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Healthcare Reform & Physician Loyalty:
         What Can CRM Do To Support ACOs?
About Perficient




Perficient is a leading information technology consulting firm serving
clients throughout North America.

We help clients implement business-driven technology solutions that
integrate business processes, improve worker productivity, increase
customer loyalty and create a more agile enterprise to better respond
to new business opportunities.
PRFT Profile
   Founded in 1997

   Public, NASDAQ: PRFT

   2010 Revenue of $215 million

   20 major market locations throughout North America
     — Atlanta, Austin, Charlotte, Chicago, Cincinnati, Cleveland,
       Columbus, Dallas, Denver, Detroit, Fairfax, Houston,
       Indianapolis, Minneapolis, New Orleans, Philadelphia, San
       Francisco, San Jose, St. Louis and Toronto


   1,500+ colleagues

   Dedicated solution practices

   500+ enterprise clients (2010) and 85% repeat business
    rate

   Alliance partnerships with major technology vendors

   Multiple vendor/industry technology and growth awards
Our Solutions Expertise & Services

Business-Driven Solutions              Perficient Services
• Enterprise Portals                    End-to-End Solution Delivery
• SOA and Business Process              IT Strategic Consulting
  Management                            IT Architecture Planning
• Business Intelligence                 Business Process & Workflow
• User-Centered Custom Applications       Consulting
• CRM Solutions                         Usability and UI Consulting
• Enterprise Performance Management     Custom Application Development
• Customer Self-Service                 Offshore Development
• eCommerce & Product Information       Package Selection, Implementation
  Management                              and Integration
• Enterprise Content Management         Architecture & Application Migrations
• Industry-Specific Solutions           Education
• Mobile Technology
• Security Assessments
                       Perficient brings deep solutions expertise and offers
                       a complete set of flexible services to help clients
                       implement business-driven IT solutions
Oracle Partnership

• Oracle Platinum Partner
• Expertise with both the Applications and Technology
  stacks
• 10+ year relationship of loyalty and trust
• Hundreds of successful implementations
• Deep technical expertise on Siebel, OBIEE and Hyperion
  platforms
• Oracle Certified Education Training Partner
• Help provide recommendations for overall product
  direction
• Work closely with Oracle product management to
  provide feedback for functional enhancements
• Participate in Beta testing initiatives with Oracle
  Development
• Strong partnerships with field sales and marketing
  organizations
Presenters



• Martin Sizemore
  Perficient, Enterprise Architect, Healthcare

• Lisa Anderson
  Perficient, CRM Solution Architect
Agenda



Consumerism in Healthcare




Physician Practice Challenges & Alignment




Physician Loyalty Campaign Demo




Questions & Answers
Healthcare Provider Landscape

•   Strong competition around the delivery of care
•   Increased pressure around reimbursements
•   Increasing cost of delivery
•   Increased regulatory rules and compliance
    requirements from CMS and the Payor organizations
•   Difficulty in aligning with physician practices
•   Challenges in creating the right incentive models for
    behavior changes in the care delivery model
•   Creation of an efficient process delivery model
    across the entire healthcare system
•   Ability to differentiate your organization on Brand
•   Inability to directly connect and influence the
    consumers of healthcare services

How do you become a Consumer Driven
         Healthcare System?
Physician Practice Challenges


•   50% of physician practices are small community
    based that have less than three physicians
•   Increased pressure around reimbursements
•   Increasing cost of running their practices
•   Increased regulatory rules and compliance
    requirements from CMS and the Payor
    organizations (i.e. P4P)
•   The recently based ARRA Stimulus Bill around
    adoption of EMRs and the associated behavioral
    changes
•   Challenges in creating the right incentive models


    How do you Align and Connect to your
            Physician Practices?
Physician Alignment Matters




Average annual revenue generated by Specialty:

• Orthopedic Surgery                                              $3.0M
• Cardiology (noninvasive) $2.6M
• Cardiology (invasive)                                           $2.5M
• General Surgery                                                 $2.4M
• Neurosurgery                                                    $2.4M
• Internal Medicine                                               $2.1M
• Family Practice                                                 $2.0M
• Hematology/Oncology                                             $1.8M
• Pulmonology                                                     $1.8M
• Gastroenterology                                                $1.3M

Source: Meritt, Hawkins & Assoc. and Healthcare Financial Mgt. Assoc.(HFMA)
Consumer Trends – Nonclinical Factors

How Consumers Choose Hospitals




                                 Source: The McKinsey Quarterly
Physicians in Crisis


               What Doctors Are Seeking:
•   An American Hospital Assn. report found increased requests for jobs
    as well as money. During the first quarter of 2009, 56% of hospital
    CEOs said their facility got more physician requests for aid.
•   Of those CEOs:
    –   83% reported more physicians wanting increased pay for on-call
        or other services provided to the hospital.
    –   69% reported more physicians seeking hospital employment.
    –   56% reported an overall increase in doctors asking for financial
        aid.
    –   31% reported more doctors looking to sell their practices to
        hospitals.
    –   23% reported more doctors seeking to partner on buying
        equipment.
Where do we go from here?



•   How are you responding to shifts in Consumer behavior?

•   Are you at risk of being ‘Commoditized’?

•   How will you differentiate your organization from the competition?

•   Do you want to strengthen you physician loyalty?

•   How can you reposition your organization with your target market?

•   Are you looking to expand business opportunities?




                    What is Your Plan?
Patient/Physician Experience Maturity Model
What Can CRM Do To Help?


CRM helps healthcare organizations manage their most valuable asset:
                 The Physician Relationship

•   Target and qualify the right physicians for your organization.

•   Drive physician alignment through measured contact and aggressive
    campaign marketing activities.

•   Identify physician admission and procedure trends.

•   Understand physician affiliations and relationships.

•   Recognize the feedback loop and patient satisfaction efforts of the
    health system that need to be collected and reported back to the
    physician practices.
Oracle CRM On Demand Demonstration

• Physician   Loyalty
• Recruiting
Physician Loyalty



   Analyze                         Research
   Referrals                     Physician and
                   1                Group
                           2




               4

                       3
   Book
Appointment                    Understand
                                 Issues
Recruiting


     Research                        Review
    specialties                   cardiologists
                      1
                              2




                  4

                          3
  Review
opportunity
                                   Target
 and event
                                  specific
                                  Doctor
Benefits of Consumerism



•   Maximizing share of healthcare spend

•   Ability to expand outside of current market share

•   Strong Patient and Provider Loyalty

•   Higher level of Brand Loyalty

•   Increased revenue through commerce expansion

•   Expanded service offerings to consumers interested in my health system
Physician Loyalty Programs Matter



•   Consumers are driving a change in the way they purchase/access
    healthcare services.

•   Physician partnerships are an important element to a successful consumer-
    oriented health system.

•   Physicians are looking for alignment that helps their patients and practice
    thrive.

•   Health systems that adopt consumerism elements will also drive
    incremental revenue and associated delivery cost savings.


                 Let us Help You Be A Growing and
                     Prosperous Health System
Questions?
Follow Perficient Online




                  Perficient.com/SocialMedia

           Daily unique content about content
           management, user experience, portals and
           other enterprise information technology
           solutions across a variety of industries.


Twitter.com/Perficient                  Facebook.com/Perficient
Thank You!

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How Healthcare CRM Can Support Physician Loyalty and ACOs

  • 1. Healthcare Reform & Physician Loyalty: What Can CRM Do To Support ACOs?
  • 2. About Perficient Perficient is a leading information technology consulting firm serving clients throughout North America. We help clients implement business-driven technology solutions that integrate business processes, improve worker productivity, increase customer loyalty and create a more agile enterprise to better respond to new business opportunities.
  • 3. PRFT Profile  Founded in 1997  Public, NASDAQ: PRFT  2010 Revenue of $215 million  20 major market locations throughout North America — Atlanta, Austin, Charlotte, Chicago, Cincinnati, Cleveland, Columbus, Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Minneapolis, New Orleans, Philadelphia, San Francisco, San Jose, St. Louis and Toronto  1,500+ colleagues  Dedicated solution practices  500+ enterprise clients (2010) and 85% repeat business rate  Alliance partnerships with major technology vendors  Multiple vendor/industry technology and growth awards
  • 4. Our Solutions Expertise & Services Business-Driven Solutions Perficient Services • Enterprise Portals  End-to-End Solution Delivery • SOA and Business Process  IT Strategic Consulting Management  IT Architecture Planning • Business Intelligence  Business Process & Workflow • User-Centered Custom Applications Consulting • CRM Solutions  Usability and UI Consulting • Enterprise Performance Management  Custom Application Development • Customer Self-Service  Offshore Development • eCommerce & Product Information  Package Selection, Implementation Management and Integration • Enterprise Content Management  Architecture & Application Migrations • Industry-Specific Solutions  Education • Mobile Technology • Security Assessments Perficient brings deep solutions expertise and offers a complete set of flexible services to help clients implement business-driven IT solutions
  • 5. Oracle Partnership • Oracle Platinum Partner • Expertise with both the Applications and Technology stacks • 10+ year relationship of loyalty and trust • Hundreds of successful implementations • Deep technical expertise on Siebel, OBIEE and Hyperion platforms • Oracle Certified Education Training Partner • Help provide recommendations for overall product direction • Work closely with Oracle product management to provide feedback for functional enhancements • Participate in Beta testing initiatives with Oracle Development • Strong partnerships with field sales and marketing organizations
  • 6. Presenters • Martin Sizemore Perficient, Enterprise Architect, Healthcare • Lisa Anderson Perficient, CRM Solution Architect
  • 7. Agenda Consumerism in Healthcare Physician Practice Challenges & Alignment Physician Loyalty Campaign Demo Questions & Answers
  • 8. Healthcare Provider Landscape • Strong competition around the delivery of care • Increased pressure around reimbursements • Increasing cost of delivery • Increased regulatory rules and compliance requirements from CMS and the Payor organizations • Difficulty in aligning with physician practices • Challenges in creating the right incentive models for behavior changes in the care delivery model • Creation of an efficient process delivery model across the entire healthcare system • Ability to differentiate your organization on Brand • Inability to directly connect and influence the consumers of healthcare services How do you become a Consumer Driven Healthcare System?
  • 9. Physician Practice Challenges • 50% of physician practices are small community based that have less than three physicians • Increased pressure around reimbursements • Increasing cost of running their practices • Increased regulatory rules and compliance requirements from CMS and the Payor organizations (i.e. P4P) • The recently based ARRA Stimulus Bill around adoption of EMRs and the associated behavioral changes • Challenges in creating the right incentive models How do you Align and Connect to your Physician Practices?
  • 10. Physician Alignment Matters Average annual revenue generated by Specialty: • Orthopedic Surgery $3.0M • Cardiology (noninvasive) $2.6M • Cardiology (invasive) $2.5M • General Surgery $2.4M • Neurosurgery $2.4M • Internal Medicine $2.1M • Family Practice $2.0M • Hematology/Oncology $1.8M • Pulmonology $1.8M • Gastroenterology $1.3M Source: Meritt, Hawkins & Assoc. and Healthcare Financial Mgt. Assoc.(HFMA)
  • 11. Consumer Trends – Nonclinical Factors How Consumers Choose Hospitals Source: The McKinsey Quarterly
  • 12. Physicians in Crisis What Doctors Are Seeking: • An American Hospital Assn. report found increased requests for jobs as well as money. During the first quarter of 2009, 56% of hospital CEOs said their facility got more physician requests for aid. • Of those CEOs: – 83% reported more physicians wanting increased pay for on-call or other services provided to the hospital. – 69% reported more physicians seeking hospital employment. – 56% reported an overall increase in doctors asking for financial aid. – 31% reported more doctors looking to sell their practices to hospitals. – 23% reported more doctors seeking to partner on buying equipment.
  • 13. Where do we go from here? • How are you responding to shifts in Consumer behavior? • Are you at risk of being ‘Commoditized’? • How will you differentiate your organization from the competition? • Do you want to strengthen you physician loyalty? • How can you reposition your organization with your target market? • Are you looking to expand business opportunities? What is Your Plan?
  • 15. What Can CRM Do To Help? CRM helps healthcare organizations manage their most valuable asset: The Physician Relationship • Target and qualify the right physicians for your organization. • Drive physician alignment through measured contact and aggressive campaign marketing activities. • Identify physician admission and procedure trends. • Understand physician affiliations and relationships. • Recognize the feedback loop and patient satisfaction efforts of the health system that need to be collected and reported back to the physician practices.
  • 16. Oracle CRM On Demand Demonstration • Physician Loyalty • Recruiting
  • 17. Physician Loyalty Analyze Research Referrals Physician and 1 Group 2 4 3 Book Appointment Understand Issues
  • 18. Recruiting Research Review specialties cardiologists 1 2 4 3 Review opportunity Target and event specific Doctor
  • 19. Benefits of Consumerism • Maximizing share of healthcare spend • Ability to expand outside of current market share • Strong Patient and Provider Loyalty • Higher level of Brand Loyalty • Increased revenue through commerce expansion • Expanded service offerings to consumers interested in my health system
  • 20. Physician Loyalty Programs Matter • Consumers are driving a change in the way they purchase/access healthcare services. • Physician partnerships are an important element to a successful consumer- oriented health system. • Physicians are looking for alignment that helps their patients and practice thrive. • Health systems that adopt consumerism elements will also drive incremental revenue and associated delivery cost savings. Let us Help You Be A Growing and Prosperous Health System
  • 22. Follow Perficient Online Perficient.com/SocialMedia Daily unique content about content management, user experience, portals and other enterprise information technology solutions across a variety of industries. Twitter.com/Perficient Facebook.com/Perficient