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?

Good luck with this statistics. Hopefully this will help you in whatever endeavor you do in this undertaking.

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 ".

No longer available from Bayer, who originally marketed it as a safe alternative to morphine.

OTOH, medical grade cocaine is available, but I am not sure we should publish that.

Upping our market share too quickly will degrade our customer service level.

Specializes in Clinical Research, Outpt Women's Health.

Dang, my heart goes out to you hospital nurses and all the impossible crappola you deal with. Love the tongue in cheek (sort of ;)) original post.

Specializes in critical care, Med-Surg.

All so true!!

In my institution, pts get what they want!

Percoet 10, IV DIlaudid 30 min prior to discharge.

I literally have to WAKE SOME PTS UP for their Dilaudid! They fall asleep before I can draw it up and get to their room.

Most of them rate their pain as 10/10 consistently. Some go down to only an 8 or 9 immediately after IV Dilaudid.

I've been a nurse for a long time, and I swear I give WAY more pain meds now than years ago.

Had a pt the other day questioning me about why his PCA Dilaudid dose was lower than his previous IVP dose. He had cellulitis.

All I can say: drug seeking. And it's legal and catered to.

All in the name of "customer service".

Specializes in Med Surg, Parish Nurse, Hospice.

Sounds like this is the problem today. Too many folks taking too many unneeded meds,espically narcs. How come whenever I have pain I'm not offered a narcotic? Maybe I don't go to the right places!

Specializes in nursing education.

This is a really amazing post. So hilarious and sad at the same time. I kind of feel sorry for the commenters who didn't get the sarcasm though! :)

Specializes in cardiac-telemetry, hospice, ICU.

"And batting cleanup is Dr. Feelgood, with a .329 opiod/seeker avg. He is coming off the DL after a close shave with the DEA"

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