Becker's Clinical Quality & Infection Control

Becker's Infection Control and Clinical Quality September 2015

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6 PATIENT EXPERIENCE Cultural Facets One of the most-reported strategies from respondents involved their organization's culture. A majority — 77 percent — of hospitals reported that a commitment to patients and their families is integrated into their culture, and they attributed their high patient safety scores in part to this mindset. "e organizations [that] are high-performing were ones [that] did not think of the patient experience as an add-on," Dr. Aboumatar says. "ey thought of it as much more integral to the type of mission that they have. [It's] what they're all about." Operational Facets Beyond building a focus on patient experience into the culture, the importance of staff involvement and engagement in the mission to improve patient experience really stood out to Dr. Aboumatar from the survey's findings. "e most pleasantly surprising finding is that, for the most part, the [successful] hospitals have created different ways by which to engage all people within the organization in this quest to improve patient experience," she says. e survey responses showed 83 percent of surveyed hospitals had proactive nurse rounds in place, and 62 percent reported that leaders from all levels of the organization also rounded on patients. Involvement at the leadership level — which included not only managers but executives and board members — appears to be a key ingredient in the patient experience improvement recipe. Some respondents indicated that leaders blocked out time in their calendars to round on patients and staff, asking patients how their stay is and asking staff what, if anything, they need to help them do their job to the best of their ability, according to Dr. Aboumatar. Including leaders in rounding is important because it involves people with decision-making power directly in patient experience, she says. Other best practices reported by the highly rated hospitals included always making eye contact with patients and sitting by the bedside instead of standing over patients. While the survey did reveal some best practices for providing excellent patient experience, there is one final point from the research that all hospital leaders should take to heart: ese strategies can be implemented anywhere. Similar practices were reported from all different types of hospitals, regardless of bed size, location or teaching hospital status. Additionally, the successful patient experience programs generally did not require high-tech resources and did not have a high cost barrier to implementation. Or, in Dr. Aboumatar's own words to hospital executives, "You can do it!" n HIGH-PERFORMING HCAHPS HOSPITALS 53 Top-performing hospitals surveyed 77% Integrate a commitment to patients & families in their culture 83% Have proactive nurse rounds 62% Reported that leaders also perform patient rounds

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