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The Beryl Institute Patient Experience Blog
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Expanding the dialogue on experience excellence to long term care

Posted By Jason A. Wolf Ph.D. CPXP, Tuesday, September 2, 2014
Updated: Monday, September 1, 2014

When we first developed the definition for patient experience with a group of contributing healthcare leaders, four themes emerged as central to our discussion and ultimately to the definition itself – the sum of all interactions, shaped by an organization’s culture, that influence patient perceptions across the continuum of care. These themes shaped the fundamentals for action in providing the best in experience and I still see them as central and imperative across healthcare settings today.

Experience efforts are shaped through the interactions of all individuals involved and grounded in the organization’s culture through which they are delivered. It is the actions of all participants in the care experience – caregivers, support teams, patients and family members alike – that ultimately influence the perceptions of experience and create the lasting impact (and I suggest ripple effect) that each experience has. Experience is a partnership with patients, residents and families, not a doing to, and these words reinforce this critical point.

It is the last element of the definition that is also perhaps the most easily accepted: across the continuum of care. As the patient experience movement has flourished, there has been growing recognition that experience stretches well beyond the four walls of any clinical encounter or the physical structures of the acute care setting. In fact, the ideas of experience, in variations of language including patient, resident or person-centeredness, have permeated the wide array of care experiences one can have in healthcare today. This idea may be no better reinforced than the focus on the experience of individuals in long-term care.

The effort to provide a strong and positive experience for individuals in long-term care is not a new concept. This idea has been addressed in the dialogues of great institutions such as the former Picker Institute and now via Planetree and through organizations such as the Pioneer Network, Leading Age and the American Health Care Association (AHCA). Partly driven by policy, such as we have seen sweep the US healthcare system in other segments of the continuum with the CAHPS efforts, and framed by what we know to be the right thing to do, long-term care has long been focused on the elements of resident quality, safety and service and the built environment to ensure the best for those in their care.

There is a growing understanding in all environments, that aside from the right thing to do for those in our care, or even a must do, there is also increasing policy focus and requirements that not only measure action, but also tie financial implications to them. Yes, we must acknowledge the financial implications of this effort as well, including the reality that individuals in the healthcare system at all points on the continuum are now consumers – people carefully select doctors, they make decisions on which hospitals to seek care and they look long and hard at the options in selecting a location for a parent or loved one to reside for long-term care needs.

If we accept choice is a factor now in healthcare, then experience matters. In focusing on the continuum of care, it matters to the patients, residents, people in our care, it matters to their families and it matters to all who deliver care as well. It is for this reason we continue to evolve our work at The Beryl institute to expand the experience conversation to all points on the continuum of care and to acknowledge the opportunities at the moments of care transition as well.

We have worked to engage broader voices in the physician practice setting by exploring how experience is being addressed by physician clinics and groups and our events are expanding to include greater dialogue and content on the important practices taking place in the ambulatory and outpatient settings. With equal focus (and the support of energized and committed members of our community), we are embarking in expanding our efforts to address experience in the long-term care setting as well. In the coming months, through Patient Experience Conference 2015 and beyond, we will work to collaborate with leading thinkers and organizations to reinforce and expand the critical conversation of experience in the long-term care environment. This will include papers, webinars, conference sessions and expanding research into this area of the continuum.

We hope through these efforts and partnerships we can support the critical dialogue of experience at all points on the care continuum. We will strive to continue our growth as a community encouraging and supporting the dialogue among individuals impacting each touch point in the care experience. If we maintain that experience as defined truly crosses the continuum of care, not only is this a critical effort to take on, it is a must do in ensuring that the experience conversation – the critical confluence of quality, safety and service and the fundamental considerations of people, process and place – engages all and includes all voices. We are excited by this next stage of the experience movement and invite and encourage your thoughts, ideas and participation.

Jason. A. Wolf, Ph.D.
President
The Beryl Institute 

Tags:  choice  community of practice  Continuum of Care  culture  defining patient experience  Field of Patient Experience  HCAHPS  healthcare  improving patient experience  Interaction  Interactions  long term care  patient  Patient Experience  Patient Experience Conference  service excellence  voice 

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Become a Leader in the Patient Experience Movement

Posted By Stacy Palmer, Tuesday, August 5, 2014
Updated: Tuesday, August 5, 2014

I recently received a note from a new member who is early in her career and looking for ways to maximize her membership to get "plugged in” to the Institute and gain credibility within the patient experience community. We get questions like this often. While passionate about getting involved in the patient experience movement, many of our members aren’t quite sure how to get started.

To help, I want to share the suggestions I gave her. I believe they are applicable for patient experience leaders at any stage. First, leadership is not about years of experience. It’s about influence (and willingness to contribute). While healthcare has been around for centuries, a focused patient experience movement is still taking shape at all levels of healthcare organizations. To "plug in” and be a leader, you need to do one thing – share.

The power of sharing is what The Beryl Institute community is built upon and in doing so people reap even greater benefits themselves. Leadership in our movement is grounded in a generosity of spirit and contribution, collaboration and openness.

 The Beryl Institute offers many ways for you to share and be active participants in the patient experience movement.

  • Get engaged in the conversation. That's the best way to share what you're doing and learn from others. We have Patient Experience Leaders and Patient Advocacy listservs that are very active. Be sure to sign up for those and respond to questions and/or pose your own. And when you find something that’s successful in your organization – share it through a case study.

  • Attend a live event. We have a very engaged, energetic community and they love meeting and brainstorming with new people. It's also a great chance to find a mentor. We have two Regional Roundtables coming up in October - one in Boston and one in Seattle. And Patient Experience Conference 2015 will be April 8-10, 2015 in Dallas. If travel is a concern, you can talk to other members via phone on our monthly topic calls.

  • Immerse yourself in the PX Body of Knowledge (BOK). It's a community-driven framework highlighting the 15 domains critical for an effective PX leader. We currently have courses available for 8 of the 15 domains with the other 7 coming soon. You can gain lots of information from other resources available through your membership, but I always recommend the BOK courses to people looking to establish a solid foundation.

One of our members recently commented that he views his involvement with The Beryl Institute as much more than a membership. He believes his engagement is a bigger statement supporting the patient experience movement. His outlook exemplifies the passion we see everyday from the community.

In fact, I am constantly amazed by the eagerness of our members to contribute, get involved and truly become leaders in the movement. With over 60 members on our boards and councils, subgroups like the Patient Advocacy and Physician communities, and regular contributors to our guest blog, case studies and On the Road program, those desiring to be thought leaders in this critical movement have a place. You just need to choose to engage.

And for the many of you already involved in The Beryl Institute who want to do even more to support the movement, my advice to you is the same: share. One of the greatest ways to be a leader in the patient experience movement is to pass along a story, case study, research report or other resource that might inspire those around you to look at their roles differently, to see the impact they can have on creating the best possible experience for patients, families and caregivers. Simply, share. 

"Don't judge each day by the harvest you reap but by the seeds that you plant.”  - Robert Louis Stevenson


Stacy Palmer

Vice President, Strategy and Member Experience
The Beryl Institute

Tags:  community of practice  Field of Patient Experience  healthcare  improving patient experience  Interaction  Leadership  patient  patient engagement  Patient Experience  Patient Experience Conference  service excellence  thought leadership 

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We Each Hold a Piece to the Patient Experience Puzzle

Posted By Jason A. Wolf Ph.D. CPXP, Tuesday, July 1, 2014
Updated: Tuesday, July 1, 2014

In my most recent Hospital Impact blog I wrote:

Experience is designed to fit your organization and the people in your care. No one provider, no one vendor, no one organization holds the ultimate answer to the experience riddle. The greatest successes I see are those organizations willing to pull from the best of all they can, across all the information available, to meet their unique needs. In proceeding, choose partners and resources that value and integrate your own organizational identity in any plan. That will take you the farthest down the path to experience success.

As I further reflected on those words, I was quick to see and acknowledge a bias I bring to this work. Over the last four years in growing the Institute and through the many years of my career before, I have come to not only value, but also see the true impact that collaboration and the sharing of ideas can have in helping "raise all boats.” Yes, collaboration in organizational life is designed to collectively "raise the tide”. It is something I have often seen a lack of in the competitive landscape of healthcare overall.

I am not saying I do not believe that competition is of value, drives creativity, resourcefulness and positive outcomes; in fact I have seen it do just that. Rather, competition in the critical areas of organizational life, particularly in healthcare and specifically in the experience we provide for patients, their families and our very own staff members is not the greatest path to success. Without question, competition has been a motivating factor in experience, one seen driving action as scores are publicly reported and actual reimbursements and other financial opportunities are at stake. This is of value as the attention given to positive experience leads to better outcomes and holds the potential for establishing significant market distinction.

Yet, what I suggest is that beyond this drive for distinction, the opportunity to learn from one another provides the greatest of potential outcomes for all. The challenge is not (nor should it be) around what to do, but rather your actual commitment to do something about it. I have not visited one organization or engaged with one audience yet that did not already inherently understand the fundamentals to success in driving the best in experience. (Note in discussing experience, I maintain it is the integration of quality, safety and service encounters.) The distinguishing factor I have continued to see is leadership vision and commitment, a willingness to invest and follow through, the right people focused on the right things and the openness to reach out, share successes and learn from others. It is this focus on execution that should (and does) drive true distinction.

This very philosophy, learning from one another, especially in the experience arena, is the central ideology on which The Beryl Institute itself is built. That in creating a true community of practice, with individuals and organizations willing to share their successes and open up about their misses and needs, we have the potential for the greatest impact in healthcare today. It is about creating an organizational experience where individuals, organizations and resource providers can bring new ideas to bear as you determine the best path forward.

While this is built into everything we do throughout the year, it may be no better realized than in the few days we spend together at Patient Experience Conference or at our Regional Roundtables each year. In these few days together, hundreds of people representing hundreds of organizations around the world come together, not to declare "their” way is the right way, but rather to share their ideas as they might work for you. In bringing together the greatest number of voices, open to the broadest range of ideas, you position yourself well for success. In fact with Patient Experience Conference 2015 already on the books, I would be remiss if I didn't encourage you to share your ideas via a conference submission or ensure you have your attendance slotted for your 2015 budget. You also have two great opportunities to join us and our host organizations Virginia Mason Medical Center and Boston Children’s for two great roundtable experiences.

Again, I come back to my words I shared above - no one provider, no one vendor, no one organization holds the ultimate answer to the experience riddle. I would offer they each hold a little piece of the bigger puzzle. If we are willing to engage in the dialogue, ask for what we need and share what we know, we are all better for it. Then, it is each of our jobs to ensure it is done and done well.

Jason. A. Wolf, Ph.D.
President
The Beryl Institute

Tags:  collaboration  culture  execution  expectations  healthcare  hospital impact  improving patient experience  Patient Experience  Patient Experience Conference  Regional Roundtable 

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Why We are ALL the Patient Experience!

Posted By Jason A. Wolf Ph.D., Tuesday, June 3, 2014
Updated: Tuesday, June 3, 2014


"We are ALL the patient experience” is not just the theme that underlined Patient Experience Conference 2014; I would offer it is an idea that must be central to patient experience improvement and the patient experience movement overall. I am encouraged by the increasing acknowledgement that it takes all players in the healthcare marketplace, across the continuum, through the established hierarchies, and from patient & family, to caregiver, to community to ensure the best in experience.


This was exemplified during my On the Road visit just last week to Cape Regional Medical Center that will be published later this month. What I found was an institution that understood and acted fully on what community meant and, in doing so, engaged staff, physicians, leadership, patients and families in collective efforts to provide the best in experience.

I am often asked for the quick list of solutions to drive patient experience excellence or the checklist of actions that will lead straight to success. What my visit to Cape Regional reinforced, and what I have learned from so many other institutions, is that there is no one path to patient experience nirvana. Actually, I think we could all identify many core tactics that would help support improvement efforts. There are truly no secrets in this work (or at least there should not be). In fact I would challenge any organization that claims to have the secret recipe, be they provider or consultant, to examine what is truly distinct or unique about their efforts, and highlight, market and sell around that premise – not as an ultimate solution, but as a piece of an intricate puzzle. I believe there are practical ideas and innovative solutions we can learn from one another and, in fact, that is what I hope to reinforce.

A strong patient experience effort must be built on a patchwork of ideas, with a foundation of commitment across roles and responsibilities. While patient experience may be (and we encourage it should be) led by an individual or partnership of leaders, it can never be fully executed in isolation. In fact if we believe that at its core, experience is about the interactions that take place between two human beings around issues related to quality, safety, service and even improvement, then we must acknowledge the simple, yet powerful point that we are all the patient experience.

The implications for this understanding are significant and the imperative for supporting action is clear. Successful organizations driving patient experience improvement, and sustaining it, have worked hard to:

  • Develop and support leaders at all levels, in all roles, across all functions
  • Equip people with direct and easy access to the broadest amount of relevant and actionable information possible
  • Build solid partnerships with those they serve through active patient and community engagement
  • Build recognition and performance plans in direct alignment with experience objectives
  • Create a sense of shared ownership and reinforce accountability for ideas developed and actions taken

And the list could go on as you build an integrated effort.

You see, improving patient experience and the effort it requires must be owned by all and every individual most often impacts experience at the moment of a simple encounter. This means we must prepare these individuals to act. It is for this very reason that we introduced a simple, but comprehensive Institutional membership access to The Beryl Institute this year. This membership offers healthcare facilities of all sizes and purposes the broadest access for the most individuals in their organization. It provides information, education and accountability across the organization’s community. We have seen organizations with front line nurses to senior leaders and patient and family advisory council members to physicians engaged in accessing community resources and, in doing so, contributing strong ideas as well.

It is in our ability to engage the broadest range of voices through which we can find the best in experience outcomes. I encourage you to provide the opportunity for leadership to emerge, for new ideas to be fostered and for proven concepts to be shared. I know at the Institute we are committed to ensure you have the platform on which to build those efforts every day. Here is to all each individual contributes to the best in experience and for the rallying cry that moves us forward: We are ALL the Patient Experience!

Jason. A. Wolf, Ph.D.
President
The Beryl Institute
  

Tags:  accountability  efforts  employee engagement  improving patient experience  Leadership  Patient Experience 

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Reflections on Patient Experience Week

Posted By Stacy Palmer, Tuesday, May 6, 2014
Updated: Tuesday, May 6, 2014

Last week we celebrated the first annual Patient Experience Week, providing a focused time for organizations to recognize accomplishments, reenergize efforts and honor the people who impact patient experience everyday. From nurses and physicians, to support staff and executive professionals, to patients, families and communities served, the Institute brought together healthcare organizations across the globe.

Proclaiming a new week to observe is a little scary, especially in healthcare where we were warned that many organizations suffer from ‘Week Fatigue,’ but we were delighted by the excitement, participation and support from the community.

We believe that by being a part of Patient Experience Week, healthcare organizations showed employees they appreciate their hard work and encourage their continued efforts on behalf of patients. This week was meant to enhance patient and staff relations, increase hospital morale and improve overall communication, and that’s exactly what we watched it do.

From the social media buzz to our constant phone calls and emails from excited participants, we had the privilege of watching PX Week move from a mere idea to a true success exemplifying the strength of the global patient experience movement. And for a small, mission-driven organization like the Institute, the power in those five days was substantial. We were excited by every idea, photo, video and email that came in. As we work daily to be a community of practice for professionals passionate about improving patient experience, we believe last week exemplified our heart, soul and mission.

Dozens of #IMPX photos were sent in from individuals and teams, representing medical practices, hospitals and vendors (click on the image above to zoom in and see some of the faces in the #IMPX mural). Several healthcare facilities added their videos to the #IMPX video library, organizations issued press releases to educate their communities about their patient experience efforts, and flyers, thank you cards, screen savers and even placemats reinforced the importance of the patient experience movement to those delivering care each day.

Hundreds of organizations participated in PX Week webinars where industry leaders discussed the current and future states of patient experience.  In addition to sharing ideas from the community and offering expert perspectives, we were excited to make several new announcements throughout the week: 

  • PX Body of Knowledge – After two years of development, the first five courses in the PX Body of Knowledge were released, representing the community-developed foundation for effective patient experience leaders. Over 400 individuals from 10 countries contributed to this work.
  • PX Journal - The inaugural issue of Patient Experience Journal (PXJ) was published, an international, multidisciplinary, open-access, peer-reviewed journal focused on understanding and improving patient experience.
  • PX Learning Bites – We released the first in a series of patient experience learning bites - videos featuring industry leader’s insight about patient experience improvement in 2-3 minute segments.

All of these things represent the power of the patient experience movement – the advancement possible by the sharing of ideas, knowledge and practices and the community of professionals willing to contribute.

With this reflection on PX Week, we recognize and want to reinforce that the work to impact and improve patient experience is not something we just do in one moment, one week or one initiative.  The members of the Institute community and those in healthcare around the world committed to this effort are working tirelessly each and every day to ensure the best in patient experience. We acknowledge, encourage and remain steadfast in our support of these efforts.

As we anticipate the next Patient Experience Week, April 27 –May 1, 2015. We encourage you to mark your calendars and start planning your festivities now, but more importantly, we hope you will join us on the continued journey to create the best possible experiences for patients, their families and caregivers. 

Stacy Palmer
VP, Strategy and Member Experience
The Beryl Institute

Tags:  community of practice  employee engagement  global healthcare  healthcare  improving patient experience  patient  patient engagement  Patient Experience  PXweek  service excellence 

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Reigniting our Intention for Patient Experience Improvement

Posted By Jason A. Wolf Ph.D. CPXP, Tuesday, April 1, 2014

In just the last few days I had the privilege of spending time with the team at Cincinnati Children’s and then speaking with caregivers, staff, patients, family and community members as part of the Ontario Ministry of Health’s Central Local Health Integration Network Quality Symposium. While vastly different organizations and experiences that crossed an international border I was struck and even moved by the passion and commitment I see growing around the patient experience.

This is no better exemplified then by the growth of our community at The Beryl Institute and the efforts that have been inspired by each of you. The dialogue on patient experience improvement is growing, not just due to surveys, or even at-risk dollars (though we would be mistaken not to acknowledge its influence). It is not just driven by shifts in policy or even an emerging consumer mindset that has brought the concept of personal choice to healthcare decision-making. We may best describe it instead, by the "perfect storm” of personal awareness, professional passion, and external influence all culminating in this moment. And this is your moment as an individual committed to patient experience improvement.

This culmination guides what we have been inspired to create through our community and in the coming weeks will make available to support this powerful intention. My hope as a servant for the needs of the over 20,000 members and guests of The Beryl Institute and the countless others committed to this movement is that we provide the framework, resources, learning and connections to foster continuous motion.

We start in just a few days with Patient Experience Conference 2014, a physical gathering to engage with one another in learning, sharing, challenging and inspiring efforts. It will be soon followed by Patient Experience Week, a new annual event, inspired by members of the Institute community, to celebrate healthcare staff impacting patient experience. Taking pause during this week provides a focused time for organizations to celebrate accomplishments, reenergize efforts and honor the people who impact patient experience everyday.

In the midst of these major events, are two dynamic resources designed to support the very intention I see burgeoning. The first, the release of the initial Patient Experience Body of Knowledge learning modules, brings this community effort guided by almost 500 voices to its next stage, in providing core learning for current and aspiring patient experience professionals. From this focus on practice we will also see a push for greater research with the launch of Patient Experience Journal (PXJ) and its Inaugural Issue bringing together the voices of academic and practical research from around the world to inform and even challenge our work.

In the weeks ahead, and in the weeks and months beyond, our task together must be to refresh, renew and reignite our intention through these and other efforts. The task at hand may be no simpler, yet never more complex. Your work as champions of patient experience is a relentless effort of doing what is right in every moment. Consider this a rallying cry in a month where powerful people and strong efforts will collide in great possibility. So what can you do about it? I offer:

  1. Acknowledge that whatever role you play, what every title you hold, whatever resources may be at your call, you are a leader for patient experience improvement.
  2. Recognize that complexity may be our greatest foe in dealing with what at its core is our commitment as human beings caring for human beings – keep it simple, that is where great power can be found.
  3. Commit to engaging others in your efforts – be it the voices of patients and families, the insights from community, the experiences of peers or colleagues. While at times it may feel lonely on this journey, know there are so many more carrying this passion with you.
  4. Focus relentlessly on where you can make a difference; the operative concept being there is a place that each and every one of you has a difference to make.
  5. Don't let complacency be the enemy of your intention; yes there are now scores to earn, objectives to achieve, targets to shoot for, but don't be afraid to do what you know is right in the end.

The team at Cincinnati Children’s reinforced what I have seen on many On the Road visits and the participants in Ontario exemplified it in their efforts. We all have a vested interest in improving patient experience – be it for ourselves, our loved-ones, our friends, or our communities. This is a cause worth working towards and one in which I hope we will always remember the power of strong and true intention.

Jason. A. Wolf, Ph.D.
President
The Beryl Institute

Related Body of Knowledge courses: Organizational Effectiveness.

Tags:  body of knowledge  central LHIN  choice  Cincinatti Children's  culture  global healthcare  HCAHPS  healthcare  improving patient experience  intention  Leadership  patient  patient experience  Patient Experience Conference  patient experience journal  patient experience week  pxj 

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Nurse Leadership Matters in Patient Experience Performance

Posted By Jason A. Wolf Ph.D., Tuesday, March 4, 2014

As shared by the Robert Wood Johnson Foundation and known by many in practice, nurses represent the single largest group of health professionals who deliver hospital care. This represents a broad range of caregivers from the senior ranks of CEOs or CNOs, to the bedside, from managing triage in emergency departments to conducting post discharge follow-up calls.

With this expansive reach, nurses and in particular nurse leaders, have a significant opportunity to impact the experiences of patients and families. I say this reinforcing the strong point found in the definition of patient experience that experience is created in every interaction – meaning by everyone that plays a role in the healthcare system and at all points in the continuum of care, from well before to well after a clinical encounter. With that we would be short sighted to miss the fact that the experience most patients and family members relate to, reflect on and remember is the one they had with their nurses.

In a Hospital Impact blog last year, I wrote about my own experience of quickly leaving at the close of Patient Experience Conference to become a family member at the bedside for the birth of our son. I spoke of Kristen, our L&D nurse, who was responsive and took every opportunity to not only set appropriate expectations, but also answer our questions. She served as a guide through one of life’s most important and incredible moments.

In inquiring why she and other nurses in the unit were so positive and engaged (and not revealing my profession), I was told about how their leaders take time to support the nurse team not simply as individuals there to work, but as professionals, people and partners in care delivery.

In thinking back on this moment I had the chance to share some thoughts with the nurse leaders at my most recent On the Roadsite – Presbyterian Health Services. My realization in the conversations reminded me of how as a family member I had clear expectations about clinical excellence, quality and responsiveness from my nurse team. It was the things they did beyond that though that drove my experience.

As we talked at Presbyterian, it became clear in the dialogue that in the fast-paced world of healthcare, specifically in the nursing realm, nurse leaders have a critical role to play. They set the stage for behavior, they reinforce actions and responses, and they coach, guide, cajole and celebrate with their teams. In the end these nurse leaders, whether aware of it or not, are indirectly driving the experience for so many in their care.

This observation and discussion was supported by the data revealed in the 2013 State of Patient Experience Benchmarking Study. In both the 2011 and 2013 research "clinical managers who visibly support patient experience efforts” was the second greatest driver of experience success after visible support from the top. Here again leadership was reinforced as critical, and more so the clinical managers, those guiding the largest part of the healthcare workforce and with the greatest contact with those served, were identified as central to patient experience performance.

What does all this mean in action. Based on what I have experienced and learned from the many nurse leaders I have had the fortune to work with, the ideas are simple in concept, but sometimes require great effort to execute. Nurse leaders must:

  • Nurture and develop their teams beyond core clinical skills to the behaviors they see as critical to the total delivery of care.
  • Model expectations at all times in their own actions and hold themselves and everyone else accountable when these expectations are broken.
  • Listen and create a space for the words of all team members to be heard. Sometimes the greatest of ideas come from the unlikeliest of sources.
  • Reinforce and create a sense of ownership in staff at all levels that they are leaders in every moment. As every experience happens in the interaction between one human being and another, every individual has the power to choose how they lead in every moment.

In a world where nurse leadership faces continued and growing pressures to perform, these, what some might call, "softer”, non-clinical aspects of leadership and action can easily be pushed aside. But it continues to be the strongest and most successful leaders I see that find the space and time to consider and act on these aspects of the total experience.

It is simple. In whatever way fits their style or the organization in which they provide care, nurse leaders matter in patient experience performance. Of that there is truly no question.

Jason. A. Wolf, Ph.D.
President
The Beryl Institute


In recognition of the importance of nurse leadership in impacting patient experience, The Beryl Institute is excited to join one of our supporting partners, TruthPoint, to offer patient experience resources at the upcoming American Organization of Nurse Executives (AONE) Annual Meeting in Orlando, Florida.

Related Body of Knowledge courses: Healthcare Leadership and Management .

Tags:  celebration  Continuum of Care  culture  employee engagement  healthcare  improving patient experience  Leadership  Nurse  Nurse Leadership  Patient Experience  service excellence 

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The Patient Experience Deserves More Than 63%

Posted By Jason A. Wolf Ph.D. CPXP, Tuesday, February 4, 2014

I have yet to meet anyone in healthcare who suggests patient experience is not important. In fact, I often hear it said to be "one of our top priorities”, "a central pillar in our strategy” or "a critical initiative for our organization”. I do not question the sincerity of these declarations or the intent they suggest. I also recognize in the highly dynamic world of healthcare today we are in a constant struggle to balance our priorities. With that, I offer these thoughts to shift our thinking in how we approach experience overall.

To frame what I mean about patient experience I return to the definitiongenerated by the members of The Beryl Institute community – the sum of all interactions, shaped by an organization’s culture, that influence patient perceptions across the continuum of care. I also want to challenge the perspective of some in equating patient experience only to service and question our inside-out focus in healthcare as we often operationally differentiate quality, safety and service. While we may operate these efforts in distinct and at times competing manners, I do not believe patients distinguish between these areas. Yes, we must focus on quality, safety and service and align the appropriate resources to each, but we must address these efforts from the eyes of our consumer and the perspective that they together create but one experience.

As I have continued to hear patient experience identified as a strategic priority, it has caused me to ask, does this mean based on needs there are then specific times when we actually focus on it (and therefore times we don't). That is, do we truly focus on every one of our priorities at all times? Continuing this thought, if patient experience is seen as an initiative, it has all but been declared a limited effort, for every initiative I have experienced in healthcare and elsewhere has a beginning, middle and therefore an end. Do we truly think the patient experience is an idea where the effort eventually concludes?

These ideas around alignment, priority and initiative were supported in the findings of the 2013 Benchmarking Study, The State of Patient Experience in American Hospitals. The research revealed something one could potentially overlook in all that was uncovered. In the U.S. Hospital System the individual with primary responsibility for patient experience spends 63% of their time on these efforts. In contrast, I do not know of a CFO that spends 63% of his time on finances. The data itself reinforces the opportunity we may very well be missing. Have we made patient experience a 63% priority? If we take that to the extreme, does that mean it is only something we consider for 63 out of every 100 patients we see? I do not believe any organization or leader has done this intentionally, but it does cause us to hopefully stop and think about how we lead and operate our organizations and systems.

I know those in healthcare are more committed than what the number reveals. We are an industry of caring and compassionate people who give all they can in every moment. But the data opens our eyes to the opportunities we have. Perhaps what we have lost in our efforts to address patient experience is our realization that experience is all we are about in healthcare. I know that if any one of us were laying on an exam table, recovering in a bed, or sitting holding the hand of a family member that we would not expect anything less than 100%. In fact I believe we would say we want the best in quality, safety and service – the best experience – in every encounter. I believe we all do want the best in patient experience for all those in our care. I hope we too agree the patient experience deserves more than 63%. So how can we start to do things differently today? I look forward to your thoughts.

Jason. A. Wolf, Ph.D.
President
The Beryl Institute

Related Body of Knowledge courses: Metrics and Measurement.

Tags:  bottom line  change  choice  Continuum of Care  culture  defining patient experience  expectations  healthcare  improving patient experience  Interactions  partnership  Patient Experience  priorities  quality  safety  service  service excellence  strategy 

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How Will You Inspire the Patient Experience Movement? Four Considerations for 2014

Posted By Jason A. Wolf, Ph.D., Tuesday, January 14, 2014

I am inspired. The New Year has arrived with great energy at The Beryl Institute. We start 2014 as a global community of practice of over 20,000 professionals, focused without hesitation on ensuring the best in experience for patients, families and one another in healthcare.

I am inspired by the continued commitments expressed for this work: by The Beryl Institute’s Patient Experience Scholars who met recently to share their research and reinforce their willingness to encourage and support others; by the members of the Global Patient & Family Advisory Council who want to influence how patients and family members are heard and engaged in making a profound difference in healthcare; by the many contributing to the development of the Patient Experience Body of Knowledge courses soon to be available to the community; and by many more.

I am inspired by how in the first two weeks of a new year, such commitment and intent can emerge, built on all that has come before and focused with purpose on the great opportunities ahead. As I reflect on this idea, a question emerged and perhaps a challenge for each of us to consider:

How will you inspire the patient experience movement in the year ahead?

I pose this question with the hope that actions and considerations from the smallest moments of unparalleled kindness to the largest strategic triumphs all find room to take root and grow. Inspiration comes in all shapes and sizes, but in this diversity it has strong commonalities – it causes us to feel a sense of something special and powerful. It provides a boundless energy to influence, lead, change and make a difference. This is an exciting prospect in seeing that each of us can choose to have an impact. And while no two actions will be exactly alike, I do want to offer a few thoughts on how you can continue to frame your patient experience efforts to inspire yourself and others.

As we return to the definition of patient experience, I continue to experience its relevance time-and-time again in the application of these words to central actions associated with excellence. In reviewing its words – the sum of all interactions, shaped by an organization’s culture, that influence patient perceptions, across the continuum of care – I again see clear directions on moving your own experience efforts forward. They include:

1. Reinforce strategic focus. Patient experience has proven itself to be a relevant part of the healthcare conversation. It has surpassed the challenges of being dubbed a fad; it too has shown it has stronger legs than just serving as a policy framework. Experience is a central strategic pillar to organizational performance and success. Patient Experience in its broadest sense should be a clear and transparent component of every healthcare organization’s strategy.

2. Clarify and map your critical interactions. Experience doesn’t happen on billboards or in espoused actions, it happens at the most personal moments, at those points of engagement between one individual and another. The ultimate tool in patient experience improvement is your self, your heart, your hands and arms, your minds, your compassion and your common sense. We have a huge opportunity to map the interactions that occur on the patient path to ensure we consider the most effective way to respond at every touch point.

3. Model desired behaviors. Simply put, if interactions drive experience, then the behaviors that comprise them are the conduits that direct these interactions in one way or another. Organizational culture is shaped by behaviors, they represent the people, presence and purpose of an organization overall and no slogan, policy or program will trump the power of individual behavior. We must model, observe, coach and improve constantly to impact experience outcomes.

4. Expand your listening. As we ended 2013 exploring the Voices of Measurement, we learned that the power of data is only as valid as what we choose to do with it. Collection or reporting data for the sake of data misses the opportunity for learning and relevant action. To capitalize on the value of the voices that surround us in healthcare we must expand our listening. Experience is measured first in the direct voices of healthcare consumers, who remain our most significant mirror into our own efforts, but it is also found in the voices of our peers and colleagues. We are only capable of achieving our strategy through our people. They are much more than pawns to direct, but rather living resources accountable for ensuring excellence.

Perhaps these ideas will help spark your own thoughts on how you will choose to inspire the patient experience movement. Regardless of which direction you go, I hope you recognize the power that exists in your own personal choice and the ability to impact the experience of the person that is coming next. The year ahead can and should be about a great many things both personally and professionally. My hope is that you find you can and will be an inspiration in your efforts. This cause is too great for your efforts to be anything less. Now the question remains, what will you do? I look forward to your updates with great anticipation.

Jason A. Wolf, Ph.D.
President
The Beryl Institute

Tags:  accountability  Advocacy  body of knowledge  choice  community of practice  consumer advocacy  Continuum of Care  culture  defining patient experience  employee engagement  Field of Patient Experience  global defining patient experience  global healthcare  HCAHPS  healthcare  improving patient experience  Interaction  Interactions  patient  patient engagement  Patient Experience  service excellence  thought leadership  voice 

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Reflecting on The Patient Experience Movement: The Power of Voices and Collaboration

Posted By Jason A. Wolf Ph.D. CPXP, Wednesday, December 18, 2013
Updated: Tuesday, December 17, 2013

Patient Experience - Voices in CollaborationAs we stand at the end of each year, we tend to look back at all that led us to this moment and anticipate all that lies ahead. I stand here now with all of you that comprise our patient experience community, who live and breathe in your every action this patient experience movement, and can say without hesitation that together we have accomplished great things and together there are even more powerful moments to come.

 

This year has exemplified our core values at The Beryl Institute – the importance of community and the integral role of collaboration. We have worked to reinforce the true power of engaging all voices in the patient experience conversation. This gathering of voices has seen our patient experience community grow from 11,000 to 20,000 members and guests this year alone, representing over 45 countries. This gathering of voices has led to a year in which the foundational ideas of this movement have been reinforced and solidified. In our commitment to expand access to the greatest breadth and depth of individuals across healthcare we recently expanded our membership framework to provide access to all associates in any healthcare facility. These Institutional memberships enable staff at all levels, in all roles, across the range of healthcare organizations to engage, to learn and to lead in their own environments.

 

In expanding the conversation on voice itself, this year has been shaped by the Voices of Patient Experience series in which we heard from the C-Suite, front-line practice, students across healthcare disciplines, physicians, patients and families and those measuring the impact of our patient experience efforts. This collection of voices served to complement the many others that contributed to learning and sharing of ideas via webinars and case studies, Patient Experience Conference presentations and On the Road visits. Hundreds of you added your thoughts to the conversation via these and other outlets. This open sense of sharing, of giving, of collaboration has allowed the patient experience movement to thrive.

 

The voices series also raised a significant awareness for the community; to be an organization truly committed to patient experience, we had to move beyond the talk about what we do "to” patients and families, and reinforce an unwavering commitment to do "with”. This partnership in care underlines the very intent of the Institute to provide a place to learn from one another, and it was clear that included the voices of patients and families themselves. This led us to establish the Global Patient & Family Advisory Council, comprised of leading patient and family thinkers, writers, speakers and activists. It also had us collaborate with IHI at the 2013 National Forum to support the "Patient is In” Booth in which patients and family members could share input and ideas with forum participants. These voices remind us of the boundless value of this partnership in patient experience improvement.

 

The expansion of voices also led to the 2ndState of Patient Experience Study, the largest conducted to date on patient experience efforts, and revealed some interesting trends in the both the focus, intent and awareness of patient experience efforts. Yet, while the movement continues to push on, less than 50% of U.S. hospitals have yet to formally define patient experience for themselves. We still have great opportunities to educate and learn from one another.

 

This awareness made it only natural that we expand our efforts overall on the professional development of patient experience champions, furthering the work on the Patient Experience Body of Knowledge with domain outlines and the anticipated release of the domain courses in 2014. As a community you reinforced your desire and the greater need to shape this work in ways that will allow each and every one of us to grow stronger. The year ahead brings even more exciting work on this front.

 

In a recent Hospital Impact blog I mentioned my great excitement about the growth of the patient experience family overall, from new sister organizations to research entities focusing on this area, to critical gatherings in numerous places in support of this important discussion. We will continue to support and reinforce the value of all these efforts and maintain that in collaboration we all win in this movement. We remain committed to serving as a hub and connector of the many voices focused on this effort and keep our arms open for the opportunities for further collaboration.

 

This very idea led to us to begin conversations with and engage in a formal collaboration with the Society for Healthcare Consumer Advocacy (SHCA) and its 40 years of incredible history and commitment to patient voice, rights and advocacy. A strong and storied organization whose roots can be found at the very start of the patient experience movement, SHCA felt they found a home for their future with The Beryl Institute, but I would say while the container is the Institute, the home is the community of peers, of leaders and teachers, of resource providers and caregivers, of patients and families who make up this growing professional home for so many. The integration with SHCA and the purposeful collaboration with a growing number of organizations committed to this cause help reinforce the power that collaboration itself brings to this conversation.

 

I would be remiss if I did not add a personal note to this reflection on the year, that as I stood on stage to close Patient Experience Conference 2013 and received the call that I needed to rush home for the delivery of my son, I shifted abruptly from champion and advocate for a movement to a family member surround by a healthcare system still admittedly learning itself. My eyes were opened, not only by the magic of the birth of a child, but of a family member watching your loved ones cared for, your new child handled, complications managed and tense moments relieved. We must not forget we are all patients and family members and need to continue our work as such.

 

The work you do may at times seem like small gestures, part of your standard process or even done automatically as a seasoned veteran, but to a patient or family member you are providing an incredible gesture of service, of quality, of safety – of experience. In every moment we have the choice to create the experience for our patients and their families. And every moment each of you as members of this community, of this movement, have that choice as well…to engage, to learn, to contribute, and to encourage the involvement of others.

 

You see this is your community, it is built on the power of your voices, it is driven by the collaboration we find with one another and it is from that place that we look to the new year knowing that the greatest opportunities still lie ahead. Thank you for your contributions, support and leadership. May you have a healthy and happy holiday and be ready with great excitement for all the New Year will bring.

 

Jason A. Wolf, Ph.D.
President
The Beryl Institute

Related Body of Knowledge courses: Communication.

Tags:  Advocacy  body of knowledge  community of practice  consumer advocacy  defining patient experience  Field of Patient Experience  improving patient experience  partnership  Patient Experience  thought leadership  voice 

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