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Times are changing !
Who’s the most important
person in the clinic?
Doctors ?
Nurses ?
Receptionist ?
Accountant ?
Put Patients First !
Dr Aniruddha Malpani
www.drmalpani.com
Traditional model
Patient comes to
doctor
Doctor makes
diagnosis
Doctor treats
Patient gets
better
Doctor is God
“ We are the best !”
Why we continue to fool ourselves
• Only 1 of 20 unhappy patients
bother to complain.
• Others walk out of
your clinic and
tell ten others
about their
bad experience.
Can you afford not to put your
patient first ?
Happy patients
Happy patients are loyal
Refer other patients to your clinic
Help your medical staff perform
better by providing professional
satisfaction
Improve your income !
Build a Patient Service Culture in
your DNA
Need to ensure your staff treats your
patients well
Create magic with
Right people
Right processes
Right environment
Staff – your most valuable
investment
• Employ the right people and pay them
well . Losing patients can be expensive !
• Train them. Respect them. Appreciate
them
• Make sure your staff works well as a
team
• Do not shout at them
• Working in a hospital is
difficult. Help them to do their
best
Staff – your most valuable
investment
How well does your staff treat your
patients ?
If you treat your staff
well,
they will treat your
patients well !
Create processes to improve
workflow
• Follow flowcharts for improving workflow!
• Need processes which the staff can follow
How to answer the phone
How to greet a new patient
How to help them fill up a form
Doctors usually create bottlenecks !
Clinic ambience
• Would you be happy sitting in your
waiting rooms ?
• Bathrooms should be spic and span
• Play patient education videos while
your patients are waiting
• Do not overbook - respect your
patient’s time
Invest in technology
 Automate processes
Online appointment booking
Reminder SMSes to reduce “noshows”
Learn from dentists and vets !
EMRs ( Electronic Medical Records)
Email test results to patients !
Telephone etiquette
How well is the phone answered ?
This is your hospital’s public face !
Answer phone within
3 rings
Emails
Mobile
Simple to do – but not easy !
Need to understand your patient’s
wants, needs and desires
We can learn a lot from 5 star hotels –
they put customers first
Ask your patients for help !
Measure patient satisfaction !
“You get what you measure.”
• Comment cards
– It was easy to get an appointment.
– My doctor answered all my questions.
– I would recommend this hospital to
friends.
• Telephone calls after their visit.
• Internet surveys by email
• Mystery patients
 
Bedside manners
Doctors take pride in their
professional competence
Patients have no way of
judging this. Assume all
doctors are technically
competent !
Judge by their behaviour
“The patient will never
care how much you
know, until they know
how much you care !”
The 10 Commandments
I. The patient is never an interruption
- the patient is your work. Everything
else can wait !
II. Greet every patient with a smile.
III. Call patients by their name.
IV. For patients, all staff members are
as important as the doctor !
V. Never argue with a patient. Be a
good listener.
The 10 Commandments
VI. Don’t say, "I don't know.” Say “ I will find
out”.
VII. The patient pays your salary - treat him
like your boss !
VIII. Choose positive words
IX. Always go the extra mile. Exceeding
patient expectations is the best way of
keeping patients happy !
X. Brighten every patient's day. This will
make your own life happier.
Dealing with unhappy patients
• Dissatisfaction = Mismatch between
Expectation and Reality
• Satisfied patients will tell three other
people
• Dissatisfied patients will tell 20 others.
• However, if you can satisfy an unhappy
patient, he will tell at least 50 others, and
become your most valuable ally !
How to handle angry patients! 
RAPSAND
• R = Re-establish rapport ( empathy)
• A = Agreement ( get the patient to say Yes)
• P = Problem ( define this)
• S = Solution
• A = Ask Permission ( is the patient happy with
the solution you have offered ?)
• N = Next step ( Follow up)
• D = Document
Commonest complaints patients 
have about hospitals
Doctor did not explain properly
Not enough time with the doctor
Unnecessary long wait time
Billing mistakes
Rude staff
Lack of transparency about
costs
Bedside manner = empathy
SOFTEN
S = Smile
O = Open posture
F = Forward lean
T = Touch
E = Eye contact
N = Nod
Free books at 
www.thebestmedicalcare.com
Secret
Treat all patients as VIPs.
Respect them !
The lifetime value of a patient
4 simple action steps
Appoint patient advocates. Support
groups for infertile couples
Create a patient education resource
center
Provide Information Therapy through
your hospital website
Mystery shopper
Patient education resource
center in the lobby
Information Therapy
Best prescribed online !
Come to your clinic as a patient
“ Mystery shopper”
Helps you to think like a patient !
Seeing things through the patient’s
eyes will make you more empathetic !
« Patient engagement, patient
experience and patient centeredness »
are no longer just buzzwords !
How does this matter ?
Happy patients have better treatment
outcomes !
More compliant because they are
engaged
Fewer medical errors , because they
keep the medical staff alert
Less likely to sue
Happier patients heal better !
Every doctor’s mission and
purpose
To cure sometimes,
to relieve often,
to comfort always
Patients come first!
Everything else is
paperwork !
Need to delight your
patients – one patient at a time
Happy Patients = Happy Doctors,
Happy Nurses, Happy Staff and a
Happy CEO !

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How to delight your patients

  • 2. Who’s the most important person in the clinic? Doctors ? Nurses ? Receptionist ? Accountant ?
  • 5. Traditional model Patient comes to doctor Doctor makes diagnosis Doctor treats Patient gets better Doctor is God
  • 6. “ We are the best !” Why we continue to fool ourselves • Only 1 of 20 unhappy patients bother to complain. • Others walk out of your clinic and tell ten others about their bad experience.
  • 7.
  • 8. Can you afford not to put your patient first ?
  • 9. Happy patients Happy patients are loyal Refer other patients to your clinic Help your medical staff perform better by providing professional satisfaction Improve your income !
  • 10. Build a Patient Service Culture in your DNA Need to ensure your staff treats your patients well Create magic with Right people Right processes Right environment
  • 11. Staff – your most valuable investment • Employ the right people and pay them well . Losing patients can be expensive ! • Train them. Respect them. Appreciate them • Make sure your staff works well as a team • Do not shout at them • Working in a hospital is difficult. Help them to do their best
  • 12. Staff – your most valuable investment How well does your staff treat your patients ? If you treat your staff well, they will treat your patients well !
  • 13. Create processes to improve workflow • Follow flowcharts for improving workflow! • Need processes which the staff can follow How to answer the phone How to greet a new patient How to help them fill up a form Doctors usually create bottlenecks !
  • 14. Clinic ambience • Would you be happy sitting in your waiting rooms ? • Bathrooms should be spic and span • Play patient education videos while your patients are waiting • Do not overbook - respect your patient’s time
  • 15. Invest in technology  Automate processes Online appointment booking Reminder SMSes to reduce “noshows” Learn from dentists and vets ! EMRs ( Electronic Medical Records) Email test results to patients !
  • 16. Telephone etiquette How well is the phone answered ? This is your hospital’s public face ! Answer phone within 3 rings Emails Mobile
  • 17. Simple to do – but not easy ! Need to understand your patient’s wants, needs and desires We can learn a lot from 5 star hotels – they put customers first Ask your patients for help !
  • 18. Measure patient satisfaction ! “You get what you measure.” • Comment cards – It was easy to get an appointment. – My doctor answered all my questions. – I would recommend this hospital to friends. • Telephone calls after their visit. • Internet surveys by email • Mystery patients
  • 19.   Bedside manners Doctors take pride in their professional competence Patients have no way of judging this. Assume all doctors are technically competent ! Judge by their behaviour
  • 20. “The patient will never care how much you know, until they know how much you care !”
  • 21. The 10 Commandments I. The patient is never an interruption - the patient is your work. Everything else can wait ! II. Greet every patient with a smile. III. Call patients by their name. IV. For patients, all staff members are as important as the doctor ! V. Never argue with a patient. Be a good listener.
  • 22. The 10 Commandments VI. Don’t say, "I don't know.” Say “ I will find out”. VII. The patient pays your salary - treat him like your boss ! VIII. Choose positive words IX. Always go the extra mile. Exceeding patient expectations is the best way of keeping patients happy ! X. Brighten every patient's day. This will make your own life happier.
  • 23. Dealing with unhappy patients • Dissatisfaction = Mismatch between Expectation and Reality • Satisfied patients will tell three other people • Dissatisfied patients will tell 20 others. • However, if you can satisfy an unhappy patient, he will tell at least 50 others, and become your most valuable ally !
  • 24. How to handle angry patients!  RAPSAND • R = Re-establish rapport ( empathy) • A = Agreement ( get the patient to say Yes) • P = Problem ( define this) • S = Solution • A = Ask Permission ( is the patient happy with the solution you have offered ?) • N = Next step ( Follow up) • D = Document
  • 25. Commonest complaints patients  have about hospitals Doctor did not explain properly Not enough time with the doctor Unnecessary long wait time Billing mistakes Rude staff Lack of transparency about costs
  • 26. Bedside manner = empathy SOFTEN S = Smile O = Open posture F = Forward lean T = Touch E = Eye contact N = Nod
  • 28. Secret Treat all patients as VIPs. Respect them ! The lifetime value of a patient
  • 29. 4 simple action steps Appoint patient advocates. Support groups for infertile couples Create a patient education resource center Provide Information Therapy through your hospital website Mystery shopper
  • 32. Come to your clinic as a patient “ Mystery shopper” Helps you to think like a patient ! Seeing things through the patient’s eyes will make you more empathetic ! « Patient engagement, patient experience and patient centeredness » are no longer just buzzwords !
  • 33. How does this matter ? Happy patients have better treatment outcomes ! More compliant because they are engaged Fewer medical errors , because they keep the medical staff alert Less likely to sue Happier patients heal better !
  • 34. Every doctor’s mission and purpose To cure sometimes, to relieve often, to comfort always
  • 35. Patients come first! Everything else is paperwork ! Need to delight your patients – one patient at a time Happy Patients = Happy Doctors, Happy Nurses, Happy Staff and a Happy CEO !