{ "docId": "019dd923-5ca1-7489-b639-45501f4b359b", "docSlug": "158df8627a0b9aca", "documentTitle": "Opioid Conflicts Majority Staff Report", "authorId": "McKinsey", "authorName": "U.S. House Committee on Oversight and Reform", "documentKindSlug": "consulting-deck", "documentKindLabel": "Consulting deck", "sourceTypeSlug": "strategy_consulting", "sourceTypeLabel": "Strategy consulting", "presentationDate": null, "orientation": "portrait", "aspectRatio": 0.773, "pageNumber": 35, "pageCount": 53, "prevPage": 34, "nextPage": 36, "slideType": "appendix_disclosure", "function": "summarize", "density": "dense", "nDataPoints": 0, "notes": "Page 35 of a larger document, containing extensive footnotes citing legal and journalistic sources.", "elementsJson": [ "paragraph", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-5ca1-7489-b639-45501f4b359b/35", "deckHref": "/decks/019dd923-5ca1-7489-b639-45501f4b359b", "deckJsonHref": "/decks/019dd923-5ca1-7489-b639-45501f4b359b.json", "deckAnchorHref": "/decks/019dd923-5ca1-7489-b639-45501f4b359b#slide-35", "components": [ { "bbox": { "h": 0.12, "w": 0.78, "x": 0.11, "y": 0.38 }, "kind": "paragraph", "text": "Similar to other agencies, FDA “relies on the contractor to assess and report potential OCI and submit mitigation plans for review” before they are awarded a government contract. Agency officials rely on these disclosures “to ensure that they have the information they need to consider whether a contractor’s other business relationships risk slanting its judgment.” Some conflicts cannot be properly mitigated. In other instances, an agency may determine that a mitigation plan is appropriate to allow a contractor to “minimize the impact of prospective [conflicts] by establishing strategies to resolve anticipated conflicts,” for example, by firewalling conflicted individuals from certain information or tasks.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "376f4335-c264-4067-bc41-acb9f871ea27", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.07, "w": 0.78, "x": 0.11, "y": 0.18 }, "kind": "paragraph", "text": "Put plainly, a conflict of interest occurs when a contractor possesses, as the result of other business relationships, the incentive to provide biased advice under a government contract. The FAR thus protects government agencies from hiring contractors or advisors with “competing loyalties that could undermine the quality of their advice to the government.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "674d1ff3-bf97-49a4-b1b2-4840b42fd3f6", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.06, "w": 0.78, "x": 0.11, "y": 0.11 }, "kind": "paragraph", "text": "An “impaired objectivity” conflict of interest “arises where a firm’s ability to render impartial advice to the government would be undermined by the firm’s competing interests.” Government contractors, including consultants, must comply with these regulations.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "7888a4aa-975f-45f5-8b0a-d25a85813397", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.09, "w": 0.78, "x": 0.11, "y": 0.27 }, "kind": "paragraph", "text": "In order to meet their duties under FAR Subpart 9.5 to “avoid, neutralize, or mitigate significant potential conflicts before contract award,” contracting officers rely on truthful disclosures from contractors. Federal agencies typically include language in their solicitations and contracts that highlight the duty to disclose potential OCIs, particularly in procurements for consultant or professional services where the risk of an OCI is greater.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "d76fdb7c-000d-49fb-8be3-c8b3b96324f6", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.35, "w": 0.78, "x": 0.11, "y": 0.59 }, "kind": "source-note", "text": "Footnotes 165-171 detailing legal citations and source references.", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "64a698b5-81f1-427e-b093-547598edb040", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [ { "to": 53, "from": 29, "beatId": "1170eac2-9202-4b41-a53c-edbd934ded10", "arcName": "Problem-Agitate-Solution", "arcSlug": "problem-agitate-solution", "beatName": "Impact & Next Steps", "beatSlug": "consultants-gambit-impact-next-steps", "evidence": "The document concludes with implications of McKinsey's actions and potential next steps for regulatory action.", "position": 2, "confidence": 0.8, "parentBeatName": "Resolution", "parentBeatSlug": "resolution" } ], "loops": [ { "to": 53, "from": 1, "name": "Cost Of Inaction", "slug": "27-cost-of-inaction", "bestFor": "Urgent budget requests, compliance, risk mitigation", "matchId": "ee9686db-f8b5-4bc9-bf6e-2d29966ee033", "evidence": "The document implies the cost of inaction through its presentation of McKinsey's conflicts of interest and their potential impact on the opioid epidemic.", "position": 0, "objective": "What is the cost of inaction in addressing McKinsey's conflicts of interest?", "structure": "The Status Quo -> The Hidden Costs Accumulating -> The Future State of Inaction -> The Tipping Point", "confidence": 0.7, "description": "Quantify what happens if the audience does nothing" }, { "to": 40, "from": 24, "name": "Voice Of Customer", "slug": "51-voice-of-customer", "bestFor": "Product strategy, customer experience, market research", "matchId": "308c22ef-34f3-45b8-b50d-c273c6edeb88", "evidence": "The document presents the concerns of regulatory bodies through examples of McKinsey's actions and lack of disclosure.", "position": 1, "objective": "What are the concerns of regulatory bodies regarding McKinsey's conflicts of interest?", "structure": "What Customers Say (Verbatim) -> The Pattern Across Voices -> The Insight -> The Response", "confidence": 0.6, "description": "Let customer quotes and feedback drive the narrative and validate the insight" } ], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }