It's A Matter of Trust
 


 


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Building Trust - The Number One Key for Future Consideration

I was reading a weekly column from noted coach and businessman Harvey Mackay.  He contended that trust is the most important word in business.  It gets to the point that people buy from people not from companies.  We know we are in a business (and it is a business healthcare) where people don't want what you offer and it may be years before they need it.

There are studies upon studies that demonstrate how people choose hospitals for example.  Physician recommendation is first usually followed by recommendations of friends and relatives.  But how do people find a primary care physician?  Usually through word of mouth from people they trust.  So there is that word again.

As health care entities how do we start to build trust?  I would contend first and foremost that you need to humanize the big institution that you represent.  As a former chief marketing officer for a hospital in NJ, I came into the position with a challenge.  The hospital had been for profit and their idea of community involvement was none at all.  The mentality was that "we are paying our taxes so leave us alone."  Dilemma was that the competition was eating our lunch.  And now as a not for profit we were tied at the hip with a sister hospital that faced closing.  More than ever we needed to tell our story. 

Did we use billboards or fancy advertising?  No.  Simply the strategy was to involve our senior team, and all levels of the organization, in the community. Yes simple things like joining the Chamber of Commerce, rotary, all made a difference.  Because now the community saw that there were real, living, human beings behind the stark cold walls of the hospital.  In the end when we had to make hard decisions on the closing of our sister hospital, the community understood.  They shifted services to the remaining hospital not the competitors.

So how can you start to build trust?

  1. Transparency: do you promote transparency at all levels?  This is not just quality and price transparency but simple things like publishing the emails and phone numbers of senior staff so people can contact them directly.  CEO blogs promote transparency.  Take a lesson from Paul Levy, CEO of Beth Israel Deaconess Medical Center in Boston.  His hospital has suffered through some costly medical errors.  While these same errors have happened at countless hospitals, they usually are not revealed until the lawsuits starts flying.  Levy addresses these in his blog, Running a Hospital, warts and all.  In the end this builds trust and confidence even from the very situations that might otherwise not.  For a great article on CEO transparancy check out Wired Magazine.
     

  2. Data Collection: I preach a lot about how organizations can leverage word of mouth for strategic gain and trust building.  Data collection can aid this.  Let's not talk CRM but anecdotal and observational information.  What do you really  know about the people you care for? Give you an example.  I had an endoscopy recently.  And before I went under I was talking to the staff about what I did and we happened to get into the fact that I sang and one of the staff sang as well.  So when I received a thank you note from the team they mentioned that little tidbit. Made me feel special.  Built my trust. And if I go back they will probably have a record of it and mention it again.
     

  3. Monitor: there are people out there talking about you.  Just ask the community hospital in Paris, Texas.  They have a not so kind blogger who has a site called the http://www.the-paris-site.blogspot.com/. Check it out.  How do you react to the blogosphere and establish relations?  Appoint someone who scans the Internet regularly and responds and participates in the discussion.  Comcast has been famously using Twitter as a device to respond directly to customer concerns and complaints.  Creates trust.
     

  4. Create Community: Harley has an annual road rally. I have talked to people who have attended.  It is not about Harley as much as it is about bringing people together, stepping out of the way and letting them talk to each other.  In the end they remember who brought them together.  Shouldice Hospital is Canada has this down to a science.  An annual patient reunion dinner attracts 1,000 people.  At one hospital we staged a Bicycle Safety Day that brought numerous constituents together.  As CMO I grew tired of it and tried to ditch it.  The community said no way.  Community is also about groups on Linked In and Facebook.  Let people meet and move out of the way.  Builds trust.
     

  5. Adopt Causes: adopt causes that are strategic to your services. So an orthopedic service line or a long term care facility might adopt fall prevention as a cause (not the season!).  Sounds counter-intuitive but if you can keep people healthy and in a quality of life longer inevitably something will happen to someone and they will need that knee or hip replacement and rehabilitation.  Who will they look to first?  The people that tried to keep them healthy longer.  Builds trust.

Trust is key.

As Mackay pointed out, Wayne Huizenga, the only person in history to have founded three Fortune 500 companies (Blockbuster, Waste Management and AutoNation), knows plenty about building trust. He says: "I don't want to be just a voice on the phone. I have to get to know these guys face-to-face and develop a sincere relationship. That way, if we run into problems in a deal, it doesn't get adversarial. We trust each other and have the confidence we can work things out."

So how do you build trust in your own life and as an organization?  Trust is built and maintained by many small actions over time, the tipping points for choice.

 

 

 

@Copyright 2009, Fast Forward Consulting
cirillo@4wardfast.com