May 22, 2012

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Data helps team boost service

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Management co-lead(s)

Isabel Lascano, Isabel.Lascano@kp.org, 559-454-4391

Union co-lead(s)

Carla Duerksen, Carla.Duerksen@kp.org, 559-448-4846

Fresno HIM co-leads Isabel Lascano and Carla Duerksen, SEIU UHW (left to right).

Department: Health Information Management, Fresno Medical Center
Value Compass: Service
Problems: Lagging turnaround time for patient information requests and lack of staff courtesy in person and on the phone
Metric: Complaints tracked by Member Services, a customer satisfaction survey generated by the team, and incomplete request reports
SMART goal: To improve customer satisfaction from 84 percent in March 2011, per the staff-collected data, to 90 percent by the end of July 2011
Labor co-lead: Carla Duerksen, claims processor, SEIU UHW
Management co-lead: Isabel Lascano, manager
Small tests of change:

  • Reviewed customer satisfaction survey responses with entire team at weekly meetings and huddles. “Everyone took ownership because of the comments,” which were both positive and negative, labor co-lead Duerksen says. “If they identified an employee by name and said (that person was) helpful…that reinforced that staff needed to be polite.”
  • Moved disability clerk and her phone to the front desk, where she could better engage with customers and process their requests.
  • Added a sign to direct members with disability questions and forms to one window.
  • Provided restaurant-style pagers so patients needing to pick up records can wait comfortably or continue their business elsewhere in the facility.

Results: Customer service complaints from Member Services about lack of courtesy dropped to zero, while satisfaction results per the staff survey remained high.

Biggest challenge

Distributing the customer service survey without skewing the results. First staff members self-selected whom they would give the survey to, and a volunteer who wasn’t in the department collected the results. The team ultimately settled on members dropping  the surveys off in a locked box. 

Side benefits

Disability claims information is released within two or three days of the request, compared with the previous 10- to 15-day lag time. Improved communication with physicians and others in departments holding records and other information needed to complete requests.

Background

The department receives up to 106 “release of information” (ROI) requests daily, a process that is governed by strict state and HIPAA privacy and time requirements.

Data team members looked at a year’s worth of complaint reports from Member Services, which revealed issues with courtesy and efficiency, particularly for disability claim-related requests.

Looking at and collecting the data, Duerksen says, “made the staff aware of what the people think. It brought to life the importance of customer service and the perception of the customers.”

Team members learned the majority of ROI issues were related to disability claims, which “contributed to us making changes in that area,” says management co-lead Lascano.