No Patient Left Behind


          Using data to improve patient
          satisfaction & business outcomes
The Customer Experience

“Customer experience is bigger than customer service
in that it is the full, end-to-end experience.
It starts when you first hear
about Amazon from a friend and
ends when you get the package
in the mail and open it.”



- Jeff Bezos, CEO,
  Amazon.com
Practice



Theory
“Information Overload”

   “The average knowledge worker
   receives 93 e-mails per day
   – and many are unnecessary.”
                                           “If every knowledge worker in the
                                           U.S. were to send 10% fewer
                                           messages, the cost of information
                                           overload would be reduced by up
                                             to $180   billion per year.”
Source:
Information Overload Awareness Day study
Too Much Information?


        Data                 Or is the problem actually
                             an overwhelming
                             amount of data, and a
                             failure to transform much of
                             it into information?


               Information
The Value of Data


           Action        Profitable


         Knowledge          Useful


         Information   Educational


            Data        Interesting
Incomplete Data


                          Missing Value

              Action


            Knowledge


            Information


 Missing       Data
  Data
Poor Quality Data


                        Missing Value


            Action

          Knowledge

          Information

             Data              Insufficient Data
                               Quality
Incomplete Data Synthesis



                        Missing Value


            Action
                           Good data is collected,
                           but not used effectively
          Knowledge
                              – Very damaging
          Information
                              – Very common

         Data
            Data
            Data
The Customer Experience



“Your most unhappy customers
are your greatest   source
of learning.”


 - Bill Gates, Microsoft
Process

Activity
• Trigger event



    Response
    • Ask Questions



         Escalation
         • At-risk Follow Up



              Monitoring
              • Action – Process Change
Data in Action

                      Patient Satisfaction – Single Clinic
        85
        80                 Implemented Gelb
        75               Experience Dashboard

        70
        65
        60
        55
        50
        45
             Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun   Jul Aug Sep Oct Nov

                            National Ranking (Percentile)


Source: Press Ganey
Action Drives Data


            Action      Profitable


          Knowledge     Significant


          Information    Relevant


             Data        Essential
Practice



Theory
Business Benefit

                   Value Based Purchasing
                   • Total Medicare spend:
                     $502 billion (2009)
                     – 1% withhold 2013
                     – Rising to 2% in 2017
                   • Withholding pool
                     (>$10B) awarded for
                     performance
HCAHPS Final Rule

 • Hospital Acquired Conditions
 • AHRQ Patient Safety Indicators
 • Medicare Spending per beneficiary measures
   – No future date specified for their inclusion
 • Only change from FY2013 is addition of
   Outcomes Domain
   – based on 3 mortality measures
Value Based Purchasing


   FY 2014 Domain Weighting


                              Clinical Process

                              HCAHPS
         30%                  Outcomes (Mortality)
The System

             • 19 Area Clinics
             • 4,000-5,000
               responses/month
             • Data acquired
               during patient
               checkout
             • Central database
               for comprehensive
               reporting
Timely Interaction,
Open Questions




     Satisfaction
         Registration
             Facility   Advocacy
          Procedure     Recommend friend
             Overall    or family?
Question Structure




                     • Comment box appears when patient
                       rates anything less than “Good”
                     • Repeated for Facility, Test and
                       Overall Satisfaction questions
Likelihood to Recommend




                          • Rating only – no
                            comments option
Escalation: At-Risk Patients




                       • Rapid response to issues turns
                         dissatisfaction into advocacy
                       • Often able to address issues before
                         a patient has left the facility
Staff Recognition




                    • Heavily-used section
                    • Exceptionally easy technique to
                      deliver timely recognition to staff
                    • Prevents anything important from
                      “slipping through the cracks”
Completion
Email Alert: At-Risk




                       • Automatic email to designee for
                         service recovery action
                       • Pre-defined procedure for follow-up
                       • Designee closes out in system, or
                         issue is escalated further
Response Details
Comments
At-Risk Patients
At-Risk Patients




                   • Summary of individual
                     patient response
                   • Classification of root
                     cause and other factors
                     for reporting purposes
Sustainable Results

                         Patient Satisfaction (All Clinics)
        100
         90
         80
         70
         60
         50
         40
         30
         20
         10
          0
                  FY07         FY08       FY09       FY10     FY11

                            National Ranking (Percentile)


Source: Press Ganey
From data to action

From data to action

  • 1.
    No Patient LeftBehind Using data to improve patient satisfaction & business outcomes
  • 2.
    The Customer Experience “Customerexperience is bigger than customer service in that it is the full, end-to-end experience. It starts when you first hear about Amazon from a friend and ends when you get the package in the mail and open it.” - Jeff Bezos, CEO, Amazon.com
  • 3.
  • 4.
    “Information Overload” “The average knowledge worker receives 93 e-mails per day – and many are unnecessary.” “If every knowledge worker in the U.S. were to send 10% fewer messages, the cost of information overload would be reduced by up to $180 billion per year.” Source: Information Overload Awareness Day study
  • 5.
    Too Much Information? Data Or is the problem actually an overwhelming amount of data, and a failure to transform much of it into information? Information
  • 6.
    The Value ofData Action Profitable Knowledge Useful Information Educational Data Interesting
  • 7.
    Incomplete Data Missing Value Action Knowledge Information Missing Data Data
  • 8.
    Poor Quality Data Missing Value Action Knowledge Information Data Insufficient Data Quality
  • 9.
    Incomplete Data Synthesis Missing Value Action Good data is collected, but not used effectively Knowledge – Very damaging Information – Very common Data Data Data
  • 10.
    The Customer Experience “Yourmost unhappy customers are your greatest source of learning.” - Bill Gates, Microsoft
  • 11.
    Process Activity • Trigger event Response • Ask Questions Escalation • At-risk Follow Up Monitoring • Action – Process Change
  • 12.
    Data in Action Patient Satisfaction – Single Clinic 85 80 Implemented Gelb 75 Experience Dashboard 70 65 60 55 50 45 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov National Ranking (Percentile) Source: Press Ganey
  • 13.
    Action Drives Data Action Profitable Knowledge Significant Information Relevant Data Essential
  • 14.
  • 15.
    Business Benefit Value Based Purchasing • Total Medicare spend: $502 billion (2009) – 1% withhold 2013 – Rising to 2% in 2017 • Withholding pool (>$10B) awarded for performance
  • 16.
    HCAHPS Final Rule • Hospital Acquired Conditions • AHRQ Patient Safety Indicators • Medicare Spending per beneficiary measures – No future date specified for their inclusion • Only change from FY2013 is addition of Outcomes Domain – based on 3 mortality measures
  • 17.
    Value Based Purchasing FY 2014 Domain Weighting Clinical Process HCAHPS 30% Outcomes (Mortality)
  • 18.
    The System • 19 Area Clinics • 4,000-5,000 responses/month • Data acquired during patient checkout • Central database for comprehensive reporting
  • 19.
    Timely Interaction, Open Questions Satisfaction Registration Facility Advocacy Procedure Recommend friend Overall or family?
  • 20.
    Question Structure • Comment box appears when patient rates anything less than “Good” • Repeated for Facility, Test and Overall Satisfaction questions
  • 21.
    Likelihood to Recommend • Rating only – no comments option
  • 22.
    Escalation: At-Risk Patients • Rapid response to issues turns dissatisfaction into advocacy • Often able to address issues before a patient has left the facility
  • 23.
    Staff Recognition • Heavily-used section • Exceptionally easy technique to deliver timely recognition to staff • Prevents anything important from “slipping through the cracks”
  • 24.
  • 25.
    Email Alert: At-Risk • Automatic email to designee for service recovery action • Pre-defined procedure for follow-up • Designee closes out in system, or issue is escalated further
  • 26.
  • 27.
  • 28.
  • 29.
    At-Risk Patients • Summary of individual patient response • Classification of root cause and other factors for reporting purposes
  • 30.
    Sustainable Results Patient Satisfaction (All Clinics) 100 90 80 70 60 50 40 30 20 10 0 FY07 FY08 FY09 FY10 FY11 National Ranking (Percentile) Source: Press Ganey