060224-crm strategies in healthcare

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  • 8/2/2019 060224-CRM Strategies in HealthCare

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    Adapting CRM Strategies for the

    Healthcare Market

    Thomas Corry

    Managing MemberCorry Direct Marketing, LLC

    [email protected]

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    Healthcare CRM

    What in the world does healthcare CRMhave anything to do with my business

    and why am I here?

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    Healthcare Marketingis Changing

    Hospitals are moving from mass

    advertising to targeted direct marketing. Hospitals are very competitive. Look at

    the New York City metro area

    marketplace. How do you make sure prospective

    patients come to your facility?

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    Healthcare Marketingis Changing

    Doctors used to be the target of marketing but

    has changed to direct to consumer. Hospitals are developing customer outreach

    databases and are using traditional directmarketing techniques.

    Different offers, creative and techniques areused in direct mail to attract prospects to thefacility.

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    Healthcare has many of thesame goals as other consumermarketing companies

    Hospitals are no different than consumerdriven companies such as BMG, Time, Inc.,Boardroom, Pfizer, or Chase, etc.

    The business acronyms may be different butthe goals are the same.

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    Healthcare marketing isconsumer marketing

    Patient acquisition: How do I get morepatients coming to my facilities?

    Patient retention: How do I get my patientscontinuing to use my facilities?

    Patient winback: How do I bring back

    patients who havent using my facilities forsome period of time?

    New Movers: How do I attract prospectivepatients in my facilitys footprint?

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    Three Components to a

    Successful Initiative

    Filling the Funnel

    Marketing Targeting - OfferList Execution Appointment setting Marketing

    Margins & Referral PatternsPCP PCR

    Op Margin - SplittersOut migration factors

    Facility

    Management

    Managed care

    OperationsNet Appointments Slots Throughput

    Follow Up - Reporting

    Facility ops

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    Marketing Value Chain

    Compellingvalue

    proposition

    Cost /benefit

    Relevant

    Timely

    Determinecommunications

    channels

    Efficient

    Appropriatetarget

    demographic

    Work backtime lines

    Advertisingproduction

    Stafftraining

    Eventcoordination

    Creative

    Compellingoffer

    Attentiongetting

    Clear call toaction

    Ampledates and

    timesoffered

    Responseprojections

    Non-holiday

    Morningslots

    Weekends

    Operationsplanning Project owner

    Call Centercoordination

    Ease ofappointments

    Site

    planning Trackingplan

    Validate pro forma

    Volume projections

    BE analysis

    ROI

    Key Learnings from Prior Campaign

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    Healthcare CRM

    Tenet Healthcares south Florida divisionanalyzed their $60 million in marketingspending and realized they could cut over75% of that cost.

    Their spending was for billboards, radio,newspaper and other mass advertising.

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    Healthcare CRM

    Tenet Healthcare tested direct response anddatabase marketing to 3 hospitals in 2000.

    Based on the tremendous results the programwas rolled out to 25 additional hospitals in 2001.

    An additional 20 hospitals were added in 2002. Two goals from direct marketing:

    1. Increase profitability from existing patients

    2. Drive prospects to Tenet hospitals.

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    Database Architecture

    BillingData

    CallCenter

    Health RiskAssessment /

    PersonallyCollected Data

    3rd PartyGeodemographic

    Overlay Other DataSourcesEncounterData

    MarketingDatabaseSegmentation System

    Segmentation Scoring

    Access & Reporting Tools

    Consumers

    Direct Mail

    Internal Data External Data

    PositiveConsumer Response

    Call Center

    Faci l i ty Screeninglinical Servicesi l l ing Data

    Data Hygiene

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    Tenet CRMTesting Results

    Database marketing is profitable for hospitals

    Profitability varies by payor mix and

    competitive environment Product lessons:

    Cardiology most profitable

    Some product lines work, some dont e.g. sleep disorders, sports medicine

    Expect eight-week time lag before start ofrevenue stream

    Revenue has continued to actualize

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    Segmentation andScoring Models

    Healthcare life-stage (off-the-shelf)

    Modified healthcare life-stage Disease specific models

    Predictive models

    Other models (RFM, loyalty scoring,etc.)

    Neural Net using hundreds of variables

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    Segmentation andScoring Models

    SolucientSolucientuses cluster methodology,along with other data elements.

    CPM Corp. uses neural net technologyto score names by house and prospectand by service line, e.g. cardiology,pulmonary

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    Segmentation andScoring Models

    CPM Corp. uses two different scoring

    approaches. Consumer HealthcareUtilization Index (CHUI) and PatientDisease Index (PDI).

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    Segmentation andScoring Models

    CHUI scores run from 0 999 to

    identify an individuals propensity to usehealth care services as defined by themajor diagnostic categories (MDC) andspecific diseases within the ICD-9 anddiagnostic related groups (DRG). Thehigher the number, the greater thelikelihood the individual will need the

    service. This is used for prospects.

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    Segmentation andScoring Models

    The Patient Disease Index (PDI) is aco-morbidity segmentation system thatuses patient data for segmentation.

    In other words, if someone haspulmonary issues there is a likelihoodthere are cardiology issues.

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    Revenue Chain

    Recipient receivesoffer May go directly

    to physician for evaluation ofsymptoms, etc.

    Related clinical servicedelivered at hospital

    Bypass screening

    Product line-specific revenue from a person that was on the original mailinglist that did or did not respond to the offer and might have been screened.

    Delivered service and revenue trackedthrough facility billing system

    Results andtest plan analysis

    pro forma validated

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    Control Group Methodology

    21,988 mail quantity of campaign prospects pulled fromdatabase

    1,161 (5% of total prospect quantity) held back (did notreceive mailing) for control group testing

    $82.47 average profit perprospect individual mailed

    $15.75 average profit percontrol group individual

    $66.72net profit per individual mailed

    $66.72 x 21,988 = $1,467,039 adjusted net marketingprofit

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    1 Gross charges X PCR = Net Revenue*patient to charge ratio

    Product Line (if available)

    2 Net Revenue X Net Operating Profit % = EBITA

    3 EBITA - Marketing Costs** = Marketing Profit

    *Net Revenue is projected based on PCR** Marketing costs include: All creative costs, agency fees, letter shop costs,paper, printing and postage.

    ROI Calculation

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    Revenue Tracking

    Billing System/Code Based

    Conducted monthly

    Tracks to a specific set of ICD9 and DRG

    codes (reviewed by Medical Affairs and PatientFinancial Services)

    Data tracked for 12-month period

    In direct marketing, matches a mailed-to

    individual against the codes In direct marketing, control group revenue isalso tracked against a mailed-to group

    Vi t l C l

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    Virtual ColonoscopyVital Statistics

    (Source: Call Center Reported Data)

    Marketing costs: $181,162

    (Includes: Radio, creative, production, planning)Responses: 1058 completed calls

    Appointments set: 179

    Net screens:(if known) 54

    Screens needed to B/E: 798

    H it l A

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    Hospital AVital Statistics

    Marketing costs: $16,167

    Quantity mailed: 21,985

    Responses: 323Appointments set: 346

    Net screens: (if known) 307

    Visits/discharges: 54

    Gross revenue: $574,266Net revenue: $189,508

    EBITA : $36,006

    Marketing profit/loss: $19,839(EBITA Marketing Costs)

    H it l B

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    Hospital BVital Statistics

    Marketing costs: $24,959

    Quantity mailed: 40,000

    Responses: 403Appointments set: 286

    Net screens: (if known) 200

    Visits/discharges: 165*(incl. medical records)

    Gross revenue: $75,273Net revenue: $13,620

    EBITA: $2,302

    Marketing profit/loss: ($22,657)(EBITA Marketing Costs)

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    Creative and Offers

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    Creative and Offers