Category Archives: Healthcare

May 9 2012

HCAHPS – How Performance Measurement is Driving Fear and Opportunity

Transparency is an often-used term by business executives, sometimes noting it as one of the organization’s values – being open with information within the business. But when transparency means having your performance publicized for all the world to see, it can drive a wide range of emotions.

Hospitals are dealing with this new level of transparency, according to Janette Jones of The Jackson Group – a healthcare research provider and consultancy. The Federal Government’s mandated performance measurement process called HCAHPS not only has led hospitals to survey patients with specific/consistent questions about their experience, but it has also touched on two key components of a business, its customer’s opinion and the impact of those opinions on its financial success.

According to Ms. Jones, the customer satisfaction ratings (along with multiple quality indicators) are currently being posted online for consumers to see. These patients and family members will increasingly “Look at the overall ratings and the nursing/doctor information. They’ll see how hospitals have scored, and do a comparison – ‘What is this hospital’s overall rating v. that hospital’s rating?’, and for the informed consumer, all those domains will be important if they have a choice – particularly if they are going to have surgery,” said Ms. Jones.

So when these hospitals think about how their performance – as perceived by the customer – is being measured and posted for all to see, it can create anxiety and fear – but also opportunity.

Imagine that you outperform your competitors. Having those customer satisfaction metrics posted online is free marketing. It’s an objective, customer-based opportunity for you to differentiate yourself from competitors.

Whether you’re a hospital or not, you can learn from the HCAHPS measurement and reporting process. Remember, this is essentially word-of-mouth on a government website.

So think about your current experience through the customer’s eyes. Think about who you hire and how you train them to make the impression on the customers who are evaluating you and sharing their feelings with friends. Think about what drives their satisfaction and loyalty and what you need to do to capitalize on it. And think about your competitors – find out where are they better and worse so you can improve and differentiate.

Use this HCAHPS example as a challenge that spurs your organization to become better than you are today.

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

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

Apr 18 2012

Improve Outcomes by Involving the Customer

Imagine that you’re a hospital patient about to be discharged, and two employees (a nurse and a tech) are standing in front of you but looking at each other (not you). The tech asks the nurse “What should we do in this case?” The nurse responds, “Well much of this is a patient issue; I’d suggest that he do a better job of caring for himself at home, modifying his diet.” The tech responds, “That’s a great point. Patients need to take more ownership over their own health.”

It makes the customer want to yell “HELLO!! I’M RIGHT HERE!!”

Whether it’s a hospital patient or a banking client, a fast-food customer or an event patron, customers want you to talk with them – not about them as if they’re not even there.

So when you do need customers to do something (such as take better care of their health, complete forms, send in some paperwork, get their own condiments, or find their own seat), you want them to do so right the first time. You want your and their outcomes to be positive. And the best way to get the customer to do what they need to do is to involve them in the process. We’re talking buy-in, and buy-in isn’t just for employees; it’s for customers, too.

When decisions need to be made or processes require customer action, include the customer in the discussion – encourage and allow their input.

An article titled Getting results in practice: The importance of patient involvement is written by a nutritionist who advocates getting patient compliance and ownership over their health by building their “knowledge of one’s health and the skills and confidence to self-manage chronic conditions.” She states that “A more balanced power distribution between patient and doctor fosters patient confidence and allows the patient to play a larger role in achieving his or her health outcomes.”

Involve your customer in their process of working with you and in your decisions. It will build their compliance, their participation, and your sales.

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

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/

Mar 21 2012

Satisfy Patients or Payments Suffer

“Sure I’m not sick anymore, but the food was lousy!”

Huh? Why do people go to the hospital? You would think it would be to get their broken arm healed, their sickness cured, their ailment addressed, wouldn’t you? Well you would be correct, but when patients go to hospitals, they often assume that they’ll get good clinical care. So what ends up driving their opinions of the experience is often everything BUT the clinical care.

In the article Stakes high for hospital service, Detroit-based Henry Ford health system is highlighted because of their efforts to improve patient satisfaction. The Federal Government is implementing a patient satisfaction evaluation system for healthcare providers (primarily hospitals at this point) where reimbursement will be based in part on patient satisfaction ratings. So when you don’t satisfy patients, your payments are going to suffer.

We work with hospitals, helping them create and execute 90 day action plans that focus on recognizing progress and addressing issues on an ongoing basis. The Henry Ford hospitals have gone to the point of creating “fine dining restaurant”-type menus and even creating loyalty programs for their emergency departments.

But what we find in our work with hospitals and what Henry Ford confirms is that so much of patient satisfaction comes down to whether or not employees and physicians convey they care about the patient. Is customer service part of the culture? Does the hospital care more about the patient they’re serving or the x-ray they’re taking? Are staff patient with patients, or is it more about the task than the customer?

Beyond any program you provide to your clients, first think about how you can get your employees to convey that they care for the customer. Your financial success depends on it.

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/

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

Dec 21 2011

Secret Shopping to Uncover…Great Customer Service?

We’ve done enough secret shopping for our clients to know that employees are not happy to learn that they might be shopped. It’s tough to get evaluated, and it’s especially tough when the evaluator is some mystery person. But in the article Secret shoppers reveal best in customer service, a mystery shopping engagement in California results in…awards!

The secret shoppers identified eight residents who provided exceptional service, and the eight individuals were rewarded with certificates and prizes.

This is the part that many organizations forget when they do research – whether that research is a customer satisfaction survey or a mystery shopping engagement. The goal is not just to see what you can do better, but it’s also to celebrate success. We often talk about redirecting people when they do poorly and reinforcing what they do right. It’s not about punishment; it’s about improvement. And one of the best ways to improve is to highlight (and then replicate) success!

We have a hospital client which we meet with quarterly to review patient satisfaction survey results and create Action Plans for the upcoming quarter. Well over 60% of the Action Items listed deal with sharing positive results with staff, recognizing customer service stars, and celebrating success.

So when your organization does research, remember that’s it’s not about the “gotcha” moments. It’s about finding opportunities to improve and opportunities to reward and recognize.

Get shopped to highlight great customer service.

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/

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

Dec 7 2011

Tell the Patient What to Expect

A UK physician practice that had won a Customer Service Excellence Award addressed what they did to ramp up customer service in a PULSE article. In a nutshell, this is what they did:

  • They decided they wanted to win an award for customer service.
  • They did research with patients via interviews and surveys to determine what the patients wanted out of the customer experience.
  • They determined what needed improvement in the eyes of the customers.
  • They used this information to define expectations (or customer service standards or policies) that patients should have of their experiences with the practice.
  • But they also used this information to define expectations (or customer service standards or policies) that the practice had of patients.
  • They trained staff and changed processes to ensure that they could meet these expectations.
  • Then they continuously publicized these expectations.

Pretty simple stuff, right? Another way to view this approach is the following:

  • Define a Rallying Point (a near-term goal that explains why change needs to occur). Staff can buy-in to change a lot better if they understand the “why behind the what.”
  • Ask the customer what they want and expect.
  • Improve performance to address those expectations.
  • Define and communicate expectations that customers have of you…and that you have of customers.
  • Then deliver, deliver, deliver.

Create your own plan to become great at customer service.

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

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

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

Nov 17 2011

Let the Patient Decide How Much You’re Paid

In the Ocala.com article Medicare gives hospitals an incentive to please patients, the author notes how “Munroe Regional Medical Center officials in Ocala said the overhauled health care law could result in about $700,000 annually in lost Medicare revenues or as much in additional incentives, based on how other hospitals nationwide fare.” The Medical Center has about 400 beds, to that’s roughly a $1.4 Million swing for a 400 bed facility (or about $3,500 per bed per year).

Medicare will be basing its reimbursement on several aspects of performance including quality and patient satisfaction. And much of the feedback on which the reimbursement is based comes directly from patients and family members. Let me restate this – $1.4 Million in reimbursement is dependent on the customer’s perception.

Think of it this way – hospitals get paid for its procedures, treatments, medicine, etc. But soon, how much they are paid for those procedures, treatments, medicine will be based on the customer’s opinion. It’s almost like the patients are naming the price for the care they’re receiving.

Think about this relating to your business. Imagine that your customer could determine how much you’re paid for each encounter with your organization based on the quality of the product and their experience with you. Would you look to find ways to improve the quality of your products and services? Would you try to improve the attitudes and customer service skills of your staff? Would you try to make your processes quick and seamless? Would you try to be better than you are now?

I hope you just said “Yes” 4 times.

For most hospitals, they need to ensure that their staff (clinical and non-clinical) are well-trained in customer service skills, principles, and techniques. They need to ensure that processes are simple and self-evident. They have to create a culture of caring for the customer. They have to hire staff focused on the patient as much as the arm being X-rayed. They have to incent staff to create a great experience and hold them accountable when they don’t. They have to have management who understands how to create a culture of customer service as well as how to model Service Excellence. They have to understand how to redesign customer service processes to be more efficient. They have to communicate smoothly about patient needs and processes. They have to be all about the patient.

If they do these things great, maybe revenues will increase by $700,000; do them poorly, and revenues will drop by $700,000.

Medicare is making it all about the patient. If you’re not in healthcare, thank your lucky stars that you don’t have Medicare.

But still learn this important lesson – make it all about the customer.

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/

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

Oct 27 2011

Customer Service Lessons from a Kidney Stone – An E.R. Story

I was an Emergency Room patient recently thanks to a kidney stone. I learned some painful lessons about how I need to modify my diet. I learned some financial lessons about how to avoid the E.R. next time, now that I know how to read kidney stones symptoms. And I learned some customer service lessons from the experience.

Let’s focus on customer service. Here are a few lessons learned:

· Accessibility to service is a wonderful thing. To get my question answered about my symptoms, I was able to reach an on-call nurse at my physician’s office at 5:00 a.m. on a Monday. I was aware of that service, having used it before for less painful reasons, and that accessibility, that free advice is one of the things I love about my physician’s office.

· Employee knowledge is a component of the service delivered. That same nurse told me to go to the E.R. because she thought it was gallbladder-related. It turns out that she misinterpreted my symptoms, and the E.R. triage nurse knew immediately I had symptoms of a kidney stone, not a gallbladder issue. If the first nurse would have better “read” my symptoms, she may have saved me an E.R. trip (not complaining, mind you – just an observation).

· An hour wait is not an hour wait is not an hour wait. Wait times can be made to seem shorter or longer than they are in actuality. My wait time to see the triage nurse was only 20 minutes, but it seemed interminable. There was no dialogue during the wait, and I was told they’d see me “quickly” – a nebulous term at best, and one that led me to believe it would be immediate. However my 3.5 hour wait between when my x-rays were done and when the physician saw me wasn’t nearly as bad as you’d think. Although I wasn’t thrilled with the wait, I was given some pain medication early on, was checked on several times by the nurse, was taught how to use their funky television remote control, and was given a warm blanket and offers of other support by a volunteer.

· Much of customer service is about managing expectations. Whether it was my understanding of a next step in a process, understanding who would be my care giver, knowing what the diagnosis could be, understanding whether I’d be released that morning or whether I needed to be held – anything that the organization did to give me a clearer expectation of what would happen next and when it would happen helped to make the experience that much easier to bear.

Learn the lessons of my encounter with customer service during the attack of the kidney stone (sounds like a bad 1970’s movie title, huh?). Be knowledgeable and accessible. Communicate with customers, and “distract” them during waits. Set and manage customer expectations.

Relieve your customer’s pain.

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/

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

Jul 27 2011

Why the President Wanted to Mystery Shop

You may have read the articles that came out recently that addressed the Federal Government’s plans to call different physician practices as a prospective patient. These callers would not have asked questions for the true purpose of learning the answer or becoming a patient. These are mystery shoppers. These are individuals who call to see how certain questions are answered and how certain policies are applied.

Essentially what the Federal Government wanted to do was to determine if some physician practices are turning away patients or delaying their access to care/appointments if they do not have a preferred form of health insurance. It wanted to use these mystery shoppers to identify people who are not doing essentially what they’re supposed to be doing.

It’s interesting that many companies use mystery shopping in this “gotcha” manner. This is why so many employees are negative toward mystery shopping. They feel like it is something being done to catch employees doing wrong. Staff feel like the only reason why they’re being shopped is so they can be caught and dealt with in some kind of a punitive manner.

But mystery shopping done effectively tries to gauge consistency of service, responses, and processes across the organization, from person-to-person and facility-to-facility. Mystery shopping done right tries to identify what internal best practices exist so that they can be leveraged across the organization. Mystery shopping done right identifies organizations do great, and what organizations need to improve upon. And mystery shopping done right also includes sometimes contacting your company’s competitors to see where you have a competitive edge and where you’re falling short through the customer’s eyes.

So while we understand the Federal Government trying to identify who is doing things in the most appropriate way, we encourage you to have a broader perspective in the use of mystery shopping. Use mystery shopping to reward, recognize, find internal best practices, find areas which are opportunities for improvement, and find ways to beat your competitors.

Mystery shop to improve performance.

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

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

Jul 7 2011

Structured for Service?

Yet another company is caring about customer service, and this one is an Australian telco – Telstra. The organization is trying to get rid of its reputation for horrible customer service by – in part – creating a combined structure for its sales and service areas. According to a Wall Street Journal article, Telstra wants to “improve service, win customers, simplify processes and build new growth businesses.”

In short, it’s restructuring for the money. Who knows today if it will work for tomorrow, but the attempt has some key points that need to be addressed.

First, your organizational structure has a HUGE impact on customer service. We see this all the time with hospitals and pro sports teams alike. Two different departments talk to the same customer (i.e., patient or season ticket holder) at two different times. Does one department know what the customer just communicated to another department? Think “shift change” on a hospital unit or a handoff of a new sale to a season ticket account representative on a sports team. Is the organization structured for responsiveness and seamless communication?

The article also talks about how structures impact processes. If you’ve ever tried to get a permit to renovate a building or to add a deck to your home, you know about which I’m referring. How many different places do you have to go, people do you have to interact with, information sources you have to research to get the “okay” to do the work? The structure of most local governments emphasizes the efficiency of the siloed department above the efficiency of the overall process from the customer’s perspective.

To improve customer service, look at your structures and processes. Where do they hinder Service Excellence?

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

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

Jun 1 2011

Where Scripting Does (and Doesn’t) Work to Improve Survey Scores

I don’t promote scripting, because too many companies take it literally in that they force their employees – without the least bit of sincerity – to make the same statements over and over and over again to the customer.

“Did I deliver great service today?"

“I hope I provided excellent customer service.”

Customers can sense sincerity and insincerity, communications they trust and mistrust.

So when we hear that some companies have their customer service reps and other staff use those statements because “Great” and “Excellent” are ratings on the surveys, I cringe.

Don’t rig the surveys just to have them say what you want them to say in terms of “Excellent” or “Great.” Customers can usually smell that a mile away, and just as importantly, you may not be getting a true indication of your customer’s satisfaction.

Now when it IS beneficial to have a little bit of scripting and training and education with staff that relates to surveys is when the terminology you use to describe the attribute they’re evaluating is not obvious. Maybe you ask on the surveys about “discharge instructions,” but when you talk to the patient in the hospital, you never referenced the phrase “discharge instructions.” In these cases, either refer to “discharge instructions” using that term when they’re in the hospital so the patient knows what you’re talking about on the survey, or use a more simple term or phrase on the survey like “Did they explain how to care for yourself when you go home?”.

When you’re conducting a survey and you’re asking the season ticket holder for the pro sports team to evaluate their account representative, make sure they know about whom you’re talking. Have the representatives refer to themselves as “your account representative” or “your personal representative with the team” when talking to the season ticket holder.

Make sure that the terms you use on surveys are terms customers are familiar with from having dealt with your organization. If you want great performance, you have to make it clear with your employees what great performance looks like, and to evaluate that performance, use terms on the surveys that you commonly use with your customers.

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

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