Friday, January 6, 2023

4 ways to improve the patient experience for older patients

As the population of older adults is expanding, the number of hospital visits may also increase, and an influx of appointments can lead to a decrease in patient care if you’re not careful. Every patient, regardless of their age, deserves to experience high-quality treatment.

However, ensuring each step of their hospital journey is designed for ease, and convenience takes effort. Prioritizing the patient experience is worth the time and energy, as it can lead to higher patient satisfaction and, ultimately, higher patient retention — a win-win for you and your patients.



Steps to improve patient experience


As the population ages, hospitals are seeing more and older patients. And while these patients do not differ from their younger counterparts, there are some things you can do to improve their experience and make them feel more comfortable.

Improving the patient experience is not only for enhancing retention and care but also for bolstering population health and reducing the cost of medical care. Here are four steps you can take at your hospital to make that change:



1. Reduce wait times to see a specialist or doctor.


When patients have to wait for hours to see specialists, they may go elsewhere in search of better service or treatment options. This could cause the loss of valuable customers who would have stayed if they had received better service sooner.


Long wait times are a common patient complaint, ranking among the top five in a study conducted by the Office of the Ombudsman. Hospitals should strive to improve the patient experience by reducing wait times. Making more appointments and hiring more staff to support those appointments and fill gaps is an excellent way to reduce wait times.



If you cannot hire more healthcare workers, consider adopting new technology, such as Telehealth or a Healthcare Virtual Receptionist, to provide easier access to care and streamline appointments. Patients should be able to track their appointment time to know when they’re supposed to arrive. And if there are delays, ensure patients are kept updated on what’s happening so they know what’s expected of them.



2. The waiting area should be comfortable.


Making the waiting area comfortable demonstrates that a hospital cares about the comfort and well-being of its patients. If there’s one thing we know about older patients, they’re more likely to have mobility issues than younger ones. That means they’ll find it difficult to sit for long, especially if they’ve been waiting for hours already.



Providing comfortable seating, magazines, and books, as well as having a television or radio playing in the background, can give older patients a sense of calm and serenity to replace some of the anxiety that comes with appointment anticipation.



3. Show concern over their symptoms.


Another way to improve your patients’ experience is to show empathy toward their concerns. This can be done by showing concern over their symptoms and asking questions about their feelings (e.g., “How is your pain level right now?”). It can also be done by listening when they speak instead of interrupting or talking over them.



Doing these things will show your patient how much you care about them and what’s happening in their lives outside of medical appointments, making them feel more comfortable with you.



Teach your staff team how to listen carefully to patients and their families. Instruct them to write questions for the patient to ensure all issues are addressed. Showing concern could also provide timely patient feedback.



4. Improve communication with patients


Older patients may have difficulty communicating with you because of hearing loss, vision problems and other age-related issues. A caring approach can improve communication with older patients by letting them know you are listening and understanding what they are saying.



It is essential to lead with a person-centered attitude in encounters with patients and your employees, as a culture often trickles from the top down. Answer the phone promptly, introduce yourself to patients, and be helpful and willing to answer all their questions. If they seem restless, be reassuring. If they are worried, be comforting and confident. At the end of your interaction with the patient, be sure to ask if there is anything else you can do for them.



The patient experience is essential to all patients. But it’s even more critical for older patients. They are often more vulnerable and may not have the energy or ability to advocate for themselves. Older patients are looking for a healthcare system to take care of them. They want their needs met, and they want to feel heard. They need a healthcare provider who understands their struggles and can help them navigate the system in a way that makes sense.



Many healthcare professionals overlook the patient experience when it should be a priority. Taking that extra moment to acknowledge the older patients at your practice is essential. Treat them like you would treat a friend that is coming to visit. Welcome them warmly, shake their hands, help them with their luggage, and make them feel comfortable. Take these simple steps, and you’ll stand out from other providers in your demographic area — and your community will thank you for it.


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Thursday, January 5, 2023

Exit plans: Buy-sell agreement guide

A private practice physician’s career, as with many other professionals and entrepreneurs, is focused on growing their practice and serving their patients. Considering when and how they will inevitably exit their careers and, more importantly, create a “strategic exit plan” doesn’t tend to be the highest priority.

Certainly, focusing on serving patients is to their credit, but many doctors over time slip into a “die at the desk” mentality. Their practice is who they are, and their last day in the office has a greater chance of ending with their being carried out than exiting gracefully with a retirement party.

During their lifetime work, doctors do everything in their power to keep patients healthy, but they also know more than most that life is not always predictable; yet, successful practitioners often don’t make any preparation for ending their practice if their lives end earlier than expected.

If we have learned anything during the COVID-19 pandemic, stuff happens — many times outside of what we planned. Doctors and other medical professionals were frequently exposed to danger. What happens if we don’t make it to the office tomorrow? Our patients, staff and a lifetime of work dissipates into the air?

Having a contingency plan isn’t a planning option. It is a necessity.

Whether you are a solo practitioner or part of a large, complex medical group, a “buy-sell” arrangement is a must-have for private practices to protect their family, employees and patients. Your family deserves the economic value of your life’s work, your employees deserve the assurance they will remain employed and your patients need to know that their medical needs will be met.

We encourage our clients to have a buy-sell agreement that addresses the five Ds:


Death: Premature death is the most common item in a buy-sell, whether a solo practitioner or part of a group.

Disability: If you can no longer perform in your area of practice, disability insurance may cover a portion of your income and overhead, but what if you can never return to the practice of medicine? Make sure your agreement covers this possibility.

Divorce: In the event of a partner’s divorce, the shares of the practice cannot be left in jeopardy of going to the person who divorced a partner.

Disagreement: If partners can’t agree on major business decisions, a clause must be exercised to settle the agreement and potentially divide the practice.

Departure: If one doctor decides to retire while others want to continue, what is the valuation method and payout structure for the doctor who is retiring?

I have had the privilege in my 17-year career in financial services of working with many family medicine groups, dental practices and specialized doctors such as aestheticians. What I have found is that many are great businesspeople and certainly highly educated. But most don’t realize the inherent value of the practice they have created. It’s also important to recognize the value of the after-tax income the business produces — and that it may be your largest asset.

It’s critical to plan the eventual exit of your medical practice, just as you would a business. The appropriate time, attention and team are necessary to ensure maximum value.


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Tuesday, January 3, 2023

Top administrative challenges for 2023: Patient communication

Editor's Note: Every year, Medical Economics® asks our physician readers what challenges they are facing in their practices. And every year, we get the same answer as the top challenge: administrative burdens. For our first issue of 2023, we decided to take a stab at fleshing out what some of those administrative burdens are and what physicians can do about them in their practice. We focused on five administrative burdens that our readers commonly tell us are major issues.

It wasn’t so long ago, relatively speaking, that doctors and medical practices had only a few ways of communicating with patients (and vice versa): in person, by landline telephone, or via U.S. mail.



Now those days seem as quaint as the era of travel by horse and buggy. Today medical providers and patients have a myriad of new communication tools at their disposal, such as text messaging, telehealth, patient portals and social media platforms — not to mention the widespread use of cell phones.








The explosion in communication technologies brings numerous challenges for doctors and medical practices, starting with patient expectations. Patients, especially younger ones, expect the same ease and convenience in communicating with their doctor that they find when shopping or ordering a meal online. In a recent survey of 2,000 adults, 61% said they wanted health care to mimic the experience provided by a customer service app, and 79% said they wanted the ability to use technology to manage their overall health care experience.



“Patients want the convenience of connecting with your practice however and whenever they want — by phone, website or text, inside or outside office hours,” says Justin Jacobson, vice president of patient engagement solutions for Nuance Communications Inc., a technology company that offers conversational artificial intelligence solutions.



COVID-19’s arrival further highlighted the importance that patients place on communicating with their doctor. In a 2021 survey of patients by health care software company SymphonyRM, now Actium Health, 41% of respondents said they had less confidence in their doctor since the arrival of COVID-19, mainly due to a lack of communication about the disease. Conversely, those who reported more confidence said it was due to their provider’s rapid transition to virtual care, frequency of communication about COVID-19 and use of digital communication tools.



For medical practices, the implications are clear. Their success increasingly depends on their ability to acquire and integrate the communication channels that patients have come to expect in other aspects of their daily lives. Practices that meet those expectations can reap benefits such as higher levels of patient engagement and loyalty, a stronger bottom line and improved patient outcomes.



Among the newer communication tools, texting may offer the most advantages for the least cost and effort. Practices can use automated text messages to remind patients of upcoming appointments (thereby reducing no-shows), share pre-appointment requirements such as fasting, and inform them when they are due to receive preventive services like colonoscopies and vaccinations.



In addition, follow-up text messages are more effective than telephone calls at reducing hospital readmissions or emergency department visits following hospital discharge, according to a 2022 study published in JAMA Network Open.



A further benefit of texting is its popularity with patients. A 2021 health survey by Healthcare Information and Management Systems Society/Solutionreach Inc. found that 65% of patients want to get appointment confirmation/reminders and pre-visit care instructions via text message. Moreover, more than one-third of those surveyed — including 64% of those age 50 and younger — said they’d be willing to change providers to receive text messages and other modern forms of communication. Nearly 90% cited convenience as the primary reason why they preferred texting versus other means of communicating with their doctor.



Ultimately, the goal of all patient communications should be to create an approach that “empowers patients to become active participants in their care,” says Gary Hamilton, CEO of InteliChart, a developer and provider of patient engagement solutions. “This requires physicians and all other medical staff to develop good communication skills and address patient needs effectively.”



Here are four tips for using new technologies to improve patient communications:

  • Try to meet patients where they are. Find out what mode of communication each patient prefers and use it as much as possible when communicating with that patient.
  • Install and use as many different communication forms as your practice budget allows, and let patients know you have them and how to use them.
  • Assign a staff member responsibility for monitoring the patient portal, including answering patients’ questions about how to use it and what information is available on it and triaging messages and requests that come through it.
  • Check with a health care attorney or your local medical society to ensure that all your patient communication tools are compliant with the Health Insurance Portability and Accountability Act of 1996.

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