Tuesday, November 30, 2021

What do patients want?

As technology takes a starring role in healthcare, patients are seeking user-friendly experiences from their healthcare provider.

According to a news release from healthcare communication platform Updox, a patient experience survey found that 51 percent of respondents say that user-friendly technology is important to a good patient experience. A further 53 percent say that they would most prefer to update or provide their patient information, such as health conditions and new prescriptions, digitally via online forms accessed securely by mobile phone, email, or patient portal. Another 55 percent say convenient communications as key to their having a good patient experience.



“It’s clear that COVID-19 has impacted and even accelerated the expectations and preferences of patients and the ways they prefer to engage with and receive care from their healthcare provider,” Zach Zettler, president of Updox, says in the release. “It is critical for practices to adjust to these needs to better connect with patients where they are – on their phones. When it comes to technology solutions that consumers believe are important for a healthcare provider to offer, it’s all digital.”

The pandemic has also changed patients’ expectations of healthcare. Some of what patients now expect include:
  • 42 percent expect electronic forms or online paperwork options
  • 41 percent expect direct access to their healthcare provider over the phone, video calls, text messaging, or emails
  • 41 percent expect telehealth appointment options to be available
  • 39 percent say they expect communications can be conducted virtually
  • 37 percent expect virtual waiting room options

“Communication can truly be a huge barrier in getting healthcare services, which is why it’s so important for today’s providers to focus first on establishing relationships,” Sherie Garrison, RN, of Luke Project 52 Clinic, says in the release. “At my clinic, Updox really is the glue we use to build trust with our patients. Texting with them isn’t always medically related — it’s a way to show we care about them, and we’re connected to them.”



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Friday, November 26, 2021

Planning your 2022 medical practice business strategy

As you sit down with your physician partners, practice manager, and consultant(s) over the coming weeks to contemplate your direction for 2022, I thought it may be beneficial to offer a few pointers to help you along the way.

For starters, you should pause to reflect upon new competitors in your catchment area, as well as current competitors and new initiatives they are taking on. For physician practices, a competitive analysis is a means to assess who your competitors are, what value they provide, understanding strengths and weaknesses, and where your practice fits in. A good competitive analysis is a scouting report of the actual market terrain that your practice must navigate in order to be successful. While analyzing the competition is an essential component of your strategy, most medical practices don't conduct this type of analysis systematically enough. However, a thorough competitive analysis is indispensable.


Gather a list of your practice's competitors.


Most of the time, such a list is comprised of who your practice considers to be its chief competitors. However, there may be other healthcare organizations that indirectly compete with yours, perhaps ones outside of your catchment area that offer services such as telemedicine or niche treatment modalities that are aiming for the same patients.

You will also want to include information on healthcare entities that may be entering your market in the coming year. Once you have compiled the list, you can highlight those practices that will be the greatest challenge.


Analyze the competition's services in terms of features, value, and target patients.


How do they market them? How do patients see your competition? How do referring physicians view your competition?

Take an honest look at their offerings. Is your quality commensurate? Do you have similar offerings? What is the unique value you provide that competitors don't or can't? Emphasize these benefits in your marketing.


Compile a list of competitor strengths and weaknesses and remember to be objective.

You will not do your practice any good if you allow bias toward your own physicians, staff, and services to cloud your judgment. Try to see the competition's practice as though you were them. What makes their practice so great? If they are growing rapidly, what is it about their practice that's promoting that growth?


Observe how your competitors market themselves through advertising, collateral material, and physician liaisons.

You will have to go to many different sources to get a complete picture. It takes practice and a little shrewdness on your part to piece together a complete picture of strategies and objectives, so the use of a qualified consultant may be to your benefit. Focus on the facts, be persistent, and trust your intuition to help you.


Determine the current market demographics for your practice.

If the market is flat, then the competition for patients is likely to be fierce. Your practice will find itself scrambling to win market share. The outlook portion of your analysis may seem like forecasting, but it's really a measure of trends. By the time you've done most of your research, you'll have enough information to determine what the outlook really is.

By evaluating yourself against your competition, you'll likely find new ideas for your practice. While compiling a competitive analysis is an interesting piece of work, it can indeed be challenging. Consequently, you may want to seek the help of a healthcare consultant to guide you through this process. You'll learn a lot about your market and in the process become a more valuable resource for your patients and referring physicians.


Next Steps


From there, you will want to get into an abbreviated strategic planning process. That is, a timeline and list of objectives for what you plan to accomplish in 2022.

Strategic planning is an essential business activity; however, several common mistakes must be understood so that physician owners can guard against them. Pointing out these mistakes is not a criticism of the process but acknowledgement of improper implementation. Medical practice leaders must recognize both the benefits and the potential pitfalls of strategic planning because it is their responsibility to ensure that strategic planning is conducted properly to achieve the desired goals. Here are four of the most-common planning mistakes we find:


1. Attempting to forecast and dictate events too far into the future.


In part, this may result from the natural desire to believe we can control the future. It is a natural tendency to plan on the assumption that the future will merely be a linear continuation of present conditions, and we often underestimate the scope of changes in direction that may occur. Because we cannot anticipate the unexpected, we tend to believe it will not occur. In fact, most strategic plans are overcome by events much sooner than anticipated by practice leaders.


2. Trying to plan in too much detail.


This is not a criticism of detailed strategic planning but of planning in more detail than the conditions warrant. This pitfall often stems from the natural desire to leave as little as possible to chance. In general, the less certain the situation, the less detail in which we can plan. However, the natural response to the anxiety of uncertainty is to plan in greater detail, to try to cover every possibility. This effort to plan in greater detail under conditions of uncertainty can generate even more detail. The result can be an extremely detailed strategic plan that does not survive the friction of the situation and that constricts effective action.


3. Tendency to use planning as a scripting process that tries to prescribe actions with precision.


When practice leaders fail to recognize the limits of foresight and control, the strategic plan can become a coercive and overly regulatory mechanism that restricts initiative and flexibility. The focus for staff members becomes meeting the requirements of the strategic plan rather than deciding and acting effectively.


4. Tendency for rigid planning methods to lead to inflexible thinking.


While strategic planning provides a disciplined framework for approaching problems, the danger is in taking that discipline to the extreme. It is natural to develop planning routines to streamline the strategic planning effort. In situations where planning activities must be performed repeatedly with little variation, it helps to have a well-rehearsed procedure already in place.

However, there are two dangers. The first lies in trying to reduce those aspects of strategic planning that require intuition and creativity to simple processes and procedures. Not only can these skills not be captured in procedures, but attempts to do so will necessarily restrict intuition and creativity. The second danger is that even where procedures are appropriate, they naturally tend to become rigid over time. This directly undermines the objective of strategic planning: enabling the organization to become more adaptable. Rigidity is one of the gravest negative characteristics of strategic planning and of strategic plans.

Strategic planning is one of the principal tools used to exercise operational control because it will help you to decide and act more effectively. Remember though, that strategic planning involves elements of both art and science, combining analysis and calculation with intuition, inspiration, and creativity. To plan well is to demonstrate imagination and not merely to apply mechanical procedures. Done well, strategic planning is an extremely valuable activity that greatly improves practice performance and is an effective use of time. Done poorly, it can be worse than irrelevant and a waste of valuable time. The fundamental challenge of strategic planning is to reconcile the tension between the desire for preparation and the need for flexibility in recognition of the uncertainty of the healthcare industry.


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Wednesday, November 24, 2021

Managing office holiday party risks

There are a number of recurring seasonal risks we provide updates and reminders on every year, like our recent look at avoiding tax evasion and the abusive promoter driven plans that target doctors at the end of each year. Another one of those predictable seasonal risks is the traditional holiday office party. In late 2020 much of the country was under varying degrees of COVID-19 lock-down and pandemic protocols, with a distant promise of vaccines and conditions that had healthcare professionals fighting for life and sanity.


After arguably the most stressful year in the practice lives of many providers and despite recurring surges in coronavirus cases and deaths across the U.S., the wide adoption of vaccines, and the loosening of restrictions on gatherings has many medical practice leaders and staff members ready for an in-person party again. HR leaders feel that maintaining the tradition of a celebration, whether in person or virtual is a good way to blow off steam, help build team morale and connections between people who have been working remotely, and thank your team for everything they have done.

  • For those choosing to hold live events, maintaining covid safety standards need to be a significant consideration.
  • Make your expectations of safe conduct and requirements for attendance clear beforehand, including issues like vaccination status, mask-usage for staff (and their guests) and make sure they are enforced in a uniform manner.
  • Consider skipping guests this year, it will help reduce the crowd size, minimize conflict over safety rules and keep the focus on the team, their achievements, and relationships.
  • Consider the pandemic safety policies of the venue you use and if you are hosting pay attention to details like safe food and beverage handling that avoids buffets, passed appetizers, and other “shared-touch” items.
  • Consider the size, layout and ventilation of any venue you may use; outdoor is best, followed by locations that have open windows, patios or other partially open spaces that allow fresh air circulation followed by indoor spaces with high ceilings and ample spacing. This promotes a higher comfort level with your guests and may help encourage attendance if these details are shared with your invitation.

While some of these risks are altogether new or variations of more familiar ones, the more conventional risks haven’t gone away and some of them may be heightened by current stress levels, contentious social and political environments, and those who may feel they need to, “make up for lost time”. We’ve covered these issues before in greater detail, so here’s a short summary of some issues and risks to consider that will help ensure your holiday party remains, first and foremost, a safe and professional celebration.
  • It’s optional, make that clear and don’t penalize, formally or otherwise, those who do not choose to participate.
  • Regardless of whether it’s live or virtual, make it inclusive of all faiths, physical abilities, and other individual sensitivities.
  • Make expected standards of professional dress, conduct, speech, and behavior clear. They should match the standards enforced in your office during business hours.
  • Alcohol is not your friend and is the leading cause of issues at corporate events. Monitor and control consumption carefully. No open bar, self-service etc. If possible, use a 3rd party venue like a restaurant etc. that at least partially assumes the risk of alcohol service.
  • Feed your guests, it creates an activity that keeps them busy and should be considered required if you are serving alcohol.
  • Make it clear that those who need a ride home can rely on you to provide safe transportation home.
  • Consider your insurance requirements including general liability insurance coverage for onsite events at your office to any special coverage required for offsite events including those based around specific experiences, activities (e.g., escape room, trolley bar, outdoor experiences, etc.) or involving group travel.
  • Pay attention to the appropriateness of the activities, décor, games, music, and other details in light of all of the above qualifications.
  • Make it clear that rules apply to all in attendance, including owners and executives. If it’s not something that you’d want photographed, filmed and shared on social media, make sure it doesn’t happen.


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