Updated Dec. 30, 2015. See the changes under the blue headings.
Prolog and principles
In 2013, in A turning point for patient voices and Prices must have integrity, I laid out my thinking: a professional price policy must make sense, and the rules must be real – fair to all clients and consistently enforced. Re “making sense,” I’m an evangelist – an activist with a cause – so my price policy offers ways for clients to earn discounts by furthering the cause.
Update as 2016 starts: As the seventh year of this work starts, three things are newly clear, different from any past year:
- The time has come to reach out to the public, including community health workers.
- Nursing is turning out to be a great role in healthcare for making patient engagement a clinical reality. Nurses spend much more time face-to-face with patients and families.
- The time has also come to get our claws into the world of medical education curriculum, so we start growing the next generation of doctors and nurses with patient empowerment “baked in” to their thinking.
As you’ll see, those three factors are reflected below. Here is the policy, fully aligned with my values as an activist for the “Let Patients Help Heal Healthcare” social movement.
1. Full price.
Event organizers, call or write for my current speech pricing. As my testimonials page shows, I deliver.
2. Add a Promoted Public Event: 25% discount (new for 2016)
It’s time to start engaging the public (ordinary citizens) in patient engagement – teaching people the rationale for (and the how-to’s of) being engaged, activated partners in their health and their care. So, if I’m doing a speech for you, I’ll do a second speech open to the public (and tuned to them), if you will handle the logistics and get it promoted in the local media … and I’ll knock 25% off the price of your speech. (Note: a particularly great target for these events is community health workers.)
Yes, I’ll do two speeches for less than the price of one. In essence I’m buying your help in spreading the word to the general public.
3. “Pay me with action” – for people already generating patient engagement as a reality
I used to call this the “impact partner” policy.
Want a discount? Help create real impact for the “Let Patients Help” movement described in my book. The cooler your work, the better the discount could be. There are no firm criteria here – we’re all making this up as we go.
One client earned this by designing high quality posters based on the “tip sheets” in Let Patients Help. the posters will be shared worldwide. Another example is a government agency who’s developed deep, well-thought-out patient engagement plans that I love.
4. Medical & nursing school classroom lectures (new for 2016)
I’m thrilled that medical and nursing education are starting to work patient engagement into the curriculum! In 2015 I was the Mayo Clinic’s Visiting Professor in Internal Medicine, and I spoke at two medical school events (in the Netherlands and at Stanford Medicine-X’s “MedX | Ed” event), and began working with nursing education. To support this initiative:
I will speak at medical and nursing schools free. Of course, an honorarium will still be much appreciated, but I will no longer require my usual professional fees – just travel expenses. And of course this is subject to availability. I’ll consult on curriculum, too, including donating content.
5. Multi-speech packages
On occasion I’ve negotiated multi-speech discounts. It can be several speeches through one buyer, or a client in one city may arrange related events, which minimizes my travel overhead.
6. “BFF” perpetual discount
I’m deeply indebted to the people who had the vision to pay me in the early days, and this is payback: If you hired me before 2013, at any price, that’s your price forever: you’re my BFF – my “best friend forever.”
For instance, one client just booked me for their third event. That shows commitment to the cause, so they’re still getting the price from our first contract, signed in 2012.
7. From the heart (expanded for 2016)
Occasionally, when it’s feasible, I’ll deeply discount or even donate a speech to people who are clearly aligned with my goals, hard at work (“pay me with action” above), and financially needy. This works especially well when your speech can be added to an existing trip.
8. Extreme exposure
I will, rarely, do one free just because it’s totally excellent exposure. The classic example is a TED or TEDMED or TEDx talk. Aside from the clear value of being known as a TED speaker, these companies create superbly produced videos, which potential clients can watch.
9. Simple quickies from home (webcasts and Skype)
When I became a grandfather I realized I want to stay home more. So I’m now offering speeches from home, via Skype or other screen share, for a big discount. I’ll offer a standard speech via screenshare; or, for additional cost, we can add my customization process.
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There you have it: numerous options. Help e-patients change the world, and we’ll partner with you!
Mighty Casey says
The “pay me with action” piece is SO important. Which is why I follow up with orgs where I’ve spoken as part of The Deal, and offer them some strategy time to get an idea fleshed out or a project launched. ROI has to go both ways, or it ain’t fully fair …
e-Patient Dave says
Note what Casey said – she follows up for further action. (I know many of us do.) Note that many people say it’s CRAZY of us, to essentially give away extra consulting, instead of offering it for a price. In a way that conflicts with what I said in earlier posts. I haven’t figured out how to explain this clearly and I can’t speak for Casey but I think it boils down to this:
I’m committed to doing this work (this cause).
I’m committed to producing results.
I’m also committed to being a viable business, so I don’t go OUT of business and fail in the above.
Casey?
e-Patient Dave says
From my Swiss client Andrea Belliger of IKF in Lucerne, via Facebook:
“I’m sweating while translating your book into German together with David Krieger – 32 C outside – unbelievable hot and beautiful Swiss summer.”
See that? They win on three scores:
– BFF (client since 2011 – and in 2012 and 2013)
– Pay Me With Action: they’re translating the book into German
– Multi-event: each year they organize multiple events in a single trip.
They are TOTALLY aligned with everything I’m about, and they get best-best-best treatment.
btw, it was during my 2013 visit to them that I wrote An encounter with the Swiss medical system.
Karen Nicole Smith says
When a client calls or writes do you explicitly explain this price policy? Do you present it as a doc for them to read or just an oral explanation?
I think “Impact Partner” discount is genius because if someone wants a discount they know how to get it!
As far as testimonials – do you have an evaluation form you’ve created? Do you get evaluations feedback from a format that clients have? Or both?
e-Patient Dave says
> When a client calls or writes do you explicitly explain this price policy?
Not relevant; how you handle price discussions is personal and up to you. I’m only talking about policies; I don’t have the same discussion with every client, because their own needs and priorities vary.
No, I don’t have an evaluation form; the one time I tried to get customers to do a satisfaction survey the response rate was close to zero. I just ask for copies of any feedback they get.
Karen Nicole Smith says
Okay. Thanks. I am writing to my little handful of “thrilled” customers to beg for testimonials. I’ll ask for feedback in the future.
e-Patient Dave says
> writing to my little handful of “thrilled” customers to beg for testimonials
Hint: the easiest thing to do is take something wonderful they said in an email and reply, “Could I quote you on my website?” That almost always gets a yes.
Sometimes it’s useful to add “Could I ask if there’s anything more specific you could say? Everyone and their brother has a ‘you were great’ quote, but that doesn’t tell prospective clients anything specific about me as a speaker COMPARED to everyone and their brother.”
Karen Nicole Smith says
Yes, I am going to ask for specifics. You actually gave us a great phrase to use in series #9. :)