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Patient access ROI's
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Recasting patient access

  1. 1. RECASTING THE ACCESS EXPERIENCE A remarkable experience for every patient every time (on any device)
  2. 2. Pale Rhino is an execution-oriented business consulting and technology solutions company focused on enabling healthcare providers and payers to disrupt patient and customer experience and access. Facts • Founded in 1996 • Headquartered in the Philadelphia area. • National presence and international reach serving clients on five continents and representing firms with a combined customer base of more than 225 million • Diverse workforce comprised of industry, global consulting, Big Four, professionals Contact • paul@palerhinoconsulting.com • 484-885-6942 Who Is Pale Rhino Consulting? A remarkable experience for every patient every time (on any device)
  3. 3. How To Create Patients For Life A remarkable experience for every patient every time (on any device) Patient Expectation Management Patient Experience Management Patient Equity Management
  4. 4. Access Experience Channels A remarkable experience for every patient every time (on any device) In Person Over the Phone Online Over the Phone TOMORROW (Interactive) TODAY (Transactional)
  5. 5. What Is The Access Continuum A remarkable experience for every patient every time (on any device) Concerned Post-Hospital General Public/ Shoppers Staff Patients Clinicians Pre-Hospital At Hospital Families
  6. 6. All Stakeholders Need Access A remarkable experience for every patient every time (on any device) Patient Personas Prospective Patients (Customers) Physicians Inpatients Outpatients Discharged Patients Former Patients
  7. 7. Patient Access Today… A remarkable experience for every patient every time (on any device) Call Center
  8. 8. Patient Access Tomorrow… A remarkable experience for every patient every time (on any device) Call Center Customer Portal Mobile Strategy Social Media
  9. 9. How Do People Rate Access? A remarkable experience for every patient every time (on any device) Ease of Access Process Efficiency Process Consistency Clinical Outcomes Continuity of CareCustomer Service Mobility Process Transparency
  10. 10. Why Do People Call? A remarkable experience for every patient every time (on any device) Referrals, Central Authorization, Registration, Scheduling, Refills, Triage, Billing, Payments, Admissions, Discharge, Disputes, Claims, Insurance, ED, Labs, Primary Care Provider, Clinics, Medical Records, Imaging, Therapy, Pre- surgery, Find a Doctor, Payment Plans, Pharmacy (Only about 20% of the calls are about scheduling)
  11. 11. How Do Callers Rate Your Call Center? A remarkable experience for every patient every time (on any device) SLOW SLOW SLOW SLOW No concerns Some concerns Requires AttentionSLOW
  12. 12. What Are The ROIs Of Patient Access? A remarkable experience for every patient every time (on any device) Improve retention & referrals Reduce Admissions & Readmissions Reduce Back Office Support Costs Revenue Assurance
  13. 13. Our 3 Components Of Innovating Access A remarkable experience for every patient every time (on any device) Create Enterprise-Wide Access/Experience Strategy Implement Interactive Digital Access Implement Effective Voice Access The innovation of patient access and patient experience encompasses three components • Create vision for access and experience • Inventory the existing strategy and touchpoints • Perform GAP analysis • Define patient personas • Build roadmap for change • Assess processes to be included • Develop change management program • Design and build Customer Portal • Design and implement mobile strategy • Design and implement Social Media strategy • CRM requirements, selection and implementation • Determine Call Center strategy
  14. 14. Our Approach To Innovating Access A remarkable experience for every patient every time (on any device) Focus Area Offerings Enterprise-Wide Access/Experience Strategy o Enterprise-wide Touch Point Inventory o Patient Personas & Journey Mapping o Touch Point Scorecard o Experience GAP Analysis o Enterprise-wide Strategy o Solution Road Map Interactive Digital Access o Design & Build Customer Portal o Design & Implement Mobile Strategy o Design & Implement Social Media Experience Programs Voice Access o Design Access & Experience Strategy for Call Center o Define Requirements & Create RFP for CRM o Select & Implement CRM Process Elimination/ Automation o Eliminate duplicate, manual and paper processes o Create automated 2-way processes o Design Change Management Initiatives
  15. 15. A Sample Access Engagement A remarkable experience for every patient every time (on any device) RECOMMENDATIONS • Create a call center experience strategy that enabled maximum access • Increase caller & employee satisfaction. • Ensure the strategy enabled health system to achieve KPIs • Recommend which calls types should also be accessed by a customer and patient portal • Recommend which other access types (chat, email, online, fax) • 75% transferred, 40% repeat, 1st call resolution 30%, 15% abandoned • 99% of requests for nurse went to voice mail • Resulted in 10k additional ED visits • only 20% of calls were for scheduling • Scheduling center was not capable of being a call center • Did not have the tools, resources, skills sets to meet most of the callers’ needs  Enable call center functionality to handle all call types  Defined estimated staffing levels by skill set to handle all call types  Add triage skills to call center  Enable refill fulfillment  Enable call center access via chat, email, fax  Expand hours/days  Include PX survey through the IVR Sample Engagement: Create Access/Experience Call Center Strategy • Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy that ties to an enterprise-wide strategy. APPROACHOBJECTIVE 15
  16. 16. A remarkable experience for every patient every time (on any device) RECOMMENDATIONS • Justify halting the implementation of a scheduling application and universal single number calling until all of the access functional requirements were defined • Define high-level technical requirements • Call reason codes by call percentage • 80% of calls had no tools to support the employees • High-level functional, technical, and mobile access for callers and online access requirements that resulted in uniform brand access from the patient’s perspective  Select and implement CRM, ACD, and IVR applications  Standardize clinics’ scheduling, policies and procedures  Add the authorization function to the call center  Allow call agents interactive access to PCP  Track open-items  Add online chat functionality to the website and staff chat from the call center Sample Engagement: Create Access/Experience Call Center Strategy • Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy that ties to an enterprise-wide strategy. APPROACHOBJECTIVE 16 A Sample Access Engagement
  17. 17. RECOMMENDATIONS • Create an enterprise-wide call center access experience strategy that compliments a web access strategy • Create a high-level mobile access strategy • Mapped major functional access needs for the call center and customer portal • Created mockup of customer portal functions  Develop equal access functionality and satisfaction requirements for patients and customers online and by phone  Provide mobile access that with functionality equal to or above that of the call center  Provide off-hours, 24 x 7 access via customer portal Sample Engagement: Create Access/Experience Call Center Strategy • Pale Rhino worked with a large teaching hospital to assess the call center, and create an access/experience strategy that ties to an enterprise-wide strategy. APPROACHOBJECTIVE 17 A Sample Access Engagement

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