Is it time for hospital advertising to change?

With the healthcare consumer having a higher cost stake in healthcare choices with larger deductibles and co-pays, combined with the availability of price and outcomes data; it would seem that the time for change has come.

If one was to look at healthcare consumer in terms of interaction with the brand, only one-third of the time is spent as a patient during diagnosis and treatment. Two-thirds of the time they are healthcare consumers making choices and decision about where to receive care.

What should hospitals be advertising to create an unassailable market position, a strong brand, as well as an enlightened and informed consumer?  

Is it the "we are unique and world-class", have best doctors and locations that are accessible and convenient?

Then there is the ever popular, the technology is state-of-the-art, photo of the shiny new building or the doctor looking skyward like they are in great deep thought.

Another winner; we have the most shiny trophies and quality awards for several services. Oh, and even though we don't have a quality award for all services, if everybody else was as good as us message to go with it, “100,000 lives would be saved annually".

I think, that pretty much for the most part, sums up the current state of hospital advertising.  And when several hospitals are staying all of these things at the same time in a market, does anyone really believe that the consumer is paying any attention at all, when there is so little differentiation?  It all looks like "me too" and just shouting for attention.

It makes the Board, senior management and physicians feel good, all the while your audience receives absolutely no information that will help them make some of the most critical choices and decisions in their life.

The time has come healthcare providers to provide meaningful information in the marketplace that will allow the healthcare consumer to become informed, educated and participatory in the care decision-making process. 

The hospital or health system should be transparent and talking about outcomes and prices.  The healthcare consumer is hungry for information and searching the internet as well as other sources about you and how you perform. They are paying more of the cost and demanding more say in the process. And they don't like being treated like they are some small child who can't make a decision.

To use an often quoted metaphor, the wave of change is upon the hospital industry as we move from provider-dominated and controlled decision-making model, to a healthcare consumer and patient-directed controlled model, that is evolving into a semi-retail environment. 

Changing markets unless responded too can be a harsh mistress. 

And how will you be paying for your care?

Seems like an innocuous question/statement.  But it’s a question that can be fraught with staff unease, unexpected healthcare consumer resentment, missed opportunity and bad PR if it is not handled correctly.

It’s not a question of whether not you should ask that question as a healthcare provider. No margin, no mission.  There are very appropriate reasons for asking, and includes walking a fine line with tax exempt status and the legal requirement of caring for all who come through the doors seeking medical treatment. The real question is how is the organization preparing to engage the newly insured, current patients and the healthcare consumer making choices in which healthcare providers to engage?

How one handles the question goes beyond staff training, scripting and role playing. The conversation and ask begins well before anyone ever sets foot in door of the healthcare provider. It may be that the healthcare provider has lost the potential advantage in securing the high ground in this part of the healthcare reform equation.

Individuals and families are selecting high deductible plans to reduce their premium costs. Employers are going to defined contributions, creating private exchanges, increasing employee contributions for not only the cost of insurance, but the deducible and co-pays as well.  And even the newly insured that could be eligible for the expanded Medicaid programs will still have to meet spend down requirements of the Medicaid program before full coverage will kick in. Just because the program is expanded for initial eligibility requirements doesn’t mean in the least that the base regulations of the program have changed.

Several months ago I wrote about the opportunity in the market place that healthcare providers had in educating the healthcare consumer abut exchanges, plans and choices.  It was at that moment in time that those discussions could have begun with the process of the payment ask, connecting it to high deductible plans and general changes in how they will pay for healthcare. Little if any activity on the part of hospitals, health systems and other providers recognized the new dynamics and took marketing and PR steps to head off the coming challenges.

Now that the ship has sailed, how are you going to actively take control of the conversation and educate the healthcare consumer before they ever walk in the door seeking treatment? This is about setting realistic expectations in the context of experience as well as establishing the role and responsibility of the healthcare consumer in all of the discussions.

Easier said than done and we all know that.  But with all the issues around the exchanges and failures therein,  the news that people are selecting high deductible plans and the coming sticker shock because they really don’t understand what they are buying,  you have the chance to hit the reset button and start anew.

So instead of advertising those wellness bus tours, free gifts for a colonoscopy or even connecting with all those high quality physicians on staff without outcomes transparency in any of it, maybe it should be meaningfully engaging the healthcare consumer about the real cost of high deductible plans, prices, the value of the medical service and their accountability and portion of cost they will bear?

The risk is because as we all know, that the process for asking for payment after the fact or even when someone walks in the door and is sitting at the desk, is not going to go well and there will be human error.   As a tax exempt healthcare provider, you will be the evil greedy healthcare provider, and it's a perceptional battle that is unwinnable.

Michael J. Krivich, MHA, FACHE, PCM, is an internationally followed healthcare marketing blogger with over 5,000 monthly pages views read in over 52 countries worldwide on Healthcare Marketing Matters. These views are my own. He is founder of the michael J group, a Fellow, American College of Healthcare Executivesand a Professional Certified Marketer, American Marketing Association.  Like us on facebook at the michael J group, and connect with me on LinkedIn and Twitter.

How will you explain pricing to healthcare consumers?

The eight hundred pound gorilla is in the room and it’s not going away any time soon if ever. With the newly insured, current and former patients and the healthcare consumer all facing increasingly larger out-of-pocket expenses for healthcare, how will you explain pricing?

Case in point. A couple of weeks ago I was exhibiting the signs of a heart attack. So after being sent to the ER by my primary physician, an EKG and blood work was done and after several hours I was admitted to the 23 hour observation unit. The other day I received the bill for $23,000 which works out to around $1,000 an hour.  And yes it was sent to my insurance carrier and I have my portion to pay. But there was no explanation of how those charges were determined.  Here is the bill; you owe; so pay it.

But it got me to thinking. I had no idea how the $23K was arrived at and whether or not that was representative of the most accurate value for the care received, especially when the total bill would buy a nice car for that type of money. I mean, a less than friendly radiologist, an arrogant hospitalist who was an internal medicine physician, and a cardiologist who seemed like he did not want to be there added to the wonder if it all. I especially liked being awakened at 12:30 PM for a saline IV that had to be started because a doctor ordered it.  My biggest chuckle was that I could not get a Tylenol for a headache, but there was a physicians order for morphine. Go figure. It’s probably a standard order set and no one is paying attention.

 

I wonder how many meals I was charged for since I only ate once because no one explained to me that I had to order each meal off a menu and never did have breakfast because of that little omission?

As healthcare evolves to a semi-retail model with the healthcare consumer aka the patient at the center of it all, explanation of pricing, what care and test were provided is no longer something that hospitals, health systems and other providers can afford to ignore.  Can you really imagine going to buy a large ticket item and not knowing all charges? And healthcare is a large ticket item.

This is a reasonable expectation for the healthcare consumer, to be able to know all that was done and how much it cost in detail.  The healthcare consumer is paying more out of my pocket. You can bet they want to look at billing by line item. And they really don’t have the time to chase down with your billing department the detail.

It’s called accountability and it’s a two way street.  Accountability on my part to understand the who, what and where of treatment, and accountability on your part to be price transparent. This will lead to some uncomfortable discussions with the healthcare consumer as they seek to understand it all, but that is why you have a marketing department. They need to be involved by understanding the informational needs of the healthcare consumer, design of the bills and training of staff to handle inquiries.

Healthcare is changing and the old ways of doing business no longer work.  Because if you don’t change billing practices and become more price and treatment transparent, someone legislatively, or through the courts will force you too.

Its your choice on price transparency. Inform the healthcare consumer now, or inform them later when you are forced too. Either way it’s going to happen.

Now where is the address for the FTC and my Senator and Representatives?

Michael J. Krivich, MHA, FACHE, PCM, is an internationally followed healthcare marketing blogger with over 5,000 monthly pages views read in over 52 countries worldwide on Healthcare Marketing Matters. These views are my own. He is founder of the michael J group, a Fellow, American College of Healthcare Executivesand a Professional Certified Marketer,American Marketing Association.  Like us on facebook at the michael J group, and connect with me on LinkedIn and Twitter.

Why isn’t hospital advertising changing with the times?

I have to admit, this is a pet peeve of mine, disingenuous hospital advertising. In a day and age where healthcare is evolving to a consumer centric, semi-retail model, some hospital marketers and C-suite leadership continue to treat the healthcare consumer like they are incapable of making informed choices.

With the healthcare consumer having a higher cost stake in the process with larger deductibles and co-pays, your price, and outcomes data readily available, it would seem that the time for change has come.

Remember, when you are marketing to individuals, they don't become a patient until they receive a service from you.  So in one-third of the time in their interactions with you, the healthcare consumer is only a "patient" during diagnosis and treatment. Two-thirds of the time they are not patients, and most likely are arguing with your billing department about the charges.

Arguments aside, what should hospitals be advertising to create an unassailable market position, a strong brand, as well as an enlightened and informed consumer?  

Is it the "we are unique and world-class", best doctors, hundreds of locations, even though The Joint Commission was just there for a sentential event?

Our technology is state-of-the-art.  Never mind that a new technology was just introduced and you don't have it.

Another winner; we have the most shiny trophies and quality awards for several services. Oh, and even though we don't have a quality award for all services, if everybody else was as good as us message to go with it, “a 100,000 lives would be saved annually"! Really.

How about the ever present focus on the physicians with messaging about having the best primary care or specialists in the region that drones on about everything other than healthcare.  Prove it.  Maybe the healthcare consumer will take you seriously when you finally report Dr. Hodad and remove him from your medical staff.

I think, that pretty much for the most part, sums up the current state of hospital advertising.  And when several hospitals are staying all of these things at the same time in a market, do you really believe that the consumer is paying any attention at all, when there is so little differentiation,  it all looks like "me too" and just shouting for attention?

It makes the Board, senior management and physicians feel good, while your audience receives absolutely no information that will help them make some of the most critical choices and decisions in their life.

The time has come healthcare providers to provide meaningful information in the marketplace that will allow the healthcare consumer to become informed, educated and participatory in the care decision-making process. 

You should be transparent and talking about your outcomes and prices.  The healthcare consumer is hungry for information and searching the internet as well as other sources about you and how you perform. They are paying more of the cost. Demanding more say in what goes on. And don't like being treated like they are some small child who can't make a decision.

To use an often quoted metaphor, the wave of change is upon the hospital industry as we move from provider-dominated and controlled decision-making model, to a healthcare consumer and patient-directed, controlled model. 

Your choice so chose wisely, the future of your organizations depends on it.

Michael J. Krivich, MHA, FACHE, PCM, is an internationally followed healthcare marketing blogger with over 5,000 monthly pages views read in over 52 countries worldwide on Healthcare Marketing Matters. These views are my own. He is founder of the michael J group, a Fellow, American College of Healthcare Executivesand a Professional Certified Marketer, American Marketing Association.  Like us on facebook at the michael J group, and connect with me on LinkedIn and Twitter.

How do you communicate quality in a consumer-driven healthcare system?

Interesting question isn't it? It presupposes that healthcare consumers know what they need in the way of healthcare services. Which many in the hospital and medical professional world will howl and say its way to complicated for the healthcare consumer to know what they need to be able make a reasonable treatment decision based on quality.

Yes and no.

On one side yes, in that medical care is complex and diagnosis is not as easy as reading a book or talking to someone. But the healthcare consumer, once they realize that their wellness is not to what they normally experience, will more often than not seek medical advice as to the cause of the illness. Then in seeking that medical advice they begin the process of gaining the necessary information to make reasonable decisions, or at the very least to participate in the process.

On the other side no, in that once the healthcare consumer has acquired a basic understand of what is medically wrong, they have now the ability to use quality data to make choices on where to seek treatment along several dimensions, their direct cost, aka out-of-pocket expenses such as deducible and co-pays, and indirect costs such as time, convenience, travel requirements, access, time away from work etc., on where to receive the care they need at the right time, for the right cost, in the right setting.

In a consumer-driven healthcare system that is evolving before our eyes, real quality data, not pretty award logos is what is required for outcomes and quality transparency upon which a healthcare consumer seeking care can make reasonable decisions. 

Because of the lack of transparency around quality and outcomes, the healthcare consumer assumes that quality is equal among competing providers. And we all know healthcares little unspoken truth is that it's not. Which brings us full circle to the issue of being quality transparent in patient engagement marketing to the healthcare consumer and why it hasn't happened.

In an era of reform as we transition to a consumer-driven healthcare system, quality transparency in patient engagement marketing is no longer a nice thought, but a new business requirement. And its critically important how you communicate quality information to the healthcare consumer.

It is meaningless to tell a healthcare consumer that that the chance of acquiring a post-surgical hospital infection is .85 at the 95 percent confidence level. That is from their view statistical mumbo jumbo. What the healthcare consumer wants from you is to know that 1 in 1,000 patients for example, acquire a hospital post surgical infection. Or that the medication error rate is 10 in 250 patients.

And you are not ready to do that because frankly, those are defects in the quality of care. If the healthcare consumer knew the real meaning of the .85 at the 95 percent confidence level in their terms, they might not come to your hospital, clinic or even have some physicians as their doctor.

So at this stage of the evolution of the healthcare consumer and a consumer-driven healthcare system, you need to start to figure out how you are going to become the quality transparent hospital or medical provider. And how you communicate and market that information is of equal importance as well.

There are no easy answers here and no magic marketing pixy dust to sprinkle around to solve the problem. The only way is by engaging the patient and the healthcare consumer in a meaningful way to understand how you can best meet their needs, determine the types of quality information and find the right ways to communicate that information to them.

Michael J. Krivich, MHA, FACHE, PCM, is an internationally followed healthcare marketing blogger with over 5,000 monthly pages views read in over 52 countries worldwide on Healthcare Marketing Matters. He is founder of the michael J group, a Fellow, American College of Healthcare Executives and a Professional Certified Marketer, American Marketing Association. Like us on facebook at the michael J group, and connect with me on LinkedIn, Twitter and Pheed.

How do you market to the networked patient?

Now that more healthcare information general and personal is available today than at any previous time, and healthcare reform is only going to accelerate the information exchange including outcomes transparency, how can you market and leverage in a comprehensive fashion, all that information and change?

What do you think the networked patient is saying about you in social media circles, after CMS announced the penalties for 2013 because of your high readmission rates and you greeted that with silence?

Welcome to the age of the networked patient.

The networked patient is someone who has an intense curiosity about their health condition, expects to have an active role in making healthcare decisions and this is most important, they want control of their health information.

They actively use the internet, social media , blogs, web site, apps and seek out others. They read and study about their health condition. They ask questions and will seek out alternatives. The look at providers from a quality standpoint and make judgments based on outcomes information. They want an answer to their own needs. The patient is asking what is their ROI by using you?

There are some key to keep in mind when starting to market to the networked patient:.

• Your brand, your brand promise and messaging is all important;

• Quality data transparency, reporting and patient access to that information is everything;

• Access to their own health information 24/7 is a deal breaker if not provided;

• Talk about the patient experience and outcomes;

• Don't insult this patient with messaging that is all fluff, about us or is just plain condescending;

• All communication needs to be personalized talking to the patient not at them;

• Use all available communication channels- Iphone apps,, email, social media, web site blue button, email, etc.

Be creative, this is uncharted territory so limits are nonexistent and don't place any on yourself. Stop saying, why we can't do something, start saying how we can. This is a major change in the way healthcare is administered and delivered in the U.S.

Providers need to recognizing that the age of the healthcare consumer is upon us.

I would to say thank you to my followers and readers of Healthcare Marketing Matters (HMM). HMM is now consistently over 5,000 page views a month and read in 52 countries. The heat map is from blogger stats and shows the countries where the majority of readers reside. I guess in the end, healthcare. healthcare marketing and the issues we all face are pretty much the same.

Michael Krivich is an internationally followed healthcare marketing blogger with over 5,000 monthly pages views in over 52 countries worldwide. He is founder of the michael J group, a healthcare marketing consultancy dedicated to creating value through strategic marketing for hospitals and health system regardless of payment mechanism, either fee-for-service or value-based to increase market-share, revenue , brand and demonstrate actual return on marketing investment. Michael is a Fellow, American College of Healthcare Executives and a Professional Certified Marketer, American Marketing Association. Follow us on facebook at the michael J group.

Should outcomes transparency drive healthcare marketing?

In a very enlightening article "How to Stop Hospitals From Killing Us", by Dr. Marty Makary, Wall Street Journal, Saturday, September 22. 2012, writes about the importance of outcomes transparency for hospitals. It's about releasing your outcomes data to patients and others so that they can make informed decisions.

It's time for hospital executives to stand up, be counted and stop the equivalent of four, fully loaded jumbo jets crashing each day and killing all aboard like we do in healthcare.

This is a topics that is near and dear to me. Well maybe even a soapbox issue, having written about using outcomes dates and being transparent in healthcare marketing for the past couple of years.

And I am glad to see a physician stand up and say, it's time for a change. Writing specifically on the types of data and in a dashboard format.

I think and have maintain for a while now, that it is time to give the healthcare consumer be it physicians, payers, government, employer, individual or family, or any other stakeholder you can identify, quality and outcomes data to make decisions.

That's really the only avenue left for healthcare providers, to start talking about quality and outcomes. Engaging in a meaningful dialogue, that goes beyond accreditation logos and quality awards from third parties, to an actual honest-to-goodness quality and outcomes disclosure and discussion.

Few healthcare providers are willing. Most are afraid of this direction. But, it's a strategy and tactic that can break the current cycle of avoidance and loss. Recognizing that your customers are best served by the healthcare organization that places them first in a meaningful way, is open and transparent.

You have some choices here. Stay the course and do what you have been doing. Get lost in an endless paralysis by analysis loop. Mimic your competitors. Talk about quality and outcomes in vague terms. Or, be the first in your market, to establish a clear strategic marketing plan focused on your healthcare consumers about your brand, quality and outcomes.

Sooner or later, you are going to have to do this.

If you are not willing to change, then don't expect a different outcome from doing the same old healthcare marketing that you have been.

I suggest that you read the article. The future of healthcare outcomes disclosure is here.

Michael Krivich is an internationally followed healthcare marketing blogger with over 4,000 monthly pages views in over 52 countries worldwide. He is founder of the michael J group, a healthcare marketing consultancy dedicated to creating value through strategic marketing for hospitals and health system regardless of payment mechanism, either fee-for-service or value-based to increase market-share, revenue , brand and demonstrate actual return on marketing investment. Michael is a Fellow, American College of Healthcare Executives and a Professional Certified Marketer, American Marketing Association.

Have you seen any goofy hospital advertising lately?

I have to admit, this is a pet peeve of mine, stupid hospital advertising. In a day and age where healthcare is experiencing great change, some hospital "marketers" and C-suite leadership continue to treat the healthcare consumer like they are some kind of idiot, incapable of making informed choices.

Do you believe that by offering a massage with a digital mammography, that women will choose to have their mammography at your facility? I would like to see the market research on that one. But then, odds are on that there wasn't any market research.

Remember, when you are marketing to individuals, they don't become a patient until they receive a service from you. So in one-third of the time in their interactions with you, the "person" is only a "patient" during diagnosis and treatment. Two-thirds of the time they are not patients, and most likely are arguing with your billing department about the charges.

And healthcare marketers wonder why no one takes them seriously.

Arguments aside, what should hospitals be advertising to create an unassailable market position, a strong brand, as well as an enlightened and informed consumer?

Is it the, "we are unique and world-class"? Even though The Joint Commission was just there for a sentential event.

Our technology is state-of-the-art. Never mind that a new technology was just introduced and you don't have it.

Another winner; we have the most shiny trophies and quality awards for several services. Oh, and even though we don't have a quality award for all services, if everybody else was as good as us message to go with it, "a 100,000 lives would be saved annually"! Really.

Or, how about the ever present focus on the physicians with messaging about having the best specialists in the region. And just so happens that these same physician practice medicine at the hospital down the street or across town. Hmm, does that make less qualified at the other place?

Then there is the here are the insurance plans we accept, you're the center of our world, followed by the we have big screen TVs and private rooms!

Let us not forget for a new hospital that just opened, "the air in your room is like the clean air in surgery."

I think, that pretty much for the most part, sums up the current state of hospital advertising.

And when several hospitals are staying all of these things at the same time in a market, do you really believe that the consumer is paying any attention at all, when there is so little differentiation, it all looks like "me too" and just shouting for attention?

I am sure it makes the Board, senior management and physicians feel good. All the while your audience receives absolutely no information that will help them make some of the most critical choices and decisions in their life.

And that can't go on any longer.

Time really to stop treating the healthcare consumer like they are some kind of idiot. People are coming to the realization that healthcare is not such the "black box that the consumer can't possibly "understand the complexity of medical care".

Time for meaningful information in the marketplace that will allow the healthcare consumer to become informed, educated and participatory in the care decision-making process. Time for marketing to begin to lead in hospitals instead of being order takers, and talking nonsense in their markets.

You should be transparent and talking about your outcomes. You need to engage in a meaningful dialogue that gives individuals the information that they want and need. The healthcare consumer is hungry for information and are searching the internet and other sources about you and how you perform. They are paying more of the cost. Demanding more say in what goes on. And don't like being treated like they are some small child who can't make a decision.

To use an often quoted metaphor, the wave of change is upon the hospital industry as we move from provider-dominated and controlled decision-making, to consumer and patient-directed, controlled healthcare. Your choice, change, be responsive and surf the wave to success, or be washed over and deposited on the ash heap of history.

Michael Krivich is an internationally followed healthcare marketing blogger with over 4,000 monthly pages views in over 52 countries worldwide. He is founder of the michael J group, a healthcare marketing consultancy dedicated to creating value through strategic marketing for hospitals and health system regardless of payment mechanism, either fee-for-service or value-based to increase market-share, revenue , brand and demonstrate actual return on marketing investment. Michael is a Fellow, American College of Healthcare Executives and a Professional Certified Marketer, American Marketing Association.

How can you successfully market your ACO?

Now that PPACA is the law of the land, private and public ACOs will be springing up like weeds in a field. It may really be the last best chance to bend the cost and quality curve of the American healthcare system which is unsustainable. After all, its now about the right care; at the right time; for the right cost; in the right care setting.

In the end though, the basic premise remains the same, to engage the patient, aka the healthcare consumer, in the care and treatment decision making process. The marketing challenge before you is to attract members to your ACO, engage and retain them with outcome and price transparency delivered with an exemplary customer/patient experience.

In entering the brave new world of ACOs, here are some things that you need to consider for marketing:

1.) Transparency and Quality dashboards. This is about improving care, using best practices, learning and improving as a system to the individual level, by engaging the patient. If you do not plan to report back on at least a quarterly basis to your audiences, you will not be successful. You must be prepared to provide individual level utilization and quality patient reports, to engage the person in a meaningful way, to create change health behaviors, foster appropriate utilization of services and reduce costs.

2.) Voice of the Customer (VoC) program. You gave to be in constant contact and monitoring member attitudes, beliefs and reactions to you. VoC. It's all part of the patient experience program and process. These are open networks, if you are not fully and completely customer focused, trouble will ensue and it won't be pretty,

3.) Ongoing customer experience management program and process. This isn't just about delivering a exceptional customer service at the point of care. You must identify all customer touch-points, from beginning contact to end point, and mange that experience across all of those touch-points.

4.) Highly integrated marketing plans. You will need to integrate your messaging like never before across the traditional, online, mobile and social media platforms. You can't afford not too. You also need a presence in all platforms. One that is sustainable over time through dedicated marketing resource allocation. One shot ads won't work ; develop sustainable integrated campaigns.

5.) Comprehensive member communications. Ongoing communications beyond health and wellness tips. Communications that are individualized, engage the patient and are meaningful. They must also be delivered the way that the member wants them, be it on an Ipad, member web portal, email, hard copy etc. One size does not fit all.

6.) White pares and case studies. This is about transparency and quality that is data driven. It's about accountability to your members, payers, employers and physicians. Medical device, pharma and specialty pharmacies have been engaged in white papers and case studies driven by data for years. And it works. But, it will make you uncomfortable if you have never engaged in this type of activity and communication vehicle .

7.) Marketing leadership. Marketing especially in most, not all hospitals and health systems, needs to move from the basement and take its seat at the senior management table, reporting directly to the CEO. . Marketing now needs to be seen in hospitals and health systems as a defined, accountable strategy , that is fully integrated into the business plan. That doesn't happen if marketing is not present and engaged in the discussions at the highest possible level.

8.)Return on Marketing Investment (ROMI). In an ACO, there is just no doing things because someone wants them. Every action must be measureable against a defined goal and objective. Every action must have a call to action. Every action must evaluated against a predetermined ROMI. If you are not held accountable and your activities are not measured, then how will you know you were effective and produced results. What gets measured get done.

9.) Marketing automation systems. Need I say more. Marketing needs these systems to understand markets, track activities and campaigns, as well as produce various marketing reports and dashboards. This really in concept is no different than financial reporting, clinical reporting, quality reporting systems etc. Capital budgets will have to be allocated to marketing in order to automate marketing functions and planning.

10.) Marketing staff evaluation. This is probably the hardest activity, but few have the level of staff with the expertise and capability, to operate in an ACO environment. You don't know, what you don't know. Clayton Christensen understands and says, " ACOs are a disruptive business model and they must compete for consumers. Providers that are not accountable and transparent will lose, and those that meet patient needs and improve care will win." Your marketing staffing, organizational structures and resources will be to be changed and adjusted in order to meet new market conditions.

Michael Krivich is an internationally followed healthcare marketing blogger with over 4,000 monthly pages views in over 52 countries worldwide. He is founder of the michael J group, a healthcare marketing consultancy dedicated to creating value through strategic marketing for hospitals and health system regardless of payment mechanism, either fee-for-service or value-based to increase market-share, revenue , brand and demonstrate actual return on marketing investment. Michael is a Fellow, American College of Healthcare Executives and a Professional Certified Marketer, American Marketing Association.

Is your healthcare marketing evolving?

Living in two worlds is never easy. One side of the healthcare marketing coin is generating demand to put "heads in the beds" for fee-for-service payments. The other is managing demand to keep people out of the hospitals in a value-based payment model. Care delivered in the most cost efficient and effective setting which may not be a hospital or hospital-based outpatient service.

Accountability, transparency, price and value are the new expectations. And your time for adapting is running out. By 2016 an inflection point will be reached where value-based healthcare payment passes fee-for-service healthcare. You will be managing demand instead of generating demand. And that is a very different skill set than what most healthcare organizations have today.

Here are some ideas about what healthcare organizations need to be doing too live in two worlds.

Managing the Patient Experience

Patient experience means just that- understanding what that patient experiences is at all touch points. And then changing or managing that experience to its fullest potential for the benefit of the patient and the organization. Patient experience is an integrating process across the entire organization internally and externally. One organization to the patient, one patient to the organization. It is not simply another quality program or flavor of the day.

Understanding and Executing Demand Management

The hospital is no longer the center of the healthcare universe. Marketing needs to understand what the demand for healthcare services will be, when they will be needed and manage that demand making sure that the hospital or health system has the right resources, in the right place, at the right time to meet demand. The days are coming to an end where marketing departments will be driving demand to fill hospital beds. They will drive demand to the appropriate place and location of service.

Marketing the Manager of Change

Who better in an organization than for marketing to manage the healthcare organizations transformation from an inward-focused it's all about me, to an outward-focused market and consumer driven organization? Open to much debate, this is probably the most controversial look at the expanding role of marketing. Individual who have looked internally at their organizations all of their careers, do not necessarily have the skills, training or abilities to change an organization 180 degrees. And that is the type of change we are talking about here.

Where is the brand equity?

You really have to figure out how to build brand equity for the consumer in the world. Brand equity is not built overnight, it takes years. For insurers they are ahead of the game and probably most doctors, even though their brand equity is more by chance than actual effort and planning. But hospitals, they are way behind the brand equity curve unless you are a Mayo Clinic, M D Anderson, Cleveland Clinic, John Hopkins and a few select others.

How can you build brand equity?

There is no simple answer, it is a combination of changing internal processes and systems ( customer experience management) to become more consumer-friendly and efficient. It's about adapting technology that will reduce errors and improve decision-making. It's about changing marketing and communication activities from what you do, to the value of what you do. You will need to engage in meaningful ways the healthcare consumer. You will need to become price and quality transparent. You will need to respond to each individual consumers healthcare needs.

Is your healthcare model evolving?

Michael Krivich is an internationally followed healthcare marketing blogger with over 4,000 monthly pages views in over 52 countries worldwide. He is founder of the michael J group, a healthcare marketing consultancy dedicated to creating value through strategic marketing for hospitals and health system regardless of payment mechanism, either fee-for-service or value-based to increase market-share, revenue , brand and demonstrate actual return on marketing investment. Michael is a Fellow, American College of Healthcare Executives and a Professional Certified Marketer, American Marketing Association.

Should outcomes transparency drive outpatient healthcare marketing?

Is nearly everyone missing the most important piece of the marketing puzzle to generate demand, revenue and market share in outpatient healthcare? Especially with the market competition heating up between hospital owned physicians/ clinics and the private sole practitioners/multi-specialty or single specialty group practices and retail clinics.

One area that is greatly lacking in most outpatient healthcare marketing, is an intelligent dialogue on your outcomes with your audiences. Payors', pharma and medical device, have recognized this and are leading in the use of quality and outcomes data to drive decision-making. It is time for the rest of the healthcare industry to catch up. And in my experience, it works, driving demand, volume, revenue and market share.

Where is the outcomes and quality data?

I maintain that even in this economy, there are healthcare dollars out there. Healthcare consumers willing to spend those dollars, if only that had a compelling reason to do so. With all other marketing avenues exhausted, healthcare executives weary from being in "survival mode" and facing new revenue pressures, one would think healthcare marketing would be able to answer some of these challenges.

Maybe it's time to give the healthcare consumer be it physicians, payers, government, employer, individual or family, or any other stakeholder you can identify, quality and outcomes data to make decisions?

That's really the only avenue left for healthcare providers, to start talking about quality and outcomes. Engaging in a meaningful dialogue, that goes beyond accreditation logos and quality awards from third parties, to an actual honest-to-goodness quality and outcomes disclosure and discussion.

A few healthcare providers are willing. Most are afraid of this direction. But, it's a strategy and tactic that can break the current cycle of avoidance and loss. Recognizing that your customers are best served by the healthcare organization that places them first in a meaningful way.

You have some choices here. Stay the course and do what you have been doing. Get lost in an endless paralysis by analysis loop. Mimic your competitors. Talk about quality and outcomes in vague terms. Or, be the first in your market, to establish a clear strategic marketing plan focused on your healthcare consumers about your brand, quality and outcomes.

If you are not willing to change, then don't expect a different outcome from doing the same old healthcare marketing that you have been.

Sooner or later, you are going to have to do this. Oh, and don't forget about price.


Michael Krivich is an internationally followed healthcare marketing blogger with over 4,000 monthly pages views in over 52 countries worldwide. He is founder of the michael J group, a healthcare marketing consultancy dedicated to creating value through strategic marketing for hospitals and health system regardless of payment mechanism, either fee-for-service or value-based to increase market-share, revenue , brand and demonstrate actual return on marketing investment. Michael is a Fellow, American College of Healthcare Executives and a Professional Certified Marketer, American Marketing Association.

How Will You Market Your ACO Solution?

Now that the final rules for ACOs have been released by CMS, it seems that there is more positive interest in the ACO model first proposed under PPACA. The basic premise remains the same, to engage the patient, aka the healthcare consumer, in the care and treatment decision making process. Medicare ACOs remain open networks, meaning that members can go outside the ACO for service.

The marketing challenge before you is to attract members to your ACO, engage and retain them.

You must be prepared to deliver an individualized experience that meets the needs of that patient. A mass customization, of your patient experience process, down to the individual level. One size does not fit all.

In entering the brave new world of ACOs, here are some things that you need to consider for marketing:

1.) Clear and easily stated Value Proposition. Not a mission statement, this is crucial for communications and focusing the message to members, employers, payers, government and community. Not flowery or full of jargon. It's your elevator speech that can be delivered in 30 seconds about your ACO, what you do and the value it brings. Twenty-five words max.

2.) Transparency and Quality dashboards. This is about improving care, using best practices, learning and improving as a system to the individual level, and by engaging the patient. If you do not plan to report back on at least a quarterly basis to your audiences, you will not be successful. You must be prepared to provide individual level utilization and quality patient reports, to engage the person in a meaningful way, to create change health behaviors, foster appropriate utilization of services and reduce costs.

3.) Voice of the Customer (VoC) program. You gave to be in constant contact and monitoring member attitudes, beliefs and reactions to you. VoC. It's all part of the patient experience program and process. These are open networks, if you are not fully and completely customer focused, trouble will ensue and it won't be pretty,

4) Ongoing customer experience management program and process. This isn't just about delivering a exceptional customer service at the point of care. You must identify all customer touch-points, from beginning contact to end point, and mange that experience across all of those touch-points. Here is what a customer experience program looks like:

5.) Highly integrated marketing plans. You will need to integrate your messaging like never before across the traditional, online, mobile and social media platforms. You can't afford not too. You also need a presence in all platforms. One that is sustainable over time through dedicated marketing resource allocation. One shot ads won't work; develop sustainable, integrated campaigns.

6) Comprehensive member communications. Ongoing communications beyond health and wellness tips. Communications that are individualized, engage the patient and are meaningful. They must also be delivered the way that the member wants them, be it on an Ipad, member web portal, email, hard copy etc. One size does not fit all.

7.) White pares and case studies. This is about transparency and quality that is data driven. It's about accountability to your members, payers, employers and physicians. Medical device, pharma and specialty pharmacies have been engaged in white papers and case studies driven by data for years. And it works. But, it will make you uncomfortable if you have never engaged in this type of activity and communication vehicle .

8) Marketing leadership. Marketing especially in most, not all hospitals and health systems, needs to move from the basement and take its seat at the senior management table, reporting directly to the CEO.  Marketing now needs to be seen in hospitals and health systems as a defined, accountable strategy , that is fully integrated into the business plan. That doesn't happen if marketing is not present and engaged in the discussions at the highest possible level.

9.)Return on Marketing Investment (ROMI). In an ACO, there is just no doing things because someone wants them. Every action must be measureable against a defined goal and objective. Every action must have a call to action. Every action must evaluated against a predetermined ROMI. If you are not held accountable and your activities are not measured, then how will you know you were effective and produced result?. What gets measured get done.

10.) Marketing automation systems. Need I say more. Marketing needs these systems to understand markets, track activities and campaigns, as well as produce various marketing reports and dashboards. This really in concept, is no different than financial reporting, clinical reporting, quality reporting systems etc. Capital budgets will have to be allocated to marketing in order to automate marketing functions and planning.

11.) Marketing staff evaluation. This is probably the hardest activity, but few have the level of staff with the expertise and capability, to operate in an ACO environment. You don't know, what you don't know. Clayton Christensen understands and says, " ACOs are a disruptive business model and they must compete for consumers. Providers that are not accountable and transparent will lose, and those that meet patient needs and improve care will win." Your marketing staffing, organizational structures and resources will be to be changed and adjusted in order to meet new market conditions.

Is there more? Yes. But you have to start somewhere. Marketing can't be just an after-thought. Too much is at stake.

Can Transparency on Outcomes and Quality, Increase Volume, Revenue and Market Share?

Tough economy and getting worse. Hospital volume, scripts and specialty drug orders, flat or down. Little differentiation among competitors in many healthcare verticals. New proposed cuts in Medicare and Medicaid spending. High unemployment with no end in sight. Political gridlock. Healthcare payment models evolving from production payment focused on care delivered, to pay-for-performance based on quality outcomes. Price competition. And finally, a growing empowered healthcare consumer, taking control and playing an active part in the healthcare decision-making process.

With all this transpiring, most are taking the same past course of marketing action. Advertise services by making claims of world-class service. "Me too" messaging, attempting to driving volume because we focus all of our efforts and resources around you. (Isn't that what you are supposed to do anyway?) Sales forces all focusing on the same a therapy or drug class in specialty pharmacy which, in most cases, is the same as the specialty pharmacy down the street.

But nearly everyone, is missing the most important piece of the puzzle to generate demand, revenue and market share.

Where is the outcomes and quality data?

One area that is greatly lacking in most healthcare marketing, is an intelligent dialogue on your outcomes with your audiences. Payors', pharma and medical device, have recognized this and are leading in the use of quality and outcomes data to drive decision-making. It is time for the rest of the healthcare industry to catch up.

And in my experience, it works. Driving demand, volume, revenue and market share.

I maintain that even in this economy, there are healthcare dollars out there. Healthcare consumers willing to spend those dollars, if only that had a compelling reason to do so. With all other marketing avenues exhausted, healthcare executives weary from being in "survival mode" and facing new revenue pressures, one would think healthcare marketing would be able to answer some of these challenges.

Maybe it's time to give the healthcare consumer be it employer, individual or family, or any other stakeholder you can identify, quality and outcomes data to make decisions?

That's really the only avenue left for healthcare providers, to start talking about quality and outcomes. Engaging in a meaningful dialogue, that goes beyond accreditation logos and quality awards from third parties, to an actual honest-to-goodness quality and outcomes disclosure and discussion.

Few healthcare providers are willing. Most are afraid of this direction. But, it's a strategy and tactic that can break the current cycle of avoidance and loss. Leadership. Courage. The ability to be visionary. Recognizing that your customers, are best served by the healthcare organization that places them first in a meaningful way.

You have some choices here. Stay the course and do what you have been doing. Get lost in an endless paralysis by analysis loop. Mimic your competitors. Talk about quality and outcomes in vague terms. Or, be the first in your market, to establish a clear strategic marketing plan, focused on your healthcare consumers, about your brand in terms of quality and outcomes.

Sooner or later, you are going to have to do this.

If you are not willing to change, then don't expect a different outcome from doing the same old healthcare marketing that you have been.

You can continue the conversation with me on:
LinkedIn: http://www.linkedin.com/in/krivich0707
Twitter:    http://www.twitter.com/mkrivich
Web site: http://www.themichaeljgroup.com

For more information, or to discuss your strategic healthcare marketing, customer experience management, marketing/sales integration or start-up needs, you can learn more at my web site the michael J group; email- michael@themichaeljgroup.com; or phone by calling me at 815-293-1471.

What Should Hospitals Advertise?

That question of course, assumes that you believe hospital advertising is appropriate. And you may well believe that it is also a waste of resources. Which I think is a most dangerous position, given the ongoing transformation of the healthcare market from a provider-directed to a consumer-directed or as some prefer a patient -directed model.

Arguments aside, what should hospitals be advertising to create an unassailable market position, a strong brand, as well as an enlightened and informed consumer? Remember, when you are marketing to consumers, they don't become a patient until they receive a service from you. So three-quarters of the time in their interactions with you, the "consumer" is only a "patient" during diagnosis and treatment.

Should it be being the best at all things or a category of service?

How about having the most current technology?

Maybe it could be who has the most quality awards and highest patient satisfaction?

Or, it could focus on the physicians with messaging about having the best specialists in the region?

Then, there is the here are the insurance plans we accept, followed by the, we have big screen TVs and private rooms.

I think, that pretty much for the most part, sums up the current state of hospital advertising. And when several hospitals are staying all of these things at the same time in a market, do you really believe that the consumer is paying any attention at all, when there is so little differentiation, it all looks like "me too" and just shouting for attention?

I am sure it makes the Board, senior management and physicians feel good. All the while your target audience receives absolutely no information that will help them make some of the most critical choices and decisions in their life.

And that can't go on any longer.

Time really to stop treating the healthcare consumer like they are some kind of idiot. People are coming to the realization that healthcare is not such the "black box that the consumer can't possibly understand the complexity of medical care".

It's time for meaningful information in the marketplace that will allow the healthcare consumer to become informed, educated and participatory in the care decision-making process. Time for marketing to begin to lead in hospitals instead of being order takers, and talking nonsense in their markets.

You should be transparent and talking about your outcomes. You need to engage in a meaningful dialogue that gives individuals the information that they want and need. The healthcare consumer is hungry for information and are searching the internet and other sources about you and how you perform. They are paying more of the cost. Demanding more say in what goes on. And don't like being treated like they are some small child who can't make a decision.

To use an often quoted metaphor, the wave of change is upon the hospital industry as we move from provider-dominated and controlled decision-making, to consumer and patient-directed, controlled healthcare. Your choice, change, be responsive and surf the wave to success, or be washed over and deposited on the ash heap of history.

You can continue the conversation with me on:
LinkedIn: http://www.linkedin.com/in/krivich0707
Twitter: http://www.twitter.com/mkrivich
Web site: http://www.themichaeljgroup.com/

For more information, or to discuss your strategic healthcare marketing, customer experience management, marketing/sales integration or start-up needs, you can learn more at my web site the michael J group; email- michael@themichaeljgroup.com; or phone by calling me at 815-293-1471.

Do You Know the Value of Your Healthcare Brand?

Changes at the speed of light in the various healthcare marketplaces, impact brands in very significant ways. Mergers, acquisition, new companies and non-traditional models for delivering care, are creating a dizzying array of healthcare brands for the consumer. Some brands go way. Some remain as hybrids, dying a slow death. Some even stay in the market with just a tag-line identifying the parent company.

Your brand image, brand promise and brand architecture have a value that impacts you organization in two ways, revenue and image. Have you quantified that the value your brand has on your revenue stream? And have you created a rock solid brand architecture that accounts for mergers and acquisitions, to eliminate the "my company name Is better" arguments that go on internally post acquisition, when the issues are not addressed up front?

Your brand has a dollar value.

For example, the Walgreens brand has been valued at $1 billion. What this means is that if Wal-Mart, or Target had the same brand awareness and image as Walgreens, their revenues would be $1 billion higher than currently reported. And that value carries over as WAG moves into retail healthcare, out- branding, out-pricing and out-delivering you, the traditional healthcare provider.

Healthcare is changing from a dominated provider model in the U.S. to an employer and consumer-driven model. And that means that your healthcare brand is everything. As you view changes in your organization to talk more about outcomes, quality and price, so should you be talking internally about what the value of your brand is, how it relates to consumers and the steps you need to take in the marketplace to improve.

If you do not know what the dollar value of your brand is, then you are missing an important leverage point negotiations. I mean really, my brand name can't go away because I believe that it has more value than you, or the ever popular, "our brands are equal keep them both". Nonsense. Data talks, all else walks. Know your brand value and it may have a better chance of surviving.

Now, that being said, if you are being acquired by a multibillion dollar company with a strong brand architecture, give it up and count your money. You will survive longer if you go with the program instead of fighting it.

Brand is important in a rapidly consolidating industry.

Healthcare is at the beginning start of a massive consolation from small individual cottage-industry type organizations e.g., specialty pharmacies, home agencies, infusion centers and hospitals to become part of larger organizations to survive. It is more important than ever, that you have clear and unbiased understanding of your brand, its strengths and weaknesses, but most importantly, its dollar revenue value in the marketplace.

As employers and consumer takes more control of their healthcare, your brand will be more important than it is today. But if you don't understand the value of that brand, then you are missing a golden opportunity.

You can continue the conversation with me on:
LinkedIn: http://www.linkedin.com/in/krivich0707
Twitter: http://www.twitter.com/mkrivich
Web site: http://www.themichaeljgroup.com/

For more information, or to discuss your strategic healthcare marketing, customer experience management, marketing/sales integration or start-up needs, you can learn more at my web site the michael J group; email- michael@themichaeljgroup.com ;or phone by calling me at 815-293-1471.

Marketing to the Networked Patient

Healthcare is changing at a far more rapid pace that at any time in its history. I am not referring to the pharmaceutical or technological advances which have no doubt improved the quality of care and in most cases, the quality of life as well.

Since 1983 with the introduction of DRGs, we as an industry have been touting the benefits of wellness, individual responsibility in health and the patient taking an active role in their healthcare. Much has changed since that time and much has remained the same. But now, the game has really changed.

Welcome to the age of the networked patient.

The networked patient is someone who has an intense curiosity about their health condition, expects to have an active role in making healthcare decisions and this is most important, they want control of their health information. They use in internet, social media and seek out others. They read and study about their health condition. They ask questions and will seek out alternatives. The look at providers from a quality standpoint and make judgments based on that information. They want an answer to their own needs.

The patient is asking what is their ROI by using you?

The days are quickly passing by where we can assume that we are still in control of the overall care and treatment process and information without much questioning or interaction by a patient. And you know what, that is not a bad thing.

Marketing to the networked patient

There are some key to keep in mind when starting to market to the networked patient:.

Your brand, your brand promise and messaging is all important;

Quality data transparency, reporting and patient access to same is everything;

 Access to their own health information 24/7 is a deal breaker if not provided;

Talk about the patient experience and outcomes;

Don't insult this patient with messaging that is all fluff, about us or is just plain condescending;

All communication needs to be personalized talking to the patient not at them;

Use all available communication channels- Iphone apps, email, social media, web site blue button, direct mail, etc.

Be creative, this is uncharted territory so limits are nonexistent and don't place any on yourself. Stop saying, why we can't do something, start saying how we can. This is a major change in the way healthcare is administered and delivered in the U.S. Providers need to recognizing that the age of the healthcare consumer is upon us. Failure to do so will be at your own peril.

You can continue the conversation with me on:

LinkedIn: http://www.linkedin.com/in/krivich0707
Twitter: http://www.twitter.com/mkrivich

Michael Krivich is Fellow, American College of Healthcare Executives and a Professional Certified Marketer, American Marketing Association and can be reached at michael@themichaeljgroup.com or 815-293-1471 for consulting services in strategic marketing, integration of sales and marketing, media relations and interim marketing executive leadership assignments. Huthwaite SPIN selling trained and a Miller Heiman Strategic Selling alumni, both highly respected and successful international sales training organizations , I can lead your organization though the challenge of integrating sales and marketing.