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Managing the hospital in-patient experience | Understanding where to invest

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Few would argue the importance of delivering a quality patient experience, but how do you determine where improvements would have the greatest impact? …

Few would argue the importance of delivering a quality patient experience, but how do you determine where improvements would have the greatest impact?

Siegel+Gale's Rolf Wulfsberg, PhD, Global Director of Quantitative Insights, shares a unique analysis of patient experience data from a national study of hospital patients.

+ Gain insights into the findings of our recent PinPoint™ study that examined the experiences of 500 hospital patients nationally

+ Learn how it is possible to segregate the impact of different touch points on the overall patient experience

+ See patient experience strategy maps that help inform investment decisions

+ Understand how the drivers of patient acquisition differ from the drivers of retention (e.g., word of mouth recommendations to others)

+ Learn some specific steps that can be taken to improve the hospital experience

Siegel+Gale is a global strategic branding firm committed to building world-class brands through elegantly simple, unexpectedly fresh strategies, stories and experiences. We deliver comprehensive services in brand development, simplification, research and digital media. Since our founding by brand sage and simplification pioneer Alan Siegel in 1969, Siegel+Gale's mantra has been "Simple is Smart."

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  • 1. A Siegel+Gale webinar July 23, 2014 Managing the Hospital In-Patient Experience
  • 2. 2 Our promise
 
 
 S+G is the simplicity company. We define, design and deliver compelling brand experiences that are both unexpectedly fresh and remarkably clear.

  • 3. 3 We create
 simplicity
 Research Brand strategy Brand architecture Experience strategy Simplification Content strategy Content development Naming Visual identity Environments Global implementation Employee engagement Digital experiences
  • 4. 4 Rolf M. Wulfsberg, PhD 
 Global Director, Quantitative Research •  Nationally recognized expert in survey research with 44 years of experience •  Author of the book Fact-Based Branding in the Real World: A Simple Survival Guide for CMOs and Brand Managers. •  PhD and MA in statistics from the American University and BA in mathematics and economics from Luther College (summa cum laude) •  Former Rhodes candidate and Woodrow Wilson scholar •  Served as an expert witness before the U.S. House of Representatives and the Pennsylvania Supreme Court !
  • 5. 5 Rolf M. Wulfsberg, PhD 
 Global Director, Quantitative Research
  • 6. 6 The in-patient experience affects a hospital from both an acquisition and retention standpoint
  • 7. 7 An 8-step process for prioritizing touchpoints and subsequent investments in those touchpoints 1.  Create a journey map that identifies the various touchpoints
  • 8. 8 An 8-step process for prioritizing touchpoints and subsequent investments in those touchpoints 1.  Create a journey map that identifies the various touchpoints 2.  Create a list of various service aspects within each touchpoint
  • 9. 9 An 8-step process for prioritizing touchpoints and subsequent investments in those touchpoints 1.  Create a journey map that identifies the various touchpoints 2.  Create a list of various service aspects within each touchpoint 3.  Measure satisfaction with the touchpoint and various performance aspects
  • 10. 10 An 8-step process for prioritizing touchpoints and subsequent investments in those touchpoints 1.  Create a journey map that identifies the various touchpoints 2.  Create a list of various service aspects within each touchpoint 3.  Measure satisfaction with the touchpoint and various performance aspects 4.  Determine the importance of each touchpoint to the overall experience
  • 11. 11 An 8-step process for prioritizing touchpoints and subsequent investments in those touchpoints 1.  Create a journey map that identifies the various touchpoints 2.  Create a list of various service aspects within each touchpoint 3.  Measure satisfaction with the touchpoint and various performance aspects 4.  Determine the importance of each touchpoint to the overall experience 5.  Determine the percent of all patients who experience the touchpoint in a given period of time and the resulting impact on the hospital
  • 12. 12 An 8-step process for prioritizing touchpoints and subsequent investments in those touchpoints 1.  Create a journey map that identifies the various touchpoints 2.  Create a list of various service aspects within each touchpoint 3.  Measure satisfaction with the touchpoint and various performance aspects 4.  Determine the importance of each touchpoint to the overall experience 5.  Determine the percent of all patients who experience the touchpoint in a given period of time and the resulting impact on the hospital 6.  Repeat Steps 4 and 5 for the performance aspects within each touchpoint to determine their importance and impact
  • 13. 13 An 8-step process for prioritizing touchpoints and subsequent investments in those touchpoints 1.  Create a journey map that identifies the various touchpoints 2.  Create a list of various service aspects within each touchpoint 3.  Measure satisfaction with the touchpoint and various performance aspects 4.  Determine the importance of each touchpoint to the overall experience 5.  Determine the percent of all patients who experience the touchpoint in a given period of time and the resulting impact on the hospital 6.  Repeat Steps 4 and 5 for the performance aspects within each touchpoint to determine their importance and impact 7.  Estimate the difficulty and/or cost associated with improvements to each performance aspect
  • 14. 14 An 8-step process for prioritizing touchpoints and subsequent investments in those touchpoints 1.  Create a journey map that identifies the various touchpoints 2.  Create a list of various service aspects within each touchpoint 3.  Measure satisfaction with the touchpoint and various performance aspects 4.  Determine the importance of each touchpoint to the overall experience 5.  Determine the percent of all patients who experience the touchpoint in a given period of time and the resulting impact on the hospital 6.  Repeat Steps 4 and 5 for the performance aspects within each touchpoint to determine their importance and impact 7.  Estimate the difficulty and/or cost associated with improvements to each performance aspect 8.  Create a plan for short-term, medium-term and long-term improvement investments
  • 15. 15 Step 1: 
 Create a journey map that identifies the various touchpoints
  • 16. 16 An example of a journey map
  • 17. 17 Siegel+Gale’s nationwide hospital in-patient survey Last year, Siegel+Gale conducted a nationwide survey of 500 patients or primary caregivers of patients who spent at least one night in a hospital in the previous 6 months
  • 18. 18 Siegel+Gale’s nationwide hospital in-patient survey 1.  Scheduling 2.  Emergency room 3.  Admitting (non-ER) 4.  Signage and way-finding 5.  Physicians 6.  Nurses 7.  Technicians 8.  Hospital room 9.  Testing facilities 10.  Patient transport 11.  Food 12.  Treatment/Procedure 13.  Status updates 14.  Discharge 15.  Billing The survey explored the in-patient experience with 15 touchpoints:
  • 19. 19 Step 2: 
 Create a list of various service aspects within each touchpoint
  • 20. 20 Example of service aspects for the hospital room touchpoint a.  Level of privacy I/my family member was provided b.  Comfort of the room c.  Cleanliness of the room d.  Bathroom facilities e.  Amount of room for visitors/ family f.  Noise level in the room g.  Availability of a working TV in the room h.  Temperature in the room i.  Comfort of the bed j.  Adequacy of storage for personal items k.  Lighting in the room l.  Visitor policies/visiting hours m.  Accessibility of call button and intercom to summon assistance
  • 21. 21 Step 3: 
 Measure the satisfaction with each touchpoint and each aspect of service within the touchpoint
  • 22. 22 Traditional measurement focuses on a single touchpoint Typically, a hospital measures the in-patient experience by conducting transactional surveys of patients who recently experienced a given touchpoint. The problem with this approach is that the various experiences are not independent of each other
  • 23. 23 Consider the following example of a business traveler on her way to an important meeting 1. After being delayed in traffic, she arrived at the kiosks to pick up her ticket only to learn that she has to see a representative at the counter
  • 24. 24 Consider the following example of a business traveler on her way to an important meeting 2. After a long wait in the counter line, she learns that the ticket was issued incorrectly and has to be reissued
  • 25. 25 Consider the following example of a business traveler on her way to an important meeting 3. She then encounters horribly long lines at the airport security checkpoint
  • 26. 26 Consider the following example of a business traveler on her way to an important meeting 4. Once through security, she realizes that her gate is at the end of a very long corridor
  • 27. 27 Consider the following example of a business traveler on her way to an important meeting 5. Upon arrival at her gate, she sees that her plane has already departed
  • 28. 28 Consider the following example of a business traveler on her way to an important meeting 6. She calls the airline customer service number to complain, but the damage has already been done: she missed her meeting
  • 29. 29 The result is an angry customer, but which touchpoint is to blame? If multiple touchpoints, how do you quantify how much each contributed? •  The initial reservations representative? •  The counter agent? •  TSA? •  The customer service representative? •  Someone or something else?
  • 30. 30 Step 4: 
 Determine the importance of each touchpoint
  • 31. 31 Traditional methods of prioritizing touch points Hospital staff discuss recent patient feedback, complaints, etc., and identify touchpoints that generate the most “noise” The hospital conducts transactional surveys and compares satisfaction to the stated importance of touchpoints
  • 32. 32 Touchpoints for a hospital patient
  • 33. 33 The fact that different patients touch different sets of touchpoints creates “missing data” ✔ H ✔ ✔ H ✔ H ✔ H ✔ ✔ H ✔ H H
  • 34. 34 Siegel+Gale’s nationwide hospital in-patient survey 1.  Scheduling 2.  Emergency room 3.  Admitting (non-ER) 4.  Signage and way-finding 5.  Physicians 6.  Nurses 7.  Technicians 8.  Hospital room 9.  Testing facilities 10.  Patient transport 11.  Food 12.  Treatment/Procedure 13.  Status updates 14.  Discharge 15.  Billing Take a minute or two and rank what you believe are the top 5 most important touchpoints
  • 35. 35 Nurses have the highest importance of the 15 touchpoints, followed by status updates and the emergency room admission process 21% 16% 13% 9% 8% 8% 7% 7% 5% 3% 1% 1% 1% 1% 1% 0% 5% 10% 15% 20% 25% Share of Importance
  • 36. 36 Step 5: 
 Determine the incidence of exposure and impact for each touchpoint
  • 37. 37 Due to the low incidence of the emergency room among patients who stayed more than one night, ER contributes only 1% to the overall NPS *Emergency room incidence low due to overnight stay screening criteria
  • 38. 38 Nurses and status updates are the highest contributors to NPS Share of Impact
  • 39. 39 Touchpoint prioritization map
  • 40. 40 Step 6: 
 Determine the importance and impact of various performance aspects
  • 41. 41 Performance Aspect Map within the hospital room touchpoint
  • 42. 42 Step 7: 
 Estimate the difficulty and/or cost associated with each improvement
  • 43. 43 Performance Aspect Map within the hospital room touchpoint, by difficulty and/or cost
  • 44. 44 Difficulty/Cost summary for hospital room touchpoint
  • 45. 45 Step 8: 
 Create a short-, medium- and long- term improvement plan
  • 46. 46 
 Q+A

  • 47. 47 @siegelgale Today’s presenters: Rolf Wulfsberg, PhD Global Director, Quantitative Insights rwulfsberg@siegelgale.com Jessica Kirk, Vice President jkirk@siegelgale.com Related links: www.siegelgale.com We offer •  Research •  Brand strategy •  Brand architecture •  Experience strategy •  Simplification •  Content strategy •  Content development •  Naming •  Visual identity •  Environments •  Global implementation •  Employee engagement •  Digital experiences
  • 48. siegel+galesiegel+gale The most important element nurses can contribute is responsiveness to requests 48 1% 1% 3% 3% 4% 6% 11% 13% 15% 18% 25% 0% 5% 10% 15% 20% 25% 30% Explaining my/my family member's situation in language that I could understand The access I/my family member was given to the nurse(s) The extent to which it was clear that I was interacting with a nurse vs. a physician, technician Willingness to answer my questions openly and honestly Friendliness of the nurse(s) Frequency of the nurses' checkups Amount of time they gave me/my family member during the stay Attentiveness of the nurse(s) The extent to which I felt the nurse(s) understood my/my family member's situation Respect shown to me/my family member Responsiveness to requests and/or issues Attribute Contribution – Nurses 8.58 8.88 8.68 8.74 8.73 8.73 8.88 8.85 9.01 8.82 8.98 Attribute Satisfaction
  • 49. siegel+galesiegel+gale Frequency and timing of Patient Updates with combat the anxiety that affects satisfaction 49 5% 10% 17% 18% 22% 27% 0% 5% 10% 15% 20% 25% 30% Consistency of information received from various hospital staff members The extent to which the hospital staff communicated about my/my family member's situation in language I could understand Willingness of the hospital staff to answer questions about my/my family member's condition openly and honestly Availability of technology to communicate status updates (e.g., beepers, electronic status boards, etc.)' Length of time between a procedure/test/etc. and receiving a status update from the hospital staff Frequency of updates about my/family member's situation Attribute Contribution – Patient Status Updates 8.58 8.88 8.68 8.74 8.73 8.73 Attribute Satisfaction