Thursday, January 28, 2016

How Surrogacy and Egg Donation Agency Owners Fail: Lack of Continuing Education

There is no School of Surrogacy and Egg Donation. (or of any donation for that matter) There are no ‘how to run an agency’ classes out there, unless you hire LaMothe Services, LLC, but that is beside the point. You won’t find any courses offered at your local University or Community College on how to start an agency, run a donation program or serve your Intended Parents. We are just not that mainstreamed yet…sorry to say it. So when I talk about continuing your education I am talking about reaching out, taking the initiative and attending seminars and conferences that will allow you to become more knowledgeable in your field. The field of Third Party Family Building.


A great example is START ART which is an annual REI Nursing Congress. START ART stands for Scientific & Therapeutic Approaches to Assisted Reproductive Technology. (Every August) I found this great seminar about 15 years ago (when it was called SMART ART). It offers CNE’s (Continuing Nursing Education Certification.) Although I don’t need the nursing credits I know that this is a great learning experience for me and my peers.  The networking opportunities are wonderful as well! This is a two and a half day seminar in Las Vegas. Is it worth the time and money! Yes! Do *I* come back to my office with useful information and energized by those I interacted with? Again, Yes! Am I getting paid to promote START ART? NO! But you should attend next year! (I will announce it on my blog. Subscribe so you won’t miss it!)


Another not to be missed conference is the American Society of Reproductive Medicine’s annual meeting in October this year. The ASRM holds an annual meeting every year and as an agency owner you should already be a member. The program is jam-packed with useful sessions and this year it’s being held in Salt Lake City October 15-19th. Because thousands of people from all over the world attend, this is a great learning and networking opportunity! (again, I am not being paid to promote the ASRM annual meeting however I will be attending as usual.)



               

Personally I tend to lean toward the mental health portion of this meeting. I also belong to the Mental Health Professional Group and will be attending their usual Saturday evening welcoming dinner. (Again, meeting people in person where, for most of the year, we might only interact via the Internet). I don’t want to forget to mention Postgraduate Courses on both Saturday and Sunday before the conference.In 2011 I was a part of the faculty focusing on The Psychology and Ethics of Marketing a Mental Health Practice in Infertility with the chair being William Petock, Ph.D. and Jeffery Barnett, Psy.D. It was a very rewarding undertaking!


Another, newer conference is also available via The Society for Ethics for Egg Donation and Surrogacy (SEEDS). This is a nonprofit group created for all U.S. agencies to have a voice in defining a set of ethical standards for egg donation and surrogacy programs. The registration is now open February 26 and 27, 2016 in Long Beach CA. CEs for professionals. Debate, controversy, esteemed speakers, discussion, networking, professional development, shmoozing, fun, food, and more. Go to seedsethics.org, then click on EVENTS to register.


Ok…so is your business going to FAIL if you don’t attend these (or other) conferences? No…you can get by without traveling a half a continent away. Learning about what’s happening in the legal arena, the clinics, and in the ART world of mental health is always educational. But attending these and other seminars and workshops will reassure your clients that you invest in yourself and your agency and are knowledgeable about what is going on ‘out there’ in the field of Infertility today! (Plus you get out of the office! See the world! And meet new people! A win-win situation!)

Wednesday, January 20, 2016

How Surrogacy and Egg Donation Agency Owners Fail: Sticking to the No Refund Policy



I know how this sounds…refunding money is never something you want to do but there are times when you have to even if it states quite clearly in your agency retainer agreement that there are NO REFUNDS. We had a no refund clause in our retainer agreement when my partner and I owned Surrogacy Consultants of Florida. However we found out quickly that our policy could not be set in stone.

Before I talk about refunds here I want to make a mention about your income. Intended Parents pay your bills. You are counting on their money to run your program all in the name of helping them reach their dream of parenthood. This is a good and needed service. However, if you mismanage your money, your income, it will come back to haunt you. I work with both large and small agencies and I have found that some live ‘hand to mouth’. Not a good idea. What I am about to suggest maybe hard for some especially if you are counting on living on the income that your agency is providing you. Do not spend any retainer money that comes through your office until your IP’s are matched with their donor or surrogate AND their contracts are signed. Not one penny. Bank it. This money may need to be refunded and if you spend it then where will you be?

Here is my refund ‘what if’ list:

*What if the surrogate/donor doesn’t want to work with the IPs that chose them? (and the IP’s don’t see any others they want and would like a refund)

*What if the surrogate/donor doesn’t pass the medical evaluation? (and the IP’s don’t see any others they want and would like a refund)

*What if the clinic rejects the donor or surrogate for failure to follow medical protocol or other reasons? (and the IP’s don’t see any others they want, don’t trust your pool of GS or Donors any longer and would like a refund)

*What if the Intended Parents have a medical or financial issue of their own and need to back out of your program? (After just a few weeks and they are not matched so they would like a refund)

*What if you find out the IP’s are delusional and YOU want to give them a refund after a few weeks of trying to please them and you see that it’s an impossible mission!?

*What if the donor/surrogate is not mentally able to perform their commitment and back out before contracts are signed? (and the IP’s don’t see any others they want and would like a refund)

There are quite a few scenarios but you get the picture. A refund maybe in order. If you can’t rematch, have a difficult client, someone is threatening to sue unless you do refund, or the surrogate/donor has been disqualified, someone may be asking for some sort of refund. (full or partial) If you don’t have any money in your account then this is the place where your reputation is put on the line. I can assure you that your clients will go on message boards to complain about you and your services, they will call their RE and attorney and they may even bring you to small claims court. Having their retainer money on hand could resolve a lot of problems.

If you manage your income and have a ‘cushion’ in your account equal to at least 3 retainer payments you will rest easier. Remember refunding is a hallmark of great customer service and if you have truly done all you can to make your client happy and a refund is the last resort then just give them the money! You will learn from this encounter and find that refunds are few and far between but less painful when you have the money set aside ‘just in case”.



Thursday, January 14, 2016

How Surrogacy and Egg Donation Agency Owners Fail: Poor Customer Service

You give them everything and they still want more! Well…that’s the attitude that will put you strait on the road to failure, especially in the surrogacy and donor agency business! Clients are paying out of pocket for your specialized services and they expect the best once they commit!

One thing that you need to do first and foremost is charge a fair amount for your services. If you are not getting paid enough to cover your expenses and your payroll then you will end up cutting corners. Corners that your clients WILL notice! I realize that there is a lot of competition out there (more in some states then in others) however charging far below the minimum of your closest competitor is not the way to go. My suggestion is to first figure out how much your competitors are charging and for what services. Next look at what you are offering and your overhead costs. Remember that it takes time to build a great reputation and a lot of hard work before an agency starts to make a real profit. Quick example: In the case of the effort spent on behalf of the surrogacy agency, it may take 3 IVF cycles and 2 surrogates for some IPs to reach the goal of having a baby. This could take 2 years of your agency’s time and commitment.

What is great customer service? You don’t have to look far to find out the answer…you only need to ask yourself what you would expect if you were in the same shoes as your clients. I know I may be preaching to the choir here because quite a few agencies are owned by past Intended Parents, Donors or Surrogates. Below is my short list for exceptional customer service:

*Phone calls or messages answered or returned promptly

*Clear communication

*Easy Accessibility to you or your staff (24 hour hot line available to clients who have retained your services)

*Taking responsibility for problems that may arise with you or your staff

*Going above and beyond when necessary

*Don’t avoid ‘difficult’ clients

*Never let more than 2 weeks go by without a phone call or e-mail to all parties involved (especially when things are going well)

*Refund when warranted (Read the post on Refunding)

*Offering up-to-date educational information to all clients. This means attending conferences and workshops within the infertility field so that YOU are educated and well informed!

So what if one or two of these little points are not on Your list? That doesn’t matter…because these items ARE on your potential client’s list along with many others. As I stated above, all you need to do is ask yourself how you would like to be treated, how you would feel "IF" and go from there. The way to build a great reputation is to offer the very best of you all in the name of customer service!





Thursday, January 7, 2016

How Surrogacy and Egg Donation Agency Owners Fail: Lack of Communication

It doesn’t matter how large of a business you own, if there is little or lack of communication either between you and your employees or between staff and clients you will fail unless this problem is corrected. In the field of surrogacy and egg/sperm donation there really is a lot of room for miscommunication.

First is the non-verbal cues that are given when your telephone is not answered during business hours or messages are not returned within a reasonable amount of time. What this says about your business is that you have no interest in who is calling or why or that you are too busy to take or return the call. This leaves potential clients, donors or surrogates wondering about the quality of services provided by you and your staff. (If they ever do hire you. This is where you might lose a great GS or IP.)

A second common problem with miscommunication is when a client has been given different information by different people in your office. This can happen when staff has not been updated regarding new or existing donors or available surrogates, when the client is quoted different pricing for services, or regarding case management and program protocol.

Speaking of available donors or surrogates, remember to keep your data base updated. When you have unavailable profiles listed in your data base it sends the signal that you are misinforming the public and are sharing more donor or surrogate profiles then you really have available. It also raises hopes if someone is really interested in a profile only to find that the candidate is not available. Always remove a profile once she is talking with other IP’s. If it doesn’t work out you can simply return the profile to your data base. Adding available profiles as soon as you can is a great indication that you have full control of your data base and know exactly who is on there plus all the details.

My third point is continued communication throughout the donation/surrogacy process. Often times once the match is made and the surrogate becomes pregnant, agency owners assume all is well and may not contact the IPs, donor, or surrogate for weeks or maybe even months. If you are advertising ‘full service agency’ that should include checking in on all parties and making sure that procedures have gone smoothly, if the relationship is going well amongst all parties and if anything extra is needed, In the case of the donation it is important to make sure the donor has recovered from her procedure and it’s always nice to see if a pregnancy resulted.

My forth and final point is the communication with other professionals in your field. I am taking about the clinic and nursing staff, attorneys involved, escrow agency and the mental health professional. It is so important that every one know exactly what is going on with your clients. Even if you are not the one directly communicating with these other professionals it is a good idea to remind your clients to make contact at certain points of a match. For instance the attorney should know when the birth is expected to take place and whether it is a singleton or multiples so the proper paperwork will be ready, it’s also a good idea to remind a surrogate to make arrangements for a hospital tour with her IPs, you should tell the clinic if a miscarriage takes place or a twin is lost and the mental health professional might like to know how the match is going and if there is a need for follow up.

Failure to communicate with all parties involved such as your agency staff, clients, and other professionals can give you and your agency a poor reputation. These are all issues can be worked on and eventually fixed. Your future as an agency owner depends on great communication!



Friday, January 1, 2016