Category Archives: Healthcare

May 22 2013

Making the Computer the Patient’s Friend

HeadacheI had migraines – bad ones. It got to the point where I was taking aspirin almost daily, temporarily getting rid of the headache but also having painful effects on my stomach.

So my wife “encouraged” me to see a migraine specialist (or – as I put it – my headache doctor). And – over time – it worked; I haven’t taken an aspirin since that first visit 5-6 years ago, and my headaches rarely come back. But the reason I’m sharing this is that I read a study recently that reminded me of my headache doctor.

In 2012, the American Medical Association came out with a report on the use and impact of computers in exam room interactions between physicians and patients. The first time I ever had a physician appointment where a doctor utilized a computer in the room during my appointment was with my headache doctor. She used it to document notes, write prescriptions, review my history, and do many other tasks while I was with her – but it was never an issue. She used it well…

  • She positioned the computer where I could see what she was doing (so I didn’t have concerns about what she was documenting)
  • She didn’t complain about the computer (so there was no negativity added to the conversation)
  • She explained what she was doing (so I knew the reason she was documenting while I was present)
  • She was effective at navigating the application (so that the process didn’t delay treatment)
  • And she balanced her viewing of the computer with her eye contact with me as she typed (so I continued to feel important to her).

These are good lessons for anyone using the technology in front of the customer. The computer (or tablet or smart phone) doesn’t have to be a barrier to great customer service. It just needs to be used correctly.

Make the computer the patient’s friend.

Listen to our latest customer service podcast episode of “Stepping Up Service” on The MESH Network at http://themesh.tv/stepping-up-service/

Mar 21 2013

Patient Satisfaction Issues? They’ve Got Your Back

iSpineCare iconPatient care is a huge driver of patient satisfaction in any healthcare business. The patient and family want you to alleviate their pain, address their malady, and fix their broken bones.

But what also drives patient satisfaction is what surrounds the patient care. It’s the person, the process, the facility, and communications. In the article 6 Ways Spine Surgery Centers Can Increase Patient Satisfaction, many of these types of factors are addressed. Here are their 6 key recommendations with our interpretations:

  • Communicate with patients throughout the process – Manage perceptions during those wait times; help to relieve anxiety through communication.
  • Pick the right support staff – It’s easier to train on a skill than on an attitude; make sure employees with great attitudes, organizational skills, and communication skills are the ones that are customer-facing.
  • Cater to caregivers – Realize the link between employee satisfaction and the experience those employees provide to their customers.
  • Follow up – Confirm satisfaction, identify issues, and expedite issue resolution.
  • Take feedback seriously – Use the feedback not just to address that one situation, but also use it to implement permanent solutions to recurring issues.
  • Only work with likeminded third parties – Realize that partners’ performance reflects on you; partner with those that share your customer service philosophy.

To satisfy the patient, create strategies that go well beyond the patient care.

Interested in improving your patient satisfaction? Check out: http://cssamerica.com/csshealth.htm

Feb 28 2013

Patients Say “Call Me…Definitely”

Phone-IconImprove patient satisfaction by calling the patient after they’ve left. That’s the conclusion of a study referenced in Becker’s Hospital Review. Emergency Department patients noted an average satisfaction rating 8.3% higher if the E.D. physician called or e-mailed the patient after the visit, and the scores were actually higher for the e-mail follow-up!

Many people say that customer service is about the service you provide when the customer is right in front of you, when the transaction is occurring, in that “moment of truth.” But this study shows that you can create your own moments of truth. You can be proactive, reaching out to the customer, and engaging them after the visit or the sale or the encounter.

Remember that customers make their decisions to go back to your business, to call you and place an order, or to renew a contract with your business when they’re at home or work or somewhere other than your business. So by reaching out to the customer, you are impacting their opinion where they make their decision.

Don’t limit your perspective of customer service to focus purely on what to do while the patient’s with you.

Contact the patient after the visit to impact their satisfaction.

Listen to our latest podcast episode of “Stepping Up Service” on The MESH Network at http://themesh.tv/stepping-up-service/

Jan 16 2013

How to Sustain High Patient Satisfaction

growth-chartIn the article Hospitals struggle with pay based on patient satisfaction, the article notes how hospitals are undergoing many efforts to improve customer service and the patient experience since a portion of their reimbursement is based on patient satisfaction. There is talk of lattes, valet parking, and noise reduction. Nice tactics and perks, but it’s still a struggle to make a noticeable improvement.

So why the difficulty? As with any business, to succeed in a hospital-wide initiative on a sustained basis, several aspects of the organization need to be consistently addressed:

  • Leadership buys in to the effort, preaches, and walks the talk.
  • The organization dedicates resources to the effort.
  • Management and staff are hired, trained, incented, and held accountable for how well they deliver on the initiative.
  • Processes and organizational structures support the ultimate goal.
  • The organization communicates internally and externally to promote the objectives and successes.
  • The business truly knows how it’s doing – it measures, measures, measures – listening to the voices of the customers and employees.

It’s never easy to get everybody on the same page, going in the same direction. But since that’s necessary to ensure high levels of patient satisfaction, hospitals need a comprehensive, intentional, documented strategy for patient satisfaction success.

Don’t keep pushing tactics and perks to create a customer-focused culture. Address these core components of sustainable success.

Interested in improving your hospital’s patient satisfaction? See more at: http://cssamerica.com/csshealth.htm

Dec 5 2012

A Face Lift…for Your Patient Satisfaction

When measuring patient satisfaction, healthcare organizations often make two key errors. First, they focus on measuring how often something happens? For example, How frequently did the nurse check on you? How often did they ask about pain? How many times did they clean the room? While these functions are important, the quality of the interaction and care provided are just as important if not more so. Also, some patients want to be checked on continuously and others want to be told how long the wait will be until the next step and only checked on when there may be a delay. So measuring frequency alone limits what you can learn, and it can point an organization down the wrong road in their improvement efforts.

The second error? Focusing too much on employee attitudes. Yes, these attitudes have a huge impact on patient satisfaction, but the best attitude in the world cannot overcome inordinately long waits, redundant paperwork, lack of responsiveness, poor quality food, lack of cleanliness, and unacceptable patient care. Attitudes are but a piece of the patient satisfaction puzzle.

In the article, Dr. Patti Flint Touts Importance of Surveys to Improve Patient Experience, an Arizona plastic surgeon is highlighted because of her improvement in patient care – which she notes as having been driven by the results of patient satisfaction surveys. But what’s interesting about the surveys is that much of the focus was on measuring patient perceptions of key touch points in the care process. According to the article, “Because every interaction from the first phone call to the last follow-up appointment factors into a patient’s overall satisfaction, each point of patient contact is scrutinized for ways to improve the patient experience. Creating a positive atmosphere for her patients involves the entire staff at Patti Flint MD PC, and survey responses lead to constant innovation in practice procedures.”

When asking patients to evaluate their experience, address employee Attitudes, Processes, and the Quality of the Services provided. But don’t just look for overall evaluations. Get the patient and their family to evaluate key contact points through the entire process.

Understand where communications flowed well and didn’t. Learn how hand-offs of the patient and their information from one step to another worked…and didn’t. Identify what needs improvement in the entire service delivery chain…and doesn’t.

To give your patient satisfaction a face lift, first start by understanding all the steps involved in the patient experience through the customer’s eyes.

Listen to our latest podcast episode of “Stepping Up Service” on The MESH Network at http://themesh.tv/stepping-up-service/

Check out our Healthcare Patient Satisfaction Evaluation and Improvement Services at http://cssamerica.com/csshealth.htm

Oct 4 2012

Physician Clinics, Processes, and Patient Satisfaction…oh my!

A recent study noted in American Medical News evaluated multiple aspects of a patient’s experience in a physician’s practice and determined that the three most important aspects of the experience all related to the doctor. The doctor’s knowledge, time spent with the patient, and access to the patient’s medical records were of greatest importance to patients.

However, there are a few points that might not be so obvious. Six of the next seven most important attributes all dealt with process – ease of billing, efficient billing process, time spent in the waiting room, etc. We believe that the 3 drivers of customer satisfaction in any industry are Employee Attitudes/Skills/Knowledge, Service Processes, and the Product/Service itself. So this process impact is not surprising, but it’s important. Key Conclusion: Make it easy and efficient for the customer to do business with you.

But another point in the article is typically as important. Other studies have shown that 40% of customer dissatisfaction is because their expectations weren’t met. This article notes how many patients compare their experience at a clinic to their experience in other industries. So it’s time for physician clinics like most other businesses to look outside themselves to learn. If the Ritz-Carlton makes you feel special, what can a physician clinic learn from them? If a NASCAR pit crew can change four tires and fill a gas tank in 12 seconds, what can a physician clinic learn from them? If Amazon.com can enable a 1-click purchase, what can the clinic learn from them?

It’s not just for healthcare organizations like clinics; this “looking outside yourself” benchmarking approach should be undertaken by local governments, the business operations staff for sports teams, community colleges and other education industry organizations, and retailers alike.

Key Conclusion: Customers come in with expectations about your business based on experiences with other businesses. So look at other businesses to identify improvement opportunities in your own.

Make it easy for the customer to do business with you…and to enjoy the experience, too!

Interested in improving your company’s customer service? See more at our new website! http://www.cssamerica.com/

Read our New Book – “Ask Yourself…Am I GREAT at Customer Service?” http://www.amigreatat.com/

Listen to our latest podcast episode of “Stepping Up Service” on The MESH Network at http://themesh.tv/stepping-up-service/

Sep 5 2012

Hospital Patient Satisfaction – Driven by People or Facilities?

For a hospital, is it about customer service or a hotel look and feel?

In the world of healthcare, hospitals have come a long way, with many looking like a mini-version of the Ritz-Carlton or the Taj Mahal, for that matter.

The look of the facility has become paramount to the great patient experience. Marble floors in the lobbies; hardwood floors in the patient rooms; flat screen TVs in the waiting rooms.

But a recent study by J.D. Power and Associates noted that “For upscale hotels, the facility accounts for nearly one-half (48 percent) of guests’ overall satisfaction, while in an inpatient setting the hospital facility represents just 19 percent of patients’ overall satisfaction.” So while the look and feel of the hospitals are tending more toward the luxury hotel experience, the reality is that patients want to feel like you are caring for them. And what drives that patient satisfaction feeling more than anything else? The employee.

For any given hospital, “Doctors and nurses account for 34 percent of the overall experience ratings for inpatients, and their influence is even higher (43 percent) among patients in emergency settings. Among outpatients, doctors and other healthcare professionals represent 50 percent of their overall experience.” So when you think about patient satisfaction, you have to think about the customer service skills of the employee. You have to think about the attitudes of those prospective employees you’re considering.

To create high levels of patient satisfaction at your hospital, you have to become proficient at defining, articulating, growing, and retaining those individuals with the types of customer service attitudes, skills, and knowledge needed to be successful.

A pretty hospital building is a wonderful thing. But a customer-focused employee is the true building block to high patient satisfaction.

Interested in improving your company’s customer service? See more at our new website! http://www.cssamerica.com/

Aug 16 2012

Compassion and Customer Satisfaction

We always say that the 3 Drivers of Customer Satisfaction in ANY business are the Attitudes/skills/knowledge of employees, the service delivery Processes, and the Products themselves. And if you begin digging deeper into the components of Attitude, Process, and Product, you realize that Attitudes and Processes are what make up the Customer Service portion of overall Customer Satisfaction. And when you dig deeper into the Attitude piece itself, you realize that this means different things to customers of different industries.

For example, a recent study showed that the aspect of Attitude that is most important to cancer patients is compassion. More than any aspect of the Processes or Products/Services received experienced by the cancer patients as well, having “a compassionate team of care providers…access to a knowledgeable, competent physician…and…being treated as human beings…are the most important correlates with patient satisfaction.”

Why is this important to know? When you think of the hundreds of interactions that a patient and their family may have with employees and physicians on the phone, face-to-face, and via e-mail over the course of an inpatient stay and soon thereafter, when you think about all the processes the patients experience, and when you think of all the services provided to them, it’s a daunting task to try to improve EVERYTHING to have a positive impact on patient satisfaction.

Instead, if a hospital knows the primary drivers of patient satisfaction, it gives them a focus, a “bang-for-the-buck” improvement strategy, and a way to get everyone to rally around a particular aspect of the patient experience.

So think about this for your business as well. Don’t feel the need to try to improve EVERYTHING. We work with many clients including hospitals to identify – in a precise and quantitative fashion – just this: What are the 1 or 2 or 3 aspects of the customer experience with the most significant impact on their willingness to recommend you to others or to return themselves?

Find the “compassion” correlation that applies to your business and your customers.

Interested in improving your company’s customer service? See more at… http://www.cssamerica.com/

Jul 26 2012

Use Hospital Data to Drive Patient Loyalty

What’s most important – Satisfaction or Loyalty? In healthcare, it’s not necessarily an either/or proposition. To get to loyalty, you typically need satisfaction. Building satisfaction is facilitated by multiple visits reinforcing positive experiences. But whereas data has been vital for decades in treating patients and measuring patient satisfaction, data is much more recently being tapped to track, predict, and facilitate patient loyalty.

In the article Where do Patients’ Loyalties Lie? Building Revenue by Improving Satisfaction, the author interviews a Texas data provider to address the use of data to drive loyalty in healthcare. The author quotes a data provider that stated “they should measure their performance on [satisfaction] drivers and develop strategies to close gaps and improve performance. Hospitals should first focus on the areas with the least satisfaction and where improvement is feasible.” The article then notes that “Another way to build loyalty among patients is to ensure easy access to the organization’s services.”

So a couple of the key points – that apply to any business – include:

  • Know Satisfaction Drivers – Your organization may measure satisfaction, but does your organization statistically correlate satisfaction of individual attributes to overall Satisfaction, Willingness to Return, Willingness to Recommend, and Loyalty? Identify satisfaction and retention drivers.
  • Prioritize Improvement Efforts on Satisfaction Drivers Performing Poorly – Your organization may try to improve on poor aspects of the customer experience, but is it improving on attributes of the experience that truly impact loyalty? In other words, try to improve on what really matters.
  • Ensure Ease of Access to Services – What barriers exist to customers accessing your services, your information, your answers? Assess your website’s ease of navigation, your phone system, your directional signage to the facility, and your employees’ responsiveness to needs and requests to make sure they facilitate customer contact, not impede it.

Target improvement efforts, and eliminate barriers to loyalty.

Want to improve your own personal customer service skills? Go to: http://www.amigreatat.com/

Jul 12 2012

Federally-Driven Health Insurance and the Future of Customer Care

Who would want the Federal Government telling them what to do? Well…for a price…a lot of businesses. Many observers wonder why the insurance industry is behind the Federal Government mandating insurance coverage for all. The quick answer is this – if your product was mandated, how much would you fight Government involvement? If you’re Dunkin’ Donuts, and every individual in the country is required to eat a glazed donut every day, would you object? If you were Schwinn, and every person in America had to buy a new bike every year, would you object?

Yes, with that requirement will come a lot of oversight, but the insurance companies are looking in the short-term more at the increase in demand, not the increase in oversight.

And why are we discussing this? Because the structure of the legislation should result in at least one good thing for citizens – improved customer service from insurance companies. According to an article in Forbes magazine titled Why Customer Service Matters in the New Healthcare Insurance Landscape, insurers will “have to deal with challenges such as competition, price and margin pressure, and consumer education. In this environment, cost-effective, yet, reliable direct-to-consumer customer service before, during and after the initial “sale” will be a critical competence for success.”

The tips provided for the insurers in the article include the following:

1. Hire/retain great staff.

2. Make it easy for the customer to do business with you.

3. Go to the customer to serve them.

I made these tips a little more generic to illustrate the broader point of the article. No matter what kind of business you’re in, great customer service involves three core pieces: Your people, your processes, and your customers. Take all the strategies in the world on customer service, and boil it down to these three. Consider the following questions:

1. What are the characteristics of your best employees? Identify them, build those skills, and look to acquire others that have these best practice qualities.

2. How can you make things quick, self-evident, and simple on the customer do business with you? How can you make it equally as easy for your employees to deliver great service?

3. Determine where your customers make decisions, where they use your services, where they get information about your company and your competitors. What can you do to be more present with your customers?

If your business (or the health insurers themselves) answer these questions and take action, maybe the future of customer care may be a little brighter.

Listen to our latest podcast episode of “Stepping Up Service” on The MESH Network at http://themesh.tv/stepping-up-service/

Check out our Healthcare Customer Service Consulting Services: http://cssamerica.com/csshealth.htm