Thursday, June 19, 2014

Patients, Grasshopper

We're all familiar with the traditional approach to healthcare marketing. Board certifications, big photos of the providers looking all serious and ready to find the next procedure that will get them published. Strength and stability and expertise are all important qualities, but there are some fundamentals that seem to be consistently missed in most healthcare marketing.

1. DON'T MARKET TO YOURSELF
The majority of healthcare marketing is done from the providers' point of view. Qualifications, looking serious, etc., all of these are internal-facing and have much more meaning to the providers than to the patients. From a patient's point of view, there are assumptions that a provider is qualified to perform the procedures they're promoting. Patients have two goals—to get better, and to be heard. That leads us to...

2. WHAT DOES YOUR PATIENT EXPERIENCE?
Here's a good little trick. Have a friend or a family member go through your patients' process. It's better if that person has a different last name and is unknown to staff. What is their experience? How long does it take to get an appointment? How long do they wait in the first waiting room? In the second? What is the lab experience like? How long does it take to get results? What is the process patients encounter when they receive their results? Remember that you're not doing this in a punitive way—don't look for poor performance by staff. If you find it, of course, address it. The goal is to experience what your patients, what your customers, are experiencing. At most levels, healthcare is tremendously competitive. The only point where it isn't comes from very specific specialists who are either the best in their field, or are alone in their market. For most providers, there are at least two other major competitors, sometimes much more. The ACA has or will open up an enormous market for new patients. These are people who have either never entered the healthcare system, or have used an ER as their primary care provider. In a competitive marketplace, a provider group that addresses wait times, customer service and simple friendliness will have the edge.

3. WHERE ARE THE BOTTLENECKS?
After receiving the data from your trusted source(s), analyze it. Can you accommodate new patients within a 48 hour timeframe? Do patients wait longer than 15 minutes past their appointment time? Remember that the wait time isn't just calculated in the main waiting area. Patients who have an appointment at 10am and aren't seen by a provider until 11, 11:30 will view the waiting period in its entirety. Rightly so. How long does it take to get test results? How long does it take to provide those results to the customer? There are always extenuating circumstances. Providers are busy. There is a shortage of doctors. And being a healthcare provider means tedious hours of paperwork. But from the patients' point of view, waiting for an hour or more after their appointment time is part of the problem.

4. WHAT IS YOUR CUSTOMER LOOKING FOR?
Most patients are taking time out of their own busy lives to come to you. Unless it's a routine physical, they're not coming to see you because they want to—they're coming to see you because they have to. Primary care physicians in particular are the traffic cops of the healthcare system. Much like triage in an emergency situation, primary care will lead to more specialized services. Patients are often scared and confused. The more complexity their symptoms present, the more doctor visits they'll need to endure. Let's face it—a doctor visit is not usually a happy occasion. A patient is looking for comfort, reassurance and most importantly, information. The entire patient care chain, from the initial appointment setting to the final referral, is part of the same experience for your patient. Clearly understanding their concerns goes far beyond being board certified. It requires a human touch.

5. FIX YOUR BOTTLENECKS, AND THEN PROMOTE IT
Putting the patient experience first is often a paradigm shift for a healthcare provider group. Doing so starts from the ground up, and from the top down. Respecting a patients' time, being clear and concise in your explanations, and then clearly explaining the next steps required provide the patient with a level of trust that no amount of letters beside your name can do. You may not be able to provide a 15 minute appointment guarantee. Logistics may not allow it. But promote it. Work as a team to ensure everything moves smoothly, and when the wait time exceeds 15 minutes, give your customers something. A gift card to Starbucks is a valuable commodity. A 15 minute guarantee will draw new patients from the large pool that now exists, let them know you understand their experience, and providing gift cards will offset any unforeseen circumstances. Starbucks gift cards can be personalized with your branding. People will do a great deal for very little. By providing some token as compensation for their wait, you let them know you get it. The patient experience is rough. To the patient, it's not a job. It's their life.

I've seen the healthcare process from both sides. I've worked with providers of all disciplines to help identify and correct issues. I've been a patient, waiting for hours in consecutively smaller waiting rooms. I've read old magazines, listened to piped-in Muzak and wondered why I scrambled to make an appointment time that was completely unrealistic.

Healthcare providers are providing a service. They have customers, just like any consumer business. The regulations and reimbursements and paperwork are intense, but other industries have similar challenges. Hospital groups and provider groups continue to grow and expand. The competition is intense. A group that decides the patient experience is more important than anything else will win. That fact has been proven again and again.

Your competition will continue touting their certifications and promote their latest machinery. If your message is simply, "we will see you within 15 minutes of your appointment time, or you receive a gift card", you will rise above. Patients are consumers, whether they or you are aware of it. Provide a consistently negative experience and your patients will walk away. But provide a sensitive, timely and positive experience, and you will reap the benefits.

Tuesday, June 10, 2014

A How-To Guide On Going Viral (Hint: You're Going To Need A Cat)


We've all seen it by now—the Friskies video called "Dear Kitten". Originally posted on June 5 of this year, as of this writing the video had 7,673,365 views. It's a commercial for Friskies cat food. Most commercials don't go viral. So what's the difference with this one? If you haven't seen it, here's the link.

IT'S NOT ABOUT THEM, IT'S ABOUT US
The product they're trying to sell appears once in the two minute, fifty-seven second spot. The logo appears once at the beginning. The focus of the spot is not on the product, but on the user. For cat parents, felines are like potato chips—you can't have just one. At one time or another, a cat parent will introduce another cat into the household. The conversation the older, wiser cat has with its new kitten roommate is what we all imagine is going on. The entire video is taken from the older cat's perspective. The cat has a personality. Which is what makes it resonate.

WHATEVER YOU DO, DON'T SELL
Never, ever, ever. The placement of the Friskies product in the spot is done consistent with the storyline. We're not beaten over the head with a sales pitch. And by not doing so, we aren't on the defensive. Which makes us eager to share this video with our friends. And that is the secret to going viral. Don't sell me anything. I go online to be entertained. So dance, monkey.

MAKE IT FUNNY WITHOUT MAKING IT LOOK LIKE YOU'RE TRYING
That's a tough one. The Friskies spot tells a story that on the surface isn't comic. The older cat is very earnest in his life lessons for the kitten. He's exactly like you'd expect a cat to behave in the same situation. And it's funny because of his sincerity. If you try to be funny without a reason, just do some goofy schtick, it will look like you're a business owner trying to be funny.

WHAT ELSE DOES YOUR CUSTOMER DO?
Yes, you may recognize that phrase as a common theme throughout our blog posts. That's because it's vital to any marketing plan, and the one that is most often ignored. This video isn't about the product, it's about what else the users of the product do. In this case, it's not even speaking to the actual purchasers. Be responsible for a cat has an associated lifestyle. If you have a cat in your house, your cat has a voice. You likely provide that voice. This spot speaks literally to cat parents.

CAT VIDEOS REALLY DO WORK
It's a proven fact that people spend hours watching funny cat videos online. It's just the way it is. I mean, who doesn't recognize the happy cat playing piano? Hell, as I'm writing this, I have four cats on my desk. Friskies worked with Buzzfeed in the video narrated by Ze Frank and achieved in hitting liquid gold. Liquid cat gold, which is a much more legitimate online currency than Bitcoin. And is absorbed with a charcoal-based litter.

IN THE END, IT'S ABOUT LUCK & TIMING
What will be a candidate for internet infection and what won't? The target moves every day, almost as quickly as our collective attention spans. Gangnam Style, for instance, was the biggest thing the world had ever seen—and is now a punch line. You can't set out to create a viral video. What you can do is try. It's like trying to explain British humour. You either get it or you don't. But above all else, have fun with it. And you probably need a cat.

Tuesday, April 22, 2014

Put TOM To Work For You—Top of Mind And How To Get There

TOM, or Top of Mind, is a marketing term used to identify whether or not your business is the first one people think of when they need the services you offer. Marketing, like the military, loves acronyms. We have a bundle. But all TOM means is that, when your customers need you, you'd better be there.

Top of Mind Recognition isn't complicated to achieve. The ingredients are straightforward. And the whole package is easy to assemble. Unfortunately, it can also be very expensive. Being TOM is much easier in a small market, and very, very expensive in a large market.

Top of Mind really has everything to do with your brand identity. You definitely want a good one. Without a great brand identity, you can't achieve TOM. You need a clear, concise and identifiable logo. A catchy tagline doesn't hurt. Be consistent with your advertising, because repetition is the key to unlocking TOM. It's also the key to creating a brand identity, which is one of the key ingredients that goes into this.

A brand identity can best be defined as your company's visual personality. It encompasses your logo, your company colors, your tagline, different advertising campaigns, your website design, your building's signage, vehicle wraps, etc. All of these elements need to be consistent. That way, when someone sees your ad in a magazine, and then sees your commercial on TV, and then sees your truck down the street at their neighbor's house, your company name and brand will be reinforced in this potential customer's mind. You see where we're going with this. Consistent message. Repeated again and again, in different ways with different media, at different times and at different locations. Pretty soon, your potential customers will be humming your tune.

Getting your business to achieve TOM can be a long-term and costly endeavor. But the payoff is that your business is the first one your potential customers think of when they need the services you offer.

Think of the local businesses with the catchiest jingles. Sure, they annoy you, but you remember them. Having a professional jingle written is an additional and often expensive cost, but putting an advertising message to music is a proven technique to help people remember. When you were learning the alphabet, you sang the "ABC" song. Same thing with a jingle. That jingle you've got stuck in your head right now? The one you heard on the radio on the way home from work, the one you're going to see on the commercial when you sit down to watch the local news? When you need the service they offer, whether it's a plumbing emergency or buying a new car or anything else, that jingle will stick in your head and that will be the first place you think of. Most jingles include the company's phone number or website address. And, unfortunately, the more annoying, the better. As long as it's catchy.

Whether you commission a jingle or not, your message needs to be everywhere. Here's where it gets a little bit more complex. You need to think like your potential customer, not like you. The overwhelming majority of ad campaigns fail because the campaigns end up advertising to the advertiser, not the customer. It doesn't matter what you like. It matters what your customer likes. And you need to discover what that is. And when you know who your customer is, you can get inside their heads and discover what else they like to do. Because human beings are complex. That complexity gives you lots of opportunity to surprise them. For instance, let's say you run a theater that shows live plays. You know that your audience likes some culture. You also know that, if they're coming downtown, they'll likely be going out to eat beforehand, and probably grabbing a drink afterwards. That's an example of what else they like to do. So go meet with the owners or managers of the surrounding restaurants and bars and talk to them about co-op advertising—you put posters or coasters or other types of items in their locations, they put ads in your programs. You just run the theater, but you've also created an event night for your patrons. You've gotten into their heads and discovered what else they like to do. And when all these businesses work together, everyone wins.

All marketing is local, no matter whether you're a national chain or the small Mom-and-Pop down the street. You're part of a community. Get involved. Sponsor teams, which allows you to get your logo on uniforms. Have your business join the local adopt-a-road program. You'll get a sign with your business name on it. Be a member of local business groups. Have booths at local festivals. Does your community have a farmer's market? Have a booth there. If you're a car dealer and want to sell more hybrids, a booth at the farmer's market is ideal. Have a few models in the parking lot to test drive. The point is, be where people aren't expecting you to be. Marketing wears people down. Being advertised to is offensive and is easily tuned out. Find something unique to do that gets your name in front of people. Don't copy your competition. Make your own statement. That's the whole idea, isn't it?

Being Top of Mind isn't difficult. It just takes time and investment. But the return on that investment is that you are the first business everyone thinks of. Being Top of Mind is not a bad place to be.

Tuesday, April 15, 2014

It's Not Me, It's You — How To Break Up With A Client

We've all had them—relationships that start out great, the sky's the limit, love is in the air and there's nothing but rainbows and happiness. Just so we're on the same page, I'm talking about a relationship with a client. I mean, the same thing can apply romantically, but that's a different blog.

You start your relationship casually, maybe a meeting over coffee or a casual hour chat at their place, a conference room, and then it moves into the head decision maker's office and you know things are getting serious. You're selling yourself harder than a hooker when the eunuch convention's in town and you make the deal. Whatever it is you're selling, whatever service you offer, they are chomping at the bit to make the deal with you. Life is amazing. You are winning in a Charlie Sheen way.

And then time passes. Something goes wrong. The original spark just isn't there anymore. They call you constantly, all hours of the day and night, and they want changes, lots of changes. They've decided they don't like the concept they just spent the past week gushing over. Eventually, they end up taking advantage of your goodwill and they aren't holding up their end of the bargain. You don't get paid, or there's a new condition for you to get paid. And then you now it's time. It's time for the "it's not me, it's you" conversation. Because it is them, isn't it? It's not you. You tried your hardest and worked your sorry little heart out and did everything you could to make the relationship work. But they took advantage of you.

So how do you break up with a client? I've had to do it several times. I've had to do with and without lawyers. It's a lot easier without lawyers.

1. HAVE A PRENUP
No matter how much in love you and the client are at the beginning of the relationship, something will eventually go wrong. The longer the relationship goes on, the more likely it is that something will break down. Create an agreement that clearly states your obligations, the client's obligations, any compensation involved, the length of the relationship, any specific payment terms... essentially, every single detail involved in your relationship. This is a great time to find a lawyer. If the type of work you do has similarities across the board, a standard contract or a standard set of terms and conditions that are part of a contract will ensure that all parties involved, no matter how much in love they are now, will clearly understand the repercussions of the inevitable breakup.

2. COMMUNICATE EARLY AND OFTEN
All relationship specialists say the same thing. If you don't communicate, your relationship is doomed. On a side note, aren't most relationship specialists on the tail end of bad relationships themselves? I digress. The key to successful business relationships comes from identifying potential issues before they become issues and solve them in an expeditious way. The goal with your business relationship is to not have it end. It's a helluva lot harder to build a new relationship than it is to nurture an existing one. That said, sometimes communication fails. Sometimes people are just nuts. Communication breaks down for a multitude of reasons. Do your best to make sure it doesn't. But recognize that sometimes it does.

3. BE VERY, VERY CLEAR IN YOUR BREAKUP CORRESPONDENCE
The best way to avoid any misunderstanding or lack of clarity in breaking up with a client is to be absolutely clear with the client that you are breaking up with them. You will be shocked at the level of simplicity you need to explain that the relationship has ended. Sometimes it will come as a surprise to the client that you're ending the relationship. Many clients (hell, many people) don't see their own behavior as problematic or confrontational or difficult. You are there to serve them, after all. If you're a good and decent person, with a solid work ethic and a genuine trust of human behavior, well, first of all, I have great pity for you and some sad news for you—you're one of the few who does. Okay, I'm the same way, and it takes a lot of problematic behavior for me to get to the point of firing a client. I bend over backwards to accommodate nearly every request. But I've also come to the point several times where I simply can't accommodate anymore. My correspondence to the client is always in writing, usually via email (as that is the main form of communication by which I engage my clients), but from time to time it will be via written letter, and sometimes, if I believe there's trouble or there's potential legal action, certified mail. I explain why I am ending the relationship, I explain clearly what time period is involved in the breakup, what physical or digital files (if any) will be provided, and what compensation is expected. I generally will sacrifice compensation if it means the relationship will end and I will be able to move on cleanly. That may not be your way, but it's my way. I always figure that if money isn't involved, there are a lot fewer lawyers involved. Every situation is different. Every client is different. I've had multiple types of situations and each has been unique.

4. BE VERY WARY OF TAKING THE CLIENT BACK
I don't know if it's just me or if it's every marketing professional, but I have never had a client I fired NOT come back to me. Every single one. Seriously. Most will simply contact me as if nothing has ever transpired between us. Some will acknowledge the past difficulties. For the most part, the initial peace offering is "just a little job" that needs to get done quickly. "You know what I like, I know you can do a good job." As a self-employed marketing professional who's just survived the worst recession we'll hopefully ever see, I've been hungry. Very hungry. I'm not proud of it, but I've taken those clients back. When you're looking at a stack of bills and can no longer answer your phone because all you'll be doing is talking to bill collectors, your pride suddenly doesn't have quite so much value. There's not much that can be said when you have, as Seinfeld put it, no hand. When you do eventually regain hand, it's important to re-examine that relationship as quickly as possible, and get rid of it again as quickly as possible.

Breaking up is hard to do, that much is true. But breaking up with a bad client, like a bad romantic relationship, leaves you feeling a sense freedom and empowerment that will hopefully translate into intelligent forethought and well-vetted clients in the future.

Oh, who are we kidding? We love getting hurt. Bad clients give us good stories.

Wednesday, February 5, 2014

What Obamacare Can Teach Us About What NOT To Do In A Marketing Campaign

Love it or hate it, agree with it or continue to vote against it, the Affordable Care Act (Obamacare) is here to stay. At least until their ill-fated marketing blunders sink the program.

I'm about as liberal as it gets. Personally, I favor the Canadian system. I'm familiar with it, so it's not just a talking point. I have my own issues with Obamacare, but this is a marketing blog, not a soapbox.

We can learn some valuable marketing lessons from the ACA rollout. There was a lot that was done wrong. Here are the top three.

1. NEVER, EVER GO LIVE WITH A BROKEN WEBSITE
Your website is the central hub of any marketing strategy you're building. Even a social media campaign needs someplace to point. The Obamacare website was a complex, convoluted structure that fell victim to the oldest trick in the book—requirements that changed multiple times throughout the build, often changing the entire infrastructure. Everyone's familiar with the Healthcare.gov website jokes, the opposition's continued barrage of attacks, the Congressional hearings, the whole bit.

Here's the thing—the more complex the website, the more intense the testing needs to be. Any website needs to undergo something called User Acceptance Testing, or UAT. A website begins with a set of requirements—what the site needs to do. Most sites are fairly straightforward. A homepage, some product or service information, a contact page, etc. For more complicated sites, such as those involving data, (the capturing of customer information, the dispensation of customer information, product data, etc.), requires a much more involved set of requirements, and therefore a much more involved UAT process. We won't delve too deeply into web development here, but suffice it to say that you want to do at least the following when testing any site:

a) Test on multiple browsers. Safari, Chrome, Internet Explorer and Firefox are the most common and should suffice for most UAT. Make sure you test multiple versions of Internet Explorer (IE9, for example, can throw a wrench into the most well executed and seamlessly developed website).
b) Test on multiple operating systems. Test on both Mac and PC.
c) Allow for operator error. Your clients may not be the brightest bulbs in the box. Is the site foolproof? Is it easy to navigate? Can you find information within two clicks?
d) Try to break it. The more complicated the site, the more errors you should find. Do things the site isn't designed to do—how does it handle these requests?
e) Create informative error pages. The last thing a user of your site wants to see is some convoluted error message that may mean something to a developer but just looks like your site is broken otherwise.
f) If there is an error, provide a clear path out of it. For instance, if you have a user signup page that requires a specific format for information to be entered, clearly explain this or provide a contact phone number or email address that can help.
g) For the love of punk rock, ANSWER THE PHONE and answer your email. Promptly. If someone is on your website and wants to sign up, search for a product, etc., they want to do it now. Don't make them come back. Don't make them wait.

Your website is your virtual front door. Whether you're a retailer, Realtor®, or are simply providing a contact portal, this is your first impression. Never, ever go live with a website that doesn't work.

2. KNOW YOUR AUDIENCE
One of the key provisions in Obamacare is the inclusion of a robust number of 18-34 year olds. There's a reason why everyone wants to market to this demographic. For the healthcare system to work, it needs to spread the risk across a large pool of healthy users.

These people are what I call The Unmarketable. It's not that they can't be influenced—you've got to know what you're doing. If you want their business, you've got to earn it. They have been sold to their entire lives, and they can see you coming a mile away. Here are the ground rules for marketing to the 18-34 demographic:

a) Don't try to be cool. Using popular catchphrases, current references, etc., will only make you look old. They know how to filter your pathetic attempt to sit at the cool table. Don't even try.
b) Don't talk down. One of the most common mistakes made when marketing this group is giving them the impression you think you're smarter than they are. You might be, but they hate that. Be direct. You're not talking to your insolent twenty-something. You're talking to a potential customer. Give them the respect you'd give any customer.
c) Celebrity endorsements can go very wrong. This is the era of five-second fame. Everyone is famous. If you latch on to some anti-celebrity, you have immediately put an expiration date on your campaign. Remember Gangham Style? Exactly.
d) Don't try to go viral. There are specific ingredients that go into a viral video, post, etc., You don't have them. You don't have access to them. Yes, it would incredible to have your commercial go viral and get twenty million views on YouTube. It would also be incredible to win the Powerball. Setting out to "go viral" is a waste of your time and resources.

There is no single way to market to The Unmarketables. There's no single venue, media outlet, or social media service that will hit everybody. The secret with this generation is that they're compartmentalized. The days of everyone watching a single TV network or visiting a single source for news online, or a single social media venue are gone. The "18-34 year old demographic" isn't a single entity. It consists of millions and millions of individuals. You need to know a whole lot more about your target audience than simply that they're between 18 and 34 years old. If you don't know them, they won't care one bit about you.

3. DON'T LET YOUR COMPETITION DEFINE YOUR STRATEGY
There's a reason you're in business. There's a reason your product or service can compete in the marketplace. And if you're in the marketplace, you've got competition. If you don't have competition, you will. One of the biggest mistakes the Obama administration made in selling Obamacare to the American people was letting the opposition (his competition) define the argument. It's your competition's job to point out why their product or service is superior to yours. That's what the free market system is all about. Your marketing strategy will not be successful if it's simply a reaction to your competition's marketing strategy. No one's interested in why Product A sucks. They want to know why Product B is great. Believe it or not, positive messaging is far more effective than negative messaging. The businesses that are #1 in their fields (Coke, McDonald's) don't spend their time focusing on their competition. The businesses that are #2 (Pepsi, Burger King), do spend their time focusing on their competition. That's one of the reasons these businesses are #2. Not sure how to do this? Here are the basics:

a) Have the best product or service. You can't survive in any industry for any length of time if your product breaks or your service is subpar. Wait, you don't think your product or service is part of your marketing campaign? Pumpkin, it's the centerpiece. You will go out of business if you don't focus on your core products and services. Simple as that.
b) Clearly and concisely explain why you are the best. Is it taste? Satisfaction? Quality parts or ingredients? What sets you apart?
c) Why is it necessary? Neither Coke nor McDonald's products are required to sustain life on earth. Why are they necessary, then? This is what they call in sales selling the sizzle, not the steak. What does your product or service provide, make easier, make better, or help satisfy?
d) Take the high road. You don't need to mention your competition in your marketing. It's your marketing, not theirs. Don't give your competition air time. It makes your business look petty. Product comparisons are for those in second place. First place doesn't need to compare.
e) Solve problems quickly and in public. Let's say your business prides itself on providing service within a 20-minute window. For one reason or another, your service tech was unable to arrive. Your customer complains on your Facebook or Twitter feed. The first reaction by most businesses is to remove the post. After all, who wants anything negative on their Facebook wall? Instead, engage the customer and MAKE THINGS RIGHT in the same post, in the shortest possible time. It doesn't matter that your service tech had a car accident. It doesn't matter that the snow hadn't been cleared off the roads. There are always things that are out of your control. The only thing you can control 100% of the time is how you respond. It's not personal. It's business. Give the client a gift card. Refund their service call. Give them a free service call. Whatever you do, do it in front of everyone.
f) Know the difference between slander and libel. In a nutshell, slander is saying "you suck", libel is writing "you suck". There are tons of legal gray areas, but that gives you the idea. Keep in mind that your competition may engage in nefarious tactics from time to time. We wise in your approach. Overreacting to some slight by your competition can make you look like a jerk. Underreacting to something that is potentially damaging can leave your business exposed to serious trouble. Know when something is business and when it's war. Take a look at my post about when to hire a lawyer. It'll help.

Remember that you need your clients more than they need you. The world will get by just fine without your product or service. When you're developing a marketing strategy, keep in mind that every aspect o your business is part of the strategy. You can have the most vibrant website, the most dependable product, but if your customer service staff is perpetually rude, you will go out of business. Your business is a series of links in a chain. That chain is your marketing strategy. A product that works, built from parts that are high grade, with an easy to engage sales interface, a customer service team that goes the extra mile, and truly dependable service is the centerpiece of your business. Your entire business is about marketing. Break a link, break the business. At least you won't be dragged before a Senate subcommittee.