Barlow/McCarthy Team
Welcome to The Market Tenor - a newsletter designed to respond to your interests in hospital-physician strategies. Because Barlow/McCarthy specializes in all aspects of the physician-hospital relationship, this newsletter will focus on topics related to physician sales, retention, recruitment, new physician on-boarding and practice development. The articles will feature tips and techniques to help drive greater success and facts to help you in positioning your program internally.
Proactive Reporting to Quantify ResultsFebruary 2008

Just like any other business development activity, physician relations should be substantiated with formal communication and reporting tools. Results – that’s what organizational leaders are looking for. And collecting and communicating these results in a consistent, strategic way helps give credibility to the information. That is why the topic we’ve selected for this issue is centered on Proactive Reporting to Quantify Results. We hope these articles will provide you with some ideas to build or fine tune your reporting process.

In This Issue:
Connecting with Your Leadership: GO
Planning Before Doing - Setting the Stage for Success: GO
Ensuring Physician Relations Gets the Credit: GO
Learning Opportunities: GO
Kriss Barlow
By Kriss Barlow
Connecting with Your Leadership

Today’s healthcare leaders obviously recognize that physicians have direct impact on their organization’s bottom line. In response, facilities across the country have taken action by proactively developing roles – commonly known as physician relations or sales - that regularly interface with this key audience. In addition, many facilities have also taken steps internally to create a more welcoming environment for physicians.

If all this is true, why is it that I hear from more physician relations leaders that they feel less connected to senior leadership? And more importantly, they want to know how they can re-connect in a meaningful way.

The reasons for the disconnect are likely as varied as our environments, but one of the common denominators is that physician sales is becoming an expected part of the organizations’ routine in building business. The result is a sense of comfort that requires less direct attention. Another reason may be that what happens in those visits is still a bit of a mystery to the internal stakeholders. And yet another consideration is that program leaders are overwhelmed with managing multiple agendas which leaves little time to showcase the program’s efforts internally.
Regardless of the reason, it presents an opportunity to rethink how information is transmitted to leaders and the value of a proactive, consistent internal sales strategy. Here are just a few ideas to get you started with such a strategy targeted to executive leaders:

The pressures
of how a CEO
spends his or
her time
are ever shifting,
but results show
the big three are
physician relations,
operations and
strategic planning.

Source:
HealthLeaders MediaAnnual
CEO Survey

Develop reports that provide a succinct summary of activity and results.
Provide meaningful and reliable market intelligence.
Generate concise quarterly summaries of new referrals.
Include a snapshot of planned activities to let the leaders know there is a strategy to
the referral development effort.
Provide a summary of concerns/issues that are heard, by priority and by category.
Providing all this detail in a one- to two-page summary allows leaders to see the impact,
the approach and the effort side of physician relations.

Another method of connecting is through planned internal communication. Physician relations program leaders and occasionally the field staff should proactively reach out to key stakeholders within the service lines and hospital leadership to gain additional understanding of the hospital’s plan from a strategic, operational and clinical perspective. This insight helps physician relations staff to develop stronger sales and retention plans.

We know that physician relationships matter and we know that the physician relations/sales role is front and center in creating impact. Now the challenge is linking the two by demonstrating value and impact.


Kriss Barlow
By Dave Zirkle
Planning Before Doing - Setting the Stage for Success

Success in today’s challenging healthcare environment rarely occurs by chance but rather through well-designed and executed planning. And this is definitely true in the category of physician relations. Good physician sales planning addresses four basic questions as steps in developing a strong sales plan:
1) Where are we?
2) Where do we want to go?
3) How do we get there?
4) How are we doing?

Let’s discuss the components of each step:

Step 1 (where are we?) involves the collection of background information to assess the current situation. This includes the organization’s strategic goals and objectives as well as local and national trends, targeted product areas, market dynamics and competitive intelligence. More importantly, successful planning moves beyond simple collection of data to critical analysis of the information to support the sales planning process.

Step 2 (where do we want to go?) identifies the strategic growth areas the sales program will support. The initiatives can be broad - strategic service lines, rural outreach - or more tightly defined such as an increase in breast cancer patients in the primary service area. Following a thorough analysis of the information collected in Step 1, sales should identify 3 to 5 strategic initiatives that the program can play a significant role in terms of volume and revenue growth.

Step 3 (how do we get there?) involves two separate stages that include physician targeting and forecasting. Several techniques are available to support the targeting process but almost all attempt to classify physicians into growth or retention categories. In general, targets are identified based on a historical analysis of volume and/or financial data along with other factors such as physician specialty, age and geographic location.More importantly, successful planning moves beyond simple collection of data to critical analysis of the information to support the sales planning process.

Once targets have been identified, forecasts and growth projections for each targeted physician should be developed. The forecasting process begins with an analysis of baseline volume which is based on historical data and any other information or market intelligence known at the time (e.g. changes in the practice or loyalty to the organization, competitor actions, payor issues, etc.). Baseline volume represents the best estimate of future physician activity without any sales effort, while forecasted volume represents the incremental growth that can be achieved with a targeted sales effort.

Step 4 (how are we doing?) identifies upfront how progress will be evaluated and appropriate performance measures. Items to consider include sales activity, physician volume, financial indicators, market share and physician satisfaction. Two standard reports used to monitor sales programs include: 1) monthly activities completed by sales staff, and 2) quarterly comparisons of actual to forecasted physician volume.

While more mature sales programs will generally focus on all four planning stages, those new to the process should take small, incremental steps to ensure success. Newer programs should focus first on analyzing background information and development of realistic sales goals before moving to the other steps in the planning process.


Executives say
their companies
could be a lot
more effective
at developing
a strategy.
Less than
50 percent
surveyed said
they are satisfied
with their
company's approach
to planning strategy.

Source:
The McKinsey Quarterly,
September 2006

Kriss Barlow
By Allison McCarthy
Ensuring Physician Relations Gets the Credit

Effectively measuring ROI on physician sales and retention activities requires two key elements - quantitative data and qualitative data. While producing the quantitative data has its own set of challenges, qualitative data trending and reporting is similarly matched to the quest for the Holy Grail. But without it, and if the quantitative data stands alone, it can be tempting for internal stakeholders - such as CFOs and clinical leadership - to presume that incremental growth is due to market dynamics or other internal efforts. The qualitative data is the connecting link between activity and outcome – providing the “proof” and validation around results.

To capture this qualitative data, tracking systems need to include these important elements:

1.
Targeted physician lists segmented using two categories – growth and retention.
2.
Clearly defined objectives – interactions, activities, volume – for each physician identified in the target list.
3.
Documentation of all activity and interactions with these physicians.
4.
Coding and trending processes to measure actual interactions against the objectives.
Organizations that have been successful in this area have learned that there is more to it than simply loading the physician names into a system and approaching each physician with an equal level of effort and attention. They realize the value in an intuitive coding system that:
Defines physicians by either growth or retention
Ranks each physician based on the targeted goal (A,B,C or 1,2,3)
Determines the specific clinical services to focus their relations effort
This becomes as important in physician relations as the projected budget is in the fiscal world. It provides the internal roadmap that articulates what is to be accomplished and the tactical steps to get there. And just like in financial management, quarterly reports can be generated comparing actual results to original plans. More on that later.

With the physician database ready, it is in the documentation of activity with a physician that provides the proof of effort. Beyond recording a note, effective ROI reporting also needs details that put more specifics around the interaction. The easiest method to report or trend results is through coding; codes define the type of activity completed (e.g. meeting, orientation, CME program) as well as the “subject” of the interaction (e.g. cardiology, ortho surgery, cancer). From this, reports can be generated correlating the degree of effort (or amount of activity) on behalf of specific clinical services (or subject of the interaction). Then, when the quantitative results are reported, physician relations can identify their efforts in increasing clinical and referral activity.

I mentioned benchmark reports earlier. These reports help the team review what works and what needs improvement. For example, if the quantitative reports show limited growth in a specific clinical area, these reports become the tool to validate if that outcome resulted from lack of field attention. Or if a physician was an “A” target for growth but his referral activity didn’t change, was it because there was not enough dedicated attention to this key customer or were there other factors that created those lackluster results.

Documenting and tracking physician relations activities can be the least exciting part of the job, but it can also be the most valuable. The knowledge that these reports provide can help physician relations teams sharpen their focus, target their activities and generate the results that their organizations’ leaders want to see.

If you would like to learn more about best-practice strategies to report and quantify your physician relations activity, please contact us. GO


More than
87 percent of
the respondents
said they apply
some form of
measurement to
the effectiveness
of their
hospital’s or
health system’s
marketing
initiatives.

Source:
The Strategy Group
CEO Survey


Learning Opportunities

Live Webinar: Assessing Your Physician Recruitment Readiness: Strategic & Legal Issues
Tuesday, February 19, 12:30PM – 2:00PM (EST)

Featuring Allison McCarthy, Michael Blau, and Callen Northam, EVP & COO, Portneuf Medical Center, Pocatello, ID
Sponsored by the Forum for Healthcare Strategists
Learn More

Physician Recruitment Intensive Training
February 25 – 29, Las Vegas, NV

Allison McCarthy and Kriss Barlow present special sessions as members of the faculty.
Sponsored by The American Academy of Medical Management
Learn More

Physician Strategies Summit
April 3 - 4, Los Angeles, CA

Special workshops offered by Kriss Barlow and Allison McCarthy.
Sponsored by the Forum for Healthcare Strategists
Learn More

Building Better Radiology Marketing Programs
April 3 – 4, Austin, TX

Special session on “Marketing Metrics – Strategies for Measuring Success” Featuring Ann Maloley.
Reserved for members of Radiology Business Management Association.

Customer-Based Marketing Strategies
April 6 – 8, Phoenix, AZ

Special sessions offered by Kriss Barlow, Allison McCarthy and Chris Rhodes.
Sponsored by the Forum for Healthcare Strategists
Learn More

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