When healthcare entrepreneur and consultant Leonard Kish said “Patient engagement is the blockbuster drug of the century,” he summed up the power of engagement to improve health outcomes. But the inpatient hospital experience can sap a person of autonomy and control, making it more difficult to engage patients in their own care. How can we give back that sense of autonomy to hospitalized patients and inspire them to be responsible for their own care?Hilton Hotels has reimagined the guest experience, using digital tools to give guests a greater sense of autonomy, to offer more personal choices and to reduce “friction” inherent in travel. Many of these tools can be used in hospitals to increase the feeling of control and autonomy for patients and family members and reduce the stress and confusion inherent in a hospital stay. By learning lessons from the hotel industry, healthcare organizations can increase the sense of control and personalize the hospital stay in ways that result in more positive and more powerful patient engagement.
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The best exotic marigold hospital - himss17
1. The Best Exotic Marigold Hospital
Bringing Hilton’s guest experience to healthcare
Session 43, February 20, 2017 1:30 – 2:30 pm
Nathalie Corredor, BA, MBA, SVP Strategy
Nick van Terheyden, MD, Chief Medical Officer
3. Conflict of Interest
Nathalie Corredor, BA, MBA
Has no real or apparent conflicts of interest to report.
Nick van Terheyden, MD
Salary: NTT DATA Inc.
4. Agenda
• Healthcare Engagement – Design for service
• Hilton Digital Engagement Success Story
• Hospitality vs. Hospital
• The future – What’s around the corner?
• Final Takeaways
• Questions
5. Learning Objectives
• Develop an understanding of the way that increasing patient autonomy
results in greater patient satisfaction and engagement.
• Explain the digital apps and tools used in the hotel industry and help
attendees understand the way these tools can be incorporated into a
hospital setting to increase patient engagement and patient satisfaction.
• Review the use of tablet apps for patients/families and the functionality that
can enhance patient engagement.
• Demonstrate the cost efficiencies and improved staff motivation that can
result from use of consumer digital engagement tools.
6. In India we have a saying:
Everything will be alright in the end, so if it is not alright then it
is not yet the end.”
Movie: Best Exotic Marigold Hotel
8. 55%of US online adults are likely to
abandon their transaction if they
cannot find a quick answer to their
question or problem.
- Forrester Research
9. Generational Scoring
Greatest
Generation
Silent Generation Baby Boomer Gen X Millennial Boomlets
Customer Friction FactorSM
Scoring varies based on
Generation. Channels need to vary based on Generation.
Engagement
Text MeI’m Online I’m MobileEmail Me
Come See Me In
Person
Call Me
Preferred
Channel
Don’t call me.
Ever.
Don’t call me.
Ever.
Don’t make me
come over there
Don’t make
me go online
Don’t make
me go online
Disliked Channel
Don’t make me
come over there
10. Disengagement
Spectrum
• Friction does not win
customers
• Multiple neutral
experiences create loyalty
• Repeat high friction
experiences drive
disengagement, loss of
transaction and loss of
the customer
Neutral Zone
Unimpressed
Impatient
Annoyed
Frustrated
Angry
Vengeful
CFF
SM
Score
Number of Engaged Customers
0 - 150
151 - 200
201 - 250
251 - 300
301 - 350
351 - 400
401 -
8
Losemultiple
Sales
Losethe
Customer
Losethe
Transaction
Customer
Satisfaction /
Loyalty
Systemic neutral
experiences lead to
positive brand
perception
11. The Impact of
Customer Friction
Profit
Among top hotel
brands, those with
the lowest CFF SM
score were twice as
profitable as those
with higher CFF SM
scores.
Customer Friction
Customer Friction Factor
SM
Score
Profit
Earnings
Per
Share
$3.55
$1.72
12. Patients expecting more from providers
Make It Easy To
Navigate
“I want to be able to
access information I
need when I need it; I
want you to help me find
what I need”
Respect My Time
“I don’t want to wait for
appointments; I don’t
want to spend a lot of
time in waiting or exam
rooms””
Respect My
Opinion
“I did my research and
expect you to listen to
me”
Be Transparent
“I want to know what
things will cost, I want to
know what is happening
next and why”
Insert icon here
Know Who I Am
“I don’t want to fill out
the same forms every
time I visit; I want you to
know more about me
and my family than
what’s in my EHR”
Help Me Connect
With Others
“I want to share my
experiences with others
who face similar
challenges”
16. “Hilton inspires me
to find and plan
amazing trips and
experiences, not
just booking a
hotel”
Pre-Arrival Stay Depart AdvocateDream Shop Book
“It’s so easy to
quickly find what I
need with
confidence and at
the best price”
“Booking with
Hilton is fast and
secure and I can
tailor my trip”
“Hilton is seamless,
easy and better
before I even get
there”
“The app gives me
an even better
experience when I
stay at Hilton”
“Hilton saves
me time”
“I feel part of a
Hilton community
of savvy travelers
and am rewarded
for it”
32. Hospitality vs. Hospital
We know you You know us
1. How far will you travel for favorite
brand?
2. Satisfaction Guaranteed
3. Wellness is the new focus
1. Engagement makes a brand
“sticky”
2. Empowered problem solvers
3. Digital information to enable
healthy choices
33. Survey Question
How important is a satisfaction guarantee to you?
a) Not important
b) Somewhat important
c) Very important
d) Never pay attention to it
34. The Future: What’s around the corner?
HEALTHY GUEST POC
WELLNESS PREVENTIVE CARE CHRONIC CARE
Hospitality provider driven capabilities based
on profile information provided. General
wellness inputs required
• Weight Loss
• Healthy Menu
• Specialized
• Personalized menu
• Exercise / Fitness Specialists
Partnership with Healthcare providers.
Requires health inputs from guest
• Dietary requirements due to specific conditions
• Physical activity requirements
• Sleep apnea / sleep needs
• Allergies
• Therapies
• Depression
Partnership with Healthcare providers.
Requires guest to share health information.
• Diabetes
• Hypertension
• Congestive Heart Failure
Inform Track / Educate /
Remind
Alert
Wireframe for the future
37. All we know about the future is that it will be different.
Perhaps what we fear is it will be the same.
So we must celebrate the changes, because – as someone
once said,
Everything will be alright in the end, so if not alright then
then trust me it is not yet the end.
Movie: Best Exotic Marigold Hotel
38. Final Takeaways
• Different communications requirements by
generation and Hospitality has evolved to
meet the diverse needs and expectations
of their customers – Customer is the heart
of everything
• Digital Technology is the enabler to allow
connection at every point in the
engagement before, during and after
• Experience through the Customer/Patient
eyes; path to improved customer/patient
experience – an investment you cannot
afford not to make
39. Questions
Nathalie Corredor, BA, MBA
SVP Strategy
Hilton Worldwide
Nick van Terheyden, MD
@drnic1
Chief Medical Officer
NTT DATA Inc.
40. Digital Healthcare Engagement Benefits
• Satisfaction: 90% increased satisfaction rate for patients and physicians who use online tools.
(http://sloanreview.mit.edu/case-study/when-healthcare-gets-a-healthy-dose-of-data/)
• Treatment/Clinical: 80% of patients who can access their own EHRs use health information.
(http://www2.deloitte.com/content/dam/Deloitte/us/Documents/life-sciences-health-care/us-dchs-provider-analytics-report.pdf)
• Electronic Secure Data: Digital consumer engagement tools can be integrated into the flow of clinical data, adding important
patient-provided input that can improve clinical decision-making.
– 40% of primary physicians see 21-30 patients per day, which equates to 16 minutes.
– 85% of physicians believe digital health tools hold at least some capacity to improve care (American Medical Association)
• Patient Engagement and Population Management: Patient education videos and other materials can be incorporated in to
tablet/smartphone apps, allowing patients to learn about their disease process and providing clear discharge instructions.
– 80% of what affects health outcomes is associated with factors outside the traditional boundaries of healthcare delivery.
(Robert Wood Johnson Foundation and University of Wisconsin Public Health Institute)
– 80% of providers and patients are satisfied with video-based care as a means of reaching people in rural locations
(University of Missouri School of Medicine)
• Savings: Urban hospitals in Texas with automated clinical information systems had fewer complications, lower mortality rates,
and lower costs. (Archives of Internal Medicine and the Commonwealth Fund).
The most effective tools in increasing patients’ meaningful participation in care:
– 38% -- patient portals
– 14% -- secure email
– 9% -- patient-generated data stored in EHR
– 8% -- online and mobile scheduling
– 6% -- benefits design
– 6% -- wireless/wearables
(New England Journal of Medicine)
41. The Best Exotic Marigold Hospital
Bringing Hilton’s guest experience to healthcare
Session 43, February 20, 2017 1:30 – 2:30 pm
Nathalie Corredor, BA, MBA, SVP Strategy
Nick van Terheyden, MD, Chief Medical Officer
Editor's Notes
In India we have a saying: Everything will be alright in the end, so if not alright then it is not yet the end”
https://youtu.be/wg20uxPRp0E
https://youtu.be/dDY89LYxK0w
Hilton Video
All we know about the future is that it will be different
Perhaps what we fear is it will be the same
So we must celebrate the changes
Because – as someone once said
Everything will be alright in the end, so if not alright then then trust me it is not yet the end
Official Trailer
https://youtu.be/dDY89LYxK0w
Modern Hospital image from
https://www.wired.com/images_blogs/design/2013/07/nxt-new-rendering-660x495.jpg
https://www.wired.com/2013/07/hospital-of-the-future/
http://www.diamondscabins.com/wp-content/uploads/JailSleepingDownstairs-e1452654812881.jpg
Satisfaction: Increased patient satisfaction often results from improved communications, which is a major feature of digital consumer tools. Patient satisfaction, as reflected in a hospital’s HCHAPS scores, affects hospital revenue and is a critical issue for many hospitals.
Treatment/Clinical: Increasing patient engagement has been shown to be effective at improving outcomes, particularly for patients who have chronic diseases and/or have recently been discharged from an inpatient stay. By adopting an approach that increases patient engagement and understanding of the disease process, hospitals can improve outcomes and reduce readmissions.
Electronic Information/Data: Digital consumer engagement tools can be integrated into the flow of clinical data, adding important patient-provided input that can affect clinical decision-making. For example, a messaging feature that connects patients with caregivers can increase caregiver awareness of patient symptoms and issues.
Patient Engagement/Population Management: Patient education videos and other materials can be incorporated in to tablet/smartphone apps, allowing patients to learn about their disease process and providing clear discharge instructions. The apps can allow patients to learn at their own pace and at a time that they are fully alert and can better absorb and remember the material. Traditional discharge instructions are often given at the end of a patient stay when patient and family are distracted by the details of preparing the patient to leave the hospital. Consequently, instructions aren’t retained well, and there is little chance for follow-up questions. The app gives patients and family time to absorb the information and to ask questions while still in the hospital.
Savings: Using digital tools can reduce the need for routine, low-value interaction with patients, such as giving directions or information about routine services. This leaves the staff free to concentrate on more value-add interactions, such as answering questions about treatment. Also, digital tools can be used to allow patient and family members to enter demographic and financial information before arriving at the hospital, reducing the time administrative staff spend in the admissions process. On a larger level, increasing patient satisfaction will improve reimbursement and possibly reduce readmissions, with the prospect of adding tens of thousands of dollars to the organization’s bottom line.
http://sloanreview.mit.edu/case-study/when-healthcare-gets-a-healthy-dose-of-data/
http://www2.deloitte.com/content/dam/Deloitte/us/Documents/life-sciences-health-care/us-dchs-provider-analytics-report.pdf