The Legendary Sales Leadership Letter 
 
April 14, 2009

"Success is to render more and better service than is expected of you."
~ O. G. Mandino

 

In This Issue:
Welcome
Feature Article
Sales Training Corner
Sales Tip
Sales Leadership
Ask Polly
Questions and Answers
About Us
Closing Thoughts

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Our Top Picks
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Complete AdmitRight™ DVD Set
 

 

LEGENDARY RESULTS: Managing Referrals & Increasing Admissions (Vol. 1 - Referral Management)

LEGENDARY RESULTS: Managing Referrals & Increasing Admissions (Vol. 2 - The Admissions Process)

Field Guide to Selling Hospice Services

Field Guide to Selling Home Care Services

Square One Bootcamp

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52 Week eSales Training Course

17 Proven Methods to Grow Referrals for Legendary Results in Home Care & Hospice (eBook)

 

 

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Mike's Message

Dear Friend,

Last week, while on spring break vacation with my wife and kids, I had the time to reflect on just how crazy things have been of late. With the news full of doom and gloom, we have chosen not to participate in the downturn. I have a much larger team working for me this year and we have never been busier! We are seeing tremendous success with our consulting and training clients. Polly Rehnwall has collected data from the projects we have done to rework the referral management and admission processes and the average gain over the first six months is 17% census growth. This is for those agencies that have improved their processes and attitudes.

Our sales training programs have been receiving continued strong results by the graduates. We are currently collecting data to report back to you the average increase in admissions produced during the six and twelve months following attending training. Keep tuned here for that report. Suffice it to say that all of the reports so far indicate a strong rate of success. The proof in the pudding, so to speak, are the number of companies who send EVERY one of their new sales people to the Square One Boot Camp to get them off on the right foot. The Next Step Advanced Sales Training Boot Camp looks like it will sell out early from past graduates who are ready to take it to the next level.

Enough about me. How are things going with you and your admissions? We would like to know! Please email me at mferris@simione.com with how your agency is doing this year and what you attribute your success to. We will share those results and insights in the coming weeks.

Thanks again for all of your support and friendship. I look forward to seeing many of you in Washington, DC for the NHPCO Management Leadership Conference week after next.

Best,

Mike Ferris
Director
Marketing, Sales and Customer Service Consulting Division
mferris@simione.com

Feature Article

Quality in Sales
by Mike Ferris

As an industry, home care and hospice are focused on improving quality as a continuous process to deliver the best care while being good stewards of the Medicare program. The same processes apply to sales. The answer to the question, "How do I increase my referrals?" lies, most of the time, in continual improvements in the quality of the sales program -- how well your sales people perform and their ability to continually generate more referrals, which decreases the cost of acquisition for each case.

The QIOs mission and mandate from CMS is to: measure and report performance, adopt healthcare technology and use it effectively, redesign process and transform organizational culture. Further, for home health, the QIOs have been tasked with promoting awareness and use of publically reported home health quality measures, conveying the message that some home health agencies do better than others in regards to quality measures that are important to beneficiaries and their caregivers, and promote excellence and improvement in care.

Our quality mission for the sales and marketing of home health and hospice should be based in the same essential components:

- Measurement
- Reporting
- Use of technology
- Transformation of organizational culture
- Promoting awareness of quality scores and measures in home health and hospice
- Conveying how our organization does a better job
- Promoting excellence of care for the patients and their families

Historically, there has been limited data available to benchmark sales and marketing for home care and hospice. Thankfully, that is changing rapidly and better data continues to be available. That being said, you should be measuring internally your flow of referrals, costs and results. You should know where your business is coming from and why. Have trended data showing account productivity historically. Management of the budget starts with the largest expense item: your sales people and their management. The key to success here is to measure the productivity of each sales person in terms of cost per admission.

Reporting should be empowering! The sales team should be reporting their activities and striving for continual improvement. What is measured, is achieved. The agency must also provide the sales people with reports that tell them where their admissions are coming from and where to focus their efforts.

A major trend in both home health and hospice is the implementation of CRM (customer relationship management) software solutions. Many of the major IT vendors are integrating these capabilities into their products. Other vendors are specializing in the provision of CRM software.

Cultural transformation is the necessary plan for most home care and hospice organizations -- a transformation to a customer centric, sales focused one. This starts with strong leadership, inclusiveness, management buy in, strong sales management and a companywide focus on doing what it takes to protect the agency's market share and promote home care and hospice services. Always keep in mind that one of the most important areas for admission growth is garnering the referrals that come from getting the community to expand its use of home care and hospice. These are patients that otherwise would not receive services and this is an initiative that has universal acceptance and is mission driven.

Use Home Care Compare results and other benchmarked quality measurements to tell the story to the referral partners. The real key to using data to support your sales initiatives is to make sure it is meaningful to the target market. If you are targeting cardiologists, make sure your data are related to what is important to that market. Use graphical representation, where possible, to communicate your outcomes.

One of the most important initiatives is to make sure that the entire organization knows and can communicate what makes your program special. Points of differentiation should be developed and understood by the entire organization. When I am working at a client site, frequently there is poor to no ability of the senior management, sales and referral center teams to enumerate them. If these key customer contact people cannot do so, how can we expect the rest of the organization to do so?

The sales team must work in concert with the admissions department (referral center) to manage the relationships with the referral partners.

Just as with any portion of your organization, evaluation and assessment of the current sales and referral management programs is the starting point.

Training is the number one contributing factor to a sales team that is able to continually increase the flow of admissions. Professionalism comes from knowing what to do and how to do it. Again, as with other programs, training breeds quality outcomes.

Finally, the similarities finish with ethical behavior as they do in all aspects of our business. The sales and marketing team must always act ethically and take the moral high road. A keen focus on quality in the sales and marketing area will build strong, deep relationships based on trust and value add, not superficial relationships based on donuts.

Sales Training Corner

A Few Seats Remain for May Square One Boot Camp! 

TWO DATES, TWO LOCATIONS!

If you're thinking about joining us in May for either of the Square One Boot Camps, we encourage you to RESERVE YOUR SEAT NOW as spaces are filling up quickly at both sessions!  Also, the cutoff date for the discounted room rates at the hotels in both Las Vegas and Chapel Hill is fast approaching and we don't want you to miss out!

JOIN US:

MAY 4 - 6, 2009
Rio All Suite Hotel ($99 per night)
Las Vegas, Nevada
(866) 746-7671 for reservations

For details, and to lock in a seat, click here.

OR

MAY 18 - 20, 2009
Courtyard Marriott Chapel Hill ($129 per night)
Chapel Hill, North Carolina
(800) 321-2211 for reservations

You have two registration options:

For details, and to lock in a seat with a $500 deposit (balance due on April 18, 2009), click here.

For details, and to lock in a seat with your full payment, click here.

To view a brief video of what makes the Square One Bootcamp experience so special, click here!
 

Next AdmitRight Boot Camp Scheduled for June!

June 9 - 10, 2009
Nashville Airport Marriott ($109 per night)
Nashville, Tennessee
1-800-770-0555 for reservations

To learn more about the Hospice Referrals and Admissions Boot Camp, click here.

Registration Options:

Both Days, One Person, Tuition Only - Click Here

Both Days, 2+ People, Same Organization - Click Here

Both Days, One Person, Tuition + DVD - Click Here

ATTENDANCE IS LIMITED -- THIS PROGRAM WILL SELL OUT!
 

Announcing Next Step Advanced Sales Boot Camp!

Two and one-half day Boot Camp experience open to graduates of the Square One Boot Camp and top producers.

June 22 - 24, 2009
Courtyard Marriott Chapel Hill ($129 per night)
Chapel Hill, North Carolina
(800) 321-2211 for reservations

The Experience: Each Bootcamper will submit a presentation in advance of the training along with other homework assignments. This program is for serious home care and hospice sales professionals who are ready to take their sales to the next level! As with Square One, there will be extensive video role play with the students broken into groups of home care or hospice sales professionals.

Registration Options:

To lock in a seat with a $500 deposit (balance due on May 22, 2009), click here.

To lock in a seat with your full payment, click here.

52 Week eSales Training Course

Our groundbreaking and highly-acclaimed 52 Week eSales Training Course is available for one to one hundred students. It provides a weekly lesson (takes about 30 minutes to complete) that will keep your sales team members' skills sharp. Students have said that the course supported them in becoming better at their profession, increased their referrals and forced them to review the basics. On average, our 52 Week eLearning participants have increased their referrals by over 31%!

"This course kept me focused on various points of discussion regarding referral sources, time management, and strategies to increase my business."
~ Kay Hadley -- Holy Redeemer

Special offer for Sales Leadership Letter subscribers: Enroll up to 10 students for one low price of $599 (does not include audio CDs)! Click here to take advantage of this offer.

Sales Tip

Develop Your Inside Sales Team

In addition to the outside sales team development, you must also have a highly trained inside sales team (aka intake). This is a cultural change for many organizations and the transition should not be under estimated. Too many organizations have met with big push back when they boldly introduced the "new sales program."

The inside sales team should be very good at customer service and selling. The sales skills enable them to support the outside sales team, the clinical team and the referral sources. By asking good questions, probing for needs and asking for additional referrals, the team will have more fun and generate greater results for the agency.

Some simple items to implement include building sales questions into the referral process, probing for needs, listening for cues, problem resolution and making outbound sales calls.

Simple questions added into the referral process can greatly increase the number of referrals per account. Some sample questions would include:

- Who else do you have that would benefit from our services?
- Do you have anyone else going home this week?
- Do you have any patients or families that would benefit from information about home health services (or hospice)?

The next thing to train them to do is to ask good probing questions designed to find out what is important to the referral source. If the communication is strong between inside and outside sale team members, then the inside sales person would know what they told the outside sales person in the past. Those questions may have been asked during the "courting" phase when the account was still deciding whether or not to try the agency. The answers from them as a current referral source may shed additional light on their key issues.

Problem resolution is a key component in customer service training, but it bears mentioning in the context of sales training for the inside sales team. Just as problems represent a tremendous opportunity for the outside sales team, so too do they for the inside team. In fact, the better the two teams work together when there is a problem, the better the outcomes. Problems are great excuses to have additional conversations with the referral sources, demonstrate the professionalism of the agency and to ask if they have anyone else that could use your help.

Last, but not least, making outbound sales calls can really boost the number of referrals received. The inside team should have their list of accounts to call when they have the time. There are always (even in the busiest intake departments) times when they can make an outbound call. Checking in proactively with discharge planners, social workers and other facility based referral sources will enable the agency to protect its competitive position and get more referrals. The inside sales person is helping them to do their job better, which is a definite win-win situation. They can call accounts that they haven't heard from lately and may be able to find out why easier than the outside sales person.

Implementing these simple elements will put you on the road to improved referral efficiency for the inside sales team. Training, coaching, mystery shopping, recognizing and rewarding will build the culture that delivers sales results, no matter what they call it!

Sales Leadership

Creating Excitement


An important key to increased referrals is the creation and maintenance of an agency culture that is excited about each and every referral. With excitement comes pride, with prides comes excellence, and with excellence comes sustained success. This level of excitement will spur internal as well as external referrals.

So the question is: how do I generate excitement?

First, it is important that you (as a leader) are excited and exhibit that excitement to your staff. If you don't lead by excitement, you will not generate maximum results.

Recruiting the right people is very important in the process of creating excitement and marketing program buy-in. Never compromise your standards of excellence when hiring -- you cannot afford to "just hire someone" when you need to staff a shift. Enlist your existing staff in the recruitment effort -- they will want to have the very best on their team. Once the current staff know that they are special and that their team can achieve great things, they will want to help recruit the right people to make the team the very best. This will make or break your effort at creating the culture of excitement at your agency.

Next, you must relate to each and every person on the staff individually by knowing what they find exciting. Then you must encourage them to be excited so that they create excitement for the staff that they oversee and for those that they work with. The power of the band wagon effect is not to be underestimated. People have done incredible things simply because they wanted to be part of the success!

Then it is important that you provide a way to communicate all of the exciting things that are happening at the agency. The more people that you can communicate these things to, the more people that will be excited and that will generate greater things. The greater the things that are accomplished, the greater the excitement. (Gets you excited just thinking about it, doesn't it?) See, it is working already!

By creating forums in which creativity is encouraged, the marketing program will be constantly moved forward by a team that is shooting for the stars. Your team will be unstoppable because they believe. They will overachieve at every juncture because it is the very nature of your agency's culture to do so.

Goal setting is extremely important to the long-term success of the agency's marketing program. Having goals that are set by the team and then publicly exceeded will generate more excitement. More excitement will generate greater results and so on and so forth.

How best to communicate all of the exciting things going on at the agency? Start with a newsletter. Set-up a big bulletin board to constantly update the success of the agency. Make the attainment of the goals a very public process and you will find that there are more people adding to the effort to meet and exceed these goals. Keeping your agency goals private will not add any empowerment to the staff.

Finally, make it all a lot of fun! Make it exciting to be successful and you will find your staff leading the way. You will find yourself having to hold your tongue lest you temper their enthusiasm for setting very ambitious goals.

Keep it exciting and the return on your marketing investment will be that much greater!

Ask Polly

Take the "Eventness" Out
by Polly Rehnwall

The scenario. You walk into the patient's room amid a sea of family members all talking at once and scared about what happens next. You start answering all their questions because you think that's the only way to get them to listen. And before long, you're in there for an hour getting sucked further into the vortex of indecision and confusion. You come out of the room as drained as they are and with no consent for hospice.

Part of the problem is our inability (or unwillingness) to manage the visit from the outset.

The problem. But before we can solve the patient's dilemma, we have to solve our own. The problem is that the physician or discharge planner (or other referral source) has spoken with the patient or family first and used the infamous "end is near" phrase: "it's time for hospice." They might as well have drawn the black curtain of doom and called it a day. No wonder everyone is falling apart!

And forget about educating the referral source on how to introduce hospice. It's a noble effort, but the reality is it just isn't very effective.

What can be effective is how we can help the patient and family recover from the doomsday scenario so that we can actually get them some timely care.

Step 1: Take control. When you walk in the room and before the bombardment begins, take control. Here's how:

"I know you have lots of questions and we'll get to that. First, let's talk about what happens in the next few days as your dad is getting ready to go home."

You've just taken the first step to take the "eventness" out of the situation. Notice the emphasis on two key issues: the next few days and going home. Both are focused on the immediate future, not the distant past of medical history or the unknown 6 months ahead.

By taking control, you're focusing the family on what happens tomorrow, not what happens next week or next month. In doing so, you've made this huge event into a much smaller next step.

Step 2: Make it small. Making a decision about hospice might be too big today. But making a decision about getting settled at home for the next week until they see the doctor and can talk more about further treatment isn't so overwhelming. Some talking points:

"Let's do this. Let's help get your dad home and get some services in to make sure he's comfortable while he's recuperating from his hospital stay. We can also get you some help so that you get a chance to recuperate too.

Let's plan on it for a few days until he sees the doctor next week. Then if you decide on a different course of treatment, it's no problem for us. We'll just bow out until you need our services again."

Step 3: Keep it small. If they agree, but then start to go down the "what if" path further, help them remain focused on one step at a time. Remind them that they'll have plenty of time once they're home to sort out their options and talk things over, and that you and the doctor will be there to help them with that. 

Questions & Answers

In each Legendary Sales Leadership Letter, we answer your questions. Send them to us or call (800) 653-4043 and we'll make sure that yours are answered in a future issue.

Here are this week's questions answered:

Question:

How do you handle someone who does not seem to care about the quality of care?

Answer:

Everyone has different views on the importance of quality. The first thing to remember is that there is a presumption of quality for home care or hospice. For the most part, there is quality care being provided (even by your competition). How they express their interest in quality or how they manage their patients is not ours to judge. You should, however, be able to recognize when this is a hot button and when it's not. If it is not, then all of your work to present the case for quality will not represent a good investment of your time and talents.

Question:

Objections challenge me daily and I am becoming a stronger individual and continuously equipping myself with knowledge, new things, etc. However, at times objections can really drag you down. Do you have any secret how to handle them and not have them get you down?

Answer:

What an excellent question. Here are several ways to keep objections from ruining your day:

- Make it a game -- have fun handling each objection! This breeds a "bring it on" attitude that will serve you well. It also builds confidence and makes you appear better prepared.

- Make a list of your top six objections and practice the answer to each. Anytime you have a new one pop up, you can add it to the list and practice answering it. My belief is that there are six objections that will make up 90% of those that you will hear.

- Remember that "this is exactly why you are here!" If you didn't get them to raise their objection, they would have either not used your services or had patients that went without.

- Smile, breathe, and remember that if you can help them overcome their objections to referring to home care or hospice services, the benefits to the patients and their families are immeasurable.

Remember that no matter how well prepared you are, there will always be the unexpected objection that comes out of the blue. Smile and compliment the other person on coming up with an excellent and unique perspective. Then proceed to find out why they raised the objection and help them find the best answer.

About Us

Marketing, Sales and Customer Service Consulting Division

Supercharge Your Referrals, Revenues and Profits!

Headed by two industry powerhouses -- Michael Ferris and Polly Rehnwall -- Our Marketing, Sales and Customer Service Consulting Division is designed to give you the easiest experience possible by providing the most comprehensive solutions to supercharge your referrals, revenues and profits!

If it only took one phone call to deal with all your marketing and sales needs, would you make it?

In an environment of growing competition and shrinking margins, you have to increase volume and improve market share in order to be successful. That means having a skilled sales team, quality marketing strategies and a customer service model that improves your conversion of referrals to admissions.

With every type of solution we provide, you won't just beat the competition -- you'll establish your competitive advantage for years to come!

Our Proven Process:

- Evaluate and assess talent, model and process
- Design customized solutions
- Assist with implementation
- Coach your staff
- Train your sales people
- Support your organization's continued success

Delivering optimal results begins with an evaluation of your sales, marketing and customer service program in order to design solutions custom tailored to your agency and your area. Our experts know home health and hospice, bringing years of marketing and sales experience and best practices to you.

Customized Solutions:

Have one or a few specific needs? We can guide you through creation and implementation quicker and with more success than anyone else. Below is just a small sample of our capabilities:

- On-site Sales, Marketing, or Customer Service Consulting and Training
- Referral and Admission Management Consulting and Training
- Square One Sales Boot Camp
- Marketing Program Development
- Interview Sales Candidate Video Training / Corporate Videos
- Collateral Materials, Sales Letters, and Advertising Consulting
- Mystery Shopping / Market Analysis

With just one phone call, you can tap into all the resources and knowledge of the home care industry's touchstone consulting powerhouse -- Simione Consultants.

We have an ability no other company can offer -- the only one-stop shop to handle all your marketing and sales needs.

Simione Consultants, LLC was the first organization of its kind dedicated entirely to home care -- a commitment we continue to maintain today. For more than 40 years, we have demonstrated we understand and are responsive to the changing and diverse business needs of home care and hospice organizations.

Value Driven, Success Outcomes

More than 800 home care organizations have trusted the team of experts at Simione Consultants, LLC to get them through the challenges of yesterday and today, and to gain the leading edge for tomorrow. We provide expert assistance to hospital-based and hospital-affiliated agencies, visiting nurse associations, hospices, small proprietary agencies, and large national chains. The size, capabilities and commitment of our uniquely qualified consulting staff offer unparalleled industry insights and innovative yet practical solutions. Our track record of engagements with successful client outcomes is unmatched.

Closing Thoughts

Congratulations to Michigan State, Villanova and Connecticut for making the Final Four. And, of course, congratulations to the NCAA Women’s Basketball Champions from UCONN.

Now it's time for the Stanley Cup playoffs to begin! Good luck to all of your teams.

Happy Selling!

This newsletter and all content and information contained herein are the property of Simione Consultants, LLC and may not be reproduced in any form without the express written consent of the publisher.

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(203) 287-1309 FAX

176 East Main Street, Unit 8 | Westborough, MA 01581 | (800) 653-4043 | (508) 366-7409 |
(508) 870-5587 FAX

Copyright 2009 | Simione Consultants, LLC | All rights reserved.

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