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Physician Experience Dashboards

Physician Experience Dashboards

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Published by GelbConsulting
Case study of MD Anderson's use of physician experience dashboards.
Case study of MD Anderson's use of physician experience dashboards.

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Published by: GelbConsulting on Jan 15, 2010
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08/22/2010

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Growing by Understanding
Gelb
1011 Highway 6 South P + 281.759.3600Suite 120 F + 281.759.3607Houston, Texas 77077 www.gelbconsulting.com
 
Charting Patient Experiences Build EmpathyAnd Support Change
2
Loyalty is won by defining and delivering exceptional experiences. Whether its patients,volunteers or physicians, the ways an organization meets emotional and functional needs drivesadvocacy. Our experience mapping approach has been used by healthcare organizations such
as Texas Children’s Hospital, Froedtert & The Medical College of Wisconsin and M.D. Anderson
Cancer Center to develop a better understanding of the experiences they deliver
and to growsmarter from it.
Mapping the Patient Experience
By John McKeever 
 The patient experience serves as the blueprint for designing patient-centric processes. With thisin mind, a research technique called experience mapping can be an effective way to presentvisual cues to patients discussing their experience because it helps them more easily recall anddiscuss their expectations, needs, and areas of satisfaction.This technique develops better insights by eliciting in-depth feedback from patients, physicians,and other stakeholders. In addition, experience mapping research can be cost-effectivelyconducted using internal or external resources. There are a number of applications for this
technique. For example, one of the nation’s top cancer centers has utilized findings from
research using experience mapping to guide the strategy for its Web-based patient portal, aswell as to develop an institution-wide program for patient education. Other applications includereferral process management, outpatient scheduling, and hospital to physician communications.
Contrasting Techniques
 All too frequently, traditional market research methods, such as patient satisfaction surveysand focus groups, fall short in providing both the detail and the broad context. Effectivemarket research for process improvement requires more than a list of discussion areas or abroad patient satisfaction survey. Given the complexities in delivering health services, an in-depth understanding of patient needs, expectations, and experiences is needed to identifyopportunities to increase patient satisfaction and value.Quantitative patient satisfaction surveys provide a broad perspective on the percentage ofpatients satisfied with the process overall. But for the purposes of a specific episode in thepatient experience (e.g., appointment scheduling), these surveys often fail to provide insightabout specific areas for improvement. These questionnaires are designed to evaluate high
level factors (service quality, way finding, etc.) because there simply isn’t enough time in
most written questionnaires to detail the steps in the patient experience.Focus group interviews, another staple in healthcare market research, are helpful inunderstanding he issues facing patients during their experiences. However, a 90-minutediscussion with 10-12 patients typically covers a number of topics without a sufficient level ofdetail on any one topic. In fact, the average contribution time of each focus group participant isonly nine minutes. Through experience mapping, interviewers are able to explore process andinformation issues in greater depth. This technique requires interviewing a large number ofpatients as each of them will provide details that can be later aggregated to identify andprioritize opportunities for improvement. Since the interviews are conducted individually or in
 
Charting Patient Experiences Build Empathy And Support Change
3
small groups, there is sufficient time for the interviewer to explore specific episodes and patientexpectations.In order to support the interviewing process, an experience map must be developed beforepatient interviews can begin. (See Exhibit 1.) This map is intended to be patient-centric, not aprocess map. During the interviews, patients and caregivers are taken through the key steps oftheir experience. With the length of each interview typically being about 30 minutes, the scopeof the conversation usually focuses on one aspect of operations (e.g., patient education,admissions, outpatient services, scheduling, billing).As patients often have idle time before and after their visit, intercepting them during their
experience is an effective means of recruitment. Intercept interviews also allow the patient’s
caregiver to participate. For many patient populations (such as cancer patients), the caregiverhas more relevant experiences with certain aspects of clinical or administrative operations.A typical discussion addresses several areas of inquiry. Most important, it engages therespondent in a way that encourages them to tell the story about their experience in thecontext of the most relevant areas. (See Exhibit 2.)
Exhibit 1 Experience Map
 

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