Best ways to get more patients for your medical practice

Originally published in HCPLive.com

by Ed Rabinowitz

Pump up the volume. That’s what physician practices would like to do, and it has nothing to do with louder music. An increase in patient volume is the goal of virtually every practice. Even though the economy is struggling, there are still things physicians can do to increase the foot traffic passing through the practice’s corridors. And according to Drew Stevens, PhD, a practice management consultant based in St. Louis, it starts by looking at customer service.

Best ways to get more patients for your medical practice“Between forty-five and fifty-two percent of patient interaction revolves around customer service,” Stevens says. “So, if a physician and his or her staff are physically creating the patient experience, then that particular patient is going to become a marketing avatar for the physician.”

Step back, then communicate
Experts suggest that physicians first step back and examine the foot traffic in their waiting room. Is it volatile? Are patients not returning on a regular basis? Are you seeing fewer referrals? Then ask yourself, what am I doing to encourage foot traffic? Or more specifically, what am I doing to maintain customer contact? If the answer to most of those questions is ‘no,’ then it’s time to change the culture at your practice.

“There has to be some sort of culture definition that says, ‘This is the type of practice we want to be,’” says Barry Himmel, senior vice president at Signature Worldwide, which provides service and sales training to help improve communications. “And we might not hit all of our schedule times, and we might have to give some bad news every so often, but no one is going to complain about the service they receive here.”

Those thoughts are echoed by Norman Chideckel, MD, a board certified surgeon with the Vascular Surgery and Vein Center in New York City. He points out that until patients get to see the physician, they come in contact with many office staff members, starting with scheduling an appointment on the phone. “The office staff has to be courteous on the phone and make it a pleasant experience for the patient,” Chideckel says. “If they don’t, if they have an attitude or keep people waiting on hold, patients lose the flavor of coming in, and that carries over when they get to the office. You’ll have a much higher rate of converting new patients into long-term patients if they have a warmer feeling about coming in.”

Training and incentives

Himmel explains that just as important as determining the way you want to run your practice is making sure your staff has the skills to interact at the level you’re expecting of them. There could be a half-dozen points of contact before the patient even sees the physician. It starts with the person scheduling the appointment, then continues with someone greeting the patient when they enter the practice, escorting them to the exam room, taking their blood pressure or having blood work done. With all those points of contact, make certain that everyone can live up to the practice’s standards once they’re defined.

Next, consider an incentive-based program. Himmel says that his organization conducts approximately 15,000 mystery shops each month, and that they’re an excellent medium for building and assessing staff performance. The key, he explains, is that the program needs to be equitable. “It shouldn’t be overly complex, and it has to be easy to administer,” he says. “There has to be some sort of quantifiable measurement, or people can lose interest or get frustrated by it, or accuse you of playing favorites. And that’s not what you have in mind.”

Get out there
Stevens says that when physicians tell him they want to increase patient volume and practice revenue, he will ask them a series of questions. What have you done to be a known entity within your community? Are you serving on church boards or in the synagogue? Are you active in the local Chamber? Do you give talks in schools or universities in your area? The answers are usually ‘no.’

“What I say to them is, if there’s a way that I can increase your business by twenty percent and you not spend one dime except for gas money, would you be interested?” Stevens explains. “They say ‘yes.’ So I tell them to conduct some seminars, do some lunch and learns, and become an active member in their community. As soon as physicians start doing these little tactical things, their revenue increases without producing any additional labor.”

Himmel adds that becoming a caring component in the community is one of the most satisfying things a practice can do. And, he stresses, it can be done by the practice’s staff, as long as they’re representing the physician. “It’s a nice outreach program,” he says. “And it gets the practice’s name out there. I would imagine the easiest way to build up a practice is by referral, and it doesn’t cost very much.”

Ed Rabinowitz is a healthcare writer and reporter.

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  • http://www.academicobgyn.com Nicholas Fogelson

    No question. Being a part of the community is key to a successful practice. Participation in social media is part of that, especially for the younger patient population. Sometimes service is just being available for patients when they need you. A little personal touch like an quick email response to a patient question or calling a patient back with her normal labs goes a long way.

  • anon

    As a patient, I find this article chilling and repulsive. Can’t medical office staff treat patients well because they actually care, and not simply because they are “incentivized” for doing so? Don’t doctors genuinely want to care for and communicate well with their patients, and not artificially act in a way that manipulates patients into sending other patients their way? Am I really just a “customer”? A “marketing avatar”? (The language used in this piece is unbelievably cynical.) I am viewed primarily as a means to increasing foot traffic in my doctor’s office? I must be very naive to think I might matter as a person. There is a big difference between caring and acting for your own economic benefit in a manner that you believe will be perceived as caring.

  • http://www.neilbaum.com Neil Baum

    Anon, First, I am amazed that you didn’t attach your name to your response. Is there something you said that you might find embarrassing or that your doctor wouldn’t approve? Second, healthcare is unlike any other profession or business. We thrive and make our living by caring for the patients who are entrusted in our care. We want to provide five-star service because patients who are treated well are likely to be more compliant and follow the doctors’ instructions and ultimately have better outcomes. And patients who do well and have a positive experience with the practice are more likely to tell others about that positive experience. Who could ask for anything more than a win-win experience for all involved? Dr. Neil Baum, author of Marketing Your Clinical Practice. (Jones and Bartlett, 2009)

  • Patient

    My former doctor had great customer service. When the survey came, it asked me about smiles and enthusiasm. It didn’t ask me if the PA really understood the problem. It didn’t ask me how I felt seeing a complete stranger for a complicated problem. Maybe my doctor was more concerned about marketing than about patient care. It’s easy to make everyone feel good when things turn out ok. The doctors I would recommend are the ones who were there for me when things got hard not the one who called me with normal test results.

  • A. Medici

    Well, a thread I can relate to. Thank you for the opportunity for this patient to vent. Ok, here goes:

    1. After calling the doctor’s office and listening to all the phone prompts, I make a selection, then have to listen to muzak or pharmacy ads for several minutes. When a live person finally picks up I’m put on hold again, often right in mid-sentence.

    2. when arriving to the office and approaching the window,
    I’m ignored by the receptionist. Ok, they’re busy, but can’t they at least just look up to acknowledge that you’re standing there. It is such a rude reception not to at least get eye contact at the outset. This is a big problem at pharmacies too.

    3. Why is it that everybody in a doctor’s office dresses
    like a surgeon. The tech on down to the scheduler is
    wearing scrubs. It’s very confusing. I don’t know who’s who or who does what. And why are those name tags turned over most of the time, or worn at the waist, or tucked in a pocket. Then when I meet the doctor, he’s wearing casual street clothes.

    4. being kept in a cold exam room for 20 plus minutes in a
    paper gown with nowhere to sit except uncomfortably on the edge of the exam table or the doctor’s stool. Can’t you
    put a chair in there.

    5. on exiting the exam room, being immediately directed to the business office. One of my doctors actually has an exit-only door where a staff person has to buzz you out for the door to open. That after being grilled rudely about payment.

    If the doctor really is concerned or curious…

    One suggestion would be to send the patient a questionnaire asking for their thoughts about the office visit. If they want, let them be anonymous. Have the form sent back to an addresss other than your office so you could read them privately.

    If a patient truly has an ax to grind, it might be enough
    to sound off on the questionnaire rather than post their
    complaints on one of those rate-a-doctor sites. Some of the gripes might be totally unreasonable; some valid which you probably weren’t aware of and could easily address. And, I’m sure most patients would also let you know all the things that pleased or impressed them; the most important being that you valued their opinion.

    Just my 2 cents.

    ~Andrea

  • http://www.physiciandispensingsolutions.com My 2 cents

    The public forgets that practices are business as well and need to find ways to make profits. Physician reimbursements are on the decline & overhead costs are soaring. The public doesn’t understand that doctors need to be creative and think more like business owners, otherwise they will shut their doors and nobody will get good care. Doctor or not, people won’t work for free for long perios of time no matter how good the cause is. I challenge anyone to disagree with me on this issue.

  • http://www.cdsindiana.com Adam Mlynarcik

    Medicine is a business, whether you like it or not. It is naive to think that you aren’t looked at as a business entity as well as a patient.

    If you can take care above and beyond what you are doing now you will increase business and will be providing your patients with better care.

    I absolutely agree that it is a win win for everyone.

  • http://www.cnmri.com Bob Varipapa

    Here is the link to Neil’s book on marketing. Every physician (except maybe pathologists) should read this book:

    http://bit.ly/neilbaum

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