer's workflow that the idea of canceling their subscription would be bizarre and disruptive. Founders should be designing for this "weird to cancel" status.
True defensibility comes from creating high switching costs. When a product becomes a system of record or is deeply integrated into workflows, customers are effectively locked in. This makes the business resilient to competitors with marginally better features, as switching is too painful.
Don't just sell a product; become an indispensable part of your customer's workflow. By offering integrated products and services, you create a value ecosystem that locks out competitors and makes leaving an impractical and undesirable option.
A key to Spokenote's strategy is not requiring users to change their core processes. It integrates with existing CRMs and email/texting engines by processing a data export and returning an enhanced file. This removes a major adoption barrier, as reps don't need to learn a completely new system.
The massive abandonment rate of health apps stems from a core design flaw: they are built to achieve company objectives (e.g., increase diagnosis) rather than integrating into patients' and doctors' existing workflows and behaviors, making them burdensome to use.
To overcome physician resistance to new technology, the tool integrates as a seamless add-on to existing ambient listening scribe software. This passive screening approach requires no change in clinical workflow, no extra clicks, and no new habits, making adoption frictionless for time-constrained clinicians.
To become indispensable to SMBs, a marketing platform cannot be a standalone tool. It must deeply integrate with the specific, proprietary systems that define an industry's workflow, such as a real estate agent's CRM or a mechanic's booking software. This ecosystem-first approach eliminates the friction of switching between tools, making the marketing platform a natural and effective extension of the SMB's core business operations.
An AI app that is merely a wrapper around a foundation model is at high risk of being absorbed by the model provider. True defensibility comes from integrating AI with proprietary data and workflows to become an indispensable enterprise system of record, like an HR or CRM system.
A powerful retention strategy for DaaS vendors is embedding external reference data into a client's core systems (e.g., CRM, ERP). This makes the client's proprietary data more valuable and actionable, creating a deep, value-driven dependency that makes the vendor incredibly difficult and costly to replace.
To create transformational enterprise solutions, focus on the core problems of the key buyers, not just the feature requests of technical users. For healthcare payers, this meant solving strategic issues like care management and risk management, which led to stickier, higher-value products than simply delivering another tool.
