How St John of God Health Care is building a customer-led digital strategy

Group manager of marketing and communications shares the journey from digital website design to organisation-wide, customer-led digital strategy

From left: CMO's Nadia Cameron, St John of God Health Care's Sally-ann Parker and Precedent's Dan Baker at the CMO/CIO/ADMA Executive connections event in Melbourne
From left: CMO's Nadia Cameron, St John of God Health Care's Sally-ann Parker and Precedent's Dan Baker at the CMO/CIO/ADMA Executive connections event in Melbourne

Marketing leaders are increasingly being tasked with revamping their organisation’s external-facing digital properties to up the ante on customer engagement. At St John of God Health Care, this mandate not only resulted in a fresh, user-centric website, it’s also triggered a whole-of-organisation, customer-led digital transformation program.

St John of God runs hospitals, home nursing, disability and social outreach services across Australia and the Asia-Pacific region, and is one of the largest non-government hospital operators in the country. The Western Australian-based Catholic organisation has been in existence for more than 120 years, with 23 facilities and 3000 beds. As well as delivering 12,000 babies in Australia and overseeing 300,000 patient admissions in 2016, the group is one of the largest non-government employers in WA, with more than 13,000 staff.

Speaking at the recent CMO/CIO/ADMA Executive Connections event in Melbourne, St John of God Health Care group manager of marketing and corporate affairs, Sally-ann Parker, said the organisation’s purpose is to provide ‘whole person’ care, with a focus on emotional as well as physical well-being.

The decision to overhaul the external-facing website as well as intranet was driven by several factors. The first was the need to improve brand awareness outside of WA.

“We’ve also grown significantly since the group was pulled together in the late 1980s, something that equates to a lot of change as well as a lot of uncertainty,” Parker told attendees.

The group’s executives had realised that although the organisation was growing rapidly, it hadn’t put the same focus into technology or analytics. Many operations were still federated, and a more unified approach to systems and content was required.

“There was also a desire to put greater emphasis on information analytics to inform decision making, to improve the way the organisation can focus on the whole person experience,” Parker said. In addition, external market forces, such as commercial competition, a sluggish economy and increased pressure on funding, reinforced the need to keep investing for sustainable growth.

Put that together with an out-of-date website and on an unsupported platform, and a new strategic priority was introduced: To significantly increase investment into analytics and technology.

St John of God’s new website went live in December 2016 and was two years in the making. Based on the Sitecore platform, the organisation worked with digital partner, Precedent, on implementing the technology as well as designing the digital experience.

“We wanted a shared vision for online presence across all hospital and divisions, wanted a single system to connect content, marketing and systems in one place, wanted an emotive, visual design centred on our users and illustrate brand vision and values, and a personalised experience for every consumer interacting with St John of God,” Parker said. “It had to include relevant and useful content that’s easily published, reused and shared, and one-way development of online functions that improved the patient journey.

“We needed a partner to deliver the technical build, but more importantly, a partner that understood the business and had similar goals in terms of understanding the users, as well as aligned culturally. Precedent spoke to the heart of that.”

Getting the the heart of customer needs

Given the diverse stakeholder base and deep patient needs, it was vital St John of God go with a bespoke, user-centred design platform, Parker said. So St John of God and Precedent embarked on an extensive discovery phase, kicking off with qualitative interviews with 60 stakeholders including the group CEO, board, trustees, doctors, plus government and healthfund partners.

“We conducted 12 workshops across the organisation, mostly for care givers, but also consumer workshops, and developed personas and pictures of who the customers were,” Parker explained. “Qualitative research was backed up by online surveys and external hardcopy research with the workforce. We then put that together in an information architecture structure.”

Using Precedent’s treejack tool, teams plotted out scenarios of how patients, doctors and stakeholders would navigate through the new website. From there, live tests were conducted with consumers and patients.

While significant amounts of content were written by the in-house team, Parker said the need to introduce a new services section meant reaching out to the wider business around content, and 250 subject matter experts were identified to talk to. Many were not direct employees, but doctors and researchers operating out of its facilities.

“We were told by a lot of people that it wouldn’t work, they wouldn’t engage, they were too busy and don’t bother them. We went ahead and did it anyway and it was phenomenal,” Parker said. “It was a lesson to us: While they may not be our direct employees, they kind of feel like they are and they’re very aligned to our brand. It’s the place they come to work each day. People were extremely enthusiastic, not just obliging, about providing that expert content.”

Precedent digital services director, Dan Baker, said one of the surprises during the consultative process had been the level of ease engaging with practitioners.

“We found by giving those people the opportunity to sit down, engage and discuss the work with us, we could uncover some fantastic insights that we’ve been able to build into our thinking about the next steps for the websites,” he said. “People tell you they’re difficult to engage with, but you have to just get out there and talk to them.”

Precedent also conducted technology testing and auditing to ensure the website could be integrated with other back-end systems in future to provide a more holistic patient experience, such as clinical management and hospital systems.

Initially, both the website and intranet projects were to run simultaneously, but the team quickly realised it was too complex to run both so pushed back plans for the intranet relaunch.

Communicating change

Key to the project was communicating the reasons for change regularly, Parker said. “We had to make a call and define the scope of that piece of work and go live with solid foundations and good basics but something we can build on.”

Parker presented frequently to the management committee and leadership group as things progressed. There were also internal advocates on the steering committee, with a vested interest, who were involved in decision making and accountability.

“We also had a working group with people that could be powerful change agents, and there was training both on the Sitecore platform as well as writing for the Web,” Parker said.

“We’re not there yet – everyone was really excited for go live, divisions pulled out all stops and ran lots of internal workshops to get the content right for the website. But since we’ve gone live, that activity has slowed. We have a bit of work there to ensure people understand this is an ongoing evolution and there’s plenty of work still to be done.”

Building an organisation-wide digital strategy

Arguably, the biggest game-changer for marketing hasn’t been the website work, however, but the shift in how St John of God views digital as an organisation.

Parker said as work commenced, it became obvious that there was a piece missing in the puzzle: A comprehensive digital strategy. St John’s marketing team is now working with Precedent to build out that strategy, engaging heavily across all business divisions as well as the IT function. A recent restructure also saw two executive-level positions introduced: IT and analytics.

“Already, people are starting to think differently about the way that we work,” Parker said. “And IT wants our strategy to be the foundation for the whole of organisation.

“We’ve done a huge amount of work mapping out the patient/customer experience. We have never done that before. We have been focused on the idea of whole person care but it’s been very much the care when the person came in and out of the hospital, not from the broader journey perspective.

“This will be a foundation stone for our broader organisational strategy.”

Next on the priority list are delivering the digital strategy, as well as rolling out the new intranet. There are also plans to develop the personalisation maturity model for the external-facing website, gain greater adoption engagement, start producing campaign microsites, as well as rollout pre- and post-patient admission trackers. A whole piece of work also needs to be developed around better understanding patients and customers and integrating the digital and physical journeys, Parker said.

Marketing as the change agent

If there’s been one big lesson learnt along the way, Parker said it’s the need to keep pushing through.

“Our marketing team is now seen as an internal leader and change agent and it’s been great for our team,” she said. “With the recent restructure, we have expanded responsibilities and been given a role looking after customer websites, which didn’t exist at St John of God before; we’re taking over a lot of the patient satisfaction surveys that used to be run out of quality, and we’re rolling out NPS across all hospitals and bases.”

Another lesson is the importance of working closely with finance, Parker said, and finding early adopters from across the business to help drive change.

“I think marketing people are really good at imagining the future and envisaging future possibilities, but there are lots of people in the business world who need to see it, touch it and feel it,” she commented.

“We’ll be working with some people in our organisation, such as an oncologist in our Subiaco hospital, who is passionate about doing work in the online space, as an example of how we promote services and help other divisions understand the tool we’ve now got.”

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