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practice culture

Good and Bad First Impressions: 6 Pillars of a New Fertility Patient Concierge Team

By Kathy Houser and Griffin Jones

“You only get one chance to make a first impression”

Think about how important it is to a fertility practice. You can invest everything you want in branding, advertising, and a nice building. But if your prospective patient's first interaction with your team betrays that first impression, the result may be even worse.

First impressions not only get people in the door, they set the expectations for the process in which fertility patients need to trust you all but implicitly. In order for the first points of contact with your clinic to be the gold standard of concierge service, their goals must be aligned with those of the practice and the patient.

That’s why we’re using the broad term of New Fertility Patient Concierge Team instead of separate terms like call center, digital chat team, or new patient navigators.

In other resources, we’ll talk about the structures of those roles, but in this article, we’re giving you the six pillars for aligning this team with the measured growth and improvement of your IVF center.

They are

  1. Practice Goals

  2. Team Outcomes

  3. Team Profile

  4. Education/Coaching

  5. Recognition/Evaluation

  6. Incentives

1. PRACTICE GOALS:

New patient concierges aren’t just people that answer your phone. They positively or negatively impact at least four major business goals of any fertility center.

  1. Patient satisfaction

  2. New patient visits

  3. Specific provider volume increase

  4. Targeted region/office volume increase

When the roles aren’t aligned with specific practice business goals, the systems for how they are evaluated, incentivized, and hired become expensive and counterproductive.


2. TEAM OUTCOMES

The New Patient Concierge Team doesn’t have total control over the business goals, but you can measure their impact by these key performance indicators (KPI):

  1. New patient appointments scheduled

    • Total

    • By team member

    • Relative to goal

    • Year over year

    • Month over month

  2. Conversion to appointment

  3. Cancellations rescheduled

3. TEAM PROFILE

To put the right person in a concierge seat, we are looking for someone who is lower (but not too low) in competitive drive and high in empathy and compassion. They take pride in being a resource.

To find the right candidate who does not mind repetitive actions and thrives on helping others

1. Use a personality assessment

Such as The Caliper Profile. For empathy, this test screens for “a combination of traits that can help you see how well a person reads a room” and “Are they flexible or rigid?” That’s extremely insightful when hiring someone who has to be responsive to customers or in our case, patients. Once an applicant or employee takes the Caliper Profile their results are measured against one or more validated job models. For this role, the candidate needs to score high in critical competencies such as “relationship building” and “composure and resilience”.

In Meyer Briggs for example, the perfect fit might be a Discoverer Advocate. The obligatory disclaimer on personality tests: They are a useful tool for seeing how likely someone is to be a good fit for their seat. One’s tested personality type does not universally qualify or disqualify them from a role.

2. Promote the mission

Promote the sense of pride of providing people struggling with infertility with hope.The life changing and highly personal service they provide is a motivator, for the right people in these seats.

3. Pay above customer service industry average

The cost of living index varies across markets, but the range for a concierge customer service person is between $20-$27 per hour.

If the range seems higher than what you would pay for someone who isn’t exceptionally money-motivated, consider two things. The first is the rate of inflation and the increase of resignations and wage expectations in 2022. The Great Resignation is occurring amid rising inflation, and as employers face the tightest labor market in recent history. The latest inflation reading from the Consumer Price Index (published 12/10/21) came in at 6.8%, the highest year-over-year increase since 1982.

The second is the outcomes for which these personnel are responsible for achieving. When their alignment with growth in business goals is measured by the aforementioned KPIs, they’re clearly worth the investment. We will further detail how to outline their incentives with the goals of the fertility practice.

4. EDUCATION/COACHING:

Your call center and new patient navigators must be experts in particular topics about the clinic and infertility. There can be no concierge level service without mastery of the material.

There are at least twelve elements in the syllabus that every call center and new patient concierge must know cold. If you’d like Fertility Bridge’s curriculum for new patient concierges, we provide full guidance for this in our Lead Conversion System.

Lastly, in the bucket of education and coaching, if you find that a particular team member is not performing to the level of the others, it is necessary to “coach up” or move them out of that role, as a negative attitude or lack of skill set frustrates and demotivates the rest.

5. RECOGNITION:

Methods of recognition create an atmosphere of team and individual accomplishment. They reinforce that all team members are striving for the same goals and success.

It is important to systemize recognition above other incentives to support the natural personality motivators of the concierge team.

Here are four ways of motivating your concierge team using their own internal drivers:

  1. Tally Board

  2. Practice-wide email

  3. Thank You Board

    • In which anyone can post a thank you to anyone else in the office.

    • Where staff and potentially patients can see it. Keeping it in staff only areas such as the kitchen won’t allow patients to appreciate your amazing culture of internal support.

  4. Patient Compliment Repository

    From social media, online reviews, patient satisfaction surveys

6. INCENTIVES:

You’ve intentionally selected people who are motivated by helping others and you’ve established a system of recognition to ensure they perceive that benefit of the job.

Because the tasks of an ongoing new patient welcome team are on-going, every day, endeavors, we have to be careful about additional incentives. We don’t want to book new patient visits at all costs. Hiring someone who is too high on competitive drive and gearing their compensation plan too much toward booked appointments is a recipe for pressuring new patients. We don’t want that.

We do want to help people who are struggling to build their family to be able to get expertise from a fertility specialist.

Using incentives for reaching goals should be limited and attainable, otherwise, you will do more harm than good.The incentives should:

  1. Connect to one of the desired outcomes whether it’s for the team or an individual

  2. Review and recognize weekly

  3. Reward monthly or quarterly

  4. Reference core values

Rewards for Achieving Goals

  • Gift cards

  • Customized gift baskets

  • Event tickets

  • Team lunch

  • Use of desirable parking spot for a week if employees are on site

Align Your New Patient Concierges’ Goals with Those of Practice and Patients

The folks you hire to answer your phones are so much more than just that. They are the first point of contact for potential patients, they set the tone and convey confidence and knowledge from the first interaction. Employ the six pillars to set your concierge team up for success. Use personality assessment tools, hire well, train and invest in the people who greet and attend to callers into your practice and you will see the benefits over and over again.

Fertility Bridge has a proven system and dedicated staff for improving and empowering new fertility patient concierge teams. If you’d like our help, enroll in the Goal Diagnostic here and we will be happy to discuss the framework with you.

Brand vs Reputation: 4 Competitive Disadvantages for Fertility Business Owners

By Griffin Jones

“Our reputation speaks for itself,”

Does it?

Young, massively funded companies are entering the reproductive health space and developing widely recognizable brands to a population that had been generally unfamiliar with the field.

Established fertility companies often attempt to counter these branding advantages with their reputation. 

Reputation is extremely valuable for all of us business owners in the reproductive health space, but especially for fertility specialists. Even when process complaints and negative outcomes make an REI’s rating less than five stars, you still have a proud reputation. You’ve dedicated your career--one which very few other people can do--to help people have families. Your reputation deserves respect.

Still, reproductive health companies that make little distinction between brand and reputation are at a competitive disadvantage.

Brand and reputation overlap. They can work with or against each other. But they are not the same.

In the absence of the intentional formula ‘reputation plus brand’, a fertility business suffers from the default equations of ‘reputation minus brand’ or ‘brand minus reputation’.

“Brand is about relevance and differentiation. Reputation is about legitimacy” 

A strong brand helps communicate that the company and its offerings are relevant and uniquely able to meet customer needs. A solid reputation is desirable because all businesses ultimately depend (either directly or indirectly) on the goodwill of the governments and communities in which they operate”. From 'Don’t Confuse Reputation With Brand' by Richard Ettenson and Jonathan Knowles

In the case of your fertility practice or reproductive health company, your reputation amounts to what is said about you by these five groups

  1. Patients/clients

  2. Peers

  3. Employees

  4. People you do business with

  5. Media

Patients

On social media, on online review sites like Google and FertilityIQ, in patient support groups like RESOLVE and Fertility Matters. Through patient satisfaction feedback platforms like Press Gainey or Net Promoter Score.

Peers

If you are a physician this includes colleagues in the field, but also includes aspiring providers, referring providers, and competitors. At ASRM and other conferences. In private conversation

Employees: 

On LinkedIn and sites like Glassdoor. At networking events and your own office.

People you do business with: Your vendors, expert advisors. How you treat them and pay them gets around, too.

Media: 

The coverage that you do or don’t have from reporting outlets.

Reputation isn’t always fair. It is what it is. It doesn’t matter if one negative story in the press is a stain on your search results. It doesn’t matter if competitors drag your name through the mud, if a few former employees have an ax to grind, or if some former IVF patients take a negative outcome out on you. A sterling reputation is hard to come by.

A strong reputation is not necessarily equatable to a strong brand, either. And vise versa.

BRAND IS WHAT YOU SHOW OF YOURSELF

While reputation is what your five constituencies perceive and say about you, brand is what you give them to recognize you and associate with you (or not). Reputation is sometimes reactive. Brand is meant to be proactive.

Brand does at least four things that reputation does not do. It 

  1. Multiplies 

  2. Differentiates

  3. Expresses, and

  4. Promises

  1. Multiplies
    The simplest definition of brand is simply, a mark. No; logos, slogans, taglines, and ambassadors are not in and of themselves, a brand. Nowhere close. Still, these symbols allow companies to scale their message and perception to a magnitude and readiness that reputation cannot.
    “Brand functions as a multiplier” -Mark Di Somma, Brand Strategy Insider.

  2. Differentiates
    The purest form of differentiation is recognition. A successful brand allows each of the aforementioned groups  to recognize an organization’s position and differentiate it from its competitors instantly. An artisan coffee shop may have a wonderful reputation, but you recall Starbucks’ mocha lattes, the way they name the sizes of their drinks, and how they write your name on the cup just by seeing their logo.

  3. Expresses
    We’ve chosen to split the concept of brand identification into the two concepts of differentiation and expression because differentiation allows consumers to identify you out of a crowd, while expression allows them to use you as part of how they identify themselves.

    There is an abundance of research, including this study from Elsevier, that shows how “consumers seek new ways in which they can express their personal identity through brands”. The more our field serves and works with newer generations, the more they use brands to express themselves. 

    The core of Gen Z is the idea of manifesting individual identity. Consumption therefore becomes a means of self-expression.” - (From McKinsey & Company,  ‘True Gen’: Generation Z and its implications for companies’  byTracy Francis and Fernanda Hoefel

  4. Promises
    Reputation is the judgment of your promise. Brand is the promise. Patients and clients set their own expectations in the absence, and sometimes in spite, of a clear promise. The more strongly your brand reinforces your promise, the more you are able to impact the measure by which you are judged.

REPUTATION PLUS BRAND

When fertility companies fail to distinguish the difference between brand and reputation, they are at a competitive disadvantage because of how reputation and brand bolster or undermine one another. 

Reputation and brand overlap because they are both born of positioning and culture, but they are not equally synonymous.

In the absence of the intentional formula ‘reputation plus brand’, fertility business owners are left with the results of ‘reputation minus brand’ or ‘brand minus reputation’.

Consider the four advantages that a robust brand is meant to secure for your company. The last two, expression and promise, are particular vulnerabilities for reproductive health companies.

If you would like to further explore the brand and reputation potential of your fertility business, we address that in our Goal and Competitive Diagnostic.

96 - How to Decrease Burnout and Build Morale Among Your Nursing Staff, an interview with Sima Taghi Zadeh

It’s safe to say that fertility nurses play a vital role in the success of any clinic in our field. But nursing burnout can happen quickly causing staffing shortages and even a reduction in conversion to treatment rates. To combat this, clinics need to remain proactive in their efforts to manage nursing overwhelm. So how do you do it?

On this episode of Inside Reproductive Health, Griffin talks to Sima Taghi Zadeh, the Director of Nursing at Pacific Fertility Center of Los Angeles. Sima began her career in fertility as a Medical Assistant, then went on to continue her education and work up the ladder to her current role, all while being a fertility patient herself. Sima’s perspective gives insight into what clinics can do to retain their nurses through empowerment, building morale, and preventing burnout.

93 - From Private Practice to Academia: The Benefits of Working in an Academic REI Division, an interview with Dr. Eric Forman

Dr. Eric Forman currently serves as the Medical and Lab Director at Columbia University in New York City. After his fellowship and early years as an REI in a private practice, Dr. Forman took an opportunity to join one of the most well-known academic REI divisions in the country.

On this episode of Inside Reproductive Health, Griffin and Dr. Forman take a look at both the private practice and the academic REI division models, dissecting the pros and cons of each. From restrictions on care to cumbersome processes, Dr. Forman corrects some preconceived notions and offers his advice to new fellows searching for the right career path for them.

91 - What to Consider When Starting a De Novo Fertility Clinic, an interview with Dr. Cindy Duke

Dr. Cindy Duke is the founder Physician, Medical Director, and Lab Director at Nevada Fertility Institute in Las Vegas. While finishing fellowship, Dr. Duke began to pursue a unique start to her career in fertility: a de novo clinic for a fertility network. Combining her passion for research and patient care, she was able to form her own clinic, all while remaining under the umbrella of a supporting network.

On this episode of Inside Reproductive Health, Griffin and Dr. Duke dig into why she chose this career path and just how she was able to get a nationwide network on board. Dr. Duke also shares the balance between influencer and leader in her clinic and the field as a whole. Griffin and Dr. Duke also reminisce about Rochester, New York and the benefits of “small town” fertility clinics.

89 - How to Reduce Physician Burn Out and Increase Patient Satisfaction, an interview with Dr. Serena Chen and Dr. Roohi Jeelani

Patient advocacy has always been an important part of the fertility field. With great organizations and lots of outspoken patients, patients are receiving more education outside of the clinic. But should physicians be involved in this sort of advocacy, too? Don’t they have enough on their plates?

On this episode of Inside Reproductive Health, Griffin spoke to Dr. Serena Chen of IRMS and Saint Barnabas Medical Center and Dr. Roohi Jeelani of Vios Fertility. Together, they co-authored a recently published paper, “Is Advocacy the solution to physician burnout?” They discuss why physicians should be more involved in advocacy and educating patients outside of their clinic. And why, against what one might think, it could reduce burnout for physicians in the long run.

83 - Growing an Independent Practice in the World’s Most Private Equity Dominated Market, an interview with Dr. John Crochet

On this episode of Inside Reproductive Health, Griffin talks to Dr. John Crochet of the Center of Reproductive Medicine. CoRM is an independently-owned clinic based in Houston, Texas, one of the largest markets in the field. In recent years, PE-owned and PE-backed clinics have started to take over the city, making the independent clinic almost obsolete… or have they?

Together, we discuss how the Center of Reproductive Medicine continues to thrive despite the money being funneled into their competitors in the market. From how they hire new docs to their philosophy on patient experience, we hear it all.

Dr. John Crochet trained in Reproductive Endocrinology and Infertility at Duke University and Obstetrics and Gynecology at the University of Texas. Originally from Texas, Dr. Crochet went back to his roots, joining the Center of Reproductive Medicine in 2012. As an REI, Dr. Crochet has a goal of providing personalized care and an evidence-based approach to each family hoping to expand.

82 - The Business Case for Fertility Surgery, an interview with Dr. Matt Retzloff

On this episode of Inside Reproductive Health, Griffin talks to Dr. Matt Retzloff, a Reproductive Endocrinologist from the independently-owned Fertility Center of San Antonio. Dr. Retzloff is board certified in both RE and OB/GYN and has special interest in fertility-related surgery, focusing on minimally invasive surgeries.

Dr. Retzloff is a firm believer that surgery for infertility-related issues are best managed within a fertility practice, allowing for continuity, confidence, and best outcomes for the patient. But looking at it through the lens of business, those benefits don’t always align with business operations and finances.

Together, we dig into the pros and cons of keeping fertility surgery in the purview of the REI.

78 - Is Private Equity Putting Money Ahead of Patient Care? An Interview with Dr. Francisco Arredondo

Wall Street has been moving into healthcare for several years and it has been making its mark in the fertility field. Some practices have taken advantage of the influx of money in the field, but several haven’t. But several docs have some concerns, specifically when it comes to decision making.


Do private equity firms or people who invest in fertility clinics and businesses really have the best patient care in mind?


On this episode of Inside Reproductive Health, Griffin talks to Dr. Francisco Arredondo, founder of RMA of Texas and author of his upcoming book, MedikalPreneur. Together, we dive into the pros and cons of money entering our field in the form of private equity.

77- Is Work-Life Fit Attainable for All Fertility Doctors? An Interview with Dr. Stephanie Gustin

August is here. Usually, it's the time for vacations and recharging. But not in 2020. It's a different time now and finding the balance between work and life is trickier than ever.

On this episode of Inside Reproductive Health, Dr. Stephanie Gustin of Heartland Center for Reproductive Medicine, PC in Omaha, Nebraska. Between seeing patients, running her independent practice with her partner, teaching OB/GYN residents, raising a family of her own, and making time for herself, it’s safe to say that Dr. Gustin has a pretty full plate. Despite it all, however, she has found a work-life fit that works for her. So what is her secret?

Learn more about Dr. Stephanie Gustin at heartlandfertility.com

76 - Leaving a Legacy: Retiring from the Fertility Field, An Interview with Dr. Selwyn Oskowitz

Choosing when to retire, or more simply, whether or not one should retire, is a difficult question. It takes lots of reflection, looking back on one’s journey throughout their professional life and whether or not they feel like they’ve left no stone unturned as their journey comes to an end. In the field of fertility, it can be even more difficult to make that decision.

On this episode of Inside Reproductive Health, Griffin talks to Dr. Selwyn Oskowitz, founder of Boston IVF and heads the Rwanda Fertility Initiative, an organization with a mission to provide affordable fertility services to every citizen of Rwanda. Dr. Oskowitz retired in 2016, leaving behind a legacy that left its mark across the entire field of reproductive medicine in the United States and beyond. In addition to sharing what he’s been doing with RII, Dr. Oskowitz also discusses why he chose to retire and what he sees are the biggest positive changes to come to our field.

To get started on a marketing plan for your company, complete the Goal and Competitive Diagnostic at FertilityBridge.com.

71 - Handling Patient Concerns with Restarting Fertility Treatment Post-COVID-19, an interview with Barbara Collura

Patients were heartbroken by fertility clinic shutdowns due to the COVID-19 Pandemic. People who have waited for possibly years for their chance to start or continue to build their family had their hopes dashed when they learned their treatment would be delayed for an indefinite amount of time. But how did clinics handle the communication with their patients? And are patients ready to come back with the threat of the disease still looming?

To help answer those questions, RESOLVE, the National Infertility Association, conducted a survey asking over 500 patients directly impacted by the shutdowns to share their experiences.

On this live episode of Inside Reproductive Health, Griffin spoke to Barbara Collura, President and CEO of RESOLVE. She walked us through the survey's results and what your clinic can do with the results to make a better experience for your patients who had to stall their fertility treatments, as well as those coming in during these unknown times.

70 - How HRC Came to be an International Publicly-Traded Fertility Group, an interview with Dr. Bradford Kolb

HRC Fertility is one of the largest providers of Assisted Reproductive Care in the United States. Started in Southern California in 1988, the clinic has grown immensely, serving thousands of patients every year. In 2017, HRC took their success globally, joining forces with Jinxin Fertility and listing on the Hong Kong Exchange. Despite the booming expansion, HRC never forgot its roots: providing quality, personal care for its patients and giving physicians the opportunity to have full control of patient treatment.

On this episode of Inside Reproductive Health, Griffin spoke with Dr. Bradford Kolb, President of HRC Fertility. Dr. Kolb joined the practice in 2001 and worked through the IPO process with his partners, making HRC what it is today. Not only did we talk about the process of going public, but more importantly, we talked about how HRC was able to maintain their patient and physician culture in this rapid phase of growth. He shares the structure of the clinic and what they do to maintain a small practice feel for such a large organization. Plus, Dr. Kolb offers advice for young fellows and physicians entering the world of Reproductive Medicine and what they can do to be successful in the field from both a personal and professional standpoint.

68 - Secrets of the Affordable IVF Model and How it is Poised to Win Market Share Post-COVID-19, An Interview with Dr. Robert Kiltz, Dr. Paul Magarelli, and Dr. Mark Amols

It’s not often that people relate the word “Affordable” with IVF. But the Affordable IVF Model is a thriving business model in a world full of expensive treatments. Despite questions about their revenue, rates, and processes, the model is growing and providing high-quality care to a vast amount of patients across the country. What can all clinics gain from this model, especially heading into a post-COVID-19 world?

On this special live episode of Inside Reproductive Health, Griffin spoke with three leading doctors whose clinics follow the Affordable IVF Model: Dr. Robert Kiltz of CNY Fertility, Dr. Paul Magarelli of Magarelli Fertility, and Dr. Mark Amols of New Direction Fertility Centers. Together, they talk about just how they make the Affordable IVF Model work, as well as answer common objections to their services.

60 - Private Practice or Academics? Finding the Right Path for any Fertility Doctor, An Interview with Eve Feinberg

Selecting the right path in fertility is hard. Each type of practice: private, network, or academic, each has its own pros and cons and it’s easy to get lost in the details of each. On this episode of Inside Reproductive Health, Griffin spoke with Dr. Eve Feinberg, Medical Director at Northwestern Fertility and Associate Professor at Northwestern University. Dr. Feinberg shares her story of leaving private practice as a full equity partner to pursue her love of teaching and mentoring fellows by entering academia. She share her thoughts on the benefits of working in each and offers advice to anyone looking to switch their current trajectory.

59 - Retaining Patient and Physician Focus While Growing a Clinic, An Interview with Michael Alper

Boston IVF, one of the largest IVF centers in the nation and one of the first free-standing clinics in the country. What started as an independent clinic grew into one with a well-respected academic affiliation, and now has partnered with a worldwide hospital group. Through it all, their mission remained the same: bring state of the art technology to a patient-centered outpatient clinic. On this episode of Inside Reproductive Health, I talk to one of the founders of Boston IVF, Dr. Michael Alper. Dr. Alper shares the history of Boston IVF, but more importantly how they grew into what they are today. His story teaches important lessons to any doctor-owned clinic curious about academic affiliations or partnering with outside equity groups.

54 - Improving Patient Experience by Building an Empowered Team, An Interview with Dr. Peter Klatsky

There’s a challenge in finding the balance between keeping both your staff and patients happy. On this episode of Inside Reproductive Health, Griffin gets Dr. Peter Klatsky’s take on managing everyone’s satisfaction while providing a new standard of care. Working with his partners at Spring Fertility in California, their goal is to provide their patients a level of service that isn’t seen anywhere else, all while keeping their employees happy and in for the long haul.

46 - Can Innovative Practice Culture Drive Patient Satisfaction? An Interview with Dr. Alan Copperman

Building and growing an IVF practice can have numerous benefits for both the owners and the patients they serve. But growth can sometimes lead to loss of patient-focused care. On this episode, Griffin Jones, CEO of Fertility Bridge and host of Inside Reproductive Health, talks to Dr. Alan Copperman, Co-Founder and Medical Director of RMA of New York, one of the nation’s largest IVF centers. Together, they discuss how RMA of New York was able to retain their patient-focused culture while exponentially growing the practice. Their approach to delegating important tasks, understanding the “new” patient, and finding the right, compassionate employees has greatly contributed to their success today.

To learn more about Dr. Copperman and Reproductive Medicine Associates of New York, visit their website at https://www.rmany.com/.

Visit fertilitybridge.com to learn more about what Griffin and his team can do for your fertility clinic and take the first step in building your marketing system with the Goal and Competitive Diagnostic.

45 - From Patient to Fertility Entrepreneur, An Interview with TJ Farnsworth

While outcomes are so important in the field of fertility, the patient journey can easily be lost. After going through his own journey, TJ Farnsworth founded Inception Fertility, a group of fertility practices across the country hoping to provide positive experiences for their patients. On this episode of Inside Reproductive Health, Griffin and TJ discuss the culture of Inception Fertility and how empowering your employees to be champions for your patients can have a meaningful impact on their experience. TJ also shares his thoughts on increasing collaboration between fertility clinics across the country and how that can mean success for everyone.

36 - Maintaining Clinic Culture Amidst Continental Growth: Is It Possible? An Interview with Michael Levy, MD

Deciding to expand your practice, either by acquisition or starting new, is an exciting time. But, adding new staff, physicians, and equity partners can come with a handful of problems. On this episode of Inside Reproductive Health, Griffin Jones, CEO of Fertility Bridge, talks to Dr. Michael Levy, IVF Director and President of Shady Grove Fertility. Shady Grove Fertility is the largest fertility group in America and has over 25 equity partners and almost 1000 employees. Griffin and Dr. Levy discuss the implication of having such a large staff base and just how they manage it, all while keeping the patient at the forefront of their culture.