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RECASTING THE ACCESS
EXPERIENCE
A remarkable experience for every patient
every time (on any device)
Pale Rhino is an execution-oriented business consulting and
technology solutions company focused on enabling healthcare
providers and payers to disrupt patient and customer experience and
access.
Facts
• Founded in 1996
• Headquartered in the Philadelphia area.
• National presence and international reach serving clients on five
continents and representing firms with a combined customer base of
more than 225 million
• Diverse workforce comprised of industry, global consulting, Big Four,
professionals
Contact
• paul@palerhinoconsulting.com
• 484-885-6942
Who Is Pale Rhino Consulting?
A remarkable experience for every patient
every time (on any device)
How To Create Patients For Life
A remarkable experience for every patient
every time (on any device)
Patient
Expectation
Management
Patient
Experience
Management
Patient Equity
Management
Access Experience Channels
A remarkable experience for every patient
every time (on any device)
In Person Over the Phone
Online Over the Phone
TOMORROW
(Interactive)
TODAY
(Transactional)
What Is The Access Continuum
A remarkable experience for every patient
every time (on any device)
Concerned Post-Hospital
General
Public/
Shoppers
Staff
Patients
Clinicians
Pre-Hospital At Hospital
Families
All Stakeholders Need Access
A remarkable experience for every patient
every time (on any device)
Patient
Personas
Prospective
Patients
(Customers)
Physicians
Inpatients
Outpatients
Discharged
Patients
Former
Patients
Patient Access Today…
A remarkable experience for every patient
every time (on any device)
Call
Center
Patient Access Tomorrow…
A remarkable experience for every patient
every time (on any device)
Call
Center
Customer
Portal
Mobile
Strategy
Social Media
How Do People Rate Access?
A remarkable experience for every patient
every time (on any device)
Ease of Access Process Efficiency
Process Consistency
Clinical Outcomes
Continuity of CareCustomer Service
Mobility
Process Transparency
Why Do People Call?
A remarkable experience for every patient
every time (on any device)
Referrals, Central Authorization, Registration, Scheduling,
Refills, Triage, Billing, Payments, Admissions, Discharge,
Disputes, Claims, Insurance, ED, Labs, Primary Care
Provider, Clinics, Medical Records, Imaging, Therapy, Pre-
surgery, Find a Doctor, Payment Plans, Pharmacy
(Only about 20% of the calls are about scheduling)
How Do Callers Rate Your Call Center?
A remarkable experience for every patient
every time (on any device)
SLOW
SLOW
SLOW
SLOW
No concerns Some concerns Requires AttentionSLOW
What Are The ROIs Of Patient Access?
A remarkable experience for every patient
every time (on any device)
Improve retention & referrals
Reduce Admissions &
Readmissions
Reduce Back Office Support
Costs
Revenue Assurance
Our 3 Components Of Innovating Access
A remarkable experience for every patient
every time (on any device)
Create Enterprise-Wide
Access/Experience
Strategy
Implement Interactive
Digital Access
Implement Effective
Voice Access
The innovation of patient access and patient experience encompasses three
components
• Create vision for access and
experience
• Inventory the existing strategy
and touchpoints
• Perform GAP analysis
• Define patient personas
• Build roadmap for change
• Assess processes to be included
• Develop change management
program
• Design and build Customer Portal
• Design and implement mobile
strategy
• Design and implement Social
Media strategy
• CRM requirements, selection and
implementation
• Determine Call Center strategy
Our Approach To Innovating Access
A remarkable experience for every patient
every time (on any device)
Focus Area Offerings
Enterprise-Wide
Access/Experience
Strategy
o Enterprise-wide Touch Point Inventory
o Patient Personas & Journey Mapping
o Touch Point Scorecard
o Experience GAP Analysis
o Enterprise-wide Strategy
o Solution Road Map
Interactive Digital
Access
o Design & Build Customer Portal
o Design & Implement Mobile Strategy
o Design & Implement Social Media Experience Programs
Voice Access o Design Access & Experience Strategy for Call Center
o Define Requirements & Create RFP for CRM
o Select & Implement CRM
Process
Elimination/
Automation
o Eliminate duplicate, manual and paper processes
o Create automated 2-way processes
o Design Change Management Initiatives
A Sample Access Engagement
A remarkable experience for every patient
every time (on any device)
RECOMMENDATIONS
• Create a call center
experience strategy that
enabled maximum access
• Increase caller & employee
satisfaction.
• Ensure the strategy enabled
health system to achieve KPIs
• Recommend which calls types
should also be accessed by a
customer and patient portal
• Recommend which other
access types (chat, email,
online, fax)
• 75% transferred, 40% repeat,
1st call resolution 30%, 15%
abandoned
• 99% of requests for nurse
went to voice mail
• Resulted in 10k additional ED
visits
• only 20% of calls were for
scheduling
• Scheduling center was not
capable of being a call center
• Did not have the tools,
resources, skills sets to meet
most of the callers’ needs
 Enable call center
functionality to handle all call
types
 Defined estimated staffing
levels by skill set to handle all
call types
 Add triage skills to call center
 Enable refill fulfillment
 Enable call center access via
chat, email, fax
 Expand hours/days
 Include PX survey through the
IVR
Sample Engagement: Create Access/Experience Call Center Strategy
• Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy
that ties to an enterprise-wide strategy.
APPROACHOBJECTIVE
15
A remarkable experience for every patient
every time (on any device)
RECOMMENDATIONS
• Justify halting the
implementation of a
scheduling application and
universal single number
calling until all of the access
functional requirements were
defined
• Define high-level technical
requirements
• Call reason codes by call
percentage
• 80% of calls had no tools to
support the employees
• High-level functional,
technical, and mobile access
for callers and online access
requirements that resulted in
uniform brand access from
the patient’s perspective
 Select and implement CRM,
ACD, and IVR applications
 Standardize clinics’
scheduling, policies and
procedures
 Add the authorization
function to the call center
 Allow call agents interactive
access to PCP
 Track open-items
 Add online chat functionality
to the website and staff chat
from the call center
Sample Engagement: Create Access/Experience Call Center Strategy
• Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy
that ties to an enterprise-wide strategy.
APPROACHOBJECTIVE
16
A Sample Access Engagement
RECOMMENDATIONS
• Create an enterprise-wide
call center access experience
strategy that compliments a
web access strategy
• Create a high-level mobile
access strategy
• Mapped major functional
access needs for the call
center and customer portal
• Created mockup of customer
portal functions
 Develop equal access
functionality and satisfaction
requirements for patients and
customers online and by
phone
 Provide mobile access that
with functionality equal to or
above that of the call center
 Provide off-hours, 24 x 7
access via customer portal
Sample Engagement: Create Access/Experience Call Center Strategy
• Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy
that ties to an enterprise-wide strategy.
APPROACHOBJECTIVE
17
A Sample Access Engagement

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Recasting patient access

  • 1. RECASTING THE ACCESS EXPERIENCE A remarkable experience for every patient every time (on any device)
  • 2. Pale Rhino is an execution-oriented business consulting and technology solutions company focused on enabling healthcare providers and payers to disrupt patient and customer experience and access. Facts • Founded in 1996 • Headquartered in the Philadelphia area. • National presence and international reach serving clients on five continents and representing firms with a combined customer base of more than 225 million • Diverse workforce comprised of industry, global consulting, Big Four, professionals Contact • paul@palerhinoconsulting.com • 484-885-6942 Who Is Pale Rhino Consulting? A remarkable experience for every patient every time (on any device)
  • 3. How To Create Patients For Life A remarkable experience for every patient every time (on any device) Patient Expectation Management Patient Experience Management Patient Equity Management
  • 4. Access Experience Channels A remarkable experience for every patient every time (on any device) In Person Over the Phone Online Over the Phone TOMORROW (Interactive) TODAY (Transactional)
  • 5. What Is The Access Continuum A remarkable experience for every patient every time (on any device) Concerned Post-Hospital General Public/ Shoppers Staff Patients Clinicians Pre-Hospital At Hospital Families
  • 6. All Stakeholders Need Access A remarkable experience for every patient every time (on any device) Patient Personas Prospective Patients (Customers) Physicians Inpatients Outpatients Discharged Patients Former Patients
  • 7. Patient Access Today… A remarkable experience for every patient every time (on any device) Call Center
  • 8. Patient Access Tomorrow… A remarkable experience for every patient every time (on any device) Call Center Customer Portal Mobile Strategy Social Media
  • 9. How Do People Rate Access? A remarkable experience for every patient every time (on any device) Ease of Access Process Efficiency Process Consistency Clinical Outcomes Continuity of CareCustomer Service Mobility Process Transparency
  • 10. Why Do People Call? A remarkable experience for every patient every time (on any device) Referrals, Central Authorization, Registration, Scheduling, Refills, Triage, Billing, Payments, Admissions, Discharge, Disputes, Claims, Insurance, ED, Labs, Primary Care Provider, Clinics, Medical Records, Imaging, Therapy, Pre- surgery, Find a Doctor, Payment Plans, Pharmacy (Only about 20% of the calls are about scheduling)
  • 11. How Do Callers Rate Your Call Center? A remarkable experience for every patient every time (on any device) SLOW SLOW SLOW SLOW No concerns Some concerns Requires AttentionSLOW
  • 12. What Are The ROIs Of Patient Access? A remarkable experience for every patient every time (on any device) Improve retention & referrals Reduce Admissions & Readmissions Reduce Back Office Support Costs Revenue Assurance
  • 13. Our 3 Components Of Innovating Access A remarkable experience for every patient every time (on any device) Create Enterprise-Wide Access/Experience Strategy Implement Interactive Digital Access Implement Effective Voice Access The innovation of patient access and patient experience encompasses three components • Create vision for access and experience • Inventory the existing strategy and touchpoints • Perform GAP analysis • Define patient personas • Build roadmap for change • Assess processes to be included • Develop change management program • Design and build Customer Portal • Design and implement mobile strategy • Design and implement Social Media strategy • CRM requirements, selection and implementation • Determine Call Center strategy
  • 14. Our Approach To Innovating Access A remarkable experience for every patient every time (on any device) Focus Area Offerings Enterprise-Wide Access/Experience Strategy o Enterprise-wide Touch Point Inventory o Patient Personas & Journey Mapping o Touch Point Scorecard o Experience GAP Analysis o Enterprise-wide Strategy o Solution Road Map Interactive Digital Access o Design & Build Customer Portal o Design & Implement Mobile Strategy o Design & Implement Social Media Experience Programs Voice Access o Design Access & Experience Strategy for Call Center o Define Requirements & Create RFP for CRM o Select & Implement CRM Process Elimination/ Automation o Eliminate duplicate, manual and paper processes o Create automated 2-way processes o Design Change Management Initiatives
  • 15. A Sample Access Engagement A remarkable experience for every patient every time (on any device) RECOMMENDATIONS • Create a call center experience strategy that enabled maximum access • Increase caller & employee satisfaction. • Ensure the strategy enabled health system to achieve KPIs • Recommend which calls types should also be accessed by a customer and patient portal • Recommend which other access types (chat, email, online, fax) • 75% transferred, 40% repeat, 1st call resolution 30%, 15% abandoned • 99% of requests for nurse went to voice mail • Resulted in 10k additional ED visits • only 20% of calls were for scheduling • Scheduling center was not capable of being a call center • Did not have the tools, resources, skills sets to meet most of the callers’ needs  Enable call center functionality to handle all call types  Defined estimated staffing levels by skill set to handle all call types  Add triage skills to call center  Enable refill fulfillment  Enable call center access via chat, email, fax  Expand hours/days  Include PX survey through the IVR Sample Engagement: Create Access/Experience Call Center Strategy • Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy that ties to an enterprise-wide strategy. APPROACHOBJECTIVE 15
  • 16. A remarkable experience for every patient every time (on any device) RECOMMENDATIONS • Justify halting the implementation of a scheduling application and universal single number calling until all of the access functional requirements were defined • Define high-level technical requirements • Call reason codes by call percentage • 80% of calls had no tools to support the employees • High-level functional, technical, and mobile access for callers and online access requirements that resulted in uniform brand access from the patient’s perspective  Select and implement CRM, ACD, and IVR applications  Standardize clinics’ scheduling, policies and procedures  Add the authorization function to the call center  Allow call agents interactive access to PCP  Track open-items  Add online chat functionality to the website and staff chat from the call center Sample Engagement: Create Access/Experience Call Center Strategy • Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy that ties to an enterprise-wide strategy. APPROACHOBJECTIVE 16 A Sample Access Engagement
  • 17. RECOMMENDATIONS • Create an enterprise-wide call center access experience strategy that compliments a web access strategy • Create a high-level mobile access strategy • Mapped major functional access needs for the call center and customer portal • Created mockup of customer portal functions  Develop equal access functionality and satisfaction requirements for patients and customers online and by phone  Provide mobile access that with functionality equal to or above that of the call center  Provide off-hours, 24 x 7 access via customer portal Sample Engagement: Create Access/Experience Call Center Strategy • Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy that ties to an enterprise-wide strategy. APPROACHOBJECTIVE 17 A Sample Access Engagement