Competitive Advantage
Hospitals hope better customer service will increase patient satisfaction

 
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For more information

To find out more about starting a customer service program at your facility, call:

Press, Ganey Associates for information about its customer satisfaction surveys, (800) 232-8032

Inova Fairfax Hospital for more on its customer service training course, (703) 698-3118

American Hospital Association for a resource directory and hospital surveys, (312) 422-3000

Celebration Health for information on its “Pathways to Potential” customer service training program, (407) 303-4464

   
     
     
     

By Toni Fitzgerald
Photo: Corbis
October 21, 1999

Once the realm of upscale clothiers, customer service has found a new domain. Faced with an increasingly competitive marketplace, hospitals are searching for new ways to keep patients happy.

Satisfied patients mean fewer complaints, good word of mouth, and, most importantly, repeat business, according to Rick Wade, senior vice president at the American Hospital Association (AHA). “The healthcare field is changing,” he said. “We used to take patients for granted, but there’s a different kind of patient now. They’re less willing to accept at face value what we tell them.”

A 1998 AHA survey found Americans base healthcare choices not on health plans or hospitals, but on the people behind them, especially nurses. Now hospitals are trying to ensure their staffs have the skills to keep patients satisfied.

Patients first

The 18-month-old Covenant Medical Center in Lubbock, Texas, has funneled plenty of energy into customer service. “We’re trying to identify where customer satisfaction problems are,” said Covenant spokesperson Eddie Owens. “We have employee action teams devoted to it, and we survey results every quarter.” In addition, all new employees go through customer service training.

Sharon Rose, RN, a nurse at the medical center, says the customer service class didn’t teach her anything new, but she does think the training is important. It impressed on her one jarring idea—the customer is always watching, whether it’s at 4 p.m. at the hospital or 4 a.m. at the gas station. “The patient may think you’re the best thing that ever walked the earth at the hospital, but then they’ll see you in a store somewhere yelling and screaming, and it gives a different impression,” she said.

Overall, the course was a gentle reminder—patients always come first. “It was fun, a little sterile,” Rose said. “But it keyed the point that no matter where you are, the customers are watching. That’s something I’d never thought of.”

Still, no new system comes without naysayers. At Lubbock, nurses complain that some of the training is more common sense than customer service, Rose said. Nonetheless, she adds, they suggest physicians take the course, too. “Everyone’s saying if we do it, they should do it, they’re the ones who need to. So that’s the next step.”


Fewer complaints, more compliments

Customer service training has yielded tangible rewards for Inova Fairfax Hospital in Falls Church, Va. Complaints have dropped from 25 per 1,000 patients to almost zero, while compliments have risen by nearly 100 percent.

The course focuses on “moments of truth” between patient and healthcare provider. “Every moment of truth at the bedside poses as customer service,” said program founder Thom Mayer, MD, Inova’s chair of emergency medicine. “It teaches those skills, and it makes the patient happy, which is our goal.”

Though it started six years ago as an in-house class, Mayer and partner Robert Cates, MD, have since taken their eight-hour show on the road. Mayer estimates he’s done 250 presentations, drawn from the customer service practices of user-friendly corporations such as Nordstrom, Wal-Mart, and Disney.

“When I got started in this, I found people were being held accountable for skills in which they were never trained,” Mayer said. “The reason we should get this right, is … it makes our job easier.”
A link between service and satisfaction was confirmed in surveys of nearly 1,500 hospitals nationwide conducted by Press, Ganey Associates, a South Bend, Ind., company that measures healthcare satisfaction. “Customer service is clearly more of an issue in health care,” said company spokesperson Marylou Marosz. “It’s financially beneficial to provide better service. When you place more time and energy, the patients come back.”

Financial sense

The people who run Celebration Health, a 60-bed Florida hospital dedicated to the universal care delivery model, agree. At Celebration, there is no ICU, PCU, or other separate unit; patients remain in one room throughout their stay, regardless of the type of care they receive. The move is cost-efficient and patient-friendly, said Administrative Director Kathleen Mitchell, RN.

“You have the same nurse at your bedside when you have cardiac arrest as when you’re discharged,” Mitchell said. “We’re trying to make standard care extra special. Patients see we have a beautiful facility and assume we’ll have the latest electronic equipment. But we want to stage an experience for them, and that starts with service.”

Though Celebration is barely 15 months old, response so far has been favorable, Mitchell said. The required customer service training seminars haven’t hurt, either.

But ultimately, customer service comes down to listening to patients, said the AHA’s Wade. And a good place to start is with the hospital gown. “We need to listen more to the perceptions of our patients,” he said. “Do you think the hospital gown would still be around if we’d started doing this earlier?”