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The purpose of this letter is to describe the economic situation faced by medical practice owners and managers and the solutions available to offset these challenges. As well we have added an Appendix of our most relevant Best Practices Videos for Patient Acquisition from our Education content.
As expected from the last 6 months the economic headwinds we face as a nation and practice continue. The upward pressure of increased consumer living expenses from rising interest rates has decreased consumer interest and capability in pursuing reimbursed and cash-pay medical procedures. It is important that you evaluate your current practice performance and optimize it towards solutions that can offset that decrease in consumer demand and ultimately practice cash flow that is expected for at least another 18 months.
In short, you should prepare for equal or less revenue and equal or higher expenses over the coming 18 months as compared to the last 18 months; this means harsh pressure on cash flow and profits. The positive factor in the current environment is that technology is providing practices more solutions than ever with respect to understanding their situation (analytics) and being able to attack the challenges of this economic storm with automation and more efficient than ever marketing channels.
Your review should include a full analysis of your Patient Acquisition Process:
- Patient Inquiries – Analyze inbound patient flow and sources to ensure maximum delivery
- Patient Scheduling – Analyze inbound inquiries to schedule rates to ensure process efficiency and schedule availability
- Patient Purchases – Analyze conversion rates by provider/procedure to ensure optimal purchase rates and post-appointment follow-up process
- Patient Retention – Analyze patient recall (retention) activities to ensure you are facilitating the most optimal patient journeys through your practice services in order to create the best patient outcome and lifetime value
THE PERFECT ECONOMIC STORM
Trickle Down Unit Measured | Economic Impact |
Fed Funds Interest Rate | Up 300% |
Consumer Interest | Down 10.7%-18% |
Consumer Cash Flow | Down due to Interest Rate |
Practice Expenses | Up due to Interest Rate |
Practice Impact | Perfect Economic Storm |
MEDICAL FACILITIES & SERVICES SEARCH VOLUME = -10.7% DECREASE SINCE 2019 SOURCE GOOGLE TRENDS
COSMETIC SURGERY SEARCH VOLUME = 18% DECREASE SINCE 2021 – SOURCE GOOGLE TRENDS
FEDERAL FUNDS INTEREST RATE = 250% INCREASE SINCE 2022
Economic Issue Review: Increasing interest rates over the last 2 years have made it more difficult for consumers to pay co-pays/deductibles and/or purchase cash-pay-related medical services due to less spending power. Whether with less cash on hand due to increased daily expenses or less borrowing power, the average consumer is in a much more challenging purchasing power position than 2 years ago. This has a direct correlation to consumer medical interest and financial capability to pursue treatment.
Google Trends reports that the “Medical Facilities & Services” search volume has dropped -7.4% since 2021 and -10.7% since 2019. Consumer search volume in the Google Search Group of “Cosmetic Surgery” related terms has dropped 18% since the post-Covid high of 2021. Obviously, there is a decrease due to Post Covid, but if you look further this search volume is reaching post-2008 financial crisis lows.
The average consumer’s ability to spend money outside of necessities has dropped faster than the decrease in search volume due to rising interest rates and increases in costs across nearly every aspect of their life (rent, mortgage, food, gas, etc.). Interest rates have increased by over 300% since 2019.
Ultimately this means the average practice will feel a larger negative impact than the search volume numbers above as this does not take into account the decreased purchasing power of the consumers who are searching for education but do not have the financial capabilities necessary to move ahead with treatment.
We have seen many practices this year have a decreased appointment to purchase rate of 30%-50% from last year alone due to this hidden double negative of consumer purchasing power. That being said, it is clear that those practices that have maintained a consistent and aggressive marketing plan to new patients and existing have performed much better than those that have not. Their marketing plans are nominal in cost as they revolve around the website (nominal cost), social media (no media cost), and existing patient recall (no media cost).
The above practice challenges are compounded by increased practice costs, decreasing insurance reimbursement, and personnel retention. As practices, we are looking into the “Perfect Economic Storm”…
SOLUTIONS TO NAVIGATE THE PERFECT STORM
Many of us in this current environment are going through at least our 4th such storm (2001 internet collapse, 2008 housing crisis, Covid). We know we can make it to the other side and life will go on! Additionally, our ability to navigate the storm is better than ever with the rapid increase in value of technology to allow our teams to do “more with less” compounded by the advantage of media channels and solutions that are less expensive and higher performing than what our piers had before us. I.e. Social Media vs. Bill Boards/Radio/TV, email/text vs. direct mail, etc.
Your Patient Acquisition audit should include the following:
Key Performance Indicator (KPI) | Measurement Year Over Year Monthly/Quarterly | Solutions to Improve KPI’s |
Patient Inquiries | New Patient Existing Patient Source of Inquiry Revenue vs. Ad Spend (ROI) | Patient Recall Automation Social Media SEO Automation Source Evaluation/Negotiation ROI Analytics |
Patient Scheduling | Per Scheduler: Missed Phone Calls Web Inquiry Response Time Inquiry to Schedule Rate Lead Date To Appointment Date Attendance/No Show/Cancel Rates | CRM (integrate phone/text/PM/email communication) Patient Messaging Automation Online Scheduling Schedule Capacity Optimization Marketing Source Performance Appointment Education Procedure Education Automated Surveys |
Patient Purchases | Attendance to Purchase Rate Revenue Per Appointment Cost Per Appointment | Coordinator Protocol Procedure Pricing Consumer Financing Solutions Provider Protocol Automated Surveys |
Patient Retention | Repeat Patients Repeat Patient Revenue | Patient Recall/Journey Mapping Patient Recall Automation |
Do you have these 14 KPIs available on a daily basis? Does your team have them available in regard to their key responsibilities? If not you are running into the storm blind… Just as important protecting your practice against “opportunity cost” within the good times provides just as much value with these metrics integrated into your business operations.
This memo discusses the top 20 Solutions to KPI issues in patient acquisition you may be having. There are certainly more, however, you should ensure that at a minimum you have the above solutions integrated deeply into your daily business systems. Advanced technology has led to automation in many of these solutions in a way that is patient and practice-friendly creating improved engagement, patient outcomes, and practice scale.
Your business meeting cadences should include these metrics in review at various levels on a daily, weekly, and monthly basis. There should be no surprises in performance at the end of any month or quarter. This level of transparency in KPI performance and communication will allow your practice to “proactively” resolve issues as they begin and long before they severely impact cash flow.
The storm is here for many already or is looming near. Fight back aggressively and quickly with the implementation of the above KPIs and automation, you will make it through to the next sunny day.
Best to you and your practice,
Jason Tuschman
CEO and Founder, Red Spot Interactive
jtuschman@redspotinteractive.com
Jason Tuschman
CEO and Founder, Red Spot Interactive
jtuschman@redspotinteractive.com
Solutions Appendix
- Return On Investment (ROI) Analytics –
- Patient Acquisition
- Optimizing Patient Acquisition Check List
- Auditing Patient Acquisition Challenges
- Understanding Phone Abandonment Rate
- Lead Management and Patient Scheduling
- Patient Engagement Drives Patient Acquisition
- Consumer Financing – Don’t Leave Money on the Table!
- Understanding Your Patient Conversion Rate
- Understanding Patient Retention Software
- The Value of Lead Created Date
- Understanding Patient Lifetime Value
- Increasing Patient Attendance and Purchase Rates
- Generate Referrals
- Team Management
- Staff Incentives – Incentivize KPI Focus
- KPI Communication Protocol
Maintaining successful relationships with patients can be done by managing successful workflows in your CRM platform. Mapping out workflows and communication needs will help you and your staff provide the best patient care outside of the care they receive from your medical providers. Here’s how to get started.
Phase One – Set Actionable Goals
Define specific goals for each department from your marketing team, to your patient schedulers to your practice administrators. Everyone knows that the end game is to give every patient the best experience, but having specific goals based on their roles in the practice help each individual understand what they are responsible for and how they add value to the patient’s journey.
Phase Two – Evaluate Manual Work
For each department in the practice, identify any work that is repetitive, time-consuming, or overlaps with another team. These are the manual processes that should be automated with workflows in your CRM. Anything that is done the same way every time or requires a team member to do or check on something can all be set up to execute based on logic triggers.
Phase Three – Consult Your Staff
No one knows what the pain points and inefficiencies are better than the people doing that job every day. When you’re onboarding your teams to the CRM, make sure you include them for input. While a practice manager or account manager at the CRM company may be able to provide some helpful best practices to get you started, your individual staff members are going to be the ones actually using the software. Thus, it is important to get their feedback on the intimate details of what their roadblocks are from being as effective as possible.
Phase Four – Implement, Test, Adjust
Once your workflows are set up, it’s time to evaluate. Take note of what your current KPI stats are for each team. After you’ve been running for a while, evaluate if those KPIs have improved and if you are hitting your goals for each team. If you’re not, review ways that the workflows can be adjusted to help the team reach their goal numbers for the week, month, quarter, and year.
Workflows should be fluid and should be reviewed frequently to maintain alignment between the team goals, practice growth, and standards for patient care. The most successful medical practices review their workflows anytime there is growth in the practice (i.e, a new procedure, provider, or location is added), staff turn over (i.e., workflows should be part of all new employee onboardings), changes in the industry (i.e., the rise of telehealth during the COVID-19 pandemic is a perfect example of practices all over the world re-evaluating workflows around virtual appointments.)
A good CRM focuses on one thing – your patient. This means that the CRM you chose for your practice needs to offer a selection of workflow automation tools, contact management solutions, activity management tools, and analytics for marketing and ROI. These tools will help your staff and your brand form a strong bond and loyalty with your patients.
In today’s market, there are many different CRM companies that offer these tools to medical practices. Thus, it can be difficult to decide which one to choose for your practice. At the end of the day, what matters most is to pick the CRM that fits your internal workflows and can help your staff work smarter, faster, and stronger. Decrease opportunity cost by automating marketing efforts to new and existing patients, reduce staff workload and provide transparent tracking and analytics to help make better business decisions.
What Are Workflows in a CRM?
A workflow is a series of actions leading up to an end goal in a business process. In a medical practice CRM, goals can be to book a procedure, respond to and correct and bad review, or launch a marketing campaign. Workflows are meant to assist the respective employees in completing that goal in the most efficient and consistent manner whether it’s a patient coordinator, a practice manager or a marketing manager.
In a medical practice, an example of a workflow can be that a new potential patient has filled out the contact form on your website. Having read through a few pages on your website, and providing key information via the contact form like name, phone number, email, and a procedure of interest, this person would be considered a valid lead and enter into a lead management workflow. From the website, this lead information would be fed into the CRM and put in a queue for a patient scheduler to reach out.
Once a human connection is made, the patient scheduler can evaluate their readiness to book a consultation or procedure. Based on that evaluation the lead is placed further down the sales funnel. Depending on their placement in the patient journey the patient scheduler can set up automated reminders for the staff to reach out at a later date, set up automated marketing about their procedure, or if an appointment is booked, drop them into a queue to automatically be sent important information about their appointment.
This is where the patient coordinators and marketing team can really take advantage of the automation that CRM platforms can provide today. It used to be that a workflow was designed in a chart and manually executed by the staff. This leaves the practice wide open to inconsistencies in communication to patients. With automated marketing tools the practice marketing team and patient coordinators deliver consistent messaging and education to every single patient.
When deciding which CRM platform to use for your practice, it’s important to choose one that has the most efficient and all-encompassing tools to achieve these goals. RSI, for example, has the intelligence to identify where someone is in the sales funnel – a lead, a new patient after their first consult, an existing patient wanting another treatment, etc. – and can drop them helpful information about what they are interested in via communication that is easiest for them to digest. Whether that’s receiving information via phone call, email, or text message. Each patient can be catered to in a completely customizable form that feels personal but is completely automated for the practice staff.
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