“Intent counts more than technique." – Mahan Khalsa

For decades, we had the greatest vet. His office was a bit of a mess, but that's because he was so busy. He didn't charge premium prices, and I'm convinced many of the people I saw in his waiting room didn't pay at all. He didn't suggest a lot of interventions, and when he did, they were reasonable. His intent came through loud and clear, he loved animals.
When he retired, we moved to a new vet. The office is much cleaner, the equipment newer, and there are a lot more bodies working there. Every visit requires an upfront verbal agreement on the price read by the assistant to the vet. There are a lot of tests, and each visit adds up to hundreds of dollars. It feels like a consultant suggested a series of best practices, and they execute it to perfection.
The new vet is a lot like my dermatologist's office. Shiny, white, clean. Operationally amazing. Best practices everywhere. They see something concerning, they take it off, the lab comes back a week later with an "ok" and I get a big bill.
At my annual physical, I was telling the primary doctor about my dermatologist's visit, and he said, "Did they burn it off or send it to the lab?" I said they sent it to the lab. He said, almost to himself, "I need to do more of that. Was each test a separate lab fee?" Wait, I said, go back. I could just get questionable moles burned off? That's an option?
I love my primary doctor. He's a lot like my old vet. The office is chaotic, and you get the impression a percentage of the work is being done pro bono. His intent is clear.
When you're optimizing your processes, check your customer's perceptions. They're very good at detecting intent, even if they have trouble putting it in words. In this case, I'm happy to visit my primary care doctor, but loathe to take the pets in or set up a dermatologist visit. Over time, I'm betting that adds up.
Your customer's perception of intent overrides the effectiveness of most techniques. A great best practice is to include customer feedback on tactical changes. (unless your intent behind using the best practice isn't pure. . .they'll detect that too.)
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