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Your Marketing Black Bag
Effective marketing starts with practice fundamentals. Make
sure you have them in the bag if you want your practice to grow.

By julie k. silver, m.d.      Published September/October 2005

Are you starting a new practice? Wanting to be busier? Trying to attract a different type of patient population? Perhaps you are simply interested in improving your professional reputation. Regardless of your objective, having a “marketing black bag” in which you carry numerous “tools” can help immensely. In your black bag you will want to have both some tangible and intangible tools.
    When I interviewed Jay Lipe who is the CEO of Emerge Marketing and the author of The Marketing Toolkit for Growing Business, he listed the intangible tool of an outstanding bedside manner as the first and most important tool for your bag. “Superior service has always been, and will always be, at the core of successful marketing,” Lipe says. “If your service doesn’t place a high value on listening, empathy, and solid communications, you can just pack up your bag now.”

Assessing service
Before you decide that you have this one covered, let me ask whether you have some measurable way of assessing how you are relating to patients and what their experience is in your office? In my office, we send out “satisfaction surveys,” and I am always surprised to see what people like and don’t like. While not everyone fills them out and those who do may not tell you everything, the fact that they are anonymous helps to insure that we get legitimate feedback. One thing that consistently comes up on our surveys is that patients complain that they wait too long in the office to see me. Another doctor in my office is much better at sticking to his schedule, and he gets higher ratings on this than do I. On the other hand, because he is so time conscientious, it is not uncommon for patients to write that they feel “rushed” during their appointments. Our styles are different—I want to answer every last question that a patient has and this often causes me to run late. This other doctor, in order to stay on track, will sometimes leave patients with unanswered questions.
     If you asked either one of us, we’d likely tell you that we have a terrific bedside manner. However, the surveys reveal some legitimate issues that we need to consider. Both of us are working toward finding middle ground wherein we answer as many patient questions as possible but don’t run impossibly late. So, regardless of how you would rate yourself, ask your patients for their input.

A marketing plan
The second most important tool for your bag, according to Lipe, is a marketing plan. Lipe cautions, “Without a marketing plan in place, any marketing effort is as uncontrolled as a swift tide with a strong undertow. Every physician practice must clearly identify who it is targeting, how it will reach them, and what it will say to them once it reaches them.” Lipe tells readers that there are six key reasons why they should develop a marketing plan. They are:

1.  A marketing plan lays the groundwork for action.
2.  You can hang it in front of your nose.
3.  A plan breaks down your effort into manageable chunks.
4.  A plan gives you hope.
5.  Your marketing plan acts as an “idea sifter.”
6.  A plan gives you something to go back to in slow times.
     Keep in mind that a good marketing strategy is to keep what you have (this is the concept of retention) and get what you don’t have. It is important to note that keeping current patients happy is important for a variety of reasons (besides the most important one, which is that it is the right thing to do). For example, physician practices with a high patient turnover rate will have to spend considerably more time marketing than those which are able to maintain a steady clientele.
    In his book, The Rainmaker’s Toolkit, marketing consultant Harry Mills suggests that readers take the “retention test.” Here I have modified this test to be applicable to physicians:

1. Do you measure the lifetime value of each of your patients?
2. Do you regularly survey your patients to test the strength of the loyalty bond that
exists between you and your key patients?
3.  Do you know what impact a five-percent increase in retention per annum would
have on your practice profits?
4.  Do you know what percentage of your practice profits come from loyal patients
who have been with you for over five years?
5.  Do you have a high value patient marketing program specifically aimed at retaining
and growing the key area of your practice?
6.  Are your frontline staff trained and empowered to solve patient complaints quickly?
     Consider your current practice situation and put pen to paper and list some measurable ways that you can keep your patients happy. Next, consider how you want to grow. Again, commit to paper strategies and measurable goals to achieve this. Lipe suggests a terrific pneumonic for the A-R-T of setting goals:
    A-attainable (realistic)
    R-responsible (to someone)
    T-trackable (with a deadline)
     A marketing plan is tangible and you can easily refer back to it. Lipe believes this is a tool you can’t do without. “A good marketing plan commits [your goals] to paper, so the implementers are clear about what must be accomplished,” he says.

Cultivate your referrers
The third thing that Lipe lists as a crucial tool in your black bag is a referral system. He explains this with an example from his consulting business, “When I helped a radiology firm develop a marketing plan recently, one key part of the plan was a system for rewarding its most productive referral sources. It turned out that only a handful of doctors referred the lion’s share of business to this practice, and we took great pains to treat these people differently.” You may be thinking that you want to treat everyone the same, which means you are a fair-minded and ethical person. However, you likely have limited time and a limited marketing budget, and because of this you really do have to choose how to allocate those resources. It just makes sense to allocate them in the direction of your best referral sources. This also goes back to the concept of “retention” that Mills writes about.
     In order to develop a strategy to nurture your referral sources, Lipe says, “First identify your “Champions,” those who refer the most business to you. Then, treat them like royalty. Take them and their spouses to dinner. Give them tickets to the opera or ballet. Contribute to their favorite charities if they can’t accept gifts. Do whatever it takes to earn their continued loyalty; your practice may depend upon it.”
     One interesting tip that Mills offers is to stay in touch with former workers and treat them well. Mills writes, “The best professional services firms treat their former staff like alumni—because they know that former staff are one of the best sources of referral work.” Mills suggests developing an “alumni program” as part of your marketing plan.
    There are other things that you can place into your marketing black bag such as a Web site, newsletter, business cards, brochures, and much more. However, as Lipe recommends, if you start with the three essentials (terrific bedside manner, well thought-out marketing plan, and close attention to your referral system), you have the tools to achieve your professional goals. g

JULIE-SILVER.jpg    Julie Silver, MD  is an Assistant Professor at Harvard Medical School and the author of several books including Chronic Pain and the Family. She is also directing the new Harvard CME course, “Publishing Books, Memoirs and Other Creative Non-Fiction” (for more information go to http://cme.med.harvard.edu/.)


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