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In their Shoes.
Experience Management
for Referring Physicians
About
Gelb
We work with nationally-recognized
Institutions:
•  5 “Honor Roll” institutions
•  5 out of the top 10 cancer programs
•  3 out of the top 4 pediatric hospitals
•  3 out of the top 10 cardiovascular
programs
National Benchmarking Studies:
• Patient experience management
• Marketing practices
• Physician relations programs
• International programs
Ranked as one of top 35 Healthcare
Consulting firms by Modern Healthcare

	
  
Agenda
Overview
Key Trends
Physician Experience
Defining the Message
Getting started
Taking Action
Additional Resources

	
  
Patient on hold- trying to
schedule an appointment

Coordinating multiple
schedules

Wants
reassurance

#longwait

Searching online
for a new doctor

A Day in the Life
84% believe the medical profession is in decline
82% percent believe they have little ability to change the healthcare
system.
92% are unsure where the health system will be or how they fit into
it three to five years from now
Factors driving widespread feelings of discontent
Practice erosion, from solo to centralized; patient-physician relationship
Medicare / Medicaid / government – incentives, disincentives, reimbursement
Uncertainty on “where they fit in” going forward

Voice of the Physician

	
  
Source:	
  Physician	
  Founda2on	
  Survey,	
  2012	
  
	
  Size	
  =	
  13,575	
  physicians	
  
How do we connect &
engage with a
disengaged customer?

Voice of the Physician
Experience Management…
• 

Focus on clinical quality

• 

Customer experience is a differentiator

• 

Brand & message management is essential

• 

Market expansion requires insight

Growing Advocacy with Experience Management
Advocate
Enthusiast
Follower
Devotee
Supporter
	
  	
  

Does your experience create

Customers or Fans?  
Reinforce

Listen

Customer = Fan
Deliver

	
  

Define

Promise

Experience Management  
Ease of Practice Life
	
  	
  

Functional Needs

Emotional
Needs

Discover Drivers of Advocacy  
Ease of Practice Life
	
  	
  

Functional Needs

Emotional Needs

Discover Drivers of Advocacy  
Using multiple channels
to gather input

Experience monitoring
in real time

Reinforce

Listening
posts at high
impact
touchpoints

Listen

Customer = Fan
Deliver

	
  

Promise
Develop a message that resonates

Define

Experience
maps for
insights and
action

Prioritize for high
impact
Reinforce

Deliver

Listen

Listen

Call Center
Digital- Web & Mobile
Referring Physicians
Care Centers

Customer = Fan
!

Define

Promise

	
  	
  

Listen: Use Multiple Channels to Gather Input
Reinforce

Deliver

Experience Mapping  

Listen

Customer = Fan
!

Define
Experience Map
Define

Promise

Awareness

Need

Scheduling

•  Percep&ons*/*
knowledge*of*
facility**

•  Evalua&on*and*
selec&on*of*
treatment*providers*

•  Choice*of*hospitals*
for*delivery*/*
prac&ce*

•  Discussion*with*
pa&ents*(diagnosis,*
referral*op&ons)*

•  Ideal*rela&onship*

•  Preparing*pa&ents*
for*what*to*expect*

• 
• 

Physician*Liaisons*
Faculty/Staff*

• 
• 

Front*Desk*Staff*
Faculty/Medical*Staff*

•  Ini&al*contact*

•  Coordina&on*of*care*
with*specialist*

•  Timing*and*ease*of*
process*

•  Progress*notes*and*
methods*of*
communica&on*

•  Resources*for*
pa&ents*and*their*
families*

• 
• 

Faculty/Medical*Staff*
Support*Staff*

Transition of
Care

Treatment

•  Family*feedback*
about*their*clinical*
experience*

• 
• 

Faculty/Medical*Staff*
Support*Staff*

•  Discharge*summary*
•  Coordina&on*of***
onFgoing*care*
•  Ongoing*pa&ent*
care/support*
•  CallFbacks*for*
assistance*

• 
• 

Primary*Experience*Stewards*

Key Touchpoints

Faculty/Medical*
Staff*
Support*Staff*
Referring	
  Physician	
  Decision	
  Process	
  
Facility	
  
• 
• 
• 
• 

Previous	
  Experience	
  
Outcomes	
  
CME	
  
Reputa2on	
  of	
  Facility	
  

Physician	
  
•  Word	
  of	
  Mouth	
  
•  Recommenda2on	
  by	
  
Colleague	
  	
  
•  Previous	
  Experience	
  
•  Rela2onship	
  
•  Networking	
  
•  Reputa2on	
  of	
  Physician	
  

Provide	
  
Pa2ent	
  
with	
  
Info	
  

Call	
  
Directly	
  

Awareness	
  

Call	
  
Hotline	
  

Need	
  
•  Urgency	
  
•  Age	
  
•  As	
  Service	
  to	
  
Customer	
  	
  

Private	
  
Prac2ce	
  

Scheduling	
  

Treatment	
  

Transi2on	
  of	
  
Care	
  
Referring	
  Physician	
  Decision	
  Process	
  
Facility	
  
• 
• 
• 
• 

Previous	
  Experience	
  
Outcomes	
  
CME	
  
Reputa2on	
  of	
  Facility	
  

Physician	
  
•  Word	
  of	
  Mouth	
  
•  Recommenda2on	
  by	
  
Colleague	
  	
  
•  Previous	
  Experience	
  
•  Rela2onship	
  
•  Networking	
  
•  Reputa2on	
  of	
  Physician	
  

Provide	
  
Pa2ent	
  
with	
  
Info	
  

ATtudes	
  to	
  Overcome…	
  
•  Is	
  it	
  complex	
  enough	
  to	
  travel	
  “into	
  town”?	
  
•  Is	
  it	
  complex	
  enough	
  to	
  travel	
  a	
  long	
  
distance?	
  
•  Is	
  it	
  complex	
  enough	
  to	
  overcome	
  referral	
  
process	
  barriers?	
  

Call	
  
Directly	
  

Awareness	
  

Call	
  
Hotline	
  

Need	
  
• 
• 
• 
• 

Complexity	
  
Urgency	
  
Age	
  
As	
  Service	
  to	
  
Customer	
  	
  

Private	
  
Prac2ce	
  

Scheduling	
  

Treatment	
  

Transi2on	
  of	
  
Care	
  

Ideal…	
  
•  I	
  send	
  all	
  my	
  pa2ents	
  with	
  …	
  condi2on	
  to	
  
your	
  organiza2on	
  whether	
  they	
  are	
  5	
  or	
  500	
  
miles	
  away	
  
Things	
  We	
  Do	
  Well	
  Today	
  
•  In what areas can we deliver an exceptional experience?
•  What are ways to surprise our physicians?
•  What should be done more consistently that should be reinforced?
Need	
  

Scheduling	
  

Arrival	
  

Review	
  for	
  each	
  step	
  

Visit	
  

Follow-­‐up	
  
Opportuni2es	
  For	
  Improvement	
  
•  Where are we not achieving the expected outcome?
•  Among these, where can we focus our efforts for process
improvement?

Need	
  

Scheduling	
  

Arrival	
  

Review	
  for	
  each	
  step	
  

Visit	
  

Follow-­‐up	
  
Reinforce

Deliver

Listen

Customer = Fan
!

Define

Define

Promise

Aligning External Needs with Internal Processes
Ac2on	
  Plan	
  Design	
  

Care	
  

Genera2ng	
  awareness	
  
Outreach	
  
Marke2ng	
  	
  

Communica2on	
  

Scheduling/Transfer	
  
Managing	
  Pa2ent	
  Care	
  
Accessibility	
  

Coordina2on	
  

Pa2ents	
  
Experience	
  
Resources	
  

Referrers	
  
Emo2onal	
  Needs	
  
Func2onal	
  Needs	
  
Reinforce

Deliver

Listen

Customer = Fan
!

What is Your Message?	
  

Define

Promise

Promise

Creating a Meaningful Message
Reinforce

Deliver

Listen

Customer = Fan
!

What is Your Message?	
  

Define

Promise

Promise

• 
• 
• 
• 
• 
• 

Consistent Message
Reasons to Believe
Images and Content
Brand
Channels/Media
PRM for customization
Source:	
  HSI	
  BarlowMcCarthy/	
  Gelb	
  Presenta2on	
  

Creating a Meaningful Message
Reinforce

Deliver

Listen

Customer = Fan
!

What is Your Message?	
  

Define

E-mail Templates
Alerts

Promise

Promise

•  Multimedia
•  Physician Testimonials
•  Multiple touchpoints:
• 
• 
• 
• 
• 
• 

Pocket card
Newletters
Alerts
Email templates
Direct Mail
Posters

Newsletters

Advertising/Posters

Direct Mail

Source:	
  HSI	
  BarlowMcCarthy/	
  Gelb	
  Presenta2on	
  

Communicating a Meaningful Message
Reinforce

Customer = Fan

Deliver

Deliver

Listen

!

Define

Promise

Digital
Touchpoints

Website

Physician Portal
Scheduling(

Experience)
Awareness(

Physical
Touchpoints

Call Center

Treatment(

First(Visit(

Transi6on(

Care Center

Listening Posts at High Impact Touchpoints

Advocacy
Reinforce
Reinforce

Deliver

Listen

PRM with Market Data
Find the right doctor

Customer = Fan
!

Define

Transition

Promise

Digital
Touchpoints

Scheduling(

Experience)

Need+

Referral Experience
Ease of Process

First(Visit(
First+Visit+

Awareness(

Scheduling+

Treatment(

Treatment+

Advocacy

Transi6on(

Follow6up+

Physical
Touchpoints

Key Activities

Treatment Phase
Communication
about Patient

Physician contracts call
center for additional
information

Pain Points
•  Calls not returned
•  Provided incorrect information
•  Need to repeat their “story”

Internal Processes
How can CRM support/improve process?

Liaison Pain Points
•  Incomplete records
•  Information needs
•  High volume of calls

Information Needs
•  What is currently collected, needs migrated
•  What needs to be collected
•  How should that information be organized

Experience Monitoring in Real Time

Are we improving?

Assessing, Monitoring and Tracking
•  Surveys
•  Key Metrics
•  Reports and Trends
Using multiple channels
to gather input

Experience monitoring
in real time

Reinforce

Listening
posts at high
impact
touchpoints

Listen

Customer = Fan
Deliver

	
  

Promise
Develop a message
that resonates

Define

Experience
maps for
insights and
action

Prioritize for high
impact
In Summary

•  Listening to your customer is essential
for developing experience management
strategies that grow advocacy
•  Capturing insights requires sourcing
data from multiple channels and
touchpoints for a complete picture of
the total experience
•  An organization’s ability to quickly
assimilate voice of the customer data
into their experience management
strategy can help keep pace in the ever
– evolving healthcare industry
Getting Started

•  Create your experience map
•  Identify digital and physical touchpoints
and data available
•  Identify any gaps (where you need
information)
•  Use your experience map to provide a
visual of the current and ideal experience
•  Prioritize change at high priority
touchpoints/interactions
•  Share insights with other stakeholders to
develop an action plan for impact
Questions?  
“The experience begins and ends outside the
institutional walls.
This is where expectations are set and advocacy
(word of mouth) often takes place.”
- Gelb Consulting Group

Questions?

Shannon Frazier
sfrazier@endeavormgmt.com

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Experience Management for Referring Physicians - WHPRMS Conference

  • 1. In their Shoes. Experience Management for Referring Physicians
  • 2. About Gelb We work with nationally-recognized Institutions: •  5 “Honor Roll” institutions •  5 out of the top 10 cancer programs •  3 out of the top 4 pediatric hospitals •  3 out of the top 10 cardiovascular programs National Benchmarking Studies: • Patient experience management • Marketing practices • Physician relations programs • International programs Ranked as one of top 35 Healthcare Consulting firms by Modern Healthcare  
  • 3. Agenda Overview Key Trends Physician Experience Defining the Message Getting started Taking Action Additional Resources  
  • 4. Patient on hold- trying to schedule an appointment Coordinating multiple schedules Wants reassurance #longwait Searching online for a new doctor A Day in the Life
  • 5. 84% believe the medical profession is in decline 82% percent believe they have little ability to change the healthcare system. 92% are unsure where the health system will be or how they fit into it three to five years from now Factors driving widespread feelings of discontent Practice erosion, from solo to centralized; patient-physician relationship Medicare / Medicaid / government – incentives, disincentives, reimbursement Uncertainty on “where they fit in” going forward Voice of the Physician   Source:  Physician  Founda2on  Survey,  2012    Size  =  13,575  physicians  
  • 6. How do we connect & engage with a disengaged customer? Voice of the Physician
  • 7. Experience Management… •  Focus on clinical quality •  Customer experience is a differentiator •  Brand & message management is essential •  Market expansion requires insight Growing Advocacy with Experience Management
  • 8. Advocate Enthusiast Follower Devotee Supporter     Does your experience create Customers or Fans?  
  • 9. Reinforce Listen Customer = Fan Deliver   Define Promise Experience Management  
  • 10. Ease of Practice Life     Functional Needs Emotional Needs Discover Drivers of Advocacy  
  • 11. Ease of Practice Life     Functional Needs Emotional Needs Discover Drivers of Advocacy  
  • 12. Using multiple channels to gather input Experience monitoring in real time Reinforce Listening posts at high impact touchpoints Listen Customer = Fan Deliver   Promise Develop a message that resonates Define Experience maps for insights and action Prioritize for high impact
  • 13. Reinforce Deliver Listen Listen Call Center Digital- Web & Mobile Referring Physicians Care Centers Customer = Fan ! Define Promise     Listen: Use Multiple Channels to Gather Input
  • 14. Reinforce Deliver Experience Mapping   Listen Customer = Fan ! Define Experience Map Define Promise Awareness Need Scheduling •  Percep&ons*/* knowledge*of* facility** •  Evalua&on*and* selec&on*of* treatment*providers* •  Choice*of*hospitals* for*delivery*/* prac&ce* •  Discussion*with* pa&ents*(diagnosis,* referral*op&ons)* •  Ideal*rela&onship* •  Preparing*pa&ents* for*what*to*expect* •  •  Physician*Liaisons* Faculty/Staff* •  •  Front*Desk*Staff* Faculty/Medical*Staff* •  Ini&al*contact* •  Coordina&on*of*care* with*specialist* •  Timing*and*ease*of* process* •  Progress*notes*and* methods*of* communica&on* •  Resources*for* pa&ents*and*their* families* •  •  Faculty/Medical*Staff* Support*Staff* Transition of Care Treatment •  Family*feedback* about*their*clinical* experience* •  •  Faculty/Medical*Staff* Support*Staff* •  Discharge*summary* •  Coordina&on*of*** onFgoing*care* •  Ongoing*pa&ent* care/support* •  CallFbacks*for* assistance* •  •  Primary*Experience*Stewards* Key Touchpoints Faculty/Medical* Staff* Support*Staff*
  • 15. Referring  Physician  Decision  Process   Facility   •  •  •  •  Previous  Experience   Outcomes   CME   Reputa2on  of  Facility   Physician   •  Word  of  Mouth   •  Recommenda2on  by   Colleague     •  Previous  Experience   •  Rela2onship   •  Networking   •  Reputa2on  of  Physician   Provide   Pa2ent   with   Info   Call   Directly   Awareness   Call   Hotline   Need   •  Urgency   •  Age   •  As  Service  to   Customer     Private   Prac2ce   Scheduling   Treatment   Transi2on  of   Care  
  • 16. Referring  Physician  Decision  Process   Facility   •  •  •  •  Previous  Experience   Outcomes   CME   Reputa2on  of  Facility   Physician   •  Word  of  Mouth   •  Recommenda2on  by   Colleague     •  Previous  Experience   •  Rela2onship   •  Networking   •  Reputa2on  of  Physician   Provide   Pa2ent   with   Info   ATtudes  to  Overcome…   •  Is  it  complex  enough  to  travel  “into  town”?   •  Is  it  complex  enough  to  travel  a  long   distance?   •  Is  it  complex  enough  to  overcome  referral   process  barriers?   Call   Directly   Awareness   Call   Hotline   Need   •  •  •  •  Complexity   Urgency   Age   As  Service  to   Customer     Private   Prac2ce   Scheduling   Treatment   Transi2on  of   Care   Ideal…   •  I  send  all  my  pa2ents  with  …  condi2on  to   your  organiza2on  whether  they  are  5  or  500   miles  away  
  • 17. Things  We  Do  Well  Today   •  In what areas can we deliver an exceptional experience? •  What are ways to surprise our physicians? •  What should be done more consistently that should be reinforced? Need   Scheduling   Arrival   Review  for  each  step   Visit   Follow-­‐up  
  • 18. Opportuni2es  For  Improvement   •  Where are we not achieving the expected outcome? •  Among these, where can we focus our efforts for process improvement? Need   Scheduling   Arrival   Review  for  each  step   Visit   Follow-­‐up  
  • 20. Ac2on  Plan  Design   Care   Genera2ng  awareness   Outreach   Marke2ng     Communica2on   Scheduling/Transfer   Managing  Pa2ent  Care   Accessibility   Coordina2on   Pa2ents   Experience   Resources   Referrers   Emo2onal  Needs   Func2onal  Needs  
  • 21. Reinforce Deliver Listen Customer = Fan ! What is Your Message?   Define Promise Promise Creating a Meaningful Message
  • 22. Reinforce Deliver Listen Customer = Fan ! What is Your Message?   Define Promise Promise •  •  •  •  •  •  Consistent Message Reasons to Believe Images and Content Brand Channels/Media PRM for customization Source:  HSI  BarlowMcCarthy/  Gelb  Presenta2on   Creating a Meaningful Message
  • 23. Reinforce Deliver Listen Customer = Fan ! What is Your Message?   Define E-mail Templates Alerts Promise Promise •  Multimedia •  Physician Testimonials •  Multiple touchpoints: •  •  •  •  •  •  Pocket card Newletters Alerts Email templates Direct Mail Posters Newsletters Advertising/Posters Direct Mail Source:  HSI  BarlowMcCarthy/  Gelb  Presenta2on   Communicating a Meaningful Message
  • 24. Reinforce Customer = Fan Deliver Deliver Listen ! Define Promise Digital Touchpoints Website Physician Portal Scheduling( Experience) Awareness( Physical Touchpoints Call Center Treatment( First(Visit( Transi6on( Care Center Listening Posts at High Impact Touchpoints Advocacy
  • 25. Reinforce Reinforce Deliver Listen PRM with Market Data Find the right doctor Customer = Fan ! Define Transition Promise Digital Touchpoints Scheduling( Experience) Need+ Referral Experience Ease of Process First(Visit( First+Visit+ Awareness( Scheduling+ Treatment( Treatment+ Advocacy Transi6on( Follow6up+ Physical Touchpoints Key Activities Treatment Phase Communication about Patient Physician contracts call center for additional information Pain Points •  Calls not returned •  Provided incorrect information •  Need to repeat their “story” Internal Processes How can CRM support/improve process? Liaison Pain Points •  Incomplete records •  Information needs •  High volume of calls Information Needs •  What is currently collected, needs migrated •  What needs to be collected •  How should that information be organized Experience Monitoring in Real Time Are we improving? Assessing, Monitoring and Tracking •  Surveys •  Key Metrics •  Reports and Trends
  • 26. Using multiple channels to gather input Experience monitoring in real time Reinforce Listening posts at high impact touchpoints Listen Customer = Fan Deliver   Promise Develop a message that resonates Define Experience maps for insights and action Prioritize for high impact
  • 27. In Summary •  Listening to your customer is essential for developing experience management strategies that grow advocacy •  Capturing insights requires sourcing data from multiple channels and touchpoints for a complete picture of the total experience •  An organization’s ability to quickly assimilate voice of the customer data into their experience management strategy can help keep pace in the ever – evolving healthcare industry
  • 28. Getting Started •  Create your experience map •  Identify digital and physical touchpoints and data available •  Identify any gaps (where you need information) •  Use your experience map to provide a visual of the current and ideal experience •  Prioritize change at high priority touchpoints/interactions •  Share insights with other stakeholders to develop an action plan for impact
  • 30. “The experience begins and ends outside the institutional walls. This is where expectations are set and advocacy (word of mouth) often takes place.” - Gelb Consulting Group Questions? Shannon Frazier sfrazier@endeavormgmt.com