customer service in health care

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    Customer Service Management

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    Expectations Participant

    Facilitator

    ????????

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    Let us not have

    Santas story..

    Dear Santa,

    This year for Christmas I would like to have a slim body anda fat purse. Please do not mix up the requests like you didlast year!

    Yours truly

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    So what are your expectations?

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    Stated Expectations To understand elements of customer service in

    hospital management

    How do I manage service issues in my hospital? To create a world class service organisation

    To be able to create high levels of customer satisfactionand ensure repeat customers

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    Unstated Expectations

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    Why is customer service

    important

    Differentiation

    Profits

    Referrals

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    Good Customer Service PaysCATEGORY OF SERVICE PROFIT INCREASE AFTER CUSTOMER RETENTIONRISE OF 5%

    0% 35% 70% 105% 140%

    Automotive

    Auto/Home Insurance

    Bank Branch Deposits

    Professional Publishing

    Credit Cards

    Life Insurance

    Corp. Insurance

    Advertising Agencies

    Source:The Service Edge.1992 Vol 5

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    Phases of an OrganisationCUSTOMER DRIVEN ORGANISATION

    Description of End Product Customer Needs

    Assessment Process

    Quality Assurance

    Mechanisms

    Customer Assessed Quality

    Parameters

    PHASE 1 Mass Manufactured Product Market Research onCustomer Needs

    QCs, SuggestionSchemes

    Tangibles and ProductReliability

    PHASE 2Ditto But Adapted to

    Individual Needs and Options

    Input from Individual

    Customers

    Computerised

    Production Plannng &

    Control and Flexible

    Manufacturing Systems

    Responsiveness to

    Customer Needs

    PHASE 3Customer Sensitive Service

    Bundled with ProductCustomer Dialogue

    Empowered Front Line

    StaffEmpathy of Front Line Staff

    PHASE 4 Customer Empowerment Customer Engagement

    Boundary less Process

    Oriented Speedy

    Organism

    Assurance (Fairness, trust

    and long term relationship)

    Source: VS Mahesh published in ICA journal March 1994

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    What is service operations

    management Term used to cover activities, decisions and responsibilities of operations

    managers

    Service 0perations Managers are responsible for delivering service to the

    customers

    Service is the combination of outcomes and experiences delivered to a andreceived by a customer

    The service experience is the customers direct experience of the service

    process and concerns the way the customer is dealt with by the serviceprovider

    The service outcome includes tangible outputs, plus value, emotions,judgements and intentions

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    Session Details World Class Organisations Service Concept

    Understanding Customer Needs Mapping Moments of Truth Service Quality Gap Analysis Service Performance Network

    Empathy Its all about Attitude Fish Action Plans

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    World Class service World class service organisations have superior business

    performance and understand relationships between theiroperations decisions and business performance

    The characteristics of world class organisations at acorporate level include

    Great leadership

    Clear vision

    Clarity of concept

    Supportive culture

    A well developed strategy

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    World Class Service The Characteristics of world class service at an operations

    level include

    Willingness to listen to customers

    Continuous process development Consistency of service

    Responsiveness

    Can do attitude

    Big and little thinking Supportive and committed staff

    Excellent performance management

    Lack of complacency

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    Session Details World Class Organisations Service Concept

    Understanding Customer Needs Mapping Moments of Truth Service Quality Gap Analysis Service Performance Network Empathy Its all about Attitude Fish Action Plans

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    The Service Concept

    Strategy

    ServiceDelivery

    CustomerRelationship

    s

    SupplierRelationship

    s

    PerformanceManagemen

    t

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    MGM Dizzy World Service Concept

    Organisation MGM Dizzy world

    Organising Idea : A great day out at a theme park

    Service Concept Summary: A theme park that provides an inclusive packageof over 100 rides and attractions to suit all ages and tastes with thrills, fun,

    fantasy, fast food

    Service ExperienceQuick and easy to buy ticketExhilarating and entertainingFun and lively for all agesRange of attractionsPlenty of food and drinkslong queues for main rides at park

    Service Operation:Good signage to the parkLarge car parksClear site mapsDifferent queuing systemsRange of food outletsOver 100 rides and attractions

    Service ValueAll inclusive priceCar parking extraExpensive ticket but well worth itFew additional costsFood reasonably pricedOverall excellent value for money

    Service OutcomeGreat day outFamily funThrilling ridesNever a dull momentGreat experience with friends/familyexhausting

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    Session Details World Class Organisations Service Concept

    Understanding Customer Needs Mapping Moments of Truth Service Quality Gap Analysis Service Performance Network Empathy Its all about Attitude Fish Action Plans

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    Defining Expectations The service quality factors are those attributes of

    service about which customers have expectations andwhich need to delivered at some specified level

    Hygiene factors dissatisfy not delight

    Neutral factors no effect on satisfaction

    Enhancing factors will dissatisfy but may delight

    Critical factors both dissatisfy and delight

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    Who is my customer Our most typical customer is going to be ;

    Pen sketch / picture

    What are his major needsWhat are the three things our customer should like

    most about doing business with us

    What are his/her options

    Why would our customer switch loyalty

    What should I do to keep I tune with his changingneeds

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    Exercise : Are you listening

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    eren e o s o s en ng othe

    Customer Market Research Customer Panels Customer Comment Forms

    Customer Service Desks Handling Complaints positively Make the frontline employees your ears /eyes Managers should experience front line jobs Be a customer

    Media Comments Ghost Audit Competition analysis Check customer defection rates Beware the Head Waiter Syndrome

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    Session Details World Class Organisations

    Service Concept

    Understanding Customer Needs Mapping Moments of Truth

    Service Quality Gap Analysis

    Service Performance Network

    Its all about Attitude Fish

    Action Plans

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    Mapping Moments of Truth

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    Tools to engineer

    Service Processes

    Process Mapping

    Walk through Audits

    Service Transaction Analysis

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    Consumer Behaviour Where does the customer fit into the service operation?

    What perceived risks to customers face in purchasing and using

    services? How do customers form expectations and differentiate between desired

    and adequate service levels

    Why do people often have difficulty in evaluating the services that theyuse

    How does reducing or increasing the level of customers contact with aservice supplier affect the nature of their service experiences

    What insights can be gained from viewing service delivery as a form oftheater?

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    Customer Categories The Ally,

    The Hostage,

    The Anarchist,

    The Patient,

    The Tolerant,

    The Intolerant,

    The Victim, The Terrorist,

    The Incompetent and the Champion

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    Customer types

    Patient

    Tolerant Champion

    Ally

    Incompetent

    Victim

    Hostage

    Intolerant

    AnarchistTerrorist

    ACTIVITY

    ATTITUDE

    Negative

    Positive

    Passive Active

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    Managing Customers Customers are often Service Providers

    Key roles taken by customers are

    Service provider Service Specifier

    Quality Inspector

    Trainer/Role Model

    Key issues in managing customers include definingcustomer competence,selection, training, motivationand removal

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    Service Processes and their

    ImportanceA Service set of interrelated activities together in

    sequence

    Good service processes created satisfied customers,reduce costs and underpin financial performance

    Processes must be understood and managed end toend

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    The nature of service processes Runners / Repeaters /Strangers

    Value may be added in front office or back office withvarying degrees of customer involvement

    Volume/variety matrix helps identify the keyattributes

    Process Profiling can help identify what needs to be

    changed to reposition a process

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    Controlling Service Processes Reliability and consistency are important

    Capable processes can be created throughimplementation of statistical process control

    Quality systems should not only provide process

    definition but also be a catalyst for qualityimprovement

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    Service Recovery All organisations need to have service recovery procedures

    in place

    Service recovery is the act of dealing with service failures

    Service recovery should lead to Increased customer satisfaction

    Retention process imporvements

    Improved financial performance

    Service recovery has three essential ingredients Prevention of repetitions

    Excellent complaint handling

    Proactive service recovery

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    Customer Satisfaction and Service

    Quality Satisfaction is the result of a customers assessment

    vis-a vis his expectations and perceptions of servicedelivery

    Service quality is about consistently meeting servicesspecification for that service

    Excellent service entails delivering the promise and

    dealing well with problems and queries There may be gaps between expectations, perceptions

    and service quality delivered

    e g ng an ssa s y ng

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    e g ng an ssa s y ngfactors

    Hygiene Critical

    Neutral Enhancing

    Low

    HIgh

    HIgh

    PotentialTodissatisfy

    Potential to delight

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    Session Details World Class Organisations

    Service Concept

    Understanding Customer Needs Mapping Moments of Truth

    Service Quality Gap Analysis

    Service Performance Network

    Its all about Attitude Fish

    Action Plans

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    Five Dimensions of

    Service Quality Scale (SERVQUAL)

    Tangibles

    Reliability Responsiveness

    Assurance

    Empathy

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    Gap 1

    Customer ExpectationsKey Factors

    Insufficient market research

    Inadequate use of market research Lack of interactions between management and

    customers

    Insufficient comunication between contacgt

    employees and managers Too many layers between contact personnel and top

    management

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    Gap 2

    Service Quality SpecificationsKey Factors

    Inadequate management commitment to servicequality

    Absence of formal process for setting service qualitygoals

    Inadequate standardisation of tasks

    Perception of infeasibility that customerexpectations cannot be met

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    Gap 3

    Service DeliveryKey Factors

    Lack of teamwork

    Poor employee job fit Poor technology job fit

    Lack of perceived control

    Inappropriate evaluation /compensation system

    Role conflict among contact employees

    Role ambiguity among contact employees

    ap

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    apExternal Communication to

    CustomersKey Factors

    Inadequate communication between salespeople andoperations

    Inadequate communication between advertising andoperations

    Difference in policies and procedures across branches

    or departments Puffery in advertising

    Puffery in personal selling

    ap

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    apExpected Service and Perceived

    ServiceWord of

    Mouth

    PerceivedService

    ExpectedService

    PastExperience

    PersonalNeeds

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    Session DetailsWorld Class Organisations

    Service Concept Understanding Customer Needs

    Mapping Moments of Truth

    Service Quality Gap Analysis

    Service Performance Network

    Its all about Attitude

    Action Plans

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    Service Performance Network

    Leadership

    Vision

    Concept

    Culture

    Strategy

    Processes

    People

    Resources

    Networks/Tech

    ServiceDelivery

    Staff Satisfaction

    Customer Satisfaction

    Attraction

    Loyalty

    Financial Performance

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    The service performance

    network The servicer performance network documents many of

    the cause-effect linkages beween operational driversand business results

    The key stages in developing a network are:

    Create a model by capturing several threads through the

    network, collect data, and analyse the data tounderstand the relationships between the variables

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    Repositioning Service There are pressures to change their nature

    Organisations must manage the gap between what ismarketed and what is delivered

    Four ways of repositioning

    Build capability through systems and training

    Build capability through incremental development

    Moving to a commodity by constraining flexibileresources

    Moving to a commodity through investment in processcapability

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    The Service Triangle

    The ServiceStrategy

    The PeopleThe Systems

    Thecustomer

    Internal Marketing

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    Service People

    Pressure on Service Providers

    Service employees have pressure from

    Organisation - requiring high levels of quality andproductivity

    Customers - unrealistic expectations, incompetenceand anxiety

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    Fish!

    The MovieAn excellent formula to enthuse staff and make work

    fun!

    Play have Fun at work

    Make Their Day

    Be there

    Choose your attitude

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    Its all about attitude Exercise

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    Reference Material

    Service OperationsManagement Lovelock andLewis

    Fish / Fish Tales / Fish SticksStephen C Lundin, JohnCristensen, Harry Paul

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    Thank you!