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The emergence of the hospital concierge

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Search Google for the term "hospital concierge service" and you'll be flooded with links to such programs. Over the past couple of years, a growing number of hospitals have been running with the concept, borrowed from the hotel industry, under which consumers get a helping hand with the logistics of their visit.

Take USC University Hospital's concierge desk, which helps patients arrange hotels or long-term housing, transportation to and from airports, car rentals, business services, personal care services like spa and hairdressing appointments and even help with tourism and entertainment.

Particularly for facilities that get a lot of out-of-town visitors, having at least a small concierge staff makes a great deal of sense. After all, they share many of a hotel's logistical problems--large facility, complex services, often-disoriented visitors away from home--and increasingly, are focused on giving patients a hotel-style feeling of comfort as well. What's more, if hospitals don't want to train and staff this function, they can hire outsiders like the Corporate Health Group to plan and implement a concierge program.

Right now, concierge desks focused entirely on hotel-like supports. As a next step, what if concierge desks also included a skilled staff member capable of helping patients understand insurance issues? Right now, most patients interact only with a bored, low-skilled registration desk worker with little incentive to offer warm fuzzies to patients or spend a lot of time on education. In the future, as more patients cope with high-deductible plans, having a chance to discuss fees and benefits with a trained, sympathetic contact could to much to help patients feel in control.

Ultimately, there's little doubt that hospitals benefit when patients are comfortable and calm--so why not be creative with your concierge desk? At the moment, hospitals may think of this function as a nice add-on, but in the future, I'd argue, they should grow to more of an information hub complete with Internet stations, clinical literature, toys for kids and more. The key is to put yourself in the patient's shoes. Next time you're overwhelmed by your own contacts with the health system, you may want to take a few notes. - Anne

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I left a busy group practice in Fort Myers, Florida in 2005 to start my house-call based concierge practice. Originally I tried to deal with insurances but since none pay for house-calls, and Medicare only reimburses minimally, I couldn't make it viable. In our area it's not uncommon for me to drive 30-45min between visits and I typically spend 45-60min with a patient. Hence I was drawn to the concierge business model. I am still the ONLY concierge physician in South-West Florida exclusively making house-calls in Lee and Collier counties.
No mistake, my services are a luxury item and convenience for most of my patients. I charge $2000-$6000 a year per person, depending on age, size of family, and location.
I know it's not the answer to our health care crisis, but I certainly love my job again! Besides I get to see my kids more.
Two other key points for the lay-person to understand. Just because I charge above what insurance pays, doesn't make me rich. I actually made less than our city pays bus drivers for the past 2 years, although admittedly the potential is significant. Also, even though most of my patients are the "rich and famous" of our area, doesn't absolve me or any concierge physician of our responsibility to the community. In fact this is a responsibility of each of my patients as well.
I continue to be an active office in the US Army Reserve, chair the Health Advisory Committee of the Lee County School District, volunteer as a Guardian ad Litem serving abused and neglected kids, teach Head Start program moms about child care, etc...
No, concierge medicine isn't for everyone, but it certainly has worked for me and my patients.

Andrew Oakes-Lottridge, MD
Personalized Health Care, Inc.
(239)694-6246
www.DrAndy.us

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