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@ Amy Cueva
@ MadPow - Founder & Chief Experience Officer
@ HxRefactored - Chair of Design Track – April 5-6, 2016
CUSTOMER FOCUSED INITIATIVES
WHICH IS THE RIGHT ONE?
zz	
Strategy & Service Design
Behavior Change
Organizational Design & Training
Design & Implementation
Research & ValidationEMPATHIZE
ENVISION
MOTIVATE
TRANSFORM
EXECUTE
1.  Business Alignment
2.  Experience Evaluation
3.  Opportunity Prioritization
4.  Experience Ideation and Validation
5.  Experience Monitoring and Guidance
FOCUSING CUSTOMER
EXPERIENCE EFFORTS
WHAT IS MOST
IMPORTANT?
BUSINESS ALIGNMENT: 1
EXPERIENCE
ECONOMY
IT IS AN
Increase top line revenue via:
• Customer Attraction
• Competitive Differentiation
• Customer Retention
Increase bottom line revenue via:
• Channel Migration/Self Service
• Informed Decisions
• Condition Management
BUSINESS
OBJECTIVES
• Give me access to the best care.
• Save me money.
• Make things easy to understand.
• Answer my questions easily and accurately.
• Be easy to do business with.
• Do the work for me where possible.
• If there is something I should know, tell me proactively.
• Keep up with my expectations for experience excellence.
CUSTOMER EXPECTATIONS
Explicit Intention: Figure out what is wrong with me.
•  Initiated Interaction: Find a specialist.
•  Motivation: Diminish anxiety. Feel better.
Implicit Intention: Save money.
•  Prompted Interaction: Review specific ways to save
money in the future.
•  Motivation: Financial wellbeing.
EXPLICIT vs. IMPLICIT
CUSTOMER INTENTIONS
SHARED VALUES
+SHARED ACTION
=SHARED PROFIT Cindy Gallop
(FINANCIAL & SOCIAL)
BIZ & CUSTOMER ALIGNMENT
Improved
Rentention
Not having to
learn a new plan
Satisfaction focused
initiatives can yield
loyalty and retention.
Decision support can
deliver cost savings.
Business Customer
Cost savings
via informed
decisions
Access to quality
care with budget
in mind
SEGMENT
ALIGNMENT
Health Status
Motivation
Healthy &
Motivated to
Stay Healthy
No Conditions Yet
but Little Health
Motivation – At Risk
Motivated to
Manage a
Condition Well
Not Motivated
to Manage
Condition
Focus Initial
Efforts Here
Masseuse
PCP
Support Network:
Friends & Family
Pharmacist
Lawyer
Chiropractor
Health
Coach
CSR
CSR
CSR
HR
Cardiologist
Nurse
Therapist
Weight
Watchers
Gym
Lobbyists
Social
Worker
Politicians
Lobb
Patient
Advocate
Translator
Financial Entities
Transportation
Service
Heart Health
Start Up
Hospital Network
Hospital
Cardiology
Lab
Pharmacy
Pharma
PBM Insurance
Company
Insurer for
Hospital
Federal Government
HS
FDA
CDC
egislature
utive
ch
Employer
Condition
Management
Companies
Information: Google,
Web MD, YouTube,
iTunes
Condition Management
Start Up
Walk in Clinic
Organizations &
Non-Profits
Health Tech
Health
Exchan
State
Govern
Local
Agencies
Health
Communications
Patient Community
THE HEALTH ECOSYSTEM
JOURNEY ALIGNMENT
Brand
Perception
Plan Exploration
& Selection
Onboarding 1st Use Preventative
Engagement
Episode Diagnosis Treatment
Planning
Condition
Management
Something Goes
Wrong
HOW ARE WE
PERFORMING?
EXPERIENCE EVALUATION: 2
Awareness of Health Problem Evaluate Whether or Not to Seek Medical Help Lab Test SampleSeek Health Care Solution
- RECEPTIONIST
- LAB
RECEPTION
- BILL
- RECEPT
- LAB
RECEPTIO
-DOCTOR
- PATIENT’S
ROOM
-DOCTOR
- PATIENT’S
ROOM
- LAB TEST
REQUEST
-RECEPTION
- CLINIC
- PHONE
LEAVE
SAMPLREGISTRATION
CHOOSE LAB
TEST SERVICE
PRESCRIBED
LAB TEST
GET DOCTOR
EXAM
REGISTER/
COPAY
SCHEDULE
APPOINTMENT
EVALUATE
MEDICAL
NOTES
SEARCH
SYMPTOMS
NOTICES THEY
ARE UNWELL
HAVING A LAB TEST
WAKE UP
AT DAWN
DROP KIDS
AT SCHOOL
JOURNEY MAP
TOUCH POINTS
USER JOURNEY
LINE OF VISIBILITY
BACK STAGE
FRONT STAGE
INTERACTION ZONE
DATABASE LOG SAM
I feel really
dizzy. This isn’t
usual.
Better go see
my doctor.
It’s probably
nothing.
I hope...
I have to get a
lab test?
Adjudicate
PAYER
EMR
ACCEPT
REQUEST TAKE SAM
REQUEST LAB
TEST/PAYMENT
EXAMINE /
REVIEW PATIENT
HISTORY
CHECK-IN
SCHEDULE
APPOINTMENT
Oh, what a
beautiful
morning.
Those kids sure
are a handful!
I wonder what I
might have? Is
it serious?
Is this worth a
trip to the
doctor?
Which lab
should I go to?
Which is best?
Hopefully this is
quick and
painless.
All done, no
can do is ho
the bes
SCENARIO
THOUGHTS
ALTERNATIVE
PATH
TOUCHPOINT
STAGES EMOTIONS
PERSONA
TASK
BACK STAGE
PROCESSES
CUSTOMER
NEEDS
HIERARCHY OF
Trustworthy
Easy
Kind
Meaningful
Very Cool Delightful
Relatable
Functional
BECOME STUDENTS OF
THE PROBLEM,
INCLUSIVE IN OUR APPROACH.
Method Spotlight
Humans are complicated. The richness
of detail in the story provides both
information and inspiration.
ETHNOGRAPHY
Method Spotlight
Considerations: Hierarchy of Needs,
Cognitive Load, Emotional Intensity, Explicit,
Implicit, and Unmet Needs, Mental models,
Intended Pathways, Intervention Perception
ETHNOGRAPHY
will tell us where we need to FOCUS,
where we are DOING WELL, and
where we need to IMPROVE.
EMOTION
A SPIKE IN EMOTION IS
INDICATIVE OF AN UNMET NEED.
Method Spotlight
TRIADING
Go to my
Insurance
Company’s
Website
Call My
Insurance
Company
Ask a Friend
or Google
How do you find a doctor? Why?
Method Spotlight
STAKEHOLDERS
Involve Stakeholders: Immerse
Employees and Decision Makers in
Research. Use Rich Methods like
Diary Studies & Secret Shopper.
Method Spotlight
CALL CENTER
Observation & Associate Interviews:
What is driving calls? Context? Channel
switching? How can they be handled
better or avoided all togther?
Method Spotlight
POST INTERACTION SURVEYS
Measure efficacy of pivotal interactions,
but don’t forget to measure interactions
that couldn’t occur.
Method Spotlight
ANALYTICS
Understanding Customer Behavior:
“There is a fundamental different between
what people say and what they do.”
Method Spotlight
DIGITAL MATURITY
Can our customer access most needed
features while mobile? Do we have the
ability to personalize the experience and
make anticipatory design a reality?
STRATEGIC
PARTNERS
PEOPLE
FAMILY &
FRIENDS
SOCIAL MEDIA
COMMENTATERS
WELLNESS
SALESPERSON
STATE/FED
LEGISLATION
STATE/FED
REGULATORS
HR BENEFITS
ADMIN
CONTENT
CREATOR
INTERNAL
SALES
DTF/DSPOC
COMPANY
CONTACT
UCCI
IT
OFFICE
ASSISTANT
3RD PARTY
VENDOR
OTHER
PATIENTS
GOVN’T
ADMIN
BLOGGERS RECEPTION BROKER
HYGIENIST
DENTIST
STATES VS.
OVERSEAS
CONFERENCES
AT WORK
AT HOME
BENEFITS
FAIR
MILITARY
EVENTS
PROVIDER
OFFICE
EXAM ROOM
WAITING
ROOM
PARKING
LOTS
COMMUNITY
OUTREACH
TRAVELING
ONLINE
IN CAR
REMOTE VS.
POPULATED AREA
CO-WORKERS
DEPENDENTS REPORTERS
RECOVERY
KIDS BEGIN
DENTAL CARE
USE MYDENTAL
BENEFITS
UNDERWRITING
ONBOARDING
CHANGE
PLAN
CHOOSE
DENTAL
TREATMENT
EMERGENCY
PROTOCOL
BENEFITS
SELECTION
ACCOUNT
INSTALLATION
MEMBER
REGISTRATION
MAKE AN
APPOINTMENT
SUBMIT A
CLAIM
INQUIRY
REFERRALMAKE A
PAYMENT
HOME CARE &
MAINTENANCE
ONLINE
REGISTRATION
CAN
CREATION
ACTIVE DUTY
ACTIVATION
TRAVEL TO
DENTIST
COST-
ESTIMATOR
AUTHORIZATION
APPROVAL
LOD
INJURY
STRATEGIC
PARTNERS
INFO STORE
AUTHORIZATION
SUBMISSION
LOD
APPROVAL
MILITARY
INSTALLATION
GRIEVANCES
SUBMIT AN
APPEAL
AUDITS
GO TO
DENTIST
FIND A
DENTIST
MOVING
PLAN/
PRODUCTS
OPINION
LAB
CO
COMPUTER
BILLS
COVERED
SERVICES
TABLET
EM
W
PROVIDER
AMENITIES
BENEFITS
GRID
MY
B
W
MPHONE
LETTERS
(W
MARKETING
MATERIALS
CHOMPER
CHUMS
PRE
DETERMINATION
GOOGLE
MAPS
ID CARD
MEMBER
APP
SOCIAL
MEDIA
MOBILE
APPS
UCD WEBSITE
ENVIRONMENTS PROCESSES
DENTAL
SUPPLY REP
PEOPLE
ORAL
SURGEON
OTHER
DENTISTS
PHARMACY
LAB
INSURANCE
COMPANY
FAMILY
OFFICE
MANAGER
HYGIENISTS
SPECIALISTS
RECORD
KEEPING
TRAFFIC
PARKING
LOT
ADMIN
SPACE
OPERATING
ROOM
LOCATION
WAITING
ROOM
OFFICE
ASSISTANT
RECEPTIONIST PATIENTS
SENDING
EMAILS
FILING
CLAIMS
SCHEDULING
APPOINTMENTS
FACILITY
MAINTENANCE
GREETING
PATIENTS
CREDENTIAL-
ING
OBTAINING
LICENSING REQ
CLEANING
TEETH
BILLING
PATIENTS
CONDUCTING
PROCEDURES
BEING ON-CALL
FOR HOURS
CONDUCTING
EXAMS
PHONE
CALLS
ORDER
SUPPLIES
MARKETING
FAX
WEBSITE
MY PATIENT
BENEFITS
EMAIL
PRACTICE
MANAGEMENT
SOFTWARE
MAIL
DENTAL EQUIP-
MENT/TOOLS
PHONE
COMPUTERS NETWORK
ENVIRONMENTS PROCESSES ARTIFACTS
BANKING
PEOPLE
PARTNER
ENROLLMENT
DEPARTMENT
PARTNER
SALES REP
TPAS
OTHER
EMPLOYEES
DENTAL
ELECTRONIC
SERVICES
IT SUPPORT
OTHER
CARRIERS
PARTNER
ACCOUNT
INSTALLATION
TRADE
EVENTS
PAPER
HEALTH &
BENEFITS FAIRS
OPEN
ENROLLMENT
BROKER
OFFICE
PRIVATE
EXCHANGE
MOBILE
PUBLIC
EXCHANGE
ACCOUNT
INSTALLATION
MEMBERSHIP
AND BILLING
PEGA SYSTEM
ANALYST
OPEN
ENROLLMENT
ENROLLMENT
PROCESS
PERFORMANCE
GUARENTEE
RESEARCH ON
AN EXCHANGE
REVIEW
CLAIMS EXP.
BILLING
PROCESS
MEMBER
COMPLAINTS
BROWSE ON
THE WEBSITE
REVIEW OF
LAWS
BILL
PAYMENT
REVIEW
NETWORK
SUFFICIENCY
DETERMINE
FUNDING
NEED FOR
INSURANCE
ONBOARDING
EMPLOYEES
REVIEW OF
COMPETITORS
FINALIST
PRESENTATION
DETERMINE
BENEFIT
BUDGETS
REQUEST A
QUOTE
GEMUS
ERROR
REPORTING
PREMIUM
FILES
CERT
E-DELIVERY
(ENROLLMENT)
SHARPOINT
(MAINT. FORMS)
POLICY
DOCUMENT
AGL (INSTALLA-
TION & MAINT.)
DEMO-
GRAPHICS
SALES
BROCHURES
GPA (POLICY)
COB
LAT
GEO
P
EX
ELECTRONIC
FORMS
ADMIN KITS GLI E
ACCOUNT
MANAGEMENT
PORTAL
E-BILL
INVOICES
ELECTRONIC
COMMUNICATION
PAPER
ENROLLMENT
ENVIRONMENTS PROCESSES ARTIFACTS
DENTAL
SUPPLY REP
PEOPLE
ORAL
SURGEON
OTHER
DENTISTS
PHARMACY
LAB
INSURANCE
COMPANY
FAMILY
OFFICE
MANAGER
HYGIENISTS
SPECIALISTS
RECORD
KEEPING
TRAFFIC
PARKING
LOT
ADMIN
SPACE
OPERATING
ROOM
LOCATION
WAITING
ROOM
OFFICE
ASSISTANT
RECEPTIONIST PATIENTS
SENDING
EMAILS
FILING
CLAIMS
SCHEDULING
APPOINTMENTS
FACILITY
MAINTENANCE
GREETING
PATIENTS
CREDENTIAL-
ING
OBTAINING
LICENSING REQ
CLEANING
TEETH
BILLING
PATIENTS
CONDUCTING
PROCEDURES
BEING ON-CALL
FOR HOURS
CONDUCTING
EXAMS
PHONE
CALLS
ORDER
SUPPLIES
MARKETING
FAX
WEBSITE
MY PATIENT
BENEFITS
EMAIL
PRACTICE
MANAGMENT
SOFTWARE
MAIL
DENTAL EQUIP-
MENT/TOOLS
PHONE
COMPUTERS NETWORK
ENVIRONMENTS PROCESSES ARTIFACTS
ECOSYSTEMS
MEMBER
PROVIDER
EMPLOYER
BROKER
ECOSYSTEM
AUDIT
Evaluate each
touchpoint
against hierarchy
of needs.
WHERE SHOULD
WE FOCUS?
OPPORTUNITY PRIORITIZATION 3
STRENGTHS &
WEAKNESSES
What are the biggest experiential
strengths, weaknesses, opportunities which
represent current gaps and unmet needs?
EXPERIENCE
QUALITY &
FREQUENCY
Experience Frequency
ExperienceQuality
Strong: Frequent
Experience
Contributor
Weak: Frequent
Experience
Detractor
Weak:
Infrequent
Experience
Detractor
Strong:
Infrequent
Experience
Contributor
PATTERNS
Do the strengths and weaknesses manifest
around a certain persona or intention, a
particular part of the journey, a specific
channel or tool?
FOCUS DEFINITION
What tool, segment of the journey, or
personas are our focus? What are criteria
for measuring the success of those
experiences?
WHAT EXPERIENCE
WILL WE DELIVER?
EXPERIENCE IDEATION & VALIDATION 4
COLLABORATION
Diversity of participation
helps form focus, iteration
helps refine that focus.
CONCEPTUALIZATION
Envision the
journey and micro-
interactions
keeping customer
intentions and
needs in mind.
VALIDATION
Will the design perform
as we intended?
HOW DO WE ENSURE
IMPROVEMENT
OVER TIME?
EXPERIENCE MONITORING & GUIDANCE 5
is a byproduct of how we
are organized internally
to deliver it.
THE EXPERIENCE
THE MATURATION
OF EXPERIENCE DESIGN
INSIDE ORGANIZATIONS
Pretty
Stick
EXPERIENCE
PRINCIPLES
GUIDING
Trustworthy
Easy
Kind
Meaningful
Very Cool Delightful
Relatable
Functional
Consider how business decisions
will impact the customer through
a gut check or more involved
surveys and analysis.
How many members will be
effected, and how often?
Positive
Neutral
Negative
BUSINESS DECISIONS
GUIDING
THANK YOU.
@ Amy Cueva
@ MadPow - Founder & Chief Experience Officer
@ HxRefactored - Chair of Design Track – April 5-6, 2016
Creating the Member Journey Vision:
Heal the Pain & Build Trust
CVS	
Helping Consumers
Navigate their Health
Getting the Right Message to the
Right Person at the Right Time
Evidence-based
maternity decision making
for PregnantMe
Improving the Self Service
Mail Order Rx Experience
Helping New Policy
Holders Understand
Their Coverage
HotSeat	
HOTSEAT tackles sitting
disease through behavior
change and game design
What Motivates?
CDC Designs for
Medication Adherence
CVS	
Helping a Hospital
Empower the Newly
Diagnosed
Molding Technology to
Match Clinician Workflows

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Customer Focused Initatives, Which is the Right One? - AHIP 2015 - Amy Cueva

  • 1. @ Amy Cueva @ MadPow - Founder & Chief Experience Officer @ HxRefactored - Chair of Design Track – April 5-6, 2016 CUSTOMER FOCUSED INITIATIVES WHICH IS THE RIGHT ONE?
  • 2. zz Strategy & Service Design Behavior Change Organizational Design & Training Design & Implementation Research & ValidationEMPATHIZE ENVISION MOTIVATE TRANSFORM EXECUTE
  • 3. 1.  Business Alignment 2.  Experience Evaluation 3.  Opportunity Prioritization 4.  Experience Ideation and Validation 5.  Experience Monitoring and Guidance FOCUSING CUSTOMER EXPERIENCE EFFORTS
  • 6. Increase top line revenue via: • Customer Attraction • Competitive Differentiation • Customer Retention Increase bottom line revenue via: • Channel Migration/Self Service • Informed Decisions • Condition Management BUSINESS OBJECTIVES
  • 7. • Give me access to the best care. • Save me money. • Make things easy to understand. • Answer my questions easily and accurately. • Be easy to do business with. • Do the work for me where possible. • If there is something I should know, tell me proactively. • Keep up with my expectations for experience excellence. CUSTOMER EXPECTATIONS
  • 8. Explicit Intention: Figure out what is wrong with me. •  Initiated Interaction: Find a specialist. •  Motivation: Diminish anxiety. Feel better. Implicit Intention: Save money. •  Prompted Interaction: Review specific ways to save money in the future. •  Motivation: Financial wellbeing. EXPLICIT vs. IMPLICIT CUSTOMER INTENTIONS
  • 9. SHARED VALUES +SHARED ACTION =SHARED PROFIT Cindy Gallop (FINANCIAL & SOCIAL)
  • 10. BIZ & CUSTOMER ALIGNMENT Improved Rentention Not having to learn a new plan Satisfaction focused initiatives can yield loyalty and retention. Decision support can deliver cost savings. Business Customer Cost savings via informed decisions Access to quality care with budget in mind
  • 11. SEGMENT ALIGNMENT Health Status Motivation Healthy & Motivated to Stay Healthy No Conditions Yet but Little Health Motivation – At Risk Motivated to Manage a Condition Well Not Motivated to Manage Condition Focus Initial Efforts Here
  • 12. Masseuse PCP Support Network: Friends & Family Pharmacist Lawyer Chiropractor Health Coach CSR CSR CSR HR Cardiologist Nurse Therapist Weight Watchers Gym Lobbyists Social Worker Politicians Lobb Patient Advocate Translator Financial Entities Transportation Service Heart Health Start Up Hospital Network Hospital Cardiology Lab Pharmacy Pharma PBM Insurance Company Insurer for Hospital Federal Government HS FDA CDC egislature utive ch Employer Condition Management Companies Information: Google, Web MD, YouTube, iTunes Condition Management Start Up Walk in Clinic Organizations & Non-Profits Health Tech Health Exchan State Govern Local Agencies Health Communications Patient Community THE HEALTH ECOSYSTEM
  • 13. JOURNEY ALIGNMENT Brand Perception Plan Exploration & Selection Onboarding 1st Use Preventative Engagement Episode Diagnosis Treatment Planning Condition Management Something Goes Wrong
  • 15.
  • 16. Awareness of Health Problem Evaluate Whether or Not to Seek Medical Help Lab Test SampleSeek Health Care Solution - RECEPTIONIST - LAB RECEPTION - BILL - RECEPT - LAB RECEPTIO -DOCTOR - PATIENT’S ROOM -DOCTOR - PATIENT’S ROOM - LAB TEST REQUEST -RECEPTION - CLINIC - PHONE LEAVE SAMPLREGISTRATION CHOOSE LAB TEST SERVICE PRESCRIBED LAB TEST GET DOCTOR EXAM REGISTER/ COPAY SCHEDULE APPOINTMENT EVALUATE MEDICAL NOTES SEARCH SYMPTOMS NOTICES THEY ARE UNWELL HAVING A LAB TEST WAKE UP AT DAWN DROP KIDS AT SCHOOL JOURNEY MAP TOUCH POINTS USER JOURNEY LINE OF VISIBILITY BACK STAGE FRONT STAGE INTERACTION ZONE DATABASE LOG SAM I feel really dizzy. This isn’t usual. Better go see my doctor. It’s probably nothing. I hope... I have to get a lab test? Adjudicate PAYER EMR ACCEPT REQUEST TAKE SAM REQUEST LAB TEST/PAYMENT EXAMINE / REVIEW PATIENT HISTORY CHECK-IN SCHEDULE APPOINTMENT Oh, what a beautiful morning. Those kids sure are a handful! I wonder what I might have? Is it serious? Is this worth a trip to the doctor? Which lab should I go to? Which is best? Hopefully this is quick and painless. All done, no can do is ho the bes SCENARIO THOUGHTS ALTERNATIVE PATH TOUCHPOINT STAGES EMOTIONS PERSONA TASK BACK STAGE PROCESSES
  • 18. BECOME STUDENTS OF THE PROBLEM, INCLUSIVE IN OUR APPROACH.
  • 19. Method Spotlight Humans are complicated. The richness of detail in the story provides both information and inspiration. ETHNOGRAPHY
  • 20. Method Spotlight Considerations: Hierarchy of Needs, Cognitive Load, Emotional Intensity, Explicit, Implicit, and Unmet Needs, Mental models, Intended Pathways, Intervention Perception ETHNOGRAPHY
  • 21. will tell us where we need to FOCUS, where we are DOING WELL, and where we need to IMPROVE. EMOTION
  • 22. A SPIKE IN EMOTION IS INDICATIVE OF AN UNMET NEED.
  • 23. Method Spotlight TRIADING Go to my Insurance Company’s Website Call My Insurance Company Ask a Friend or Google How do you find a doctor? Why?
  • 24. Method Spotlight STAKEHOLDERS Involve Stakeholders: Immerse Employees and Decision Makers in Research. Use Rich Methods like Diary Studies & Secret Shopper.
  • 25. Method Spotlight CALL CENTER Observation & Associate Interviews: What is driving calls? Context? Channel switching? How can they be handled better or avoided all togther?
  • 26. Method Spotlight POST INTERACTION SURVEYS Measure efficacy of pivotal interactions, but don’t forget to measure interactions that couldn’t occur.
  • 27. Method Spotlight ANALYTICS Understanding Customer Behavior: “There is a fundamental different between what people say and what they do.”
  • 28. Method Spotlight DIGITAL MATURITY Can our customer access most needed features while mobile? Do we have the ability to personalize the experience and make anticipatory design a reality?
  • 29. STRATEGIC PARTNERS PEOPLE FAMILY & FRIENDS SOCIAL MEDIA COMMENTATERS WELLNESS SALESPERSON STATE/FED LEGISLATION STATE/FED REGULATORS HR BENEFITS ADMIN CONTENT CREATOR INTERNAL SALES DTF/DSPOC COMPANY CONTACT UCCI IT OFFICE ASSISTANT 3RD PARTY VENDOR OTHER PATIENTS GOVN’T ADMIN BLOGGERS RECEPTION BROKER HYGIENIST DENTIST STATES VS. OVERSEAS CONFERENCES AT WORK AT HOME BENEFITS FAIR MILITARY EVENTS PROVIDER OFFICE EXAM ROOM WAITING ROOM PARKING LOTS COMMUNITY OUTREACH TRAVELING ONLINE IN CAR REMOTE VS. POPULATED AREA CO-WORKERS DEPENDENTS REPORTERS RECOVERY KIDS BEGIN DENTAL CARE USE MYDENTAL BENEFITS UNDERWRITING ONBOARDING CHANGE PLAN CHOOSE DENTAL TREATMENT EMERGENCY PROTOCOL BENEFITS SELECTION ACCOUNT INSTALLATION MEMBER REGISTRATION MAKE AN APPOINTMENT SUBMIT A CLAIM INQUIRY REFERRALMAKE A PAYMENT HOME CARE & MAINTENANCE ONLINE REGISTRATION CAN CREATION ACTIVE DUTY ACTIVATION TRAVEL TO DENTIST COST- ESTIMATOR AUTHORIZATION APPROVAL LOD INJURY STRATEGIC PARTNERS INFO STORE AUTHORIZATION SUBMISSION LOD APPROVAL MILITARY INSTALLATION GRIEVANCES SUBMIT AN APPEAL AUDITS GO TO DENTIST FIND A DENTIST MOVING PLAN/ PRODUCTS OPINION LAB CO COMPUTER BILLS COVERED SERVICES TABLET EM W PROVIDER AMENITIES BENEFITS GRID MY B W MPHONE LETTERS (W MARKETING MATERIALS CHOMPER CHUMS PRE DETERMINATION GOOGLE MAPS ID CARD MEMBER APP SOCIAL MEDIA MOBILE APPS UCD WEBSITE ENVIRONMENTS PROCESSES DENTAL SUPPLY REP PEOPLE ORAL SURGEON OTHER DENTISTS PHARMACY LAB INSURANCE COMPANY FAMILY OFFICE MANAGER HYGIENISTS SPECIALISTS RECORD KEEPING TRAFFIC PARKING LOT ADMIN SPACE OPERATING ROOM LOCATION WAITING ROOM OFFICE ASSISTANT RECEPTIONIST PATIENTS SENDING EMAILS FILING CLAIMS SCHEDULING APPOINTMENTS FACILITY MAINTENANCE GREETING PATIENTS CREDENTIAL- ING OBTAINING LICENSING REQ CLEANING TEETH BILLING PATIENTS CONDUCTING PROCEDURES BEING ON-CALL FOR HOURS CONDUCTING EXAMS PHONE CALLS ORDER SUPPLIES MARKETING FAX WEBSITE MY PATIENT BENEFITS EMAIL PRACTICE MANAGEMENT SOFTWARE MAIL DENTAL EQUIP- MENT/TOOLS PHONE COMPUTERS NETWORK ENVIRONMENTS PROCESSES ARTIFACTS BANKING PEOPLE PARTNER ENROLLMENT DEPARTMENT PARTNER SALES REP TPAS OTHER EMPLOYEES DENTAL ELECTRONIC SERVICES IT SUPPORT OTHER CARRIERS PARTNER ACCOUNT INSTALLATION TRADE EVENTS PAPER HEALTH & BENEFITS FAIRS OPEN ENROLLMENT BROKER OFFICE PRIVATE EXCHANGE MOBILE PUBLIC EXCHANGE ACCOUNT INSTALLATION MEMBERSHIP AND BILLING PEGA SYSTEM ANALYST OPEN ENROLLMENT ENROLLMENT PROCESS PERFORMANCE GUARENTEE RESEARCH ON AN EXCHANGE REVIEW CLAIMS EXP. BILLING PROCESS MEMBER COMPLAINTS BROWSE ON THE WEBSITE REVIEW OF LAWS BILL PAYMENT REVIEW NETWORK SUFFICIENCY DETERMINE FUNDING NEED FOR INSURANCE ONBOARDING EMPLOYEES REVIEW OF COMPETITORS FINALIST PRESENTATION DETERMINE BENEFIT BUDGETS REQUEST A QUOTE GEMUS ERROR REPORTING PREMIUM FILES CERT E-DELIVERY (ENROLLMENT) SHARPOINT (MAINT. FORMS) POLICY DOCUMENT AGL (INSTALLA- TION & MAINT.) DEMO- GRAPHICS SALES BROCHURES GPA (POLICY) COB LAT GEO P EX ELECTRONIC FORMS ADMIN KITS GLI E ACCOUNT MANAGEMENT PORTAL E-BILL INVOICES ELECTRONIC COMMUNICATION PAPER ENROLLMENT ENVIRONMENTS PROCESSES ARTIFACTS DENTAL SUPPLY REP PEOPLE ORAL SURGEON OTHER DENTISTS PHARMACY LAB INSURANCE COMPANY FAMILY OFFICE MANAGER HYGIENISTS SPECIALISTS RECORD KEEPING TRAFFIC PARKING LOT ADMIN SPACE OPERATING ROOM LOCATION WAITING ROOM OFFICE ASSISTANT RECEPTIONIST PATIENTS SENDING EMAILS FILING CLAIMS SCHEDULING APPOINTMENTS FACILITY MAINTENANCE GREETING PATIENTS CREDENTIAL- ING OBTAINING LICENSING REQ CLEANING TEETH BILLING PATIENTS CONDUCTING PROCEDURES BEING ON-CALL FOR HOURS CONDUCTING EXAMS PHONE CALLS ORDER SUPPLIES MARKETING FAX WEBSITE MY PATIENT BENEFITS EMAIL PRACTICE MANAGMENT SOFTWARE MAIL DENTAL EQUIP- MENT/TOOLS PHONE COMPUTERS NETWORK ENVIRONMENTS PROCESSES ARTIFACTS ECOSYSTEMS MEMBER PROVIDER EMPLOYER BROKER ECOSYSTEM AUDIT Evaluate each touchpoint against hierarchy of needs.
  • 31. STRENGTHS & WEAKNESSES What are the biggest experiential strengths, weaknesses, opportunities which represent current gaps and unmet needs?
  • 32. EXPERIENCE QUALITY & FREQUENCY Experience Frequency ExperienceQuality Strong: Frequent Experience Contributor Weak: Frequent Experience Detractor Weak: Infrequent Experience Detractor Strong: Infrequent Experience Contributor
  • 33. PATTERNS Do the strengths and weaknesses manifest around a certain persona or intention, a particular part of the journey, a specific channel or tool?
  • 34. FOCUS DEFINITION What tool, segment of the journey, or personas are our focus? What are criteria for measuring the success of those experiences?
  • 35. WHAT EXPERIENCE WILL WE DELIVER? EXPERIENCE IDEATION & VALIDATION 4
  • 36. COLLABORATION Diversity of participation helps form focus, iteration helps refine that focus.
  • 37. CONCEPTUALIZATION Envision the journey and micro- interactions keeping customer intentions and needs in mind.
  • 38. VALIDATION Will the design perform as we intended?
  • 39. HOW DO WE ENSURE IMPROVEMENT OVER TIME? EXPERIENCE MONITORING & GUIDANCE 5
  • 40. is a byproduct of how we are organized internally to deliver it. THE EXPERIENCE
  • 41. THE MATURATION OF EXPERIENCE DESIGN INSIDE ORGANIZATIONS Pretty Stick
  • 43. Consider how business decisions will impact the customer through a gut check or more involved surveys and analysis. How many members will be effected, and how often? Positive Neutral Negative BUSINESS DECISIONS GUIDING
  • 44. THANK YOU. @ Amy Cueva @ MadPow - Founder & Chief Experience Officer @ HxRefactored - Chair of Design Track – April 5-6, 2016
  • 45. Creating the Member Journey Vision: Heal the Pain & Build Trust
  • 47. Getting the Right Message to the Right Person at the Right Time
  • 49. Improving the Self Service Mail Order Rx Experience
  • 50. Helping New Policy Holders Understand Their Coverage
  • 51. HotSeat HOTSEAT tackles sitting disease through behavior change and game design
  • 52. What Motivates? CDC Designs for Medication Adherence
  • 53. CVS Helping a Hospital Empower the Newly Diagnosed
  • 54. Molding Technology to Match Clinician Workflows