In an era where transparency and customer service are necessary for survival, it's time for healthcare providers to move toward a relationship-based model and what providers can do to build valuable, long-term relationships with patients at all facets of their experience – from the home to the office and beyond.
23. Stumbling Blocks to
Patient Experience
1. Changing organizational
culture (34%)
2. Abundance of other priorities
(26%)
CEOs must:
• Set the agenda for culture
change
• Ensure funding, resources and
commitment are present to
back it up.
Organizational Culture
29. 75% train physicians in
patient experience
because they have the
most difficulty with
their ability to
communicate well with
patients (HCAHPS
requirement)
38% train back-office
staff because of high-
deductible plans and
the move toward
greater personal
responsibility for bills.
31. 40% have a chief experience officer
--10% will add one w/in 3 years
Staff satisfaction is a critical aspect of providing a good patient
experience. One doesn’t exist without the other.
Tracking patient experience:
--55% use post-discharge telephone calls
--30% monitor social media.
35. AWARENESS: The perception of need or problem
recognition.
CONSIDERATION: The start of the information
search, evaluation and education.
INTENT: The choice narrows, often the final
decision.
PURCHASE: First transaction (encounter,
appointment) completed.
LOYALTY: Presuming a positive and satisfactory
patient experience, the individual is “bonded” to
the provider, and likely to return for future needs
or repeat purchases.
ADVOCACY: The “post-purchase behavior” includes
references, recommendations, referrals and word-
of-mouth.
The Healthcare Decision Ladder
36.
37.
38.
39. Google and Healthgrades Reviews (as of 9/21)
39
Doctor Google Since June Healthgrades Since June
Dr. a*
13 reviews
3.2 stars
+3 reviews
+0 stars
56 responses
4.3 stars
+5 responses
+.1 stars
Dr. b*
2 reviews
0 stars
+0 reviews
+0 stars
34 responses
4.5 stars
+0 responses
+0 stars
Dr. c
1 review
0 stars
+0 reviews
+0 stars
4 responses
5 stars
+0 responses
+0 stars
Dr. d*
4 reviews
0 stars
+0 reviews
+0 stars
19 responses
3.9 stars
+1 response
+.2 stars
Dr. e*
25 reviews
4.7 stars
+1 review
+0 stars
161 responses
4.6 stars
+21 responses
+0 stars
Dr. f*
0 reviews
0 stars
+0 reviews
+0 stars
17 responses
4.5 stars
+0 responses
+0 stars
Dr. g
2 reviews
0 stars
+2 reviews
+0 stars
4 responses
4 stars
+0 responses
+0 stars
*Denotes doctors using take-home patient review cards
40. It’s not the destination.
It’s the journey.
And the experiences along the way
Make the memories we’ll never forget
41. We are making memories
Every step of the patient’s journey
Worked in healthcare marketing for a long time.
Mergers: (Cardinal Health with Orthopaedic Centers of Excellence = Ortho One)
Acquisitions: Neurological Associates by Ohio Health – resulting in the new Neuroscience Center
Multiple locations under one brand, each led by a doctor (OMSC, MOCA)
Women’s health: Heart Specialists of Ohio; Memorial Hospital
Eldercare and Home Care
Our focus has been on generating referrals to these specialty practices; creating advocates of the referring physicians and their staff.
I don’t need to tell you things are changing.
From volume based to value based.
Outcomes-based reimbursements.
Consumers footing more of the bill for their health care.
We hear a lot about mapping the patient journey.
Today, I’d like to explore what all of you are doing in that regard.
In an era where transparency and customer service are necessary for survival,
it’s time for healthcare providers to move toward a relationship-based model.
Patients have greater CHOICE when it comes to healthcare decisions, and
caregivers who consider the lifecycle of a patient relationship
will ultimately become the providers consumers choose.
We’ll share some stats from this recent HealthLeaders report.
Some of you have begun this cultural transformation
Others are still dealing with compliance issues
The challenge: how far do you let compliance go before it dissolves your culture?
How relevant and sustainable will you be with patients if you focus on compliance over culture?
It’s the classic: between a rock and a hard place.
My patient journey and experience:
Visited MT, saw the need
Limited time to act – went on line
Made an appointment for a home care giver
Visited with her; hired her. She helped me….
Researched assisted living options online
Visited, signed the papers
Mom died
Put Dad in nursing care w/UTI
Researched assisted living options in Columbia Falls
Moved him
They said they’d take care of him the rest of his life
Earlier this year, they said they couldn’t take care of him
Researched options….MT Veterans Home had an opening (w/help from Beehive)
Moved him in a matter of weeks
Visited
In hospice care
With people who love him.
That’s been the common denominator – people who love him. Who love what they do. Who love my dad…with him ‘til he dies.
Let’s learn from other industries than health care.
We’re all consumers……what influences our decisions
And our actions?
Speaking from my experience……with airlines.
My experience as a customer
And buying cars…….
Elena Ford presentation – Ford is putting billions of dollars into delivering experiences their customers love. Approaching them where they are, and through the channels they use.
Remember when I first learned of Hand & Micro
Our client, Neurological Associates, referred cases to them
Al Lougeay, the administrator told me they were an elite group of doctors who primarily did private pay
Then a couple of years ago, I needed a hand doctor.
I was shocked by the experience I had.
Robin Hepler – your experience?
$1.5M for hospitals; $1M for phyicians
Average cost of office visits.
Number of times the average patient receives treatment.
Likely number of patient referrals.
Recurring revenue generated from patients.
Revenue from procedures.
Impressions and patient experience: Top tier are Emergency Dept, Inpatient Rooms, Discharge/Follow Up, and outpatient/ambulatory visits. Bottom tier @22% is billing, collections and insurance coordination. May be underestimating the importance of a positive experience in this area given the amount of negative feeling that can be generated. “When I look at this, I feel like one of the biggest dissatisfiers for atients has to be around billing, collections and insurance.
Training (patsatplus.com) Beacon Health: Be a Beacon
Mindset Digital
While the physical impact has not changed much over the years our access to information has.
As each day passes we become more and more connected, wired, accessible… (point out then and now)
And, we would add to the NOW list:
Your own Internet presence, such as website, YouTube, blog.
Organic search results,
Directory listings and
Find A Doctor indexes from hospitals and medical societies.
The UMOT signifies the instant when a customer creates content based on an experience with your product or service and publishes it in their community or network of preference for others to find. The intention of doing so is a combination of self expression and the desire to inform others. This experience then becomes discoverable for anyone who searches each network. And in many cases, these experiences also populate Google’s search results. Said another way, The Ultimate Moment of Truth becomes the next person’s Zero Moment of Truth
- Google increases for Alvarez, Stern, and Von Kaenel
- Healthgrades increases for all doctors – Stern had more than all doctors