Provider Manual · Part XVII

Reputation & patient feedback

Ask patients for feedback after a completed visit, send the happy ones to your public review profiles, and alert your team the moment feedback is negative — all from Admin → Reputation Management. Set up the survey, the delivery rules, and the review links, try it on yourself, then switch it on.

9 sections~15 min read
XVII
Part XVII

Reputation & patient feedback

Ask patients for feedback after a completed visit, send the happy ones to your public review profiles, and alert your team the moment feedback is negative — all from Admin → Reputation Management. Set up the survey, the delivery rules, and the review links, try it on yourself, then switch it on.

17.1How it works

Turn happy visits into public reviews — and catch unhappy ones early

Reputation Management asks patients for feedback right after a completed visit, sends the happy ones to your public review profiles, and alerts your team the moment feedback is negative. It runs the whole loop for you: a patient finishes a visit, Hero sends them a short survey, and what happens next depends on how they answer. It lives under AdminReputation Management.

  1. A visit is completed. When an eligible patient’s visit is marked complete, Hero schedules a feedback invitation — on the channel, at the time, and within the send window you’ve configured (see Delivery settings).
  2. The patient answers a short survey. They get a branded email or text with a single link. It opens a mobile-friendly survey page — no login, app, or portal account — that takes under a minute (see What the patient sees).
  3. Hero routes on the outcome. Each response is scored into one of three outcomes, and each outcome does something different:
    • Positive — the patient sees a thank-you screen with your public review links and can post a review in one tap (see Review links & outcomes).
    • Negative — the patient sees an acknowledgment that you take it seriously, and your team gets an alert to follow up (see Negative-feedback alerts).
    • Neutral — anything in between gets a simple thank-you and nothing else.
Why route this way. Steering an unhappy patient into a private conversation instead of a public review page protects your reputation and gives you a real chance to make it right — while genuinely satisfied patients are the ones most likely to leave the reviews that help new patients find you.
17.2Access & first-time setup

Open the workspace and set it up in order

The Reputation Management workspace is organized into four tabs — Overview, Survey, Delivery, and Routing & Review Links. You configure the survey and the sending rules first, try it on yourself, and only then switch it on, so nothing goes to a real patient until you’re happy with it.

OverviewSurveyDeliveryRouting & Review Links

Who can open it

Access is gated by a single dedicated permission. Organization owners hold it automatically. There is deliberately no general-admin shortcut — being an administrator alone doesn’t grant it — because this workspace controls what your practice publishes about itself and who gets nudged toward a public review. An organization administrator can grant it to a specific non-owner staff member as a reputation-only permission, without giving them anything else. If your practice requires clinical two-step verification, this workspace honors it, so you’ll be asked to verify before making changes.

The recommended setup order

The first time you save any settings, Hero creates a sensible starter survey for you, so you’re never staring at a blank page. From there, work the tabs left to right:

  1. Build your survey. On the Survey tab, shape the questions, wording, and scoring that decide each outcome (see Build your survey).
  2. Set delivery rules. On the Delivery tab, choose the channels, timing, send window, expiry, cooldown, and who is eligible (see Delivery settings).
  3. Add your review destinations. On Routing & Review Links, list the public profiles you want positive patients sent to and choose who gets prompted (see Review links & outcomes).
  4. Send yourself a demo. Before you enable anything, use the demo card to experience exactly what a patient will (see Demo the patient experience).
  5. Turn it on. When it looks right, flip the master enable switch on the Delivery tab and Hero starts inviting eligible patients.
Granting access without over-sharing. To let a front-desk lead or office manager run reputation without making them an owner, ask an organization administrator to grant them the reputation permission on its own (see Staff accounts & permissions). Only staff who hold this permission can be picked as alert recipients later.
17.3Build your survey

Design the survey and how it’s scored

The Survey tab is a template editor. A survey holds up to eight questions, and how a patient answers them decides whether their visit counts as positive, negative, or neutral. A live preview shows the survey exactly as a patient will see it, so you can check the wording and flow as you build.

Question types

Rating scale

A numeric scale — for example 0–10 — with optional labels on each end (such as “Not at all likely” and “Extremely likely”). The natural fit for a recommend-us or satisfaction score.

Single choice

A pick-one question with between two and ten options — handy for “How was your wait time?” or “Which best describes your visit?”

Yes / no

A simple two-way question, for example “Were your questions answered?”

Free text

An open comment box. You can include at most two free-text questions, so the survey stays quick to complete.

Personalize the wording

Question text can include placeholders that Hero fills in automatically for each visit, so every survey reads as if it were written for that patient and provider. You can drop in the provider’s name, the provider’s last name, and your practice name — for example “How likely are you to recommend Dr. Lastname to a friend?”

Scoring & thresholds

You choose how the outcome is decided:

One key question

Designate a single required question — typically your recommend-us rating — and its answer alone drives the outcome. Simple, and easy for patients to understand.

Weighted average

Blend several scorable questions into one score, weighting each as you like, so the outcome reflects the whole survey rather than a single answer.

Either way, you set two thresholds — a positive cutoff and a negative cutoff. A score at or above the positive cutoff is a positive outcome; at or below the negative cutoff is a negative outcome; anything in between is neutral. Set them to match how demanding you want to be about who gets sent to public reviews and what counts as a red flag worth a staff alert.

Editing creates a new version. Surveys are versioned. When you change and save a survey, Hero saves it as a new version — but any invitations already in flight keep the exact version they were sent with, so a patient never sees the survey change out from under them mid-response. Your reporting stays consistent because each response is tied to the version the patient actually answered.
17.4Delivery settings

Control who gets surveyed, how, and when

The Delivery tab decides when an invitation goes out, on what channel, and to whom. At the top is the master enable switch — the single control that turns the whole feature on or off.

Turning delivery off takes effect immediately. Switching the feature off cancels any invitations that were scheduled but not yet sent, and deactivates links that were already delivered — so a patient can’t open a survey after you’ve turned the program off. Turn it back on and future completed visits start being invited again.

Channels

Send by email, text message, or both. Whatever you choose, each patient’s own communication preferences and opt-outs are always honored on top of your setting — a patient who has opted out of texts won’t be texted even when SMS is on. Every text includes “Reply STOP to opt out.”

Timing & send window

  1. Choose when to send after a visit. Either a delay in minutes after the visit is completed (for example an hour later, while it’s fresh), or a fixed time on a later day (for example 6:30 PM the next day).
  2. Set a daily send window. Invitations only go out inside a window you set in your practice’s timezone. That window has to sit inside the platform-wide safe-contact hours of 08:00–20:30, and each patient’s local quiet hours and do-not-disturb preferences are respected as well — so nobody is messaged at an unreasonable hour.

Expiry, cooldown & eligibility

Link expiry

How long a survey link stays live — anywhere from 3 to 60 days. After that the link stops working (see What the patient sees).

Per-patient cooldown

The minimum number of days between surveys for the same patient, so your frequent visitors aren’t surveyed after every appointment.

Minimum age

Only patients 18 and older are surveyed. Minors are never invited — this rule fails closed, so a missing or uncertain date of birth means no survey.

Exclusions

Leave out whole visit types or specific providers — useful for visit types where a feedback ask isn’t appropriate.

Preview the exact message

Two preview buttons show you the precise email and text a patient will receive, rendered with your branding and wording. The SMS preview also shows the message’s segment count, so you can see whether your text will send as one segment or more before you commit to it.

Design first, send later. You can configure everything on this tab — and send yourself a demo (see Demo the patient experience) — while the master switch is still off. Real patients are only invited once you enable delivery.
17.5Review links & outcomes

Point positive patients at the right review profiles

The Routing & Review Links tab is where you list the public profiles a satisfied patient can post to — Google, Yelp, Healthgrades, or anywhere else you keep a review page — and decide who gets asked.

Review destinations

  1. Add each destination. Give it a Label the patient will recognize (for example “Google”) and a secure https link straight to your review page there. The link must be a plain HTTPS address with no query string and no fragment — anything carrying a ? or a # (a …/writereview?placeid=… link, or one ending #reviews) is rejected when you save. Use the short share link the review site gives you instead, such as a g.page/r/…/review link. You can list up to 40 destinations in total.
  2. Choose its scope. A destination can be practice-wide (shown for every provider) or pinned to a specific provider. When a provider has their own link, that provider-specific link wins for that provider’s visits — so a patient is sent to the right doctor’s profile rather than a generic one.

Who gets prompted — the prompt mode

You decide which completing patients are shown your review links:

All patients

Everyone who completes the survey sees your review links on the thank-you screen, regardless of how they scored.

Positive only

Only patients whose outcome is positive are shown the review links; neutral and negative outcomes are not asked to post publicly.

Positive-only can raise compliance concerns. Hero shows a compliance warning when you choose the positive-only mode, because selectively asking only your happiest patients to post public reviews — while steering everyone else away — can run afoul of the FTC’s rules on review suppression. Understand your obligations before you use it; when in doubt, prompting all patients who complete the survey is the safer choice.

This tab also holds the negative-feedback alert policy that decides what happens when an outcome is negative — covered next in Negative-feedback alerts.

17.6Negative-feedback alerts

Catch unhappy patients and follow up

When a response scores as a negative outcome, Hero doesn’t just file it — it raises an alert so someone can reach out before a frustrated patient becomes a public one-star review. You set the alert policy on the Routing & Review Links tab and work the alerts on the Overview tab.

The alert policy

On a negative outcome, Hero raises an in-app alert (on by default — you can switch it off). You can additionally have it email selected staff so the right people hear about it without having to watch the workspace. The recipient picker lists the clinical staff who hold the reputation permission — so you can only route alerts to people already trusted with this workspace (see Access & first-time setup).

Working alerts on the Overview tab

The Overview tab is your dashboard: response volume and completion stats over a window you choose, the list of individual survey responses with each one’s score and outcome, and the negative-feedback alerts.

  1. Spot the badge. An unacknowledged-alerts badge appears on the Overview tab and on the Reputation Management item in the Admin menu, so you can see there’s something to handle without opening the workspace.
  2. Open the alert. Alert emails deep-link straight to the specific alert, so a recipient can click through from their inbox to the exact response rather than hunting for it.
  3. Follow up, then acknowledge. Reach out to the patient however your practice handles service recovery, then acknowledge the alert to mark it handled and clear it from the badge count. Acknowledging is how the team signals an alert has been dealt with.
Alerts are for you, not the patient. A negative outcome shows the patient a brief acknowledgment that you take their feedback seriously and will follow up — it never shows them your review links. The detailed alert, the score, and the comment stay inside your team.
17.7Demo the patient experience

Send yourself the real thing before you launch

The Delivery tab has a Try the patient experience card that sends you the actual invitation a patient would get, built from your current settings — the best way to sanity-check your survey and wording before a single patient sees it.

  1. Enter where to send it. Put in your own email address or mobile number, and optionally pick which provider to feature so the placeholders fill in with a real name.
  2. Receive the real invitation. Hero sends you the genuine invitation message on that channel. Opening its link launches a live demo of the survey, generated from your current settings, with a clear Demo preview banner so it’s never mistaken for a real response.
  3. Try it, then share it. Answer it as a patient would to see each outcome screen. You can replay the same link for 7 days, and a copy-link option lets you share the demo with colleagues for a second opinion.
Nothing you do in a demo is recorded. Demo answers are never saved, never counted in your stats, and never trigger a negative-feedback alert — so you can submit a scathing one-star demo without anyone getting paged. Demo invites also work while the feature is switched off, which is exactly the point: design your survey, send yourself a demo, and only then enable delivery.
17.8What the patient sees

The patient’s side of the survey

From the patient’s point of view this is fast and frictionless. After a completed visit they get a short, branded email or text; one tap opens a survey they can finish in under a minute; and the screen they land on afterward depends on how they answered.

  1. The invitation arrives. A short message carrying your practice’s name, with a single link. No attachments, no account setup.
  2. The survey opens. The link opens a mobile-friendly page dressed in your practice’s logo and colors — no login, app download, or portal account required. It’s built to take under a minute.
  3. They submit, and see the right screen.
    • Positive — a thank-you with your review links, one tap from posting to the public review site.
    • Negative — an acknowledgment that your practice takes it seriously and will follow up, while your team gets the alert.
    • Neutral — a simple thank-you.

Links are single-use and time-limited

Each invitation carries a secure, single-use link that expires on the schedule you set (see Delivery settings). If a patient opens a link that has already been used or has expired, they see a friendly “no longer available” page rather than a broken screen — so there’s no way to submit twice or resurrect an old survey.

Built-in guards against survey fatigue. A patient can only ever have one live survey at a time, and the per-patient cooldown keeps you from surveying the same person too often. And if a visit is reopened or cancelled after its invitation went out, Hero deactivates that link automatically — feedback is only ever collected against a genuinely completed visit.
17.9FAQ & troubleshooting

Common questions

Most “why didn’t this happen?” questions come down to an eligibility rule doing its job. Here’s how to read the usual ones.

Why wasn’t a patient surveyed?

A completed visit doesn’t always produce an invitation — by design. Check these first:

ReasonWhat’s happening
Under 18Minors are never surveyed, and the age check fails closed — a missing or uncertain date of birth is treated as ineligible.
Opted outThe patient has opted out of the channel (or of messaging generally); their preferences always override your channel setting.
Within cooldownThey were surveyed too recently — the per-patient cooldown hasn’t elapsed yet.
Already has a live surveyOnly one survey can be open per patient at a time — a visit completed while another survey is still live won’t generate a second invitation.
Excluded visit type or providerThe visit’s type or provider is on your exclusion list (see Delivery settings).
No contact infoThere’s no email or mobile number on file for the channel you send on.
Feature disabledThe master enable switch is off, so no invitations are scheduled.

A patient completed the survey but didn’t see our review links.

That’s the prompt mode at work. If you’ve set positive only, patients with a neutral or negative outcome aren’t shown review links — only positive outcomes are. Switch the prompt mode to all patients if you want everyone who completes the survey to see them (see Review links & outcomes).

What happens to in-flight surveys if we turn the feature off?

Turning off the master switch cancels invitations that haven’t sent yet and deactivates links already delivered, so no more responses can come in until you turn it back on. Your past responses and stats stay intact on the Overview tab.

Feedback is protected information. Survey responses tie a real patient to their comments and scores — treat the Overview tab and any negative-feedback alerts as you would the rest of the chart, and keep this workspace limited to staff who genuinely need it.

Need help? Email support@heroemr.com.