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November 15, 2017
David W. Johnson

Uber 911

Traditionally, most people dial 911 in a medical emergency and ask for an ambulance. Increasingly today, some hail a ride from Uber or Lyft to get to the closest Emergency Department.

Why would an app-based ride share service be appealing to a patient in need? For the usual consumer reasons: cost, convenience and experience.

Ambulance services are extremely costly and not always fully covered by insurance. Patients who use an ambulance may end up owing hundreds or thousands of dollars for a short trip to a nearby hospital. Unless a medical emergency is serious and medical professionals are needed in the moment, it can make sense to call Uber instead.

  1. The cost is transparent and agreed to upfront
  2. The patient can track the Uber driver’s progress and know when the vehicle will arrive
  3. The driver will take the patient to the ER of their choice, not the ER the ambulance service is affiliated with

These simple advantages highlight how the forces of consumerism challenge traditional healthcare. Given choices consumers seek value.

In a recent article, we discussed the importance of “systemness” for healthcare organizations working to deliver better outcomes, lower costs and enhanced customer experience. Many health systems overlook the importance of coordinating basic or rudimentary activities in meeting customer needs.

Healthcare consumers don’t care if ambulance services are not owned or controlled by a particular health system; they consider that service, experience and cost as part of the health system’s overall value. The same goes for cafeteria meals, waiting times, administrative efficiency and post-acute care services.

In every industry, the customer is the ultimate arbiter of quality, experience and satisfaction. Exceeding customer expectations requires highly efficient and coordinated internal systems.

About the Author

David W. Johnson

David Johnson is the CEO of 4sight Health, an advisory company working at the intersection of healthcare strategy, economics, innovation. Johnson is a healthcare thought leader, keynote speaker, and strategic advisor to organizations busting the status-quo to reform our healthcare system. He is the author of Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019). As a speaker, Dave plays the role of rebel, challenger, industry historian, investor and company evaluator to push audiences forward. (Watch bio video.) Johnson applies his 25+ years of investment banking in healthcare to identify ways the healthcare industry must change to deliver better care. He received a Masters in Public Policy from Harvard Kennedy School, an English degree from Colgate University, and served in the African Peace Corp service. Join over 10k+ healthcare executives who read our weekly insights and commentary on www.4sighthealth.com. His third book, Less Healthcare, More Health: The Prescription for a Happier, More Equitable and Productive America, will publish in 2024.

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