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EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

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Page 1: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars!

Nevada MGMA State Conference

May 15, 2015

Page 2: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Learning Objectives• Learn the basis of the CMS patient experience bonus

• Learn which questions are most predictive of high scores

• Outline strategies for ensuring top-box ratings and maximum patient experience bonuses

Page 3: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Setting the Stage• Affordable Care Act: The Triple Aim

• Improved outcomes• Lower cost• Better patient experience and engagement

Page 4: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

How does the Centers for Medicare and Medicaid Services (CMS) measure patient

experience?

Page 5: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015
Page 6: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015
Page 7: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015
Page 8: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015
Page 9: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Key “Outcomes” Studied

Overall satisfaction

with practice

Would recommend provider to

others

Patient Experience =

Page 10: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Linear Regression Analysis

Page 11: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Linear Regression Analysis

Linear Regression Analysis is used to:

Identify survey items most predictive of key outcomes

.

Page 12: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Linear Regression Analysis

Linear Regression Analysis is used to:

Identify survey items most predictive of key outcomes

Learn where to focus priorities

.

Page 13: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Linear Regression Analysis

Linear Regression Analysis is used to:

Identify survey items most predictive of key outcomes

Identify evidence-based improvement initiatives with highest impact

Learn where to focus priorities

.

Page 14: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Key “Outcomes” Studied

Overall satisfaction

with practice

Would recommend provider to

others

Patient Experience =

Page 15: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Survey Items Most Predictive of Key “Outcomes” Primary Care Database n = 467,147

Page 16: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Survey Items Most Predictive of Key “Outcomes” Primary Care Database n = 467,147

Overall Satisfaction with

Practice• Signage and

directions easy to follow

• Helpfulness of the receptionist/office staff

• Overall comfort• Taking time to

answer your questions

• Thoroughness of the examination

Page 17: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Survey Items Most Predictive of Key “Outcomes” Primary Care Database n = 467,147

Would Recommend

Provider to Others• Helpfulness of the

receptionist/office staff

• Waiting time in the exam room

• Getting care as soon as you needed it

• Knowledge of important information about your medical history

• Helpfulness of the people who assisted with billing/insurance

Page 18: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Survey Items Most Predictive of Key “Outcomes” Specialty Database n = 493,949

Page 19: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Survey Items Most Predictive of Key “Outcomes” Specialty Database n = 493,949

Overall Satisfaction with

Practice• Helpfulness of the

receptionist/office staff

• Signage and directions easy to follow

• Answering your questions in a way that was easy to understand

• Helpfulness of people who assisted with billing/insurance

• Willingness to listen carefully to you

Page 20: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Survey Items Most Predictive of Key “Outcomes” Specialty Database n = 493,949

Would Recommend

Provider to Others• Waiting time in the

exam room• Helpfulness of the

receptionist/office staff

• Knowledge of important information about your medical history

• Answering your questions in a way that was easy to understand

• Willingness to listen carefully to you

Page 21: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Patient Experience Items Primary Care and Specialty Databases

21

Overall Satisfaction with Practice

• Signage and directions easy to follow

• Helpfulness of the receptionist/office staff

• Overall comfort• Taking time to

answer your questions

• Thoroughness of the examination

Would Recommend Provider to Others

• Helpfulness of the receptionist/office staff

• Waiting time in the exam room

• Getting care as soon as you needed it

• Knowledge of important information about your medical history

• Helpfulness of the people who assisted with billing/insurance

Overall Satisfaction with Practice

• Helpfulness of the receptionist/office staff

• Signage and directions easy to follow

• Answering your questions in a way that was easy to understand

• Helpfulness of people who assisted with billing/insurance

• Willingness to listen carefully to you

Would Recommend Provider to Others

• Waiting time in the exam room

• Helpfulness of the receptionist/office staff

• Knowledge of important information about your medical history

• Answering your questions in a way that was easy to understand

• Willingness to listen carefully to you

PCP Specialty

Page 22: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Top seven items MOST predictive of key “outcomes”

• Signage and directions easy to follow• Helpfulness of the receptionist/office staff• Waiting time in the exam room• Knowledge of important information about your medical

history• Helpfulness of the people who assisted with

billing/insurance• Answering your questions in a way that was easy to

understand• Willingness to listen carefully to you

Page 23: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Service strategies are C.L.E.A.R. Connect

Listen

Explain

Ask

Reconnect

23Star-studded Service: Six Steps to Winning Patient Satisfaction, K. Sullivan, M. Luallin, MGMA Publications, 2013

Page 24: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Service strategies are C.L.E.A.R. Connect

Signage – clear; visible; accurate

24Star-studded Service: Six Steps to Winning Patient Satisfaction, K. Sullivan, M. Luallin, MGMA Publications, 2013

Page 25: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Thank you for your patience. Dr. Toth will soon be providing you the same level of personal and professional care he is presently providing to another patient.

Posted in the reception area of John Toth, MD, Concord, CA

Page 26: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Service strategies are C.L.E.A.R.

•Connect

• Schedulers: • ask, “Do you know where we’re located?”

• Receptionists: • welcome new patients; acknowledge second/third person in line

• Billing staff: • introduce themselves; be cordial

• Providers: • thank patients for waiting; review past history ahead of time or

with patient

• Everyone:• SMILE; wear name tags

Page 27: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Service strategies are C.L.E.A.R.

•Listen

• All:• Give good eye contact; be aware of EMR

• Respond empathetically• “I’m sorry to hear that.”• “That must be tough/frustrating!”• “I can understand why you’d be worried.”

Page 28: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Service strategies are C.L.E.A.R.

•Explain

• Receptionists: • inform patients of wait times; offer options for rescheduling

• Billing staff: • use plain English not acronyms or jargon (EOB; “pre-auth”)

• Medical Assistants: • explain who they are and what will happen next

• Providers: • use non-technical terms

Page 29: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Service strategies are C.L.E.A.R.

•Ask

• Medical Assistants: • “Is there anything I can do to make you comfortable while you

wait?”

• Receptionists: • “May I help you?”

• Schedulers/others: • “Is there anything else I can help you with?”

• Providers from seated position: • “What other questions can I answer for you?”

Page 30: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Service strategies are C.L.E.A.R.

•Reconnect

• Medical Assistants: • Check on patient in exam room every 10-15 minutes

• All: use parting comment as patient leaves.• “Take care.”

Page 31: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Service strategies are C.L.E.A.R. Connect

Listen

Explain

Ask

Reconnect

31Star-studded Service: Six Steps to Winning Patient Satisfaction, K. Sullivan, M. Luallin, MGMA Publications, 2013

Page 32: EVIDENCE-BASED SERVICE STRATEGIES: Turn your patient survey data into dollars! Nevada MGMA State Conference May 15, 2015

Thank you!

[email protected]