Latest / Connectivity Without Chaos - The Podcast / Why Your Bank Knows You Better Than Your Doctor: Closing the Healthcare Experience Gap
Transcript
- 0:00SPEAKER_00: Okay, let's unpack this.
- 0:01SPEAKER_00: You can tap a screen right now and a hot pizza or like a ride across town arrives
- 0:08SPEAKER_00: in, what, 15 minutes.
- 0:09SPEAKER_01: Right, exactly.
- 0:10SPEAKER_00: And the app knows exactly who you are, where you are, what you need.
- 0:13SPEAKER_00: But, you know,
- 0:14SPEAKER_00: you call your doctor's office and suddenly you're trapped
- 0:17SPEAKER_00: in this like 1990s time warp.
- 0:19SPEAKER_01: Oh, absolutely.
- 0:20SPEAKER_01: You're spelling your name for the third time, repeating your date of birth, your SSN.
- 0:25SPEAKER_00: Just hoping you don't get transferred to a deadline.
- 0:27SPEAKER_01: Right, which happens all the time.
- 0:29SPEAKER_00: Yeah.
- 0:30SPEAKER_00: So for today's deep dive,
- 0:31SPEAKER_00: we're looking at a recent interview with a senior CX and AI consultant.
- 0:36SPEAKER_00: And this person spent 12 years managing hospital contact centers.
- 0:40SPEAKER_01: A lot of experience there.
- 0:42SPEAKER_00: Yeah.
- 0:42SPEAKER_00: And our mission today is
- 0:44SPEAKER_00: to figure out why healthcare customer service is just decades behind retail.
- 0:48SPEAKER_00: And more importantly, how hospitals can actually, you know, dig themselves out of that hole.
- 0:52SPEAKER_01: It's a big hole.
- 0:53SPEAKER_00: It really is.
- 0:53SPEAKER_00: Yeah.
- 0:53SPEAKER_00: I mean, if I call my TV warranty company,
- 0:55SPEAKER_00: their automated system knows my model number and my problem before
- 0:59SPEAKER_00: a human even picks up.
- 1:01SPEAKER_00: So why does healthcare struggle with basic caller ID?
- 1:03SPEAKER_00: Yeah.
- 1:03SPEAKER_01: Well, it basically comes down to fundamentally fragmented data.
- 1:07SPEAKER_01: I mean, in retail, your profile is centralized, right?
- 1:10SPEAKER_01: But in healthcare, patient data lives in these heavily siloed EHR systems.
- 1:17SPEAKER_01: And often, it's multiple different systems within the exact same hospital network.
- 1:22SPEAKER_00: And they just don't talk to each other?
- 1:23SPEAKER_01: No, they simply do not talk to each other.
- 1:25SPEAKER_01: So every single time a call moves from scheduling to billing to, you know, a specialist...
- 1:33SPEAKER_01: Exactly.
- 1:33SPEAKER_01: The identity verification process has to start from scratch every time.
- 1:37SPEAKER_00: Which, I mean, that isn't just frustrating for the patient.
- 1:39SPEAKER_00: It's incredibly expensive.
- 1:40SPEAKER_01: Oh, hugely expensive.
- 1:41SPEAKER_01: What's fascinating here is how
- 1:43SPEAKER_01: the consultant noted this friction creates this severe domino effect.
- 1:49SPEAKER_01: Patients get fed up and they just abandon the call, right?
- 1:51SPEAKER_01: And then they go book with a quick one-stop digital clinic instead.
- 1:54SPEAKER_00: Because it's easier?
- 1:55SPEAKER_01: Because it's easier, meaning the hospital loses that immediate appointment revenue.
- 1:59SPEAKER_00: Wow.
- 2:00SPEAKER_00: And I imagine that impacts the staff too.
- 2:02SPEAKER_01: Right.
- 2:02SPEAKER_01: Oh, big time.
- 2:04SPEAKER_01: On the operational side,
- 2:05SPEAKER_01: a telecom costs spike because patients are calling back three
- 2:08SPEAKER_01: or four times just trying to reach the right department.
- 2:11SPEAKER_00: Just to get someone on the line.
- 2:12SPEAKER_01: Right.
- 2:13SPEAKER_01: And the staff are fielding those redundant calls,
- 2:15SPEAKER_01: which forces them to create these like messy manual workarounds just to process
- 2:21SPEAKER_01: the sheer volume.
- 2:22SPEAKER_00: Which has to lead to burnout.
- 2:23SPEAKER_01: It directly drives staff burnout and turnover.
- 2:26SPEAKER_01: It's a huge issue.
- 2:28SPEAKER_00: Okay, I hear the structural problems, but hospitals are massive entities.
- 2:32SPEAKER_00: They have millions in funding.
- 2:34SPEAKER_00: Why can't they just buy an off-the-shelf enterprise AI system like an airline does
- 2:40SPEAKER_00: and just brute force the problem?
- 2:41SPEAKER_01: Well, because AI is an amplifier, not a fixer.
- 2:44SPEAKER_01: If you drop an AI into a hospital network, it tries to learn from the existing processes.
- 2:50SPEAKER_00: Right, which are broken.
- 2:51SPEAKER_01: Exactly.
- 2:52SPEAKER_01: And in healthcare,
- 2:53SPEAKER_01: those processes are heavily reliant on what the consultant calls tribal knowledge.
- 2:57SPEAKER_00: Tribal knowledge.
- 2:59SPEAKER_00: Meaning the official manual says one thing,
- 3:01SPEAKER_00: but the staff actually does something completely different.
- 3:04SPEAKER_01: Yes, exactly.
- 3:05SPEAKER_01: I mean, standardized data is what AI actually needs to function.
- 3:09SPEAKER_01: But hospital staff are relying on like sticky notes on their monitors
- 3:14SPEAKER_01: or literal sticky notes or whispered workarounds to bypass a legacy billing system
- 3:20SPEAKER_01: or, you know, a shared spreadsheet that one single nurse updates manually.
- 3:26SPEAKER_01: So if an AI system learns from chaotic,
- 3:29SPEAKER_01: undocumented workarounds, it just automates that chaos at scale.
- 3:34SPEAKER_01: Yeah.
- 3:34SPEAKER_00: Here's where it gets really interesting to me.
- 3:36SPEAKER_00: It's like upgrading a regional transit system to a high-speed bullet train,
- 3:40SPEAKER_00: but leaving it on crooked wooden tracks.
- 3:43SPEAKER_01: That is a great analogy.
- 3:44SPEAKER_00: Yeah, like the speed doesn't fix the commute.
- 3:46SPEAKER_00: It just guarantees a derailment much faster.
- 3:48SPEAKER_01: That is exactly the danger.
- 3:50SPEAKER_01: And you add in the reality that clinical,
- 3:52SPEAKER_01: administrative, and IT departments, they often have fiercely competing budgets.
- 3:56SPEAKER_00: Right, so they're fighting each other.
- 3:57SPEAKER_01: Exactly, so you get gridlock.
- 3:59SPEAKER_01: The source emphasizes that you can't just mandate an AI rollout from the top down
- 4:03SPEAKER_01: and expect it to fix this.
- 4:04SPEAKER_00: So you need to involve the actual people doing the work.
- 4:08SPEAKER_01: Precisely.
- 4:09SPEAKER_01: You have to build culture first through frontline champions.
- 4:13SPEAKER_01: You know,
- 4:13SPEAKER_01: the clinical and administrative users who actually navigate those sticky notes
- 4:18SPEAKER_01: and spreadsheets every day.
- 4:19SPEAKER_00: The ones who actually know how the system works.
- 4:21SPEAKER_01: Right.
- 4:21SPEAKER_01: They have to be the ones who guide and design the new standardized process.
- 4:25SPEAKER_00: Okay.
- 4:26SPEAKER_00: So if a hospital actually takes the time to straighten the tracks
- 4:31SPEAKER_00: and standardize those workflows, what does the payoff look like?
- 4:34SPEAKER_00: Because we aren't just talking about selling more shoes here, right?
- 4:36SPEAKER_01: Right.
- 4:36SPEAKER_01: No.
- 4:37SPEAKER_00: We're talking about patient health.
- 4:38SPEAKER_01: Exactly.
- 4:38SPEAKER_01: Exactly.
- 4:39SPEAKER_01: And if we connect this to the bigger picture,
- 4:42SPEAKER_01: the ultimate goal here is better medical outcomes.
- 4:45SPEAKER_01: Right.
- 4:46SPEAKER_01: The consultant shared a really cool scenario where the technology runs quietly in
- 4:50SPEAKER_01: the background.
- 4:51SPEAKER_01: So imagine an agent is on a call with a patient, you know, scheduling a follow-up.
- 4:56SPEAKER_01: Okay.
- 4:56SPEAKER_01: While they talk,
- 4:57SPEAKER_01: an AI is analyzing the patient's centralized record and it just gently prompts
- 5:02SPEAKER_01: the agent on their screen.
- 5:03SPEAKER_00: A little pop-up.
- 5:04SPEAKER_01: Yeah.
- 5:04SPEAKER_01: Noting that the patient is also due for their annual exam.
- 5:07SPEAKER_00: Oh, wow.
- 5:08SPEAKER_00: So the agent doesn't have to manually dig through five different tabs in
- 5:13SPEAKER_00: the EHR system to notice a gap in care.
- 5:17SPEAKER_01: Right.
- 5:17SPEAKER_01: They don't have to hunt for it.
- 5:18SPEAKER_01: They just see the prompt and offer to book it right then and there.
- 5:22SPEAKER_00: That's amazing.
- 5:23SPEAKER_01: It seamlessly closes a vital care gap.
- 5:26SPEAKER_01: I mean, the agent's cognitive load is reduced and the patient feels like
- 5:29SPEAKER_01: the hospital actually knows their health history.
- 5:32SPEAKER_00: Which makes preventative care rates go up.
- 5:34SPEAKER_01: Exactly.
- 5:35SPEAKER_00: So what does this all mean for, say, an operational leader at a hospital right now?
- 5:41SPEAKER_00: You know, they're staring at a massive backlog, tired staff.
- 5:44SPEAKER_00: How do they actually initiate this without totally paralyzing the organization?
- 5:50SPEAKER_01: The main advice is don't boil the ocean.
- 5:52SPEAKER_01: You need to pick a single measurable bottleneck.
- 5:55SPEAKER_00: Like what?
- 5:55SPEAKER_01: Maybe it's solely focusing on reducing your internal transfer rates
- 5:59SPEAKER_01: or maybe just cutting down the number of abandoned calls on Monday mornings.
- 6:02SPEAKER_00: Just one specific thing.
- 6:03SPEAKER_00: Right.
- 6:03SPEAKER_01: Just overhaul that one specific workflow first.
- 6:06SPEAKER_01: Clean the data,
- 6:07SPEAKER_01: remove the tribal knowledge,
- 6:08SPEAKER_01: and test your new process there before you try to revolutionize
- 6:11SPEAKER_01: the entire hospital network.
- 6:13SPEAKER_00: So fix the wooden tracks in one station first.
- 6:15SPEAKER_00: I like that.
- 6:16SPEAKER_01: Exactly.
- 6:16SPEAKER_00: But, you know, there's a final thought from the source that really stuck with me.
- 6:19SPEAKER_01: Oh, yeah?
- 6:20SPEAKER_00: Yeah.
- 6:20SPEAKER_00: They point out that a bad front desk experience creates
- 6:24SPEAKER_00: a negative preconceived notion about the clinical care itself.
- 6:28SPEAKER_01: That makes sense.
- 6:35SPEAKER_00: Right.
- 6:37SPEAKER_00: Before they even
- 6:39SPEAKER_01: see a doctor.
- 6:40SPEAKER_00: Exactly.
- 6:41SPEAKER_00: How might that subtle frustration impact their willingness to actually follow
- 6:46SPEAKER_00: a doctor's critical medical advice later on?
- 6:49SPEAKER_01: That is a profound point.
- 6:50SPEAKER_00: It really makes you wonder if the healing process actually begins
- 6:53SPEAKER_00: the moment they pick up the phone.