Can you have patient/customer evangelists in healthcare?

With the dynamic and changing healthcare environment, satisfaction with services is but one indicator, abet an important one, in qualifying for additional incentive payments in a value-based payment model. But satisfaction is really only a measure of future potential purchase or repurchase. It is not as commonly assumed, to be a predictor of loyalty. Just because someone says they are likely to return or recommend you to another, is only an indicator of potential purchase not loyalty.

The hospital CEO, medical business leader, managing partner, vice president, director, manger and employees need to be focusing on creating customer evangelists to not just survive, but grow and thrive in a value-based healthcare payment system.

A customer evangelist is an individual, who has such an outstanding experience that they freely become your brand spokesperson in the community. They are not paid. They have no financial sake in your survival, but have come to believe so completely in what you do, they drive business to you.

Notice I did not say patient or customer satisfaction. Anyone can have good and even high patient satisfaction scores. But, that my friend is the fix you are in. High satisfaction scores do not for one minute translate into customer evangelists. Don’t stop measuring satisfaction; you have to for a variety of reasons. I say focus on creating customer evangelists through outstanding patient-centered, or customer-centered experiences and the scores will be fine.

Ask yourself these questions.

Do you want an unassailable position in the market?

Do you want to be the market leader in healthcare?

Do you want to grow and not merely survive?

Do you want the area's best doctors on your medical staff?

If you answered yes to all the above, then you need to focus on creating patient/customer evangelists.

No better time then like the present to start.

Do you put context and content around your healthcare awards for consumers?

It sure seems like it's the season to display all those healthcare award logos in advertisements, direct mail pieces, billboards, lobby displays and a myriad of other places. This becomes even more entertaining when two or more hospitals in the same market display the same award. Don't take me wrong. Tremendous organizational effort has taken place to achieve a quality ranking by an third party.

Is just putting the award logo out there without the contextual content about what it means, serving the healthcare consumer in a meaningful way?

This is an important question for you to consider. It's not easy putting context and meaningful content together for consumers around a quality or certification award. But just putting the logo out there as some "Good Housekeeping Seal of Approval" isn't working either.

And the evidence starting to appear anecdotally, that healthcare consumers aren't buying what you are selling. An award logo means nothing to them and has no influence on their decisions.

They don't believe you.

In an industry where meaningful differentiation is hard to come by, one would think that healthcare organizations would make an attempt to educate, explain and place context around the award. With healthcare changing so rapidly on a what seems to be a daily basis, how is a healthcare consumer to make any kind of informed utilization decision based on an award logo?

What does it mean to a consumer to be named best-in-class?

You have a responsibility to place contextual content around what that award means, so that in the minds and eyes of the healthcare consumer, they gain understanding what that award means and what it means for them.

Consumers are expecting you to put contextual content around the quality award.

This is your chance in a meaningful way, to differentiate you from your competition in the marketplace. You can achieve that differentiation with those quality and operational awards from third parties, provided that you wrap them in context and content.

It will enhance your brand.

It will enhance your reputation.

It will enhance your value proposition.

It can drive revenue.

The healthcare award will not make a difference, untless you stop displayong the award logo out there, without meaningful context and content that resonates with the healthcare consumer.

Educate. Explain. Inform. Differentiate.

You may have noticed that I haven't posted much in the last couple of weeks. I have accepted a full-time position in healthcare information technology marketing. Now that things have settled down somewhat, I am back to writing about my love and passion, strategic healthcare marketing. The schedule of postings will be different, but weekly they shall remain.

Thanks for reading.

Where is your market research in patient/customer experience management?

Or, the dangers of viewing the customer-patient experience management process, thinking you know it all, it's easy to do, or only use patient satisfaction survey results.


And from the questions I get from healthcare professionals around the country, it became very clear that a key element is missing from most efforts at improving the patient experience.

Healthcare providers, aka hospitals for the most part, are not doing the required quantitative and qualitative market research on patient experience, attitudes, behaviors and expectations in their market place. They are assuming that because they read an article, go to a seminar that they know it all. They are only using patient satisfaction survey data, lean six sigma results and their previous quality improvement efforts. Few are actually talking to patients.

Had you been conducting market research on your customers-patients in the experience management process outside of  internal patient interactions, you would  be much better off. But unfortunately, most customer-patient experience management programs are focused on the 1/3rd of the encounter as a patient.

Where do you go from here?

It's important to view Customer-Patient Experience Management(CEM or PEM) in its totality, not as one service or clinical line experience. It may be for you, but to the healthcare customer-patient who experiences your organization across numerous touch-points, it's not. They aggregate all of it into one overall experience. You, as a healthcare provider, need to understand the expectations and experiences through quantitative and qualitative analysis. Then integrate that information and learning's into your efforts.

Part of the process of experience management, is actively managing customers-patients experiences to meet expectations and change their experiences, to drive revenue and market share. It's not all about the patient satisfaction numbers. CEM or PEM have definable and measurable financial outcomes. But you cannot achieve those revenue outcomes if you are not looking at experience management in its totality. And that means doing the necessary market research.

By not fully understanding your customer-patient in their totality, you are not successfully managing their experience or expectations.

The wave is here to use an oft quoted metaphor. Its consumer-directed not provider-directed healthcare. And the sooner you get it, that its not about you, but about the patient, and start looking at the customer experience in its totality, the better the chances of your survival in the coming years.

You don't have all the answers.

Where is the patient experience and satisfaction in your healthcare marketing?

Patient experience and satisfaction is no longer a nice too have, but a got to have in healthcare. Difficult to achieve and tough to beat once you have it, experience and satisfaction with your medical products, clinical services and processes regardless of the vertical, be it specialty pharmacy, medical device, pharma, hospitals, doctors etc., will drive revenue. Revenue from the standpoint of Pay-for-Performance (P4P) programs and volume from consumers aka patients, selecting you in a very commoditized and provider undifferentiated healthcare market place. As you create your networks, Accountable Care Organizations (ACOs), Medical Homes (MHs) and other yet undefined organizations, you have the opportunity to "get it right" this time.

The healthcare consumer of today, will view your services as: value= f(cost, quality, satisfaction) as compared to the near past where value= f(cost, quality). Value here is the defining moment and is a function of cost, quality and satisfaction with you.

Why is it important?

High levels of experience and satisfaction are a powerful differentiator on your market.

Done correctly, your experience improvement and satisfaction program becomes the ongoing Voice of the Customer (VoC) program to drive real organizational change.

It is a strategic and tactical edge for your brand and your marketing communication efforts.

Think customer evangelization.

Think of the power of a high-quality experience and exemplary satisfaction, and what that can do for your marketing campaigns. What it can do in your effort to differentiate.

The choice is yours. The marketing implications, strategies and tactics are clear. Lead or be left behind.

How are you marketing your healthcare services to retired Baby Boomer's?

Heard an interesting statistic the other day, on a commercial no less. So for the discussion lets assume it's true. (Remember those FTC Truth-in-Advertising regulations?) That there are 10,000 people retiring every day. Kind of makes you stop and wonder, how do you reach out to a group that has changed every aspect of life and products as they moved through time? And I think that means that they won't necessarily need healthcare services, until the later years of their retirement. Or at the very least, wanting the ones you offer and the way you offer them today.

So instead of future happy days the docs are busy, the ER is bustling and the beds are filled, it may be more of asking where is everyone?

This group is healthier. Expects product and services to conform to their will and in the way they want them delivered. Expects an exceptional level of service and experience. Expects to be involved in the decision-making process. Values freedom, choices and uses mobile technologies. Does its homework and asks questions.

Which means, your healthcare marketing strategy and tactics probably needs to change.

That means the way you approach markets, the marketing channels you use, the way you communicate, your brand message, your value proposition, the patient experience, reporting on quality that is transparent and useful, as well as being able to listen to what healthcare consumers are telling you and responding accordingly. May even mean changing what healthcare services you offer.

With all the new payment models, combined with diagnostic and treatment alternatives to traditional hospital-based services, in more convenient and experience friendly settings, talking at people isn't doing your healthcare brand any favors. Especially when an aging population is used to choice and having it their way.

So as you think about your healthcare marketing challenges in 2012 and the years ahead, just remember that your audience is changing, expecting more and may even be using you less than at any other time in history.

Which also may mean, that healthcare marketing could be a significant piece of the puzzle that is missing from your business strategy.

After all, both my 89 year old Aunt's are on facebook and LinkedIn.

Is it time to tell consumers how they can afford your healthcare services?

Two reports came out this week. One about the slow growth of healthcare costs. The other, that people are delaying treatment, not filling prescriptions, nor taking meds etc., for a variety of reasons. Some reasons for this include the economy, loss of employment and health insurance, more high deductible plans, employers moving to defined contribution and so on.

Volume is down. Revenue is down. Marketing scaled back in some cases, or increased, attempting to drive selection and utilization from people who just may not be that interested because simply, they can't afford it.

Don't take me wrong. You have to run marketing campaigns. The economy is slowly turning around and there is a lot of pent up healthcare demand. You have to maintain brand image and awareness. You have to maintain your position in the marketplace.

But, is messaging all the shiny new equipment and facilities, "best docs", awards etc., the way to entice selection, leading to volume and revenue increases?

I don't think so.

If your audience has no interest in you because they can't afford it, then maybe you need to adjust your messaging. Become creative in communicating how people can afford your healthcare services.

That doesn't mean advertising and campaigning that you have all these charity care programs, (it may help you with your State's Attorney General and legislatures hot buttons regarding hospital charity care expenditures) but by being creative and developing alternatives so that individuals can become your healthcare consumer.

Take a look at Walgreens, CVSCaremark and Rite Aid on how they are tackling this issue. Let's get past shall we, the "well, they are drug stores pushing pills so it's different" argument. The point is, is that they have seen the challenges in the marketplace that healthcare consumers are having. They have responded with affordable healthcare solutions. And it's not only pills, it's physical exams, some tests and vaccinations. Specialty pharmacies have answered the bell. So have pharmaceutical manufacturers and others.

As healthcare providers, you need to start messaging solutions to the healthcare consumers health issues. You need to change your focus and attention from the here we are doing great things, to here we are and this is how you can afford these great things. That means new programs, new services, all focused around convenience, assistance with the cost and affordability issues, coupled with real demonstrated quality.

If you want to stop "surviving" and grow revenue and volume, you have to provide affordable healthcare solutions. It's like the old marketing lesson and question about railroads. Are you in the railroad business or the transportation business? Same for hospitals and others. Are you in the hospital business, or the healthcare business? You can't say you're in the healthcare business and only message about the hospital etc.

Today's healthcare market demands that you understand the needs of your consumers and develop those services and programs that allow them to afford you.

Do it now and you will have a customer for life.

Where is the data to back up your ad claims?

This isn't hypothetical anymore. For better or for worse, we, as a healthcare marketing professionals, continue to use terminology in our campaigns like best doctors, centered around you, university level healthcare, world class, highest care, etc., all in an effort to differentiate us from the guy down the street. Attempting to create the brand impression that we somehow we are different, without every really saying anything. Except for making a lot of claims.

So now, a savvy healthcare consume, grabs the ad, and walks into your faculty and says, "Show me". "Show me the data that proves the claims that you are making." "Show me the patient satisfaction scores." "Show me the data that proves you provide University level healthcare." "Show me how your outcomes are different from the guy down the street."

Healthcare is entering a new phase in 2012. A phase with the actual implementation of ACOs, Medicare and private. The Supreme Court ruling on the PPACA. Budget reductions and sure to follow Medicare and Medicaid reimbursement reductions. And that is just to name a few.

This also means that as a starter to attract patients, aka the healthcare consumer, you will need more than trite slogans or messaging that make you feel good in your marketing campaigns. You are going to have to talk about outcomes whether you like it or not. And that means having the data available to prove your claims.

Besides, just because you're a Not-for-Profit, doesn't mean that you are not subject to the same Truth-in-Advertising laws and regulations under the Federal Trade Commission like everyone else. And for far too long, many NFP healthcare organizations have gotten away with it.

With the Justice Department taking a more aggressive stance by looking more closely at healthcare mergers and affiliations, your advertising becomes a focal point.

So really, it's time to clean it up. Time to stop viewing healthcare marketing as advertising and making things look pretty. Time to move marketing from the basement to the C-Suite. You're not a cottage industry anymore.

To not do so, is taking financial, brand and image risks that are avoidable.

What will be your reaction to a consumer walking in your doors and holding up that ad and saying, "Show me"?

Welcome to 2012, the year when things really change.