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Managing the Mayo Clinic brand: a case study in staff-developed service performance standards

  • Denise M. KennedyEmail author
Original Article
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Abstract

One goal of healthcare reform in the USA is to increase the availability of quality and patient satisfaction data to help consumers choose their hospitals and doctors. This increased transparency is meant to encourage consumers to shop for health care by researching reputation, quality, price, and patient satisfaction. A strong healthcare brand, combined with a superior patient experience provided by skilled frontline service performers, can influence consumers’ healthcare choices in this highly competitive market. Through qualitative inquiry, this case study explores the reasons for service quality variation on the front line. Facilitated roundtable discussions were used to help staff define their own role-specific service performance standards and positively influence brand perception and value through improved frontline staff service performance. These methods for engaging frontline staff improved their understanding of service performance expectations, their awareness of important internal customer groups, and their self-reported willingness to serve. This case study approach to improve the patient experience may be useful to other healthcare organizations navigating an increasingly value- and consumer-driven healthcare market.

Keywords

Healthcare brand management Frontline staff service performance Service standards Service quality Patient experience 

Notes

Acknowledgements

The author gratefully thanks the anonymous reviewers for their help in refining this manuscript.

Compliance with ethical standards

Conflict of interest

As the sole and corresponding author, I (the author) state that there are no conflicts of interest.

References

  1. Agency for Healthcare Research and Quality (2014) CAHPS Adult Hospital Survey. https://www.ahrq.gov/cahps/surveys-guidance/hospital/about/adult_hp_survey.html. Accessed 5 July 2018.
  2. American Hospital Association (2013) Checklists improve patient safety. https://www.aha.org/chairpersons-file/2013-07-01-checklists-improve-patient-safety. Accessed 5 July 2018.
  3. Baum, N., and J. Segal. 2014. Lessons learned from the restaurant industry: What outstanding waiters and waitresses can teach the medical profession. Journal of Medical Practice Management 29(6): 391–393.Google Scholar
  4. Bernard, H.R. 1994. Research methods in anthropology: Qualitative and quantitative approaches, 2nd ed. Thousand Oaks: Sage.Google Scholar
  5. Berry, L. 2000. Cultivating service brand equity. Journal of the Academy of Marketing Science 28(1): 128–137.Google Scholar
  6. Berry, L., R. Castellani, and B. Stuart. 2016. The branding of palliative care. Journal of Oncology Practice 12(1): 48–50.Google Scholar
  7. Berry, L., and S. Lampo. 2004. Branding labour-intensive services. Business Strategy Review 15(1): 18–25.Google Scholar
  8. Berry, L., and A. Parasuraman. 1991. Marketing services: Competing through quality. New York: The Free Press.Google Scholar
  9. Berry, L., and K. Seltman. 2008. Management lessons from mayo clinic. New York: McGraw-Hill.Google Scholar
  10. Bosko, T., M. Dubow, and T. Koenig. 2016. Understanding value-based incentive models and using performance as a strategic advantage. Journal of Healthcare Management 61(1): 11–14.Google Scholar
  11. Brakus, J., B. Schmitt, and L. Zarantonello. 2009. Brand experience: What is it? How is it measured? Does it affect loyalty? Journal of Marketing 73(3): 52–68.Google Scholar
  12. Chahal, H., and M. Bala. 2012. Significant components of service brand equity in healthcare sector. International Journal of Health Care Quality Assurance 25(4): 343–362.Google Scholar
  13. Cresswell, K., A. Slee, J. Coleman, R. Williams, D. Bates, and A. Sheikh. 2013. Qualitative analysis of round-table discussions on the business case and procurement challenges for hospital electronic prescribing systems. PLoS ONE 8(11): 1–10.Google Scholar
  14. Cross, A. (2010) Key elements of a strong brand. Do you have all 5? https://www.annemariecross.com/key-elements-of-a-strong-brand-do-you-have-all-5/. Accessed 5 July 2018.
  15. Darby, M., and E. Karni. 1973. Free competition and the optimal amount of fraud. Journal of Law and Economics 16(1): 67–86.Google Scholar
  16. Drake, S., M. Gulman, and S. Roberts. 2005. Light their fire: Using internal marketing to ignite employee performance and wow your customers. Chicago: Kaplan Publishing.Google Scholar
  17. Gapp, R., and B. Merrilees. 2006. Important factors to consider when using internal branding as a management strategy: A healthcare case study. Journal of Brand Management 14(1–2): 162–176.Google Scholar
  18. George, M. 2003. Lean six sigma for service: How to use lean speed and six sigma quality to improve services and transactions. New York: McGraw-Hill.Google Scholar
  19. Gronroos, C. 1984. A service quality model and its marketing implications. European Journal of Marketing 18(4): 36–44.Google Scholar
  20. Heskett, J., W. Sasser, and L. Schlesinger. 1997. The service profit chain: How leading companies link profit and growth to loyalty, satisfaction, and value. New York: The Free Press.Google Scholar
  21. Hunter, A., P. Lusardi, D. Zucker, C. Jacelon, and G. Chandler. 2002. Making meaning: The creative component in qualitative research. Qualitative Health Research 12(3): 388–398.Google Scholar
  22. Institute for Healthcare Improvement. Science of Improvement: Testing Changes. http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx. Accessed 1 July 2018.
  23. Kaplan, G., G. Bo-Linn, P. Carayon, P. Pronovost, W. Rouse, P. Reid, and R. Saunders. (2013) ‘Bringing a systems approach to health.’ Discussion Paper, Institute of Medicine and National Academy of Engineering, Washington, DC. Available at: www.nae.edu/File.aspx?id=86344. Accessed 6 July 2018.
  24. Keller, K. 1993. Conceptualizing, measuring, and managing customer-based brand equity. Journal of Marketing 57(1): 1–22.Google Scholar
  25. Kemp, E., R. Jillapalli, and E. Becerra. 2014. Healthcare branding: Developing emotionally based consumer brand relationships. Journal of Services Marketing 28(2): 126–137.Google Scholar
  26. Kennedy, D. 2017. Creating an excellent patient experience through service education. Journal of Patient Experience 4(4): 156–161.Google Scholar
  27. Kennedy, D., R. Caselli, and L. Berry. 2011. A roadmap for improving healthcare service quality. Journal of Healthcare Management 56(6): 385–402.Google Scholar
  28. Kennedy, D., R. Didehban, and J. Fasolino. 2014. Creating and sustaining a culture of accountability for patient experience. Patient Experience Journal 1(2): 46–52.Google Scholar
  29. Martin, G., D. Kocman, T. Stephens, C. Peden, and R. Pearse. 2017. Pathways to professionalism? Quality improvement, care pathways, and the interplay of standardisation and clinical autonomy. Sociology of Health & Illness 39(8): 1314–1329.Google Scholar
  30. Mayo Clinic Arizona. Ongoing Patient Satisfaction Survey Data gathered between July 2015 and July 2016.Google Scholar
  31. Mayo Clinic Model of Care. http://history.mayoclinic.org/toolkit/mayo-clinic-model-of-care.php. Accessed 6 Oct 2018.
  32. Mazur, L., J. McCreery, and L. Rothenberg. 2012. Facilitating lean learning and behaviors in hospitals during the early stages of lean implementation. Engineering Management Journal 24(1): 11–22.Google Scholar
  33. Merriam, S. 1998. qualitative research and case study applications in education: Revised and expanded from case study research in education. San Francisco: Jossey-Bass Publishers.Google Scholar
  34. Nicolay, C., S. Purkayastha, A. Greenhalgh, J. Benn, S. Chaturvedi, N. Phillips, and A. Darzi. 2012. Systematic review of the application of quality improvement methodologies from the manufacturing industry to surgical healthcare. British Journal of Surgery 99(3): 324–335.Google Scholar
  35. Normann, R. 2001. Service management: Strategy and leadership in service business. Hoboken: Wiley.Google Scholar
  36. Oliver, R. 1997. Satisfaction: A behavioral perspective on the consumer. Boston: McGraw-Hill.Google Scholar
  37. Parasuraman, A., L. Berry, and V. Zeithaml. (1990) ‘An Empirical Examination of Relationships in an Extended Service Quality Model.’ Cambridge, UK: Marketing Science Institute Research Monograph. Report No. 90–122.Google Scholar
  38. Parasuraman, A., V. Zeithaml, and L. Berry. 1985. A conceptual model of service quality and its implications for future research. Journal of Marketing 49(4): 41–50.Google Scholar
  39. Piehler, R., C. King, C. Burmann, and L. Xiong. 2016. The importance of employee brand understanding, brand identification, and brand commitment in realizing brand citizenship behaviour. European Journal of Marketing 50(9/10): 1575–1601.Google Scholar
  40. Porter, M., and E. Teisberg. 2006. Redefining health care: Creating value-based competition on results. Watertown: Harvard Business Review Press.Google Scholar
  41. Ragone, N. 2018. Brand experience: Keeping our promise to those we serve. Modern Healthcare 48(23): 27.Google Scholar
  42. Reichheld, F. 1996. The loyalty effect: The hidden force behind growth, profits, and lasting value. Brighton: Harvard Business School Press.Google Scholar
  43. Schrijvers, G., A. van Hoorn, and N. Huiskes. 2012. The care pathway: Concepts and theories. An introduction. International Journal of Integrated Care 12(6): 1–7.Google Scholar
  44. Skaalsvik, H., and B. Olsen. 2014. Service branding: Suggesting an interactive model of service brand development. Kybernetes 43(8): 1209–1223.Google Scholar
  45. Smoldt, R., and D. Cortese. 2007. Pay for performance or pay for value? Mayo Clinic Proceedings 82(2): 210–213.Google Scholar
  46. Srivastava, R., and G. Thomas. 2010. Managing brand performance: Aligning positioning, execution and experience. Journal of Brand Management 17(7): 465–471.Google Scholar
  47. Stake, R. 1995. The art of case study research. Thousand Oaks: Sage Publications.Google Scholar
  48. Wallace, E., and L. de Chernatony. 2008. Classifying, identifying, and managing the service brand saboteur. The Service Industries Journal 28(2): 151–165.Google Scholar
  49. Wegge, J., R. Van Dick, G. Fisher, C. Wecking, and K. Moltzen. 2006. Work motivation, organizational identification, and well-being in call centre work. Work & Stress 20(1): 60–83.Google Scholar
  50. Wolf, J., V. Niederhauser, D. Marshburn, and S. LaVela. 2014. Defining patient experience. Patient Experience Journal 1(1): 7–19.Google Scholar
  51. Xiong, L., C. King, and R. Piehler. 2013. That’s not my job: Exploring the employee perspective to becoming brand ambassadors. International Journal of Hospitality Management 35(1): 348–359.Google Scholar
  52. Yin, R. 2009. Case study research: Design and methods. Thousand Oaks: SAGE Publications.Google Scholar
  53. Zidel, T. 2006. A lean guide to transforming health care: How to implement lean principles in hospitals, medical offices, clinics, and other health care organizations. Milwaukee: ASQ Quality Press.Google Scholar

Copyright information

© Springer Nature Limited 2018

Authors and Affiliations

  1. 1.College of Health Solutions, Science of Health Care Delivery, Arizona State UniversityPhoenixUSA

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