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Music!               How a changing
                     healthcare
Therapy!             landscape provides
                     tremendous
     in Pediatric!   opportunity for
Interdisciplinary!
                     entrepreneurial
     Clinics!        music therapists!
Healthcare is changing…!




                                                                Δ	
  

Source:	
  Atlanta	
  Journal	
  Cons2tu2on	
  8/1/2012	
  
h9p://blogs.ajc.com/health-­‐flock/2012/08/01/building-­‐a-­‐pa2ent-­‐centered-­‐model-­‐of-­‐care/	
  
From 2010 to 2011,
   hospitals and medical
   centers increased
   spending on
   advertising by…!




Source:New	
  York	
  Times	
  9/12/2011	
  
h9p://www.ny2mes.com/2011/09/13/business/health-­‐care-­‐ad-­‐spending-­‐rises-­‐adver2sing.html	
  
Approximately two new They numbered between
      urgent care centers a week 12,000 and 20,000 in 2007!
        open in the United States!




Source:	
  No	
  Appointment	
  Needed:	
  The	
  Resurgence	
  of	
  Urgent	
  Care	
  Centers	
  in	
  the	
  United	
  States	
  (September	
  2007)	
  
h9p://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/N/PDF%20NoAppointmentNecessaryUrgentCareCenters.pdf	
  
Now more than ever, healthcare providers
are competing for patients…!




                …and patients have more choice in
                healthcare providers.!
50%!
   of the U.S. population
   lives with a chronic
   health condition!
Expenditures on chronic health conditions
    accounts for anywhere between!



   40-70%!
   of ALL healthcare spending!
Healthcare providers!
are jockeying for!
p!
 o!s!
    i!
     t!i!
        o!n!
Research suggests that while price is a major factor in consumer
decisions, modern consumers are highly, if not primarily,
influenced by the quality of a product or service…!




                                          …and this behavior carries over into healthcare decisions.!
Source:	
  Cleary,	
  P.	
  D.,	
  McNeil,	
  B.	
  J.	
  (1988).	
  Pa2ent	
  sa2sfac2on	
  as	
  an	
  indicator	
  of	
  quality	
  care.	
  Journal	
  of	
  	
  
Medical	
  Care,	
  Organiza2on,	
  Provision	
  and	
  Financing,	
  25	
  (1),	
  25	
  –	
  36.	
  
Fornell,	
  C.,	
  Johnson,	
  M.	
  D.,	
  Anderson,	
  E.	
  W.,	
  Cha,	
  J.,	
  Bryant,	
  B.	
  E.	
  (1996).	
  The	
  American	
  	
  
Customer	
  Sa2sfac2on	
  Index:	
  Nature,	
  purpose,	
  and	
  findings.	
  Journal	
  of	
  Marke2ng,	
  60	
  (4),	
  	
  
7	
  –	
  18.	
  
Quality drives consumer loyalty, creating
      consumers who repeatedly use the goods
              and services of one company and
          evangelize on behalf of the company. !




Source:	
  Forbes	
  10/10/12	
  
h9p://www.forbes.com/sites/jimgorzelany/2012/10/10/cars-­‐delivering-­‐the-­‐
most-­‐brand-­‐loyal-­‐buyers/	
  
Forbes	
  10/25/12	
  
h9p://www.forbes.com/sites/marketshare/2012/10/25/13880/	
  
Anderson,	
  E.	
  W.,	
  Fornell,	
  C.,	
  Lehmann,	
  D.	
  R.	
  (1994).	
  Customer	
  sa2sfac2on,	
  
market	
  share,	
  and	
  	
  
profitability:	
  Findings	
  from	
  Sweden.	
  Journal	
  of	
  Marke2ng,	
  58,	
  53	
  –	
  66.	
  
Brand loyalty is responsible for up to 70% of all
                                   purchase decisions.!




                     Consumers are willing to pay an average of 20%
                           more for the brand they prefer.!




Source:	
  The	
  9	
  Criteria	
  for	
  Brand	
  Essence	
  by	
  Kirk	
  Phillips	
  
h9p://www.slideshare.net/kirkphillips/the-­‐9-­‐crit	
  
and if you’re a music therapist, this is good news.!




                Really good news.!
Why’s that?!

               Service improvement
               measures have been tied to
               an increase in perceived
               value, outcome, quality, and
               likelihood to recommend.!

                                                          Providers who offer more
                                                          “personal” care are
                                                          associated with higher levels
                                                          of patient satisfaction.!


                                                                     Patient satisfaction has been
                                                                     tied to autonomy in health
                                                                     decisions, as well as
Source:	
  	
                                                        perceived friendliness and
Swedberg	
  &	
  Standley,	
  2011	
                                 personality match with
Cleary	
  &	
  McNeil,	
  1988	
  	
  
Kiesler	
  &	
  Auerbach,	
  2006	
  	
                              providers.!
Campbell,	
  Auerbach,	
  &	
  Kiesler,	
  2007	
  	
  
There’s even research to suggest these factors improve health
                                    outcomes as well.!




Source:	
  Auerbach,	
  Clore,	
  Kiesler,	
  Orr,	
  Pegg,	
  Quick,	
  et	
  al.,	
  2002	
  	
  
Convenience!
             !
    Cost effectiveness!
             !
     Patient-centered!
             !
    Patient satisfaction!
!
Enter the! Pediatric!
Interdisciplinary!
         Clinic.!
Developmental disabilities in children
                                 have risen from a rate of 12.84% to
                                   15.04% over a 12-year period.!




Source:	
  	
  
Boyle,	
  Boulet,	
  Schieve,	
  Cohen,	
  Blumberg,	
  Yeargin-­‐
Allsopp,	
  Visser,	
  &	
  Kogan,	
  2011	
  	
  
Most notably, the diagnosis rate of
                                  autism spectrum disorders has risen
                                   from 1 in 150 in 2000, to 1 in 88
                                 according to the most recent numbers.!




Source:	
  	
  
Center	
  for	
  Disease	
  Control	
  and	
  Preven2on,	
  2012	
  	
  
Insurance coverage for children has
                                                 also increased.!


                                                                     Compared to just 5.9
                  In 1997, 9.9 million                               million in 2010, even with
              children lacked health                                 another 4.4 million
                           insurance.!                               children living in this
                                                                     country.!




Source:	
  Reinberg,	
  2010	
  	
  
Forum	
  on	
  Child	
  and	
  Family	
  Sta2s2cs,	
  2010	
  	
  
Convenience ✓!
          !
Cost effectiveness ✓!
          !
 Patient-centered ✓!
          !
Patient satisfaction ✓!
Music therapy has been shown to increase
patient satisfaction levels in inpatient
healthcare settings, particularly in cardiac and
pediatric units.!




                                         but what about outpatient settings?!



Source:	
  	
  
Swedberg	
  &	
  Standley,	
  2011	
  
In outpatient settings…!




              …we don’t see the same results.!




                                                 Bummer.!
!
Why don’t we see similar results between inpatient and
                outpatient settings? !
How do we sell music therapy to
   owners of these clinics?!
Perhaps the selling point for music therapy in this setting
  isn’t increasing patient satisfaction (which is already
 high), but creating a unique offering for clinics that sets
            them apart from their competitors.!




     Perhaps what music therapy offers is a brand.!
Music therapy’s biggest liability can also be its most
                  important asset.!
Music therapy is!


unique.!
Unique as a liability means!


low visibility.!
Unique as an asset means!

attention grabbing.!
In a sea of pediatric clinics…!




                                  …what if one stood out?!
Music therapy offers a unique
opportunity for clinic owners to
    offer a service that is:!
               !
           Effective!
               !
          Innovative

               !
      Attention grabbing!
We can leverage music therapy’s
 uniqueness to provide value to
         clinic owners.!




 All while avoiding any kind of
  “fad” therapy connotations.!
How might such a partnership be structured?!




                          In house!
                              !
             Contracting with a private practice!
                              !
              Partnership between businesses!
In House!


Provides more autonomy for
                clinic owners!    More expensive for clinic!
                             !    !
     More stability for music     Risk of offering too many
                     therapist!   services!
                             !    !
  Access to clinic resources!     More administrative
                             !    commitments for clinic
 High levels of collaboration!    owners!
Contracting with private practice!




                            Less incentive for clinic to
Less risk for both parties!
                            market services!
                          !
                            !
      Less cost for clinic!
                            Insurance billing
                          !
                            complications!
 Cross referrals between
                            !
              businesses!
                            Lower levels of collaboration!
Partnership between businesses!


        Both parties retain
autonomy and control over
                               Less control over decisions
            their business!
                               made by other business!
                           !
                               !
      Less cost/lower risk!
                               Potential for conflict of
                           !
                               interests!
   Cross referrals between
                               !
                  business!
                               Higher level of commitment
                           !
                               than contracting!
  Lower overhead for both
               businesses!
Most importantly, these set-ups create
   close proximity between music
therapists and SLP’s, OT’s, and PT’s,
   which fosters communication,
    advocacy, and collaboration.!
“!
 Collaboration between the client's therapists benefits
 that client greatly, as it allows the therapists to
 reinforce goals and support the transfer... This shared
 knowledge and consistency gives the opportunity for
 that client to thrive and excel.!
                                 -Rachel See, MA, MT-BC!
“!
 We share techniques and learn what
 works best for our clients.!
               -Lorissa McGuire, MME, MT-BC!
“!
 We better know our students when we can share
 day to day experiences. None of us can work with
 them everyday, but one of us generally does, and
 can inform others about needs or emerging skills.!
                           -Dawn M.E. Artwick, MT-BC!
Hopefully you’re convinced that you offer an
      irresistible service to pediatric
     interdisciplinary clinic owners…!




  …but what’s in it for music therapists?!
The average business owner spends $10,000
                       to start their business, with success anything
                                        but guaranteed.!




                           A symbiotic relationship between business
                             can improve the odds for both parties. !




Source:	
  	
  
Wells	
  Fargo/Gallop,	
  2006	
  	
  
Every benefit for clinic   Shared costs!
owners previously outlined    !
  can equally be applied to   Better services!
     music therapy private    !
         practice owners.!    Convenience for clients!
Share the costs of rent
                                and other expenses!
                                !
  By forming a partnership,
                                Provide a source of
  pediatric interdisciplinary
                                referrals for each other!
  clinics and music therapy
                                !
private practice owners can
                                Offer a higher quality
         support each other.!
                                service that we know
                                healthcare consumers
                                value.!
Increase value.!
          !
Increase satisfaction.!
          !
 Improve outcomes.!
          !
          !
Created by!
Andrew Littlefield, MM, MT-BC!
Interested in learning more?!

        @FSUAndrew!

        @TheGeorgeCenter!


        Facebook.com/TheGeorgeCenter!




www.TheGeorgeCenter.com/Blog!

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Music therapy in pediatric interdisciplinary clinics

  • 1. Music! How a changing healthcare Therapy! landscape provides tremendous in Pediatric! opportunity for Interdisciplinary! entrepreneurial Clinics! music therapists!
  • 2. Healthcare is changing…! Δ   Source:  Atlanta  Journal  Cons2tu2on  8/1/2012   h9p://blogs.ajc.com/health-­‐flock/2012/08/01/building-­‐a-­‐pa2ent-­‐centered-­‐model-­‐of-­‐care/  
  • 3. From 2010 to 2011, hospitals and medical centers increased spending on advertising by…! Source:New  York  Times  9/12/2011   h9p://www.ny2mes.com/2011/09/13/business/health-­‐care-­‐ad-­‐spending-­‐rises-­‐adver2sing.html  
  • 4. Approximately two new They numbered between urgent care centers a week 12,000 and 20,000 in 2007! open in the United States! Source:  No  Appointment  Needed:  The  Resurgence  of  Urgent  Care  Centers  in  the  United  States  (September  2007)   h9p://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/N/PDF%20NoAppointmentNecessaryUrgentCareCenters.pdf  
  • 5. Now more than ever, healthcare providers are competing for patients…! …and patients have more choice in healthcare providers.!
  • 6. 50%! of the U.S. population lives with a chronic health condition!
  • 7. Expenditures on chronic health conditions accounts for anywhere between! 40-70%! of ALL healthcare spending!
  • 8. Healthcare providers! are jockeying for! p! o!s! i! t!i! o!n!
  • 9. Research suggests that while price is a major factor in consumer decisions, modern consumers are highly, if not primarily, influenced by the quality of a product or service…! …and this behavior carries over into healthcare decisions.! Source:  Cleary,  P.  D.,  McNeil,  B.  J.  (1988).  Pa2ent  sa2sfac2on  as  an  indicator  of  quality  care.  Journal  of     Medical  Care,  Organiza2on,  Provision  and  Financing,  25  (1),  25  –  36.   Fornell,  C.,  Johnson,  M.  D.,  Anderson,  E.  W.,  Cha,  J.,  Bryant,  B.  E.  (1996).  The  American     Customer  Sa2sfac2on  Index:  Nature,  purpose,  and  findings.  Journal  of  Marke2ng,  60  (4),     7  –  18.  
  • 10. Quality drives consumer loyalty, creating consumers who repeatedly use the goods and services of one company and evangelize on behalf of the company. ! Source:  Forbes  10/10/12   h9p://www.forbes.com/sites/jimgorzelany/2012/10/10/cars-­‐delivering-­‐the-­‐ most-­‐brand-­‐loyal-­‐buyers/   Forbes  10/25/12   h9p://www.forbes.com/sites/marketshare/2012/10/25/13880/   Anderson,  E.  W.,  Fornell,  C.,  Lehmann,  D.  R.  (1994).  Customer  sa2sfac2on,   market  share,  and     profitability:  Findings  from  Sweden.  Journal  of  Marke2ng,  58,  53  –  66.  
  • 11. Brand loyalty is responsible for up to 70% of all purchase decisions.! Consumers are willing to pay an average of 20% more for the brand they prefer.! Source:  The  9  Criteria  for  Brand  Essence  by  Kirk  Phillips   h9p://www.slideshare.net/kirkphillips/the-­‐9-­‐crit  
  • 12. and if you’re a music therapist, this is good news.! Really good news.!
  • 13. Why’s that?! Service improvement measures have been tied to an increase in perceived value, outcome, quality, and likelihood to recommend.! Providers who offer more “personal” care are associated with higher levels of patient satisfaction.! Patient satisfaction has been tied to autonomy in health decisions, as well as Source:     perceived friendliness and Swedberg  &  Standley,  2011   personality match with Cleary  &  McNeil,  1988     Kiesler  &  Auerbach,  2006     providers.! Campbell,  Auerbach,  &  Kiesler,  2007    
  • 14. There’s even research to suggest these factors improve health outcomes as well.! Source:  Auerbach,  Clore,  Kiesler,  Orr,  Pegg,  Quick,  et  al.,  2002    
  • 15. Convenience! ! Cost effectiveness! ! Patient-centered! ! Patient satisfaction! !
  • 17. Developmental disabilities in children have risen from a rate of 12.84% to 15.04% over a 12-year period.! Source:     Boyle,  Boulet,  Schieve,  Cohen,  Blumberg,  Yeargin-­‐ Allsopp,  Visser,  &  Kogan,  2011    
  • 18. Most notably, the diagnosis rate of autism spectrum disorders has risen from 1 in 150 in 2000, to 1 in 88 according to the most recent numbers.! Source:     Center  for  Disease  Control  and  Preven2on,  2012    
  • 19. Insurance coverage for children has also increased.! Compared to just 5.9 In 1997, 9.9 million million in 2010, even with children lacked health another 4.4 million insurance.! children living in this country.! Source:  Reinberg,  2010     Forum  on  Child  and  Family  Sta2s2cs,  2010    
  • 20. Convenience ✓! ! Cost effectiveness ✓! ! Patient-centered ✓! ! Patient satisfaction ✓!
  • 21. Music therapy has been shown to increase patient satisfaction levels in inpatient healthcare settings, particularly in cardiac and pediatric units.! but what about outpatient settings?! Source:     Swedberg  &  Standley,  2011  
  • 22. In outpatient settings…! …we don’t see the same results.! Bummer.!
  • 23.
  • 24. !
  • 25.
  • 26.
  • 27. Why don’t we see similar results between inpatient and outpatient settings? !
  • 28.
  • 29. How do we sell music therapy to owners of these clinics?!
  • 30. Perhaps the selling point for music therapy in this setting isn’t increasing patient satisfaction (which is already high), but creating a unique offering for clinics that sets them apart from their competitors.! Perhaps what music therapy offers is a brand.!
  • 31. Music therapy’s biggest liability can also be its most important asset.!
  • 33. Unique as a liability means! low visibility.!
  • 34. Unique as an asset means! attention grabbing.!
  • 35. In a sea of pediatric clinics…! …what if one stood out?!
  • 36. Music therapy offers a unique opportunity for clinic owners to offer a service that is:! ! Effective! ! Innovative
 ! Attention grabbing!
  • 37. We can leverage music therapy’s uniqueness to provide value to clinic owners.! All while avoiding any kind of “fad” therapy connotations.!
  • 38. How might such a partnership be structured?! In house! ! Contracting with a private practice! ! Partnership between businesses!
  • 39. In House! Provides more autonomy for clinic owners! More expensive for clinic! ! ! More stability for music Risk of offering too many therapist! services! ! ! Access to clinic resources! More administrative ! commitments for clinic High levels of collaboration! owners!
  • 40. Contracting with private practice! Less incentive for clinic to Less risk for both parties! market services! ! ! Less cost for clinic! Insurance billing ! complications! Cross referrals between ! businesses! Lower levels of collaboration!
  • 41. Partnership between businesses! Both parties retain autonomy and control over Less control over decisions their business! made by other business! ! ! Less cost/lower risk! Potential for conflict of ! interests! Cross referrals between ! business! Higher level of commitment ! than contracting! Lower overhead for both businesses!
  • 42. Most importantly, these set-ups create close proximity between music therapists and SLP’s, OT’s, and PT’s, which fosters communication, advocacy, and collaboration.!
  • 43. “! Collaboration between the client's therapists benefits that client greatly, as it allows the therapists to reinforce goals and support the transfer... This shared knowledge and consistency gives the opportunity for that client to thrive and excel.! -Rachel See, MA, MT-BC!
  • 44. “! We share techniques and learn what works best for our clients.! -Lorissa McGuire, MME, MT-BC!
  • 45. “! We better know our students when we can share day to day experiences. None of us can work with them everyday, but one of us generally does, and can inform others about needs or emerging skills.! -Dawn M.E. Artwick, MT-BC!
  • 46. Hopefully you’re convinced that you offer an irresistible service to pediatric interdisciplinary clinic owners…! …but what’s in it for music therapists?!
  • 47. The average business owner spends $10,000 to start their business, with success anything but guaranteed.! A symbiotic relationship between business can improve the odds for both parties. ! Source:     Wells  Fargo/Gallop,  2006    
  • 48. Every benefit for clinic Shared costs! owners previously outlined ! can equally be applied to Better services! music therapy private ! practice owners.! Convenience for clients!
  • 49. Share the costs of rent and other expenses! ! By forming a partnership, Provide a source of pediatric interdisciplinary referrals for each other! clinics and music therapy ! private practice owners can Offer a higher quality support each other.! service that we know healthcare consumers value.!
  • 50. Increase value.! ! Increase satisfaction.! ! Improve outcomes.! ! !
  • 52. Interested in learning more?! @FSUAndrew! @TheGeorgeCenter! Facebook.com/TheGeorgeCenter! www.TheGeorgeCenter.com/Blog!