Some Shocking Phone Call Statistics

Over the last month we have been providing local phone numbers for some of our overseas clinics. Essentially we provide them with a UK or Irish number (€240 PA) and proxy the phone calls through to their regular clinic number.  In doing this we have discovered some shocking statistics.

If a clinic’s phone number is looked up by 100 unique individuals it results in 25 unique people trying to call the clinic. You would think that this means the clinic gets to talk to 25 people, but we were shocked to find out that only 45% of the phone calls made result in a conversation with the clinic.

Patient To Clinic Phone Call Statistics

  • 30% of all calls are made outside of office hours or during lunch hour
  • 10% of calls result in a busy signal
  • 15% of calls are not answered
  • If there is a voice messaging service available only 30% of people will leave a message
  • The average length of a call that is answered is 2 minutes and 20 seconds

Typically a caller who gets a busy signal or no answer will try again immediately and if they don’t get through the second time they give up.  All of this suggests that there must be serious frustration amongst consumer trying to call clinics. We plan on monitoring this area closely over the coming months and will keep you updated on our findings.

Have you had problems getting through to companies by phone? Share your experiences of calling businesses in the comments below.

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Google Gets More Colourful And More Local

small new look google.co.uk SERP

There’s a new look to the search results on Google.co.uk, on my computer at least, and it points the way to potential new look for their search results in general. Compare the new look above to the current look on Google.ie below:

small old style google serp ie

The most obvious changes are:

  • Search text is bolded
  • The Google logo is bigger and brighter
  • The search options on the left have icons now
  • SERP’s are permanently indented by the search options
  • Search: The Web / Pages from Ireland has been replaced by Set Location

The search button also gets a new look and is integrated into the search box:

new google search box

The new look is certainly clean, and the icons do help identify the different search options much better that the text only links of old. The most notable new feature to me is the “Set Location”, which says to me the Google are clearly going after even more the of the Local Business market, a point which is backed up by the inclusion of Maps in the search options.

The last Google test that we noticed here in the office involved breadcrumbs in the search results, and that has since been rolled back, at least for now, so there’s no telling how long this new look will be around for, but in general I’m in favour of the changes.

Are you seeing this new look on any of Google’s sites? What are your thoughts on the design changes? Let us know in the comments below.

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Figuring Out What Your Visitors Want

We recently ran a test that improved our email enquiry conversion rate by 25%, but we decided not to make the change. Picture this. You spend months or years even building a website, and it works like a charm. You’re getting plenty of visitors and they are taking the actions you designed for them to take. Everything is great, right? Well, probably, but are you sure?

One thing we’ve discovered again and again here in RevaHealth.com is that it’s never worth assuming that you understand what your website’s visitors want when they arrive. In the past when we added new features we looked at a couple of headline metrics to make sure we hadn’t broken everything, and hopefully improved a key metric like conversion rate or reduced another like bounce rate.

Google Analytics & Website Optimiser

Nowadays we try and go into a bit more depth about things, making more subtle improvements to parts of the site that some visitors see and others don’t, and this requires more fine grain measurement than before. A key tool that we’ve been using for years now is Google Analytics. If you’ve not been using it (or something similar) on your site up to now, I can recommend it wholeheartedly. Right now we’re using it primarily for page tracking, but we’re hoping to use it for goal tracking and even event tracking in the near future.

Google Website Optimer

Google Website Optimer

Another free tool from Google we’ve just started using is their Website Optimiser. On a site like ours where we get enough traffic and enough conversions in a day or two to our key pages to give meaningful results it’s a boon. We don’t have to do any of the maths or work out confidence levels or margins or error. It does it all for us. Best of all, we can test multiple changes to a page all at once, and see which combination our visitors use the most.

Testing Two Types Of Conversion

Recently we were discussing the two main actions that people take on our site: contacting a clinic by email and looking up a clinic’s phone number. The former is far more valuable to us a company. Our customers, the clinics, can see the end result of a visitor using the site to email them. When a visitor looks up a phone number it is very unlikely that the clinic will ever know that the visitor found it on our site. The clinics can see the value of one action, and not the other. Even though we tell them how many people find their phone number on our site, it doesn’t really resonate with them.

Knowing how much more valuable an email enquiry was, we decided to test whether taking away the ability to look up a phone number would cause a significant increase in the numbers who contacted a clinic by email. The results were pretty extreme.

25% Up, 100% Down

We tested a over a two day period with only half of our traffic having the ability to find a phone number. The half who didn’t have the ability to find a phone number converted to email enquiries 25% better than before, which would seem like a good result, until you look at the numbers involved.

Over the course of the two days the 50% who couldn’t see phone numbers created an extra 109 email enquiries. In the same period the people who could look up phone numbers did so 1,418 times. To put it another way, only one in thirteen of our visitors who wanted to look up a phone number created an email enquiry instead when that option wasn’t available to them.

In the end we decided that the cost of frustrating so many of our visitors far outweighed the gains we could make from having 25% more email enquiries. Phone number look ups are here to stay because they are what a large portion of our visitors want.

We already knew that a lot of people were looking up clinics’ phone numbers on our site, but testing it in this way gave us a very clear picture that those visitors are very different to the visitors who create an email enquiry, and they need to be treated differently.

Have you discovered unusual or unexpected behaviour from your site’s visitors? Are you giving them all the actions they are looking for? Are you tracking and testing them? Let us know your experiences in the comments below.

It’s always nice to hear from happy customers. Shi Karim from the Church Road Dental Practice in Cheadle Hulme in England recently contacted us about his own experience since registering his clinic with RevaHealth.com, so we asked if we could share his thoughts with you. Here’s what he had to say:

“12 months ago I took over Church Road Dental Practice and I am continually looking for new ways to market it and attract new patients. We happened across the RevaHealth.com website on the internet and decided to register the practice for a free listing.

We were so happy with the referrals being sent that we emailed to ask how we could be top of their list. We upgraded to a pro listing for the practice which has increased the number of referrals four fold. We have treated 3 Invisalign patients alone within the last 4 months from RevaHealth.com, which speaks for itself.

I would definitely say that this is a great return on investment. We now get five or six referrals a week from new patients enquiring about our clinic and I am amazed at how user-friendly the RevaHealth.com system is once you’ve logged in to it. You have total control over what is written and which images are shown for your practice.”

If you want to know more about how RevaHealth.com can help your clinic attract more patients just  drop me an email to ocooney@revahealth.com or give me a call on +353 1 6520 522.

Ordnance Survey UK Improve Their Open Data

When the UK’s data sharing website data.gov.uk launched I was pretty unimpressed. I mentioned a few things that annoyed me: Where were the examples? What were the ontologies used? Without this information the provision of a sparql endpoint is fairly meaningless.

Well it turns out that one section of the government is getting stuck in. Maybe I should have remembered that the marketeers love a launch without a product, and that the people doing the real work are up late, slaving away cursing their managers, trying to get the stuff out the door. Just saying; it’s not like I’ve ever seen anything like that in my job :)

Anyway…, I already liked the efforts the UK’s ordinance survey were making and, defying the normal stereotype of public sector computing, they have not been content with their first or even their second stab at presenting a linked data interface to their info-sets.

http://data.ordnancesurvey.co.uk/ presents examples, a sparql endpoint, and the ontologies used, including the use of standard ontologies like foaf.  Nice!

Now what can you do with any of this?

Well last week I was in the UK, in Kingham. If I create a sparql query like this:

Construct {
?Place a <http://data.ordnancesurvey.co.uk/ontology/50kGazetteer/NamedPlace> .
?Place a ?Type .

?Place <http://http://www.w3.org/2004/02/skos/core#broader> ?BiggerPlace .
?BiggerPlace a <http://data.ordnancesurvey.co.uk/ontology/50kGazetteer/NamedPlace> .
?BiggerPlace <http://www.w3.org/2000/01/rdf-schema#label> ?BiggerPlaceName .
?BiggerPlace <http://data.ordnancesurvey.co.uk/ontology/spatialrelations/contains> ?Place .
}
WHERE
{
?Place <http://www.w3.org/2000/01/rdf-schema#label> ‘Kingham‘ .
?Place <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> ?Type .
?Place <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> ?Type .
?BiggerPlace <http://data.ordnancesurvey.co.uk/ontology/spatialrelations/contains> ?Place .
?BiggerPlace <http://www.w3.org/2000/01/rdf-schema#label> ?BiggerPlaceName
}

and enter it on the endpoint page  (http://api.talis.com/stores/ordnance-survey/services/sparql) then I get back a graph of information about the places that say they contain Kingham. I also get an URL for Kingham (http://data.ordnancesurvey.co.uk/id/7000000000008699*) which I can use from now on as a unique identifier in my code for the Civil Parish that is Kingham.

This to me is exactly what government should be lending to the data world. The administrative levels in the ordinance survey data can be linked through to election results, the provision of services, etc. A commitment on the part of an authority to maintain a high level of integrity for such data can provide a genuinely valuable resource.

Technology and governments do not usually go well together. The thing about data though is that it really isn’t about technology. The only criteria for success is availability.

It’s the business of governments to supply services to all their citizens and with a fair degree of equality (hopefully). To assess the success of governance requires a lot of categorization and correlation: the number of doctors per 1,000 people; the average wealth in a given district; employment levels, etc. So the work is already being done. Making it open means we get more value for our taxes, accountability increases and we get a data set that allows us to talk authoritatively of entities within a state.

http://data.ordnancesurvey.co.uk/id/7000000000008699 refers to the Civil Parish of Kingham, not the village, or some other nebulous form. The Kingham link describes the nature of this relationship  by describing its type as a Civil Parish. Another graph might describe the village and also, form a relationship such as:

<http://example.com/ukplaces/villages/Kingham> <http://http://www.w3.org/2004/02/skos/core#broader <http://data.ordnancesurvey.co.uk/id/7000000000008699>

letting us know that the village and the civil parish have a strong relationship.

Sure there are things wrong with the OIS data but bucking my usual nature I’m not going to complain about them. Why? Because, I trust them to make their data even better in future. That’s a rare enough thing for me to expect in a commercial product and almost unheard of in the public sector.

Tim (not the other Tim)

*If you don’t have an rdf plugin look at these by prefixing the rdf URLs with http://demo.openlinksw.com/ode/?uri=

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We provide the health clinics who are our customers with an enquiry management system in order to help them get the best from their patient enquiries, i.e. their customers. We are no different in that we also need a system to manage our customers.

Like a lot of new small companies we were familiar with different CRM solutions, but not enough to know which one would suit us best. We tried an expensive one, a cheap one, and in the end we built our own. Here’s our story.

What Did We Need From A CRM System?

The core functionality that we required included:

  • Keeping track of tasks
  • Keeping track of leads
  • Making notes
  • Managing a pipeline

Salesforce

We decided to implement Salesforce pretty early in the company’s life. Of all of the mainstream CRM systems out at the time it was the obvious, albeit expensive choice.

One of the common aspects of a traditional CRM system is that it attempts to model a typical sales process, i.e. Contacts, Leads & Opportunities. From a young company’s perspective this can seem very attractive as it gives your sales process some shape where perhaps there was none before, as was the case with our own. This idea of structuring your sales process is seductive and it gives the illusion of control.

The problem is that the structure acts as a natural restraint to change. As you move your company forward, you often need to make rapid fire decisions and changes to your initial assumptions. However the structured sales process resists these changes. This is not a good thing. In my opinion traditional CRM systems are best suited to mature companies that have very specific requirements which are very unlikely to change.

The downsides of Salesforce in our experience were:

  • It is very expensive
  • Its feature set is strongly geared towards licensing
  • It can be very slow
  • It is extremely complex. It can take days to become competent with certain aspects of the software.

Integration Issues

For us one of the major problems we had with Salesforce was the nature of our own business. RevaHealth.com is a directory of health clinics and our live database contains all of the relevant information about each of our customers. Salesforce became a new database that had to replicate a lot of the same information.

We worked very hard to push all the changes made in the Revahealth.com database out to Salesforce as they happened in an attempt to keep the two synchronised. Needless to say this resulted in numerous problems including:

  • Changes made to Salesforce were not pushed to Revahealth.com. This was not an immediate problem but over time the problem grew.
  • Salesforce couldn’t hope to deal with the scope and flux of the specific information that Revahealth.com handled and this lead to account managers being forced to work with two systems – Salesforce & RevaHealth.com.
  • As with all interconnected systems, service failures happen and the effort required to monitor and to fix these failures was greater than expected.
  • Once every couple of months we would decide to push the entire RevaHealth.com database into Salesforce to refresh it and every time we ran into licensing issues.

Eventually the SalesForce database and the RevaHealth.com database diverged to such an extent that the sales team no longer trusted it. And that was the end of it. After a year of effort and about 6 man months of integration, maintenance and support we reverted to pens, notepads and Excel.

This wasn’t as bad as it sounds. Even though we had tens of thousands of free accounts to work with we only had around 200 paying customers. In retrospect it is easy for us to say that there is no way we should have even been looking at a full scale CRM system with that number of paying customers.

Highrise

Towards the middle of 2009 one of our sales staff, Owen Cooney, started looking at other systems and experimented with Highrise from 37 Signals. This made a lot of sense to us as we were already using their Basecamp product for our project management. After a month of evaluation we officially adopted it and were very happy that it answered a lot of the shortcomings of SalesForce:

  • It was quick.
  • It was simple, although excessively so.
  • It did not have the licensing issues of Salesforce.

Having learnt from our previous mistakes about database synchronisation we decided that the Highrise system would only be used for new customers and not for account management. This meant that we avoided any integration issues. It worked for a while and was especially effective at task management. However its inability to deal with existing customers and any form of pipeline management meant that our sales team consistently had to use three different web applications:

  • Highrise for new customers
  • The RevaHealth.com account administration tool for existing customers
  • A home-grown pipeline management tool

Of these the single biggest issue for us was pipeline management. As the number of deals that we were creating increased we found that an inordinate amount of management time had to be spent at the end of every month reconciling the sales recorded in Highrise, those in the pipeline tool and the actual invoices generated by the RevaHealth.com administration tool. Invariably there would be substantial discrepancies. This meant that we couldn’t trust either Highrise or the pipeline tool for management purposes.

So What Did We Do?

In the end there was only one answer that made any sense. We built our own CRM system. From the mistakes of the past we now had a very clear set of requirements, and we avoided any sort of replication, duplication, integration and reconciliation issues by building it on top of our existing database.

It took us about 3 man weeks using one of our developers to get it up and running. We’re not the best designers (graphically speaking) in the world but it didn’t need to be pretty as it was only going to be used by our own sales staff. Much more important was that it had to be fast, which thankfully it is.

Seeing as it looks directly at the source data the pipeline report looks at actual invoices not at our sales team’s interpretation of the invoices. It also has a nice and simple task management tool built in to it, and there is no need for two systems for new customers and existing customers.

Building Your Own CRM System Might Not Be Right For You

It’s now more than two years since we first started down the road of using CRM systems. If we had tried to build one ourselves at the very beginning we’d probably just have another horror story to add to our experiences with Salesforce and Highrise, but now was the right time for us to build our own. We had a clear set of requirements and had all the information we needed in one source, our own database.

For you things might be different. Hopefully by reading about some of the mistakes we made you might identify some issues you could run into. Feel free to ask us about our experiences in the comments below, and share your own CRM success or horror stories too.

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Orthodontics Abroad – A Case Study

Sometimes treatment abroad seems so much cheaper than it is at home that it shouldn’t take much thought to decide to travel. However, as with any travel plans there can be unexpected complications that result in additional costs. Here we talk to a patient who has ended up spending more on her treatment abroad than she would have here in Ireland, and all because an airline changed its routes.

Braces

Zuzana

Zuzana

Zuzana is from Slovakia and lives here in Ireland. Last year she decided she wanted to get braces so she asked around about how much it would cost her. Her friend here had recently had braces fitted at a cost of €5,000.  Another work colleague had them fitted for €4,500.  She also called a few local clinics and the price quoted again was €4,500. This price included all fittings and adjustments. The clinics also offered to spread the cost into affordable monthly payments.

Using family connections at home, Zuzana found out the braces there would cost €500 for the initial fitting, €30 per adjustment (every two months) and finally €200 to remove the braces. For a two year period of treatment with 12 adjustments this would cost Zuzana €1,060 excluding any travel costs. As the dentist in question was also in her parents home town she would not have any accommodation costs.

Decision Time

Zuzana recognised that travelling home to Slovakia for each adjustment would be expensive so she checked with a local dentist whether or not they could take care of her braces. The dentist said that they wouldn’t be happy taking care of another dentist’s work and that if they did they would still have to charge €2,500 to look after all of the adjustments.

In the end Zuzana decided to undergo treatment in Slovakia and use the trips to keep in touch with her family and friends at home. When asked about what influenced her decision, price was the number one reason, but not the only one.

“The main reason for me was money of course. Secondly, I fell the service I get back home is much better than in Ireland. My dentist was even kind enough to see me in the evening time when my flight was arriving late, or on weekends when that was the only time I could get a good deal on flights.”

Her dentist even went so far as to make special arrangements for her because she was travelling so far for her treatment.

“She also wouldn’t charge me extra because it was the weekend and I would go to see her every day while I was at home. If I went home for three days she would look at my braces each day and make changes to try to do the best job she could. My dentist has other clients from overseas too and that’s why she is so flexible.”

Unexpected Costs

Even with flying home every two months Zuzana’s total treatment was going to be significantly cheaper than having the treatment done here in Ireland. She was paying as little as €50 return for a direct flight to her home town, but then that route was cancelled meaning she would have to fly to Bratislava first and then on to her home town. She could also have gotten a train from Bratislava but it would have taken 5 hours in each direction, meaning she’d have very little time with her dentist or her family.

Then came the news that her dentist wanted her to keep the braces on longer than expected. The resulting extra travel costs had a big effect on her overall treatment cost.

“If I only had to wear the braces for one year then it would have worked out much cheaper than in Ireland, but because it is taking longer in my case (2 years and 3 months so far) the additional costs for the flights and visits means it is now dearer than the price I would have paid here in Ireland.”

Despite the cost overrun, Zuzana still thinks that she is getting good treatment from her dentist.

“The reason it has taken longer is because my dentist didn’t wanted to remove any of my healthy teeth just to make the others straighter. There was not much space for them so she had to make changes really slowly, kind of pushing my teeth more to the front which gave the others some more space. When I asked my dentist questions about why it was taking so long she was always kind enough to explain everything and show me how it was working, so it helped me to understand more about the treatment.”

Advice

Travelling abroad for treatments that require a lot of follow up visits is always risky because travel and accommodation costs can change dramatically, and they are not under your control. Zuzana offers some advice on the back of her own experiences.

“My advice would be try to find a dentist in a city that has lots of direct flights from Dublin. If my dentist was in Bratislava my treatment would still have cost me very little, but because I now have to fly to my town my flights cost double. I don’t think it’s very comfortable to fly and then have to take a train for another 5 hours.”

Even with the difficulties she has run into, Zuzana is still happy to be travelling home for other reasons.

“For me its still worth it because I see my family which is very important because my parents are getting older and I love to see them more often and spend some quality time with them. Plus I can visit my friends and if I decide to go for a spa treatment or eat out in a restaurant it will cost me a lot less than I would spend on weekend like this in Ireland.”

Have you had treatment abroad? Did you run into any unexpected costs? Let us know in the comments below.

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