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Company focus

Optum

What factors are causing the increased call wait times for Optum's behavioral health services hotline in the last 30 days?

Prepared by NextSprints

15 mins
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Problem Solving Data Analysis Operational Optimization Healthcare Mental Health Services Customer Support Root Cause Analysis Healthcare Demand Forecasting Call Center Optimization
Product Management Root Cause Analysis Question: Investigating increased call wait times for a behavioral health hotline

Introduction

Increased call wait times for Optum's behavioral health services hotline over the past 30 days represent a critical issue affecting patient care and satisfaction. I'll systematically analyze potential root causes, considering both internal and external factors that may be contributing to this problem.

Framework overview

This analysis follows a structured approach covering issue identification, hypothesis generation, validation, and solution development.

Step 1

Clarifying Questions (3 minutes)

  • Looking at the timing, I'm thinking there might be a seasonal trend. Has there been a similar increase in call volumes during this time in previous years?

Why it matters: Seasonal patterns could explain the surge and inform our solution approach. Expected answer: No significant seasonal pattern observed. Impact on approach: If true, we'd focus more on recent changes or issues.

  • Considering potential system changes, have there been any recent updates to the call routing or IVR system?

Why it matters: Technical issues could be causing inefficiencies in call handling. Expected answer: A minor update was implemented 45 days ago. Impact on approach: We'd prioritize investigating the impact of this update.

  • Thinking about staffing, has there been any significant change in the number of available agents or their schedules?

Why it matters: Staffing issues directly impact wait times. Expected answer: No major changes in staffing levels. Impact on approach: We'd focus more on call volume or efficiency issues rather than staffing.

  • Regarding call volume, has there been a noticeable increase in the number of incoming calls compared to the previous month?

Why it matters: A surge in demand could explain longer wait times. Expected answer: Yes, there's been a 15% increase in call volume. Impact on approach: We'd investigate reasons for increased demand and capacity planning.

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Updated Jan 22, 2025