I've been spending more of my mental energy on the subject of marketing lately than I would like. This GruntDoc post of a cartoon that shows what happens when Dilbert's doctor meets a typical drug rep sums up my dilemma well.
I'm not going to go into the specifics of my situation, but did want to reflect on this side of the hospice business since it has largely been ignored on this blog. I would like to be a hospice nurse, chaplain, social worker, admission coordinator, or volunteer coordinator, but you couldn't pay me enough money in the world to be a hospice marketer. Think about what that job entails, and tell me you want the job.
First, a hospice marketer has to be a marketer. I get mad when I'm in the waiting room of a doctors office and a drug rep comes through. I have all the respect in the world for doctors and their staff because there has not been a wave of attacks on drug reps. As a guy, it was drilled into my head that no means no. Somehow drug reps never got that lesson. "Yes, I know the doctor is back there working hard to heal people, but I must see him because (pick one) I'll get fired if he doesn't sign this paper, the samples I have will bring peace to the mideast, he loves to look at my cleavage, he promised last week that if I'd leave him alone he'd let me bug him again this week, I know he loves coffee so I brought him his 4,826th coffee mug of the year, . . . Doctors should start a group blog to tell the world all the funny stuff marketers have said at their office. Hospice marketers must do the exact same things that the drug reps do but with a smaller budget.
Second, they have to market hospice. Please stop for a minute and try to think of what you would say during the thirty seconds you get in front of a doctor. You have fought the good battle and gotten past the receptionist (who is paid a bonus for every marketer she can make leave without talking to the doctor) now you get to see the doctor. He walks out of an exam room, tells the nurse what to do for the patient he just saw, starts walking toward the next exam room and indicates without speaking that you have from now until he reaches the door to say your piece. You have 30 seconds to get him to tell you the name of a dying patient that you can take care of; what would you say? "Hey doc, any of the people who have come to you for healing ready to be shown that you are not in fact God?" or "I hear rumor that you've got a patient at the hospital who's in bad shape. How about telling she and her three children that she's going to die so that I can meet my quota and get my quarterly bonus." Seriously, what can you say that the hospice rep who talked to the doctor yesterday (and had better cleavage than you) didn't say? Hospice is not something that should be sold in this way.
Unfortunately, my money driven competition doesn't see it this way, and to stay alive I'm going to have to enter their game. Now, how do you hire a marketer when you really don't like marketers? That's my issue today. I've interviewed a marketer who has experience and, more importantly, contacts that my company could really use. She is qualified and wants the job. Yesterday, I cold called a friend who I have not talked to in a long time. She has the personality of a marketer but the heart of a saint. I'm taking her to lunch today to convince her that she should leave her current office management job and be my marketer. I have no doubt that the candidate who thinks she has the job would bring in more patients than my friend, but I know my friend will not ruin my reputation or her own while doing her job. Hospice isn't something that should be sold like a used-car, and I refuse to forget that.
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36 comments:
It sounds like marketing is a necessary evil.
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You've summed it up well. But you may have forgotten one thing. What about the part where "the money-driven competition" buys their referrals from doctors... Oh, sorry, I meant, pays them as medical directors.
Thanks for not sinking to their level.
currently am researching the hospice marketing issue for a class and see that it truly is an ethical dilemna; a bit like vultures, waiting to pick the remains. A hospice marketer has to first and foremost believe in the philosphy of the program to sell it to others. Hope your friend does well.
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I am a hospice marketer for a not for profit hospice. I like to think of myself as a liason between the physicians offices and their patients. I do not market or sell hospice. I sell a relationship between myself and the physicians office. I never walk in unless I have specific patient information to talk with them about. I also do not drop off pens or notepads or coffee cups either. I am strictly the out of office partner for the docs.
I am a hospice marketer and I would have to agree with your blog. I feel however, that marketing hospice is important so that physicians will know there is a choice of service. I don't think that aggressive marketing is appropriate at any time...but rather a relationship building approach. As for the medical director, I believe it is important to have a physician on your team to address the medical issues as hospice is holistic care..physical, mental, spiritual. If you can find a physician that will volunteer their time...point them my way. All in all there is a thin line and I do agree some hospices push the envelope which makes it bad for all of us.
I hated this post and loved it as well. The people who posted self promotional comments are the exact reason that marketers get a bad reputation. I am a hospice marketer. I do not ask to see the doctor during patient time unless there is a hospice patient crisis in need of discussion. To market to the physicians I do take them lunch and provide a presentation about our services and address the many misconceptions of hospice. 50% of my referrals can be directly traced to community events and presentations. My favorite presentation is on advanced directives and 5 Wishes in particular. In order to do my job, I still must visit the doctor's offices. So how do I market without being perceived as a used-car saleperson? I try to deliver reading material that is short and to the point regarding hospice. I develop relationships with office staff so that they are comfortable asking me for hospice advice. This is a great blog for hospice marketers to discover what their peers are doing that promotes and does not tarnish the wonderful services hospices can provide. Apparently by using the word "marketing", 500 spammers and ruthless advertisers take advantage. Perhaps you could start a new post for us "marketers". In the mean time I am glad to see you are moderating comments to help eliminate the problem.
I am a hospice marketer. I am an RN, CHPN, a mentor of new reps and I love what I do. I am proud of what I do! I don't sell I educate and I am more then happy to assist the patients through the maze and help the family understand their choices. There are benefits to the residents the families facilities and community to have hospice care at the bedside. Say what you will if you hire a used car salesman you will get that sales mentality. I am here to help to consult and offer options during the most difficult time in someones life. Give some of us credit not a bad rap!
It is sad that you only see what you want to see about hospice "marketing" we hospice marketers are far from vultures. We are many times the greatest resource a patient and family has. I am proud of what I do and very very passionate about hospice care. I believe that every person facing end of life issues deserves and has a right to excellent care from a hosice organiztion. There is a difference in hospice organizations and if you work in one you would see and know that. I believe that many patients we bring into our care would not know about hospice or receive a referral from a physician if it weren't for hospice "marketers". Please take time to meet some and get to know them before you conclude that all the work done by the marketers is for not and only vultures looking for the latest prey.
I too am a hospice marketer. I am actually the director of marketing which I guess to some would make me the top "vulture". I love what i do. I have always been a compassionate educator on every service I have marketed. And that's what it boils down to; education. I find great joy in educating my community and the physicians on the benefits of hospice care along with the patients choices. I do not like to be compared to a used car salesman mostly because I am not selling, I am offering our services. I would love to see a blog that allow us hospice marketers to come together and share ideas. Let's work on that and leave the negativity where it belongs. As I tell my children, there will always be someone who doesn't like you for some reason, but if you believe in what you're doing and feel it is the right thing for you then keep at it and do your best!
I have been in my job as Community Liaison of a local, non-profit hospice for about 9 months now.
At first I was very reluctant to take the job for the reason that many post--it would be viewed and is viewed as the equivalent of an ambulance chaser/vulture-type position. On the contrary, I have found the position to be one of great satisfaction. I have always tried to view my position as one who is helping to educate the public as well as physicians and their staff about the benefits of hospice, how to access it, what it covers, who qualifies, etc.
Maybe this is wrong, (and if my boss reads this, she may not appreciate it!) but often when I have done programs/presentations to facilities/senior centers, they don't always know which hospice I represent. I don't go into educational programs trying to market MY hospice, but yet educating them about what hospice is and how it is has changed over the years. I have also done programs on advance directives programs such as "The Five Wishes".
Recently, after one of my presentations, I had one woman come up to me in the midst of getting a tour. She said, "honey, you never really told us much about your hospice." I told her I would be happy to leave specific literature about my hospice, but really the point was not to "sell" them on MY hospice, but educate them about what hospice is, and what to look for in hospice, etc. I think the Director of that facility was very impressed and truly appreciated this.
Anyway, it made me feel good. I think eventually that sort of thing comes back tenfold.
Those of us who are in it for the right reasons and do it with the public's best interest in mind, need to stick together!
Keep up the good work folks!
Hello, I am currently a marketer for a small hospice in california. I agree with everything you have said about teh pharm reps, they in certain areas control much of the dispensing doctors do regardless if the doctor likes them or not. Just to be clear, there are still marketers out there with a conscious...myself being one of them.
All marketing, not just hospice is grueling work. If your heart is in what you believe then you will do well. I truly understand what Hospice is, it brings relief to those who have a dying love one in their home who for what ever reason cannot take care of their loved one, the finances, the legal aspects and the family grief all on their own.
Still there are those who use any avenue to get what they want. As a marketer I am proud of the ethics that I uphold as well as our company. Great blog, keep up the good work.
Hi. I am a hospice marketer and you are correct that there are some in the industry that conduct themselves in unprofessional ways and will do "whatever it takes" to get the referral. That being said, there is a whole different group of "marketers" like me who focus primarily in education as a means of marketing. The thing about hospice is that you are not "selling" a bill of goods to someone who doesn't want it. The need is already there - just most people don't really understand hospice. Most people are actually very confused about what hospice is and especially about criteria for receiving hospice services. Granted we must still do the cold calls to the doctors office, but that is just a necessarily evil for the entire healthcare industry. We get our name out there by putting on Continuing Education classes for RNs, Social Workers, and Certified Case Managers. This has become a huge asset for our company and creates an identity for us as the leader in educating the community. This is how marketing should truly be done. Thanks so much for your blog. I really enjoy reading it.
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