Hop E Works Community

The heart of a community’s care is at its most trusted hospitals. In the same way that blood flows into and out of the heart, your hospital’s message should flow out into the community with grass-roots marketing efforts in order to bring patients back into your hospital for care. By this I mean that a hospital’s marketing efforts should not only focus on drawing patients into their facilities with billboards and magazine ads, but go beyond basic marketing efforts and into the community by offering free health screening events. In my experience working with one of the best hospitals in the South, I came to discover an effective system for coordinating free community health screenings that significantly increased patient volume to the hospital. What I have discovered is a concept, and I will explain the most successful way to develop your own community screenings program so that it will become a consistent source of revenue to your hospital, and build long-term patient loyalty.

In my experience working with a hospital in the South, I coordinated a community outreach program that offered free EKG testing. These tests were taken at free community events and were later confirmed as normal, borderline, or abnormal in the hospital’s clinical database and were stored as baselines for each of the patients who attended the community events. In notifying the attendees of their results by mail, the attendees received a confirmed copy of their EKG which they could keep for their own records. The EKG program increased volume and accounted for $6M in hospital charges from June 2008 to August 2009. The EKG program brought in $2.5M in second quarter 2008, $1.6M in fourth quarter 2008, and $1.9M in first quarter 2009. This data was last updated in August of 2009.

There are many reasons why the EKG test is the most effective for driving volume for cardiac procedures, and generating revenue in total hospital admissions. These reasons include the nature of the EKG test itself, CRM and the process of event planning, and the follow-up that creates patient loyalty.

The first and most important reason why the EKG test is ideal for community events is because of the simple nature of the test itself. With the EKG test, the result can only be 1 of 3 things – abnormal, borderline, or normal. The EKG tests can be taken at the community event, the results can be processed at the hospital, and the confirmed results can be mailed to the attendee within 2 weeks of the community event. The fact that the EKG result comes in the form of a single paper report makes it easy to mail, and can be stored in a person’s medical file for their own records.

If an attendee receives abnormal or borderline test results in the mail, they are also likely to follow up if given a call to action. From my experience in coordinating this campaign for over a year, 9% of EKG tracings were found to be abnormal, 11% were borderline, and 80% were normal. Out of 875 guests that received EKG’s among 9 community events between February and April, there were 181 borderline or abnormal results. Among these 181 people, 162 people followed up with the hospital’s call center for either a physician referral, an inquiry about the result, or a request for information from agencies that help the uninsured.

With a screening such as a carotid ultrasound, the spectrum of abnormality is more diverse – it is more complex and too specific of a test for a community offering. Also, an ultrasound machine is usually costly, and if a hospital’s marketing department does not purchase its own equipment, there is a risk of damage in borrowing machinery from the hospital, if the event is held offsite. EKG machines are relatively inexpensive in comparison if they are being used for the purpose of offering free tests as a community outreach program. The hourly cost of an ultrasound technician in comparison to a medical assistant is also a factor to consider.

With a screening such as a full lipid panel, results are sensitive, so participants are advised to fast for the best results. An EKG test does not require fasting. EKG tests usually take less than five minutes on average. That means more EKG’s can be done at events with less staffing.

The idea of storing EKG’s as a baseline is also a marketable service – patients are made aware that if their EKG tracing is stored at your hospital, then heart care is readily available to them at your hospital too.

Another important step to creating a successful community EKG program is to advertise the events through direct mail and coordinate the process of booking appointments for these events. Research is performed to select the best zip codes in the community that have the highest household income to increase the likelihood of attracting a favorable payor mix to the events. A mailer should also be targeted for people who have the highest incidence of heart disease – those aged 45 and up. Once a direct mailer goes out, appointments can be booked for a full day. With 2 EKG technicians and 2 machines, over 100 people can receive EKG screenings in an 8 hour day.

In my experience, the appointments were successfully booked through the hospital’s call center once the direct mailer reached homes. The information obtained through the call center is requested by the hospital’s marketing department, and usually includes basic personal information such as first name, last name, date of birth, phone number, and address. Any basic information can be requested from the guest by the call center. This information can be used for a few purposes.

The first purpose is that it keeps an appointment log for the day of the event. The second is that this information is later used to process and send the results of the screenings to the person’s house. The action of following up with the guest is the most important part of gaining patient loyalty.

Finally, by holding community events several times per year, there will be a loyalty group that forms a customer relationship with your hospital. In my experience, I have seen the number of loyal patients who regularly attended the hospital’s community events. In the campaign of EKG screenings held between February and April of 2009, 71 guests had previously attended the hospital’s community EKG events several months prior.

Building patient loyalty is simple, and there are multiple ways in which a hospital can do this creatively. A hospital should always follow up with guests who attended community screening events. Make sure that the results of their testing arrive in a timely manner. Make sure that the content of their results letter emphasizes the availability of care at your hospital. Think of creative ways to send the message of trusted care to the audience, and ways to keep them connected to you. One simple way of doing this is printing a patient identification card that includes the attendee’s MRI number. If a person was to return to the hospital’s emergency department with chest pain and present their patient identification card, the hospital’s EKG department can quickly access their baseline EKG for a comparison.

Another way of building patient loyalty is through the use of a “patient care coordinator.” Many hospitals implement a “patient care coordinator” who follows up with patients receiving serious care. In my experience, a patient care coordinator was successfully implemented in a campaign of community EKG screenings between June and July of 2008. During this campaign, attendees of the events who had borderline and abnormal results were contacted for follow up by a registered nurse. Of the 242 people who had non-normal results, 144 received physician referrals to seek follow up care. The remaining attendees were under the care of a cardiologist already, or declined to take action.

You might be thinking, “So if my hospital develops a free EKG program, I will have both long term patient loyalty and significant admissions within 3 – 6 months following a campaign of screening events?” The answer is a flat, simple yes.

If a hospital is interested in pursuing a community program that offers free health screenings, I strongly recommend structuring the program to involve free EKG testing. In comparison to other screenings, such as cholesterol testing and carotid ultrasound, EKG testing stands to show the most consistent success, and proves to be the most conducive for a community offering. It is a simple test that is non-invasive, and its simplicity allows several avenues for patient follow up. These avenues include uploading the EKG in the hospital’s database as a baseline, mailing a copy of the report to the attendee’s house after the event, and following up with the patient through the use of a patient care coordinator.

There are many more details that are involved in the development of an EKG program at a hospital. Those details may vary depending upon the resources available at your hospital. However, it is my belief that in working together as a team, any hospital can develop a successful community screenings program that will prove to be beneficial by producing revenue in the short term, and building patient loyalty in the long term.

By: Kevin Felker

Small businesses live and die on their reputations in the community and the goodwill hey generate. If they serve the customers well and help the local community and become involved they stand a much better chance in being successful. Often hosting a community fundraising and promotional event can help you meet new customers while simultaneously allowing you to give back to your town in a meaningful way.

You may wish to consider allowing a non-profit group to do a Car Wash Fundraiser, which you would sponsor. If you think this might be a viable option for you, I have written an online book for you to assist in this:

http://www.carwashguys.com/

You see, by doing a fundraiser correctly and raising a ton of money you can feel great about the efforts while simultaneously promoting your business and attracting new customers. All local newspapers run a ‘Calendar Section’ and they will run the fundraiser event for two weeks leading up to the event with your Lot’s phone number as a contact and the name of your Lot as the location.

My “How to Run a Car Wash Fundraiser” book covers everything from picking a date, making provisions for a rain date, selecting a location (we already know this one!), finding volunteers, pre-ticket sales, sample pledge forms, publicity, motivation, supplies, insurance requirements and a complete “day of event” outline.

In this book you will also see suggestions on post-car wash activities such as post publicity events and contains sample thank you letters, which can be tailored by the organization you are helping. It gives them step-by-step instructions and all you do is provide the location. You can give the book out to non-profit groups or even just walk down to the HS or nearby church and offer your location as a high traffic spot to hold the event.

Happy healthy non-profit groups keep the community strong and provide you with some new customers. Talk about a win-win situation. There is Power in Promotion and it is fun, it is free and you can really feel good about giving back to your community. It is important to give a little as you grow, and let the community know you care. If the customers decide to choose you over your competition because you support the company and they do not; well I’d say you deserve it. Think on this in 2006.

A reverse phone lookup is an easy way for individuals to trace phone numbers back to the company or person to which it belongs. This is also known as a reverse directory since it works in a manner that is opposite to that of a traditional phone book. For example, instead of searching for the name Smith, John to find John Smiths phone number, this system correlates a phone number with its owner, John Smith. Using a reverse phone lookup system requires that a 10-digit phone number be provided. Depending on the type of service, address and other details may be available with the search. For someone receiving calls from an unknown number, this tactic may be an ideal option for identifying the caller.

Emergency lines, like the national 911 options, use such systems to determine the derivation of a call. Public systems are also available; however, unlike the emergency reverse phone lookup systems, public options do not usually contain information deemed private, restricting available information to that contained in the public domain. Therefore, an unlisted number cannot usually be traced to its owner in these systems. If the number is not listed in a publically accessible database, a reverse search cannot be performed. In these cases, the information provided by the search may be restricted to the state in which the phone number is registered; the specific owner, be it an individual or company, will not be available. If the number is not listed, the type and carrier may also be provided. For example, search results may explain that the number is a ?cell number? and the carrier company is Verizon Wireless.

Reverse phone lookup systems are sometimes provided as an additional component of common directory services, but some systems are available at cost. Now, these systems have become accessible online. Such online reverse directories may be free to users, while other systems, often more intricate in detail, may charge users a fee. This fee may be one-time access fee or a fee that is incurred on a per-search basis. Online directories simply require that the number be entered into a search box and a national search is automatically performed.

Many individuals also utilize general search engine websites to search an unidentified 10-digit phone number. Since these search engines seek information by way of millions of websites, increased likelihood of obtainable information may result. The level of information provided by the search depends upon the websites individual configurations. These searches can be done on numbers contained in either white page or yellow page directories. Therefore, business phone numbers or personally registered numbers may be searched. Also, it is important to note that reverse phone lookups may be utilized for both cell phone and landline numbers, as long as they are listed in the public domain.