Showing posts with label patient retention. Show all posts
Showing posts with label patient retention. Show all posts

Friday, July 29, 2022

The unexpected drivers of patient retention


As healthcare providers, we care about our patients. And we put a lot of time and effort into offering the best patient experience possible. But often, more than good bedside manner is needed. In today’s ever-changing clinical environment that spans in-person to virtual appointments, it's important to understand the nuanced factors driving patient satisfaction.

To deliver a great patient experience, providers need to understand patient perceptions, expectations, and preferences when it comes to receiving care. After reviewing some recent patient feedback, I believe there are some essential elements that define patient-perceived success—such as the likelihood of the patient returning to the clinic and even recommending the practice to others. The great news is that there are simple fixes any provider can make in their practice to attract more patients, retain them for longer, and help them achieve optimal outcomes.
The nuances of patient communication

Communication from the provider is one of the biggest factors contributing to patient-perceived success. Patient communication should be viewed as an ongoing process, not simply a one-time exchange. Yet, a recent survey by WebPT showed that only 30% of patients report receiving regular communications between appointments. Additionally, 52% of physical therapy patients felt that their at-home exercises would have been more successful with greater communication between appointments.

To deliver optimal communication, healthcare providers must pay attention to how—and when—patients receive communication. Digital delivery can make this process much more manageable. For example, rehab therapy providers can send their patients home exercises digitally instead of in paper format, thereby adding another touchpoint to the patient experience. Based on our survey, there's room for improvement in leveraging digital communication. In fact, the report showed that only 33% reported receiving their exercises in a digital format, yet 83% of patients who received their exercises digitally reported success in their care.
Beware of communication bias



It’s also important to be aware of communication biases in relation to how you are communicating across all patient groups. One of the most surprising insights found in the PT Patient Experience Report is that there is a genuine and significant difference in the frequency of communication across different age groups. There is a linear relationship between a patient’s age and the likelihood of receiving communication, with younger patients much more likely to receive frequent check-ins than older patients. This can also be seen when comparing athletic ability, with most athletic patients much more likely to receive communication than the least athletic patients.
Set clear expectations from the start

In the physical therapy industry—like many other healthcare disciplines—it seems that providers often link treatment “success” solely to outcomes measures. However, when we factor in the patient’s perspective, the definition of success changes.

To set clear expectations with patients, it’s important to set up a thorough plan of care for each patient from the beginning of their treatment process. This includes anticipating the number of appointments needed throughout the care journey and adjusting the volume of appointments as required. Calibrating a patient’s plan of care as needed to adjust to their ability and availability will significantly affect the patient’s perceived success.

Any effort spent in communicating clear expectations is worth the work, since patients who feel that their healthcare provider outlined clear expectations are more likely to report a higher level of satisfaction. The PT Patient Experience Report showed that 86% of patients who had clear expectations said they would recommend their treatment, and 74% said they’d repeat their treatment.
The need for mobile-friendly options

Today’s patients often get the question: “Paper or digital?” but simply asking the question isn’t enough—we need to actually listen to their answers. Understanding patient preferences around traditional versus digital communication goes hand-in-hand with patient success and retention.

In our report, the majority of patients across all age groups reported a preference for patient-centered tech to help them quickly and easily on-board, at their convenience. For example, 81% of patients prefer digital appointment reminders, with text being the #1 method. The only age-related difference found was a slight delivery difference, with patients under age 45 more likely to want to use a patient app while patients over age 45 more likely to prefer an online option.

A recent study by Pew Research showed that tech adoption among those 65 and older is increasing—so clinicians can be confident in offering digital solutions to patients of all ages. According to their research, the percentage of those 65 and older who own a smartphone has risen from 13% to 61% in the last decade. In the same timeframe, the percentage of those 65 and older who own a tablet has increased from 6% in 2012 to a whopping 44% today. Of course, COVID-19 played a role in accelerating the shift to online healthcare offerings, with many everyday functions rapidly transitioning to digital processes. It’s important to note that this change happened across all age groups.

Clearly, healthcare providers shouldn’t assume patient preferences based on age, athletic ability, or other factors. Solutions like digital appointment reminders, filling out intake forms online, online scheduling, and digital payment options should be available to patients across all age groups. Mobile-friendly services help patients feel that their needs are being met, thus increasing the likelihood of retention.

Since patient satisfaction is linked to retention, most providers are eager to level up wherever needed. Based on our findings, it’s clear that a great patient experience includes clear expectations, stellar communication, and an individualized experience. This combination is a surefire prescription to keep patients satisfied—and keep ‘em coming back.


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Monday, November 27, 2017

4 Tips to Boost Patient Portal Use

As EHR portals have continued to evolve, one truth has withstood the test of time: The technology doesn’t provide benefits unless patients use it.


Unfortunately, engaging patients with a portal is no easy task, says Vanessa Bisceglie, MBA, BS, CMCO, PMP, NCP, CEO and president of CareVitality, Inc. in Chicago. Nearly 66% of respondents said the most significant portal-related challenge is simply getting patients to sign up, according to a 2017 Physicians Practice Tech Report.

The problem is that many portals don’t give patients what they want—either because the portal vendor doesn’t offer the functionality or because physicians choose not to activate certain features out of fear that they won’t see a return on investment, says Bisceglie.

Although Meaningful Use spurred the adoption of EHRs, it didn’t do much in the way of increasing portal usage, says Bisceglie. Physicians who launched a basic portal for Meaningful Use struggled to engage 5% of their patients—the minimum number necessary to satisfy Stage 2 requirements. This lack of patient engagement could be why the federal government eventually revised these measures, she adds. According to modified Stage 2 requirements, only one patient needed to electronically view, download, or transmit his or her information to a third party during the EHR reporting period.

What portal features might increase patient engagement? According to research conducted by Software Advice, patients using a portal most often want the ability to:

  • Schedule appointments (24%)
  • View test/lab results (22%)
  • View bills/make payments (21%)

Bisceglie says other popular features include:

  • the ability to securely communicate with providers
  • enter patient data
  • access medical records and clinical summaries
  • refill prescriptions
  • fill out registration forms

Once patients engage with the portal, the technology has the potential to not only reduce administrative costs but also improve outcomes, the latter of which is an important consideration for physicians participating in MACRA and other value-based payment initiatives, says Bisceglie.

Here are four tips to help physicians engage patients with their practice’s portal:

1. Educate patients about the portal


Practices that take the time to develop flyers about the portal and its benefits are more likely to experience patient buy-in, says Bisceglie. Provide these flyers upon check-in, and ensure that front-office staff can answer any questions. There are also other ways to subtly remind patients about the portal. For example, consider this automated message while patients wait on hold when dialing the receptions:

“If you’re unable to wait, please be aware that you can access the portal 24/7 to complete many tasks.”

2. Focus on initial activation


Don’t give patients a URL with instructions on how to activate their portal because they won’t do it, says Bisceglie. Instead, ask patients to provide their email address so you can sign them up for the portal while they wait to see the physician. Then ask them to check their email using their smartphone to ensure they received the invite. Ideally, practices would also walk patients through the activation process, including choosing a password and logging in for the first time, she adds.

3. Activate as many features as possible


The more patients can accomplish using the portal, the more likely they’ll be to sign on, says Bisceglie. This requires going beyond simply providing the ability to view lab results, which is where many portals stop short, she adds.

4. Involve physicians


When physicians encourage patients to log onto the portal and view lab results or pose questions, this reiterates that the portal is an important communication tool.

Primary Health Medical Group, an 11-clinic independent medical group in southwest Idaho that uses secure messaging through its portal, provides simple talking points to educate patients, including:
Do you use e-mail? The portal is just a secure e-mail system that we can use to communicate.
You can send me a message and it goes right into your chart, so I have all of your information at hand when I read it and respond.

If you use it and don’t like it, you don’t have to continue to use it. Just let us know.
It’s really very easy to use. If you use the Internet, you’ll most likely find the portal helpful and easy to navigate.

Also don’t forget that portals aren’t going to work for every population, says Bisceglie. For example, patients in rural areas, those who are not tech savvy, or those who don’t have an email address probably won’t engage with the portal regardless of the practice’s efforts. It’s all about knowing your patients and giving them what they want, she adds.

Making the Most of Your Portal


Here are some additional tips to capitalize on your practice’s portal:

  • Activate online bill pay to accelerate cashflow.
  • Allow refill requests to increase medication adherence.
  • Provide medical record access to reduce requests for information.
  • Provide online registration to reduce wait times and increase patient satisfaction.
  • Provide online scheduling options to reduce call volume.
  • Quickly respond to patient inquires via secure messaging to reduce uncompensated time.
  • Send educational materials and reminders to schedule preventive care appointments (e.g., flu shots, wellness visits, or annual physicals) to improve outcomes and keep patients engaged.

A thoughtful approach to portal implementation helps practices maximize efficiencies says Bisceglie. “Think of it as a tool that will increase efficiencies within your office while potentially decreasing costs,” she adds. “The better you are at enabling the portal and positioning it to your patients, the more likely you’ll have these operational and cost efficiencies.”

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