Friday, May 25, 2012

Ems, Ambulance, Fire Department, 911 - buyer service is Part of Your Mission

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Ems, the Fire Service, 911 communications centers, what do each of these crisis service specialties have in common? What is the one thing that is routinely overlooked by a majority of agencies? It is of policy service.

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How is Ems, Ambulance, Fire Department, 911 - buyer service is Part of Your Mission

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We are all in the service business

My objective in this record is to make you think, to challenge your relax levels and to help you originate a system to turn customers into clients. Throughout my 30+ year career as an Ems expert and a advisor I have found that this process takes hard work, dedication and consistent attempt but the rewards are great.

Some un-enlightened Ems leaders will not understand and will not grasp the subtle but foremost divergence in the middle of customers and clients. In fact, many of our colleagues have yet to embrace the fact that they are even in a service business.

In the beginning the public naturally called and we came. Contracts with municipalities and healthcare facilities were simple, if we had them at all. We collected subsidies, stipends or donations from our communities. We did our job and that was enough. It is not nearly enough any more.

Response times, standards of practice, playing a very active role in the community, developing strong relationships with the local governmental agencies, mandatory system reporting, dealing with new privacy and other federal compliancy regulations are just the beginning point for the expectations placed upon us. And that was pre 9/11. Now the roles and expectations have increased, the readiness levels are even higher and communities look to us, the 'emergency service professionals' to deliver in time of crisis.

For the remainder of this article, I'll be speaking specifically to Ems providers. But the true portion of success of any crisis service department is when they have cultivated a sense of society awareness so great that habitancy in the society refer to them as 'our' ambulance service rather than 'the' ambulance service. Cultivating this level of awareness is what helps turn customers into clients. How does your society refer to you?

Think about the term client. Who has clients? Lawyers, tax professionals, counselors, consultants, and financial planners just to name a few. They understand the long-term value of developing obvious buyer relationships. They are seeking referrals and goodwill to increase business. You are seeking to reap the benefits of goodwill and informed withhold for your mission by the habitancy in the communities you serve

People ask me all the time, "Why do I care? I don't have time for all of this 'nice touchy feely stuff. I've got a service to run." My reply is all the time the same, "You can educate habitancy one at a time and originate and informed army of supporters. Or, you can try and educate them as a group at crunch time, after something has gone wrong which is a much harder job."

Commitment to a long term schedule to originate client relationships will insure the operation integrity and long term viability of your service. This holds true for volunteer, municipal, hospital-based or investor owned services.

Think of any service in your area that is either in trouble now or has already failed.

I certify you that at least one of the factors to blame is a failure to provider proper levels of service to one or more buyer groups.

Before we can discuss turning customers into clients we have to define the divergence and then discuss what a good connection should look like.

Definitions:

cus-tom-er One who buys goods or services; one with whom one must deal

cli-ent One for whom expert services are rendered (Source: American inheritance Dictionary)

These definitions couldn't construe the way many services view the relationships any better. Many look upon whatever covering the actual provision of crisis care as something that must be dealt with, and they authentically don't see the need for a connection 'after the sale' when the inpatient is out of the ambulance and off the stretcher.

Best custom agencies see the value in providing expert services and in servicing the client 'after the sale'. They know that a satisfied buyer can be advanced into a client and come to be a obvious voice in withhold of their agency. Every person who comes into feel with your service starts the connection as a customer, it is your responsibility to turn them into a client.

A good working 'client' connection should pass this Four Criteria Test

· There is a constant two way flow of information.

· Both parties see the value in the long term benefits of working together.

· Both parties view the other as a essential resource.

· Services are tailored to meet/exceed the clients' needs.

Reality Check

Can you name three distinct client relationships that you have that fit all four of the criteria listed above.

If you can't, don't worry. Very few crisis service leaders can. Read on, we'll originate the foundation for the changes you'll need to make if you want to get there.

Now that you have an idea of what's in my head when I narrate the difference, let's talk about the distinct buyer groups that will interact with your service and what you need to do to turn them into clients.

Eight Customer/Client Groups

I have identified for you the eight basic customer/client groups that every crisis service boss must learn to serve:

1) Employees/staff

2) Patients/families

3) Other managers in your organization

4) society Leaders/Special Needs

5) Healthcare facilities

6) Other responders

7) Government regulators

8) Media organizations (Print/Radio/Tv)

There are a collection of sub-groups that may exist in your service are but these are the basic headers for the remainder of our conference in this article.

A flourishing Ems leader today must actively work to meet the varied, and often competing, needs and expectations of Each of the groups listed above. The order outlined above illustrates my personal religious doctrine of the point of each. Not that each group is not foremost in its own right, but given a disagreement of time, I would handle an employee's need before handling one brought to me by the media.

Employees / Staff

I firmly believe that the employees/staff are the whole one buyer group that leadership serves. I Want to turn the connection with the employees into a client connection as quickly as possible.

Reality Check

Does the connection with your staff meet the four criteria client test?

Very few agencies can authentically reply 'yes' to this question. Most are dealing with bickering, conflict, recruitment or retention troubles and unreasonable demands by employees or their representatives.

As we begin work with agencies in crisis and it is clear that no client connection exists, the first steps to heal the damage is what we call Hitting the Reset Button.

The Reset process involves conducting a perfect narrate of your organization, questioning everything. This means looking at the mission statement, all of the communication channels that exist with employees and other customers, company processes, hiring and other personnel issues and even some of the things 'that you've all the time done that way' might need to be changed.

After the narrate is perfect and a policy of operation is agreed upon and communicated to the staff, the Reset button is pushed and the outdated past practices are blown away giving the society a fresh start.

Often a series of 'town meetings', employee committees that allow a real voice, or

re-establishing obvious relations with union leadership are needed.

A properly trained, informed and involved staff are the best ambassadors any department can have. Conversely, employees that are treated like so many replaceable parts will turn into ambassadors of poison as they talk about your society being a lousy place to work.

Your employees are the most foremost marketing tool in your company and they are directly interacting with each of your other buyer groups every day. Are they damaging relationships as quickly as you're construction them?

I think advisor Tim Pelton says it best, "If you take care of the troops, they'll take care of the mission."

Patients / families

Obviously this is, in my opinion, the next most foremost group. After all this Is the fancy we're here, to furnish care and communication to the sick and injured.

Whenever we guide buyer service training for field providers, we stress that the house members are customers and often 'patients' also.

Reality Check

You do guide buyer service training for your field providers don't you?

If you don't, let me give you an example illustrating why it's important.

I am still fortunate enough to be able to work in the field as a paramedic. On my last shift, I arrived on the scene of a 40 year old woman presenting with hypoglycemic symptoms. I also met her two young and obviously worried sons, ages 7 and 9. As I was request her questions and it became apparent that she may need to be conveyable the sons became very agitated.

The youngest one asked me, "Have you ever taken care of a di-betic before?" I assured him that I had many times and he looked relieved. Then the older one asked his mom what he should do since there was no one to care for him and his brother if she went to the hospital.

While waiting for the magic juice-and-sugar concoction to work, I assured them that arrangements would be made for person to stay with them or they could come along with mom in the ambulance. Within 5 minutes, her sugar was normalized and she opted to refuse transport.

The incident reminded me however, that we are watched every step of the way by family, friends and the public. We have to enduringly remember that those watching have assorted levels of insight about what we're doing and therefore form opinions about our capabilities, as evidenced by the young son request me if I knew what I was doing. He perceived that I was request too many questions and not fixing his mom.

The buyer service moral of the story: while one inpatient may be sick there are emotional patients to care for as well. They are also our customers and meeting their needs builds the relationships and impressions to turn them into clients.

The kids were very happy with the outcome. They both wanted to shake hands as I was leaving and they were all able to enjoy a happy Easter Sunday at home as a family.

Other managers in your organization

You have to begin to look at co-workers as your customers as well. Every leader in your society has expectations of you that need to be met so that they can do Their jobs properly.

Building internal relationships using a buyer service model, forming multi-department task teams to solve company problems will both go along way towards construction the elusive team oriented workplace every person says that they want. If you don't view your co-leaders as foremost customers, you'll never get there.

Community Leaders / special Needs

Working with society groups, church leaders, school officials on things like task Prom or the Dare Program, allow these influential folks to form opinions of you and your agency.

The dialog about their perceptions of the needs in the society is invaluable to you from a service and a planning point of view. Do they think that there are unmet needs in high ethnic society sections? Are they hearing complaints about your service? Do they think you're meeting or exceeding the expectations of the community? Get out there and ask! Talk and then Listen!

The chance to begin dialog about the problems you're facing or needs you have identified can be priceless when you need public withhold at budget or ageement time. Educated customers turn into informed clients.

Healthcare facilities

Reality Check

When was the last time you were in any of your local skilled nursing facilities other than on a call or to visit your grandmother?

Facilities can be very fickle about who transports their patients. Even if you're the sole source 911 provider, they can make life difficult if misunderstandings get out of control.

Don't assume that no news is good news. Periodic calls to check on how your crews are performing, perhaps providing a speaker for the next staff meeting or helping them understand your capabilities goes a long way to construction the client relationships you want while allowing you to control the market share that you need. Proactive dialogue will also help keep complaints to a minimum.

During my tenure as boss of an investor-owned ambulance company, I used to send night crews to meet with night shifts. Our habitancy conducted quarterly 'surprise' drills on assorted shifts to test crisis plan readiness for the facilities. We'd be let in by a supervisor and plant a manikin someplace in the premise and test the response to the discovery and subsequent code drill.

This custom helped the facility, let the habitancy learn to work together, and made our department more essential to the premise helping to ward off a stronger competitor.

Other responders

Paul Maniscalco, formerly a Deputy Chief with Fdny*Ems, had one of the best quotes I've ever heard on this subject. "How can you expect a guy to help you out if you don't even know how he likes his coffee?"

Treat your mutual aid and other society responders as customers. What do they need from you? How can you work more efficiently together? When was the last time you cross trained so you have an idea where equipment is placed on each other's rigs?

A quick example of meeting a easy need: When you send out road closing or construction updates, make sure you let your mutual aid services know too. They should not find out when they hit the detour signs enroute to a call. If they are going to service your community, they need to be kept in the information loop also.

Governmental agencies and regulators

"I'm from the government. I'm here to help." This can be a true statement if you treat them like a valued customer.

Do you narrate obvious and negative issues to your governmental agencies?

I propose services furnish at least quarterly reports to the leaders in the communities they service.

These reports should include, at a minimum, the numbers of responses, transports, fractile or midpoint response times, numbers of presentations or classes completed and especially if you're a volunteer agency, the whole of calls handled in the middle of 5pm and 6am (when the politicians are home with their families) and the whole of volunteer hours of service provided to the society (include calls, drills, classes and any other activities).

You will never be able to get them to move from 'the' ambulance to 'our' ambulance unless you make them see the tangible value you bring to their world.

Media organizations (Print/Radio/Tv)

Do you try and run away from a camera or microphone? Or is your thorough policy to move the media back 1,000 yards and then complain that they got lousy shots of your heroic rescue?

The media can be a very essential tool in your efforts to build your society image.

They need news to cover. You reply to news events. Work together. You both have a job to do, and God knows Ems needs the coverage.

Meet with them, feed them news, know and respect their deadlines and if an issue arises, deal with it immediately. Assign person who is articulate, expert and looks good on camera as your public information Officer (Pio).

Dealing with the media could be an record in itself but in a nutshell, if you look at them as a hungry buyer and feed them good solid food, you'll originate a healthy connection that can be invaluable when a call goes bad.

Reality Check

One of your ambulances just blew an intersection enroute to a call and killed a civilian. Would your local media get to the bottom of the story and record it fairly or enjoy the chance to crucify you?

If it's the latter, then you have not been dealing with them as a client. Reset the system, get together over lunch or a cup of coffee together and rekindle the relationship.

The Seven Keys to Success

Over the 30+ years that I have been in the Ems profession, I have had the good fortune to work with a whole of agencies all over the country. I have been able to narrate the best practices of these agencies and have distilled them into a list that I call the Seven Keys to Success.

Agencies that hire these Seven Keys, or are working towards completing the list, are some of the finest and best run agencies in the country.

So, what are these miracle keys that will unlock your hereafter success and help you turn customers into clients?

· buyer Centered Service

· Field Staff Education

· Leadership development Programs

· every year technology narrate and upgrades

· sufficient staff recruitment and retention initiatives

· many sufficient earnings streams

· Constant connection construction with the eight customary client groups

Customer Centered Service

The best organizations base every decision on the impact that it will have on the customary mission, service to their customers. Most organizations originate an department for their own ease of operation and sense of purpose and then take that organizational model to the streets and furnish their version of service.

The best organizations look at the end corollary first, perfect buyer centered service. They originate or redesign the society to fit the needs of their clients, even if it means more work for them.

An example of this can be seen in something as easy as staffing patterns.

A volunteer department was initiating paid daytime staffing for the first time and decided arbitrarily to staff Monday straight through Friday from 0800-1800, the hours convenient for them.

The society needs dictated that a crew should be on from 0500 when volunteers were not taking calls because the midpoint of two hours per call would impact their quality to get to work on time. By reasoning about the needs of their clients, the department retooled the schedule and began the shifts at 0500. The result: they dropped their morning missed calls to almost nothing, Town Hall got fewer complaints and the mutual aid fellowships were able to sleep in.

This is a easy but very valid example of putting three client groups first.

Field Staff Education

As discussed earlier, I believe that The singular most foremost client group that any boss can serve well is their employees. By committing a portion of organizational resources to their education and treating those resources as sacred, the staff members grow in capabilities and the society ultimately benefits from an educated, reasoning work force.

Leadership development Programs

What would have happened to Fdny on 9/11 at Noon (after the towers had collapsed killing many members of the command structure) if habitancy were not trained to assume command? Who could take your place if you were killed in a car wreck on the way home?

Strong organizations originate strong leaders. Every position should have person in training ready to assume command should something happen. Succession planning, mentoring, and leadership development are all components of sufficient organizations.

Honestly now, how ready are you?

Annual technology narrate and upgrades

Technology just for the sake of having the newest and most new toy or gadget is a waste of money. That being said, best custom agencies continuously upgrade technology that makes operational and fiscal sense, adds value to the total productivity of the society and most importantly improves the level of service. If a technology investment doesn't meet all three of these criteria, even if you authentically want it, pass.

Proper staff recruitment and retention

Aligning people, paper and practices or in other words production sure the right person is in the right job with the right tools is the only way to sacrifice job stress and have the quality to educate and originate the habitancy side of your business.

Multiple sufficient earnings streams

What is the customary source of your agency's funding? Look for opportunities to tap new sources of revenue, billing, grants, donations, subscriptions, being designated as charity of the year by a society group, receiving memorial bequests and providing training for society businesses are all foremost to fiscal health of your agency. Capitalism is not a dirty word. It is how you survive in all types of economic weather.

Constant connection construction with the eight customary client groups

I discussed the eight groups earlier. Best custom organizations work enduringly to improve relationships with each of these groups. It will be easy with some, hard with others and due to past events nearly impossible with a few. Keep trying. Your long term health depends upon it.

When it comes to buyer service remember one easy saying:

You're only as good as They think you are!

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