Marketing disciplines are not applied as effectively in senior living
communities in general, and assisted living in particular, as in many
other businesses. Assisted living managers have grown up, so to speak,
in a business environment where fiscal management was far more highly
valued than marketing ability. Furthermore, many senior living communities
were new to the marketplace, and there were minimal direct competitors.
Only recently have absorption rates started to slow with higher penetration
of assisted living, spawning much more aggressive competition. This
has led to increased interest in marketing - and some wasteful mistakes.
"We've tried advertising, and it doesn't work!" Or my personal
favorite, "We had to fire our sales rep. She didn't produce!"
Marketing is the management of the interaction between an organization
and its markets. This definition holds true if the organization
is for-profit or not-for-profit, retail, manufacturing or service
based. How your organization manages its interactions with decision
makers, residents, the local community leaders, doctors and others
defines your marketing. A "market" is any group who might
refer to each other about your community. Family members is a distinct
market from hospital discharge planners, and doctors is a distinct
market from estate attorneys.
Considering this definition, it can be seen why marketing is concerned
with a broad array of organizational functions. There are traditionally
5 "Ps": Product (what are you offering?), Placement (where?),
Pricing (how much?), Promotions (how do you promote yourself?),
and Position (what do they think about you?). In addition to the
usual and generally well accepted roles of advertising, public relations
and sales, marketing must be concerned with such things as how the
phones are answered, what the stationery looks like and even how
the bills are presented. Virtually every form of communication and
interaction your community has with any of its markets helps or
hurts your marketing.
Having defined what marketing is, let's go on and make a further
statement that marketing is a science. The disciplines of marketing
are based on substantial observation and experience, and there is
a wide variety of marketplace phenomenon that are predictable. For
example, many of you receive a Publisher's Clearinghouse Sweepstakes
letter. These letters represent carefully developed direct marketing
and are built on experience and data that has been tested and re-tested.
The response rate for these mail pieces can be predicted with great
accuracy. Direct mail, specifically the Publisher's Clearinghouse
letters, is used here as an example of empirical (observed) data
applied to marketing.
Marketing science in the assisted living setting contains a complexity
that goes well beyond the usual marketing challenges. Because the
"product" (assisted living services) can't be inventoried
and controlled for consistency, each unit of service - each service
experience - is a unique event. There are, however, service characteristics
which can be reproduced or discouraged through training. A simple
example of this is how the telephone is answered. Some assisted
living staff, especially in the evening, answer the phone as though
it were an annoyance! Simple training on exactly how the phone should
be answered, how to place a caller on hold, or transfer a call,
will positively effect the way callers perceive the community.
Research has shown how customers behave when the service experience
is positive, as well as when the service experience is not positive.
Only about 25% of those who have negative service experiences actually
complain. Unfortunately, however, those same people love to tell
others how rudely they were treated, telling, on average, 11 people
about their negative experience. This data means that every time
you hear a complaint, 44 people have also heard the same unflattering
story! There is very good data describing the successful and less
than successful methods for responding to both situations - i.e.,
positive and negative service experiences. Marketing science can
identify those behaviors in service delivery which should be encouraged
and those which should not. For example, how family complaints are
handled about lost items of clothing can make all the difference
between a satisfied customer and a situation spiraling out of control.
Some community managers spend an enormous amount of time trying
to put out these kinds of fires by tracking down responsibility.
Yet this is of low importance to, and impact on, the customers who
complain. What they want and need is a prompt response and the feeling
that someone has listened.
Managers pursue other issues because they and their staff "believe"
that those issues are important to their customers. Marketing science,
well applied, can add certainty through customer surveys and focus
group interviews.
The science of marketing is also extended to making decisions about
which markets to pursue. We can't be all things to all people. It
is, therefore, not surprising to learn that a community which has
positioned itself through advertising, radio and direct mail as
an attractive option for active, independent seniors, is having
difficulty attracting more frail, ADL-dependent assisted living
residents. Marketing transitions must be handled thoughtfully, understanding
that your reputation in the community, and among important markets
(e.g., doctors or discharge planners), has a tremendous impact on
the referrals you receive. It's so easy to confuse the market, and
it is too costly to re-establish your position. It is far better
to test any planned program changes in advance to evaluate their
effects.
By viewing marketing as a science, we can approach each element
in a disciplined and logical way, making decisions about what steps
to take, based on their predicted return on investment. Far from
being based on glitz or fads, marketing can and should be an integral
component to the success of your community, demonstrating its value
on a daily basis through measurable improvements in referrals, customer
satisfaction, customer loyalty, revenue and profit.
Irving Stackpole is the
Principal of Stackpole & Associates, a research, training and
consulting organization serving senior living and health care clients,
located in Boston. (617) 367-1868
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