New Customer Service Initiative

Specialties Emergency

Published

We are considering a new Customer Service Initiative.

We currently post, online, our "door to doc" time. It turns out that this is an arbitrary measure that has nothing to do with our turnaround times. It also has nothing to do with overall customer satisfaction. (As far as I know, we aren't measuring patient outcomes, just customer satisfaction.)

So- in an effort to boost customer satisfaction, we are also posting "door to narcs" times.

Since a large portion of our customer base comes to us for narcotics, we feel this is a more meaningful measure than "door to doc", or even overall turnaround time. Let's take 2 theoretically identical chronic pain patients. Customer#1 sees a doc in 5 minutes, and is discharged with Tramadol in 1/2 hour. Customer #2 waits 1/2 hour just to see the doc, and spends 4 hours total in the ER, but gets IV narcs, a prescription for oxy, and a handfull oxys to go. Clearly, customer #2 will leave more satisfied. (unfortunately, customer #1 is 12 times more likely to fill olut a customer survey, but that is an entirely different problem.)

Given the huge disparity in the narcotic prescribing practices of our providers, customers need tools to make decisions regarding their healthcare. In reviewing charts of some of our most loyal customers, it becomes evident that the same customer can come in with the same complaint and get a completely different treatment. We lack the consistency that is the hallmark of a succesful business.

We are also considering posting provider stats, much like a baseball players stats are posted when they are up at bat. This will provide the customer the information they need to make an informed decision.

For example, a customer has a headache, and know the only thing that will work is Dilaudid. Bottom line is the only thing that will satisfy this customer is narcotics. The customer can check the website, and see that Provider A has a Narcs For Headaches average of .125, Provider B has an average of .275. The chance of getting narcs on that visit is 1 in 5. Lousy odds. We will also post what time shift change is for providers, and customers can check back, and see what their odds are with different provides.

Various categories for which we are considering keeping statistics:

  • Narcs For Dental Pain
  • Narcs For Headaches
  • Narcs For Chronic Pain
  • Narcs For Fibromyalgia
  • Narcs For Sprains
  • Narcs After Being Denied by PCP or Specialist

Some more general statistics that would provide useful decision making information might include:

  • Narcs When Customer Has A Well Documented History Of Substance Abuse
  • Overall Narcs When There are No Objective Findings (labs, X-ray, etc.) For Cause Of Pain

We feel this initiative will increase customer satisfaction, and avoid them wasting their time

Has anybody out there tried a similar system? Any thoughts on improvements/modifications?

Specializes in Emergency.

Hahahahahaha!!!! Printing for work.

Is this an ER or a pain clinic?

On some days I'm not sure. FWIW, the sign outside says Emergency Department.

hahahahaha seems like a great idea. I am picturing baseball like cards with the doctor's face and narcotic prescribing statistics

Specializes in Emergency, Telemetry, Transplant.

I think we should post online the doctors who are working on any given day...as we all know, some give narcs for anything, some seem to never give them. We even have pt's ask for doctors by name, as they give (sometimes a lot of) narcs.

Specializes in Emergency/Cath Lab.

Dilaudid for headaches? Seriously? I'm glad I have docs that dont put up with that nonsense.

Does your hospital offer a drive through?

Love this! Why do we even try to pretend we're healthcare providers. Let's just admit what we really are: a hotel with narcs on the room service menu.

In French accent:" Will you be taking dessert orally or IV, monsieur?"

Specializes in Oncology.

This is the first allnurses post where I've actually laughed out loud. Thanks everyone! So awesome I need to share this thread with friends.

Just put a candy bowl full of drugs on the triage desk and the patients can pick what they want. As long as they fill out a survey first.
Would those be "lollipops" perhaps? ;-) like dumdums... But stronger...
Specializes in cardiac CVRU/ICU/cardiac rehab/case management.

Lets just go all out,If you throw in some heroin as an incentive to fill out your survey you can then post yourself on line as

' Voted #1 Best ER in America ".

Specializes in Emergency.

Our motto: turkey sandwich & dilaudid for all!

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