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businEss patiEnt carE




       the missing link
        Have you considered what a patient coordinator could do for your patients?
        Jacqui Goss discusses a team role that can significantly enhance patient communication
        Seeing your customer service through the
        eyes of your patients is not easy.
            Dentists and practice team members
        invariably use one set of yardsticks to measure
        their performance. Patients often use a
        completely different set.
            For example, dentists will (rightly) measure
        their performance on technical merit:
        • Did I do the work properly?
        • Did I meet professional standards?
        Practice staff tend to measure their
        performance by their efficiency:
        • Did we adhere to practice policies and
        protocols?
        • Did we deal with enquiries quickly?
            These are important measurements and a
        practice team should expect to achieve high
        scores. However, most patients will judge your
        practice on the basis of completely different
        criteria.
            Of course, some patients focus almost
        solely on the cost of treatment. Commenting
        on a wide-ranging survey carried out on behalf
        of the Irish Dental Association in 2009, the
        then president of the IDA, Dr Donal Blackwell
        said that one of the problems was that when
        considering travelling abroad for dental
        treatment, patients tended to focus on short
        term, aesthetic results rather than the long
        term quality of the care they received and that       The second is, of course, somewhat            often undervalued or overlooked. In most
        the lure of ‘bargain’ prices meant that patients   oxymoronic!                                      practices, a patient coordinator will probably
        were less concerned about the need for                What makes the difference (leading to         do the following:
        different treatments than the cost of them.        high patient retention and satisfaction) is a    • Communicate according to a patient’s
                                                           service experience that surprises and delights   ability to understand
        ExcEEding ExpEctations                             patients – i.e, it exceeds their expectations.   • Develop an empathy with patients to
        My experience from being commissioned by           These patients will then be superb               understand their needs
        practices to do patient satisfaction surveys       ambassadors for your business as a (free)        • Deliver exemplary customer service
        is that patients value the overall experience,     word-of-mouth referral service.                  • Maintain a sound knowledge of clinical
        most likely broken down as:                           Read some of the reviews by patients          procedures and services
        • Were my expectations met?                        of dental practices on a website such            • Interpret clinical reports and discuss them
        • Did I get value for money?                       as WhatClinic.com and you’ll see most            in an appropriate manner with patients
            And that the following generalisation can      favourable comments relate to the staff and      • Discuss with patients all financial options
        be made. Most patients attend a practice with      how friendly they are.                           (and subsequently process them)
        two broad expectations:                               So, to exceed patients’ expectations, a       • ‘Close’ the sale
        • They expect the service to be problem-free,      practice needs a focussed and committed          • Maintain an accurate record of all contact
        technically correct and delivered as promised      team that should include a patient               with patients
        • They expect the service to be better than        coordinator (aka a care coordinator or a         • Contribute towards business targets and
        they expected.                                     treatment coordinator). This is a role that is   goals

        22   January 2012 irish dEntistry



22 IR Jan Bus Goss.indd 1                                                                                                                            16/12/2011 10:50
• Be a highly effective team member.               evenings or at weekends when patients are at
           Let’s consider some of these in more detail.    home, relaxed and not concerned about being              patiEnt coordinator skills
                                                           overheard by work colleagues.
        communication                                           For this part of their duties, patient
        A patient coordinator should be one of the         coordinators require some clinical knowledge.
        first points of contact a new patient has with     Indeed, some formal care coordinator
        a practice. Indeed, in some practices potential    qualifications suggest the role as career
        new patients are referred to the patient           progression for experienced nurses. I would say
        coordinator – such is the importance assigned      it’s more critical that patient coordinators can
        to securing new patients in these competitive      understand and interpret clinical reports.
        times.                                                  To make an informed decision about
            Unlike (busy) receptionists, a patient         treatment, patients need to understand their
        coordinator can invest time building the           options.
        rapport that is important for a good new                Many dentists describe treatment options
        patient/potential new patient experience. They     in technical terms. Frequently, patients do not        treatment plan and communicate this to the
        need to determine what is important to the         perceive the value of the proposed treatment           patient.
        patient; why they have come to the practice;       until it has been explained in words they                  Having before and after photographs of
        deal with any underlying concerns and assure       understand and in a relaxed environment away           similar cases to present and discuss (small jpeg
        the patient about any reservations they have.      from the dental chair.                                 images that can be emailed speedily during a
        They should ‘connect’ with the patient and              Often a dentist will offer a (albeit clinically   telephone conversation), along with testimonial
        check for understanding using language             correct) solution to a patient without finding         letters (sections of which can be read out)
        appropriate for each individual.                   out what it is that they are looking for.              makes this process easier.
            This is where some rudimentary knowledge       Remember that most patients want their                     The patient coordinator should ask
        of the basic principles of neuro-linguistic        expectations exceeded, not dashed by a                 questions such as: ‘How does this all sound to
        programming (NLP) can be useful.                   comprehensive list of oral problems. The               you now?’ They could also ask: ‘Are you more
            For example, NLP teaches us that only          patient coordinator concentrates on what               comfortable about it?’ or ‘can you see the long-
        7% of communication is verbal, so a patient        outcomes a patient is seeking and will benefit         term benefits of this treatment?’
        coordinator must interpret body language (55%      from.                                                      Importantly, the patient coordinator should
        of communication) and how the patient speaks                                                              give the patient the opportunity to proceed by
        to them (38% of communication is the speed,        FinancE options                                        asking a direct question such as: ‘Would you
        tone and inflection of the voice).                 Ahead of writing this, I did a quick internet          like to go ahead?’
                                                           survey of Irish dental practices, north
        dElivEring ExEmplary sErvicE                       and south, and was pleased to find most                Filling thE rolE
        As highlighted in the opening paragraphs,          mentioning finance on their website.                   To summarise, the patient coordinator role
        patients want you to deliver what they want,           To not offer finance terms (with interest          is a challenging but exciting one. It must be
        or exceed their expectations. A patient            and/or interest free) is, I believe, a mistake akin    undertaken by the right sort of person with
        coordinator can be critical to this.               to not having a payment plan.                          the attributes and competencies I’ve outlined
             Whenever a patient has been given a               Patient coordinators should be trained             above.
        treatment plan and gone away to think about        to be knowledgeable about your finance                     Employ someone – or offer the post to
        it, the patient coordinator should contact         options and should be comfortable discussing           one of your existing team and invest wisely
        them a day or two later (this is why they are      them with patients. The offer of a monthly             in their training to develop their people skills.
        sometimes called treatment coordinators). In       payment facility will often make the difference        Alternatively, you can use an experienced
        my experience this is much better done in the      between a patient proceeding – or not – with a         remote patient coordinator.
                                                           treatment plan.                                            Then, you can advertise on your website
                                                               Finance cannot be discussed properly when          that you have a patient coordinator – or more
                                  thE                      the patient is still chair-bound and it is not cost    than one if yours is a large practice.
                                dEntist
                                                           effective for dentists to do so anyway. Nor can            The improved communication will have
                            ‘technical merit’
                                                           it be discussed in the reception area, because         you exceeding patients’ expectations more
                                                           of a lack of privacy.                                  frequently and your growing book and
                                                               A patient coordinator talking through the          increased treatment take up will affect your
                                                           options while the patient is at home is by far         bottom line nicely too! id
                               patiEnt                     the best setting. The patient can consult family
                             ExpEriEncE
                                                           members and fetch documents such as bank
               thE                                 thE                                                              Jacqui Goss is the managing partner in Yes!
                                                           statements to check their existing outgoings.
            practicE                            patiEnt                                                             Results, a company that provides patient feedback,
           ‘Efficiency’                          ‘value’                                                            treatment coordination services and training to
                                                           closing a salE                                           dental practices throughout the British Isles. Visit
                                                           The patient coordinator must be enthusiastic             www.yesresults.co.uk for more information.
                                                           and excited about the end results of the

                                                                                                                                      irish dEntistry January 2012     23


22 IR Jan Bus Goss.indd 2                                                                                                                                           16/12/2011 10:50

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Irish Dentistry Jan 2012

  • 1. businEss patiEnt carE the missing link Have you considered what a patient coordinator could do for your patients? Jacqui Goss discusses a team role that can significantly enhance patient communication Seeing your customer service through the eyes of your patients is not easy. Dentists and practice team members invariably use one set of yardsticks to measure their performance. Patients often use a completely different set. For example, dentists will (rightly) measure their performance on technical merit: • Did I do the work properly? • Did I meet professional standards? Practice staff tend to measure their performance by their efficiency: • Did we adhere to practice policies and protocols? • Did we deal with enquiries quickly? These are important measurements and a practice team should expect to achieve high scores. However, most patients will judge your practice on the basis of completely different criteria. Of course, some patients focus almost solely on the cost of treatment. Commenting on a wide-ranging survey carried out on behalf of the Irish Dental Association in 2009, the then president of the IDA, Dr Donal Blackwell said that one of the problems was that when considering travelling abroad for dental treatment, patients tended to focus on short term, aesthetic results rather than the long term quality of the care they received and that The second is, of course, somewhat often undervalued or overlooked. In most the lure of ‘bargain’ prices meant that patients oxymoronic! practices, a patient coordinator will probably were less concerned about the need for What makes the difference (leading to do the following: different treatments than the cost of them. high patient retention and satisfaction) is a • Communicate according to a patient’s service experience that surprises and delights ability to understand ExcEEding ExpEctations patients – i.e, it exceeds their expectations. • Develop an empathy with patients to My experience from being commissioned by These patients will then be superb understand their needs practices to do patient satisfaction surveys ambassadors for your business as a (free) • Deliver exemplary customer service is that patients value the overall experience, word-of-mouth referral service. • Maintain a sound knowledge of clinical most likely broken down as: Read some of the reviews by patients procedures and services • Were my expectations met? of dental practices on a website such • Interpret clinical reports and discuss them • Did I get value for money? as WhatClinic.com and you’ll see most in an appropriate manner with patients And that the following generalisation can favourable comments relate to the staff and • Discuss with patients all financial options be made. Most patients attend a practice with how friendly they are. (and subsequently process them) two broad expectations: So, to exceed patients’ expectations, a • ‘Close’ the sale • They expect the service to be problem-free, practice needs a focussed and committed • Maintain an accurate record of all contact technically correct and delivered as promised team that should include a patient with patients • They expect the service to be better than coordinator (aka a care coordinator or a • Contribute towards business targets and they expected. treatment coordinator). This is a role that is goals 22 January 2012 irish dEntistry 22 IR Jan Bus Goss.indd 1 16/12/2011 10:50
  • 2. • Be a highly effective team member. evenings or at weekends when patients are at Let’s consider some of these in more detail. home, relaxed and not concerned about being patiEnt coordinator skills overheard by work colleagues. communication For this part of their duties, patient A patient coordinator should be one of the coordinators require some clinical knowledge. first points of contact a new patient has with Indeed, some formal care coordinator a practice. Indeed, in some practices potential qualifications suggest the role as career new patients are referred to the patient progression for experienced nurses. I would say coordinator – such is the importance assigned it’s more critical that patient coordinators can to securing new patients in these competitive understand and interpret clinical reports. times. To make an informed decision about Unlike (busy) receptionists, a patient treatment, patients need to understand their coordinator can invest time building the options. rapport that is important for a good new Many dentists describe treatment options patient/potential new patient experience. They in technical terms. Frequently, patients do not treatment plan and communicate this to the need to determine what is important to the perceive the value of the proposed treatment patient. patient; why they have come to the practice; until it has been explained in words they Having before and after photographs of deal with any underlying concerns and assure understand and in a relaxed environment away similar cases to present and discuss (small jpeg the patient about any reservations they have. from the dental chair. images that can be emailed speedily during a They should ‘connect’ with the patient and Often a dentist will offer a (albeit clinically telephone conversation), along with testimonial check for understanding using language correct) solution to a patient without finding letters (sections of which can be read out) appropriate for each individual. out what it is that they are looking for. makes this process easier. This is where some rudimentary knowledge Remember that most patients want their The patient coordinator should ask of the basic principles of neuro-linguistic expectations exceeded, not dashed by a questions such as: ‘How does this all sound to programming (NLP) can be useful. comprehensive list of oral problems. The you now?’ They could also ask: ‘Are you more For example, NLP teaches us that only patient coordinator concentrates on what comfortable about it?’ or ‘can you see the long- 7% of communication is verbal, so a patient outcomes a patient is seeking and will benefit term benefits of this treatment?’ coordinator must interpret body language (55% from. Importantly, the patient coordinator should of communication) and how the patient speaks give the patient the opportunity to proceed by to them (38% of communication is the speed, FinancE options asking a direct question such as: ‘Would you tone and inflection of the voice). Ahead of writing this, I did a quick internet like to go ahead?’ survey of Irish dental practices, north dElivEring ExEmplary sErvicE and south, and was pleased to find most Filling thE rolE As highlighted in the opening paragraphs, mentioning finance on their website. To summarise, the patient coordinator role patients want you to deliver what they want, To not offer finance terms (with interest is a challenging but exciting one. It must be or exceed their expectations. A patient and/or interest free) is, I believe, a mistake akin undertaken by the right sort of person with coordinator can be critical to this. to not having a payment plan. the attributes and competencies I’ve outlined Whenever a patient has been given a Patient coordinators should be trained above. treatment plan and gone away to think about to be knowledgeable about your finance Employ someone – or offer the post to it, the patient coordinator should contact options and should be comfortable discussing one of your existing team and invest wisely them a day or two later (this is why they are them with patients. The offer of a monthly in their training to develop their people skills. sometimes called treatment coordinators). In payment facility will often make the difference Alternatively, you can use an experienced my experience this is much better done in the between a patient proceeding – or not – with a remote patient coordinator. treatment plan. Then, you can advertise on your website Finance cannot be discussed properly when that you have a patient coordinator – or more thE the patient is still chair-bound and it is not cost than one if yours is a large practice. dEntist effective for dentists to do so anyway. Nor can The improved communication will have ‘technical merit’ it be discussed in the reception area, because you exceeding patients’ expectations more of a lack of privacy. frequently and your growing book and A patient coordinator talking through the increased treatment take up will affect your options while the patient is at home is by far bottom line nicely too! id patiEnt the best setting. The patient can consult family ExpEriEncE members and fetch documents such as bank thE thE Jacqui Goss is the managing partner in Yes! statements to check their existing outgoings. practicE patiEnt Results, a company that provides patient feedback, ‘Efficiency’ ‘value’ treatment coordination services and training to closing a salE dental practices throughout the British Isles. Visit The patient coordinator must be enthusiastic www.yesresults.co.uk for more information. and excited about the end results of the irish dEntistry January 2012 23 22 IR Jan Bus Goss.indd 2 16/12/2011 10:50