Tag Archives: process improvement

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 11 2012

Clinton (not that one) Gets Customer Service

The City of Clinton, NC had a good idea. Instead of resolving themselves to the fact that they would have to continually deal with 20% of all utility bills being paid late, having to call most of those late payers, having to cut-off service to some, and having to reinstate service to many of those cut-off, somebody took a step back and asked a simple question. What is causing all these late payments? Then they took an interesting first step by deciding to simply ask the customer.

In the article City rolling out revamped water bill, efforts by Shawn Purvis and the City’s Finance Department are noted. But what struck me most about their efforts is that the approach was based on root cause analysis such as ‘Let’s not assume we’ll always have late bills, complaints, and cut-offs at certain levels and that we cannot do anything about it. Instead, let’s try to figure out why all these issues are occurring and put in some permanent fixes.’

So they began asking late-paying customers why they were late; based on those responses, they implemented solutions such as simplifying the utility bill, better educating customers, and noting total bill payment levels if paid on time v. late. In other words, they asked the customer, and they acted on what the customer told them.

CSS has redesigned bills and invoices for clients, too, and it’s to achieve some of these same goals – making it easy for the customer to pay you on time…reducing the numbers of calls and complaints about bills.

This is the beauty of root cause analysis. While it’s not a panacea, it puts the focus on understanding why bad things happen, and – in customer service – one of the best ways to determine the “why” is to simply ask customers and employees.

Learn a (non-political) lesson from Clinton.

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 10 2012

Be Less Sexy to Build More Customer Loyalty

Loyalty – you get it from a dog by loving it, rescuing it from a shelter, or giving it a treat. Loyalty – you get it from employees by valuing them, being loyal to them, and building trust by doing what you said you’d do. Loyalty – you get it from a consumer by…what?

In the article Retail analysts: Do the math on loyalty cash, the discussion is about loyalty cards, or discounts on store credit cards, or credits that can be applied to the store. According to a Charlotte-based analyst, the reason to offer these types of rewards is evident – “The obvious benefit here for the retailer is the additional trip.”

So to answer the question above, loyalty – you get it from a consumer by…giving them a discount? Hmmm.

Not real creative stuff here; but the analysis that companies have to make before they embark on these “cash for the consumer” loyalty programs must be done by looking incrementally. What is the net increase in profitability through these programs? To calculate, you have to look at the revenue from the sale less the item’s cost (standard profit stuff) less the cost of the program. Then compare that to what the company would have generated in profit if it had done…I don’t know…nothing! Or maybe if it had improved between-sale communications with the client, or if it had improved customer service, or if it had improved service recovery processes, or if it had been more particular about what customer service-oriented characteristics it looks for in employees, or if it were better at motivating employees.

In other words, these types of loyalty programs should be a last resort. It’s like a price drop for a salesman to get a sale; it’s weak; it’s like having a sale but not wanting to call it a sale.

It might be harder and less sexy to improve performance, hiring practices, client relationship development, and customer service than to have a new cash-based loyalty program, but in the end customers evaluate businesses based on the Employee Attitudes, Service Processes, and Products/Services, and these loyalty programs often put too much focus on a small piece of the loyalty puzzle.

Sometimes it’s good to be less sexy to be more successful in building customer loyalty.

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/

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/

Aug 2 2012

Would Poor Customer Service Make You Run for Office?

The article Livingston County registrar of deeds faces ‘rude’ challenge notes how a Michigan resident decided to run in an election for the Register of Deeds for Livingston County because – as part of the reason – the customer service in the department is terrible. Staff are “definitely rude,” according to the candidate.

It’s interesting to read the article because – in order to get votes – this individual is attacking the very people she would be leading. It’s also interesting that the incumbent defends herself by talking about all the process improvements she made without addressing any efforts she made to ensure that the staff themselves are customer service-oriented (i.e., to ensure they’re NOT rude).

If I tried to run for office or (for private sector companies) take over every organization that provided poor customer service, I’d be taking over a whole lot of businesses. So I’m not suggesting that what this one resident is doing is a path that must be taken, but here’s what I am suggesting.

The two candidates – in total – are correct. Customer service is about employee attitudes, processes, systems, and communications. Improving customer service is about addressing those items, but it’s also about other things.

It’s about helping the customer to help themselves. It’s about trying to determine why you get repetitive questions and determining how to reduce those questions through improved customer education. It’s about learning why you get complaints, determining root causes, and not getting those same complaints again.

Learn a little lesson from this Michigan election. Customer service is important; it could cause the incumbent their job. It could propel an outsider into a new position.

So if it’s so important, know how to manage the demand for customer service, and get into continuous improvement mode.

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

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

Jun 13 2012

Riding the Train to Better Customer Service

For those of you from “my era,” you may remember the song “Metro” by the rock group Berlin. The singer was on a train from Paris to London, met her boyfriend in a pouring rain, and he was “Swimming through apologies.”

Well the group Berlin must have been ahead of its time, because there is a modern day Metro that apparently got tired of giving apologies, and they decided to do something about it.

In the article Metro To Revamp Customer Service, the author discusses how the Fairfax Metro system is creating a new customer service program. After dealing with numerous complaints, the Metro has created a “Customer Service Action Plan” to improve the customer experience. Let’s quickly review the key plan points:

  • Provide customer service training
  • Put new electronic displays in the train stations
  • Improve their payment card system
  • Upgrade the stations themselves with better lighting and other improvements
  • Address and communicate better about security and youth behavior.

If we take a broad assessment of these key points, they deal with the impact of staff on the experience, process improvement, facility layout/signage, external communications, and safety. From that broad perspective, that’s very good. That deals with people, processes, and products. It deals with communications to the public. So we like the comprehensive nature of what they’re trying to do. So what are they missing?

How will they reinforce the importance of customer service and skills with staff after the training? What will they do to ensure the trains run on time? How can they ensure that processes (other than payment processes) are quick and self-evident?

When you think of revamping your organization’s customer experience, be comprehensive enough to address your people, processes, and products. But don’t just do something that will make an impact today. Incorporate plans to continually communicate and improve the experience in the future.

Ride the train to GREAT customer service!

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/

May 24 2012

The Good, the Bad, and the Needed of Municipal Customer Service

The Tulare County (California) government has launched a new customer service program. According to Fifth District Supervisor Mike Ennis in the article County unveils customer service program, “Customer service is the lifeblood of any successful business, including local government. Thousands of residents utilize Tulare County services every day. These residents expect and deserve great customer service.”

We’ve worked on improving customer service for local municipalities for over ten years, and we’ve seen the Good (a county IT department going from “worst to first” in customer service), the Bad (employees who bring bad attitudes into training because “it’s not like the residents have a choice”), to the Needed (municipalities lacking customer service standards and plans) of municipal customer service.

And as with many businesses, when organizations do start to focus on customer service, the first thing they think about is training. While training is important, it should never be the totality of a customer service program. The ultimate goal of any customer service program is to provide consistently high levels of customer service to internal and external customers.

To gain that comprehensive focus, training is important – it creates a baseline definition of core expectations, principles, and service skills for employees. But the consistency comes from having a customer service vision defined, having management model the way, having organizational structures, incentives/accountability systems, processes, measures, communication plans, and ongoing reinforcement all aligned toward that vision.

When you think of creating a “customer service program,” don’t just fallback to training as a panacea. Ensure you’re doing all you need to do to truly create a culture of 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/

Mar 29 2012

BRE and Beyond…Act on What You Know Makes Customers Happy

Fix what customers don’t like, but also give customers more of what they do like.

Continuous improvement in customer service is not all about root cause analysis and process improvement. Much of it is about doing more of what already satisfies the customer.

In the article Survey: Oshkosh good for business as CEOs cite better economic outlook, the local economic development organization reports results of a survey of local businesses. When economic development organizations have a Business Retention & Expansion (BRE) component, it’s because they want to retain those industries and those jobs (and those fees and taxes, etc.) locally. So surveys are conducted on businesses just like retailers conduct surveys with customers.

The Oshkosh article notes changes made as a result of the survey to help businesses become more accessible to customers and to plan for infrastructure changes. But one of the great things about BRE surveys or any surveys for that matter is that the survey organization also learns what the customer (or in the case, the business) likes – they like talking about their facilities or products, oftentimes they like the personal relationship with BRE organizations, they like help with facilitation of difficult permitting processes, they like the access to qualified technical personnel locally. And BRE organizations that are great at what they do, use the information on what makes customers happy to their benefit.

If the industry likes to share information about their facilities and products, find forums to allow them to present about themselves. If they like the relationships with the BRE staff, create Touch Point Plans for ongoing relationship-building. If the business likes help with permitting processes, create an issue-resolution process in partnership with the local code enforcement agency. If they like the access to qualified technical personnel, ensure businesses are establishing relationships with local providers of technical staff, with community colleges, and even some high schools.

Whether it’s for a BRE organization or a private business, research to uncover customer likes is important. Sometimes capitalizing on what already makes them happy is as important as fixing those things that bring frustration.

Act on what makes customers happy.

Interested in CSS’ Government Services? Check out:

http://cssamerica.com/cssgovt.htm

http://cssamerica.com/cssbrenews.htm

http://cssamerica.com/cssbresurvey.htm