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2024 Holiday Poem - 12/24/24


I sometimes hear it said That things have never been like this before. That challenges are unique, That stresses seem like more.   I sometimes hear it said That we're asked to do much more with less. That workloads are increasing, And we're resource-constrained at best.   And others often say That things are really very good. That they enjoy those Read more

Is Their Poor Planning Your Emergency? - 12/17/24


Have you ever heard the saying:  Your poor planning is not my emergency. I’ve heard it said often – not necessarily directly from one person to another.  More typical is that I hear it from the person having to drop everything and do something immediately because someone else didn’t think Read more

Empathy Examples for Everyday Situations - 12/10/24


I’ve often said that empathy is the single most important characteristic of people who are great at customer service.  If empathy is essentially “to understand the other person,” it helps so much to have that ability in order to specifically help someone.  To talk to what’s unique about them.  Read more

Tell Them Why You’re Giving Thanks - 12/3/24


Thank you! Merci! Danke! Doumo! Gracias! It seems like every language has a translation of Thank You.  Even though I only fluently speak English and speak Spanish, un poco, I – and probably most of you – have heard some or all of the translations of "Thank You” noted above.  Read more

Refine Your Decision-making Process - 11/26/24


Every day, you make decisions of what to do and what not to do.  And in the world of customer service, often the affected parties are our customers, our co-workers, and our company.  Here are a few quotes to consider when you’re thinking about evaluating and refining your decision-making Read more

Acting on the Guiding Principles for Great Customer Service - 11/19/24


In last week’s tip, we shared 5 Guiding Principles for Great Customer Service.  This week, let’s address what “taking action” looks like on those key principles.  If last week was about what to do and WHY, this week is about the HOW. Engage with Interest: To engage with interest, proactively Read more

Guiding Principles for Great Customer Service - 11/12/24


It’s hard to know every procedure, every policy, every technique possible to handle every situation correctly.  After all, maybe our procedures are standard, but our customers are not.  Maybe our policies stay pretty consistent, but our customers’ needs and issues, their attitudes and actions can change from customer to Read more

From a Simple Question to an Exceptional Experience - 11/5/24


Phyllis loves her job.  It’s not just because she loves being a customer service representative, not just because she really likes her co-workers, and not just because she enjoys her company.  It’s because she really appreciates her customers, as well. A customer had ordered a register book off the company Read more

Fix One Problem without Creating Another - 10/29/24


If you’ve ever had an issue with your dishwasher, this will sound familiar.  I’ve dealt with so many dishwashers over the years, and they always seem to have some kind of an issue.  Maybe it’s because of the mix of water and technology, but for whatever reason, these never Read more

Delight Your Customers - 10/22/24


Buddy the Bug Man was different.  His company was new, and the only reason why Janet tried him out was that the service she had used for years just wasn’t working.  Whether it was mosquitoes in the yard, ants in the kitchen, or cockroaches flying through on their way Read more

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Patient Experience Pros Don’t Have Unlimited Resources, Therefore…

Posted on October 8, 2014 in Business Advice, Healthcare Please leave a comment

Blog 10-8-14The healthcare industry is seemingly struggling to come up with a common and manageable definition for the “Patient Experience.” Maybe it’s because “experience” is such a broad term just like terms such as “feeling, perception, opinion” – which are often the words used to evaluate the Patient Experience. As an example, when the article Hospitals Focus On Patient Experience Through Design addresses Patient Experience, virtually the sole focus of the experience is the facility – the layout, the furnishings, the look/feel of the physical surroundings.

Therefore, Patient Experience could reference a facility, an employee, a phone call, or a website. It could reference a process, a wait time, other patients, communications, quality of care, cleanliness, food quality, or noise. It’s just too much to consider in terms of the multitude of definitions and aspects of an encounter or relationship that the patient has with the provider.

Patient Experience professionals don’t have unlimited time or resources. They can’t redesign a facility, turn all employees into Disney cast members, and get processes working like a Toyota assembly line to create the optimal Patient Experience. Instead, to make Patient Experience management…well…manageable, ask yourself this one question:

How do we focus “Patient Experience” efforts on that which has maximum impact on the patient’s feelings, perceptions, and opinions?

I’m going back to those 3 words – feelings/perceptions/opinions – because patients make the decision about whether to return if needed or seek care elsewhere based on feelings/perceptions/opinions. The answer to that question helps you to determine what impacts the patient’s willingness to recommend your organization to others. The answer to that question results in your understanding what can make a patient decide to give you the positive or negative rating. And the answer to that question helps you to better understand how they decide to be compliant with their self-care or post-discharge instructions. They decide all of these points based on their feelings/perceptions/opinions.

Through research, you can determine – statistically – what aspects of the experience have the greatest bearing on willingness to return, willingness to recommend, ratings, and compliance. By asking patients what impacts their feelings/perceptions/opinions, you allow them to guide you toward what would move their experience from good to GREAT! Don’t view your role as a Patient Experience professional as one that requires you to fix all the people, process, and facility ills in the healthcare world.

Let the Voice of the Patient guide your plans and priorities.

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Culture can be the Root of City Government Service Issues

Posted on September 4, 2014 in Business Advice, Government Please leave a comment

Blog 9-4-14In too many local municipalities, when the call volume increases for the contact center, you simply hire more staff. When loud complaints arise, politicians make speeches echoing the community’s concerns. When the pipes burst, you create a laundry list of solutions without first identifying the root cause.

That last example of reaction in local government happened in Winnipeg recently. According to the article Customer service at Winnipeg city hall should be a priority for our new mayor, last winter’s occurrence of bursting pipes for local residents required reorganizing their 311 call center, better dealing with their infrastructure, and realizing that some things are just natural disasters.

But according to the article’s author, what really made the problem so exceptionally bad were factors including “The city failed to identify the problem soon enough, failed to notify homeowners about what they could do to prevent freezing, failed to acquire enough equipment and manpower to thaw pipes, and failed to provide affected homeowners with the help they needed in a timely manner.”

These are issues of lack of measurement, lack of proactive communication, lack of community education, lack of long-term planning/thinking, and lack of responsiveness. In short, it was poor customer service and a lack of a customer-focused culture. Our company has seen often with our clients (in public and private sectors) issues become far worse than necessary. The issues were difficult enough to address, but the reaction to the issue often exacerbates the problem. Organizations that don’t understand how to create an aligned culture focused on service and responsiveness get caught when the issues arise.

They don’t anticipate. They don’t empathize. They don’t react well or quickly. They don’t communicate proactively. They don’t succeed.

Sometimes great “PR” for a local government is not just about having an excellent communications department. Sometimes great PR is a direct result of a culture that’s great in the 1-on-1 Moments of Truth with their residents.

When seeking to improve relationships with the community, local city and county governments first need to ensure their culture is designed to succeed.

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The “Patient Engagement” Conundrum

Posted on August 27, 2014 in Business Advice, Healthcare Please leave a comment

Blog 8-27-14

One of the latest healthcare buzzwords is “Engagement,” as in “Patient Engagement.” Unlike patient satisfaction, clinical care, customer service, and other service-oriented terms, Patient Engagement is a little more nebulous to the average healthcare consumer.

However, the term’s definition is abundantly clear to most healthcare institutions. In the article Patient engagement creates Stage 2 challenges for providers, Patient Engagement requires that “5% of patients be engaged in their care through an online portal or electronic medical record. Hospitals that don’t achieve 90 consecutive days of meaningful use at Stage 2 during the 2014 fiscal year will be penalized financially. They must do this to continue receiving their incentive payments and avoid losing 1% of future Medicare reimbursements.​” Ouch!

Essentially the Federal Government has narrowly defined Patient Engagement as getting consumers to sign-in to a system with their electronic medical information. There are many reasons given why this is so difficult, and many suggestions followed: “Updating organizational policies addressing patient EMR access (particularly looking at gaps in the system); continuously educating patients and providers of their roles related to the engagement; making sure information is robust, including more than just appointment dates and lab results; staying current with standard development that supports consumer engagement; and eliminating patient fees for electronic health information.”

But much of this is missing one key point. The culture of America, in particular, revolves around the fact that we don’t have to directly pay for a significant portion of our healthcare. Sure, we pay premiums and pay taxes, but it’s not like paying cash for a car – where you either keep the $20,000 in your bank account or write a check today for $20,000. Many Americans pay virtually nothing out of pocket for a visit or procedure, and the others spend the vast majority of their healthcare expenses on premiums. We’re a culture that’s focused on requesting the best procedure and expecting physicians, hospitals, and other institutions to deliver the best care. Whether that happens or not is another debate, but that’s the current state of the culture.

Until this culture changes, Patient Engagement – as it’s defined by the government – will continue to be a challenge. I have had 2 medical procedures lately, and it was like pulling teeth (healthcare pun intended) to determine my out-of-pocket costs before the procedure. Even then, they were only rough estimates. There was no proactive sharing of that information on the part of the healthcare providers, so it was all on the customer to determine the cost and make an informed decision.

Also, I was asked to create a log-in to my EMR last year, but I was just given a copy of a detailed form with instructions; there was no incentive, no promotion – just “here’s the form if you want to login.” To change a culture, the provider has to share what’s in it for the patient to do something different, to begin changing behaviors.

For Patient Engagement to truly succeed, the culture has to change.

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