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5 Ways to Impact Your Patient Experience Success in 2019

Posted By Stacy Palmer, Monday, January 7, 2019
Updated: Monday, January 7, 2019

Embarking on a New Year tends to bring forth much reflection and anticipation. While 2018 was often shadowed by political tensions and shifting pressures on our healthcare systems globally, it was also a year of significant reinforcement of the value and purpose of the patient experience movement. 

We introduced two new research studies at The Beryl Institute in 2018, both intended to help validate and focus the patient experience field. A study on Consumer Perspectives on Patient Experience confirmed that 91% of consumers believe patient experience is extremely or very important and will be significant to the healthcare decisions they will make. And most recently, we published To Care is Human, exploring the factors influencing experience in healthcare today and reinforcing the relational nature where healthcare is grounded in human beings caring for human beings. 

As we begin 2019, I believe the patient experience movement is better prepared than ever to accelerate its efforts. And as your organization embarks on the new year, I encourage you to consider a few suggestions that have potential to positively impact your success:

  • Evaluate Your Strengths and Opportunities – As you reflect on the direction your PX journey took in the past year and plan for future success, I encourage you to take time to examine where your organization excels and where you have opportunities to grow. The Beryl Institute’s Experience Framework identifies the strategic areas through which any experience endeavor should be framed, provides a means to evaluate where you are excelling or may have opportunities for improvement and offers a practical application to align knowledge, resources and solutions. If you find there are areas of great strength for your organization, let us know so we can share your successes with the community. And if you identify potential opportunities in your journey, contact us and we’ll help you navigate the many resources available in the Institute’s library of content. To further assist the overall community, we’ll also begin highlighting a new strategic lens each month, offering new webinars and other programming around that lens and curating a selection of resources to help you amplify your efforts in that area.

  • Enhance Your Organization's Foundation in Patient Experience – When building a culture of patient experience excellence, it is essential to establish a foundation where all team members clearly understand what patient experience is, what it means to them and how they can positively impact experience excellence. Consider ways in which you can share patient experience knowledge on the front lines of care to positively impact experience outcomes. Last year the Institute introduced PX 101, a community-inspired and developed resource for use in orientation programs and other staff education. While not intended to be used in isolation or as a stand-alone resource, PX 101 can enhance your journey by distilling the resources and knowledge available via the Institute into practical, transferable learning to support your larger patient experience training strategy. 

  • Celebrate Your Patient Experience Efforts – Wherever you are in your journey, it’s important to recognize successes and commitment. Not only does this offer a chance to celebrate great work, it also provides an opportunity to reinforce the significance and impact of your efforts. Start planning now for Patient Experience Week 2019: April 22 - April 26. Patient Experience Week is an annual event to celebrate healthcare staff impacting patient experience. Inspired by members of the Institute, it provides a focused time to celebrate accomplishments, create enthusiasm and honor the people who impact patient experience everyday. 

While I believe the suggestions above can have great impact on your organization’s patient experience focus, I encourage you to be just as thoughtful in developing your own growth plan for the new year. We likely all have personal resolutions around health, fitness, finances, etc., but it’s important to also consider ways we can grow professionally as patient experience leaders. Whether you’re looking to make a career move in 2019 or build knowledge and value in your current role, consider these key steps to impact your success: 

  • Expand Your Patient Experience Network – One of the greatest benefits cited by members of The Beryl Institute is the power of the community – the ability to network, share and learn with others passionate about improving experience. Make a commitment now to attend Patient Experience Conference 2019 to be held April 3-5 at the Hyatt Regency Dallas. It’s the largest independent, non-provider or vendor hosted event bringing together the collective voices of healthcare professionals across the globe to expand the dialogue on improving patient experience, and you’re sure to leave with new information, inspiration and connections. 

  • Distinguish Yourself as an Expert in Patient Experience Performance – The best way to impact your professional success is to ensure you have the knowledge and tools necessary to succeed in today's healthcare environment. Through PX Body of Knowledge courses, The Beryl Institute offers certificate programs in Patient Experience Leadership and Patient Advocacy. With over 440 certificate program recipients to date, the PX Body of Knowledge frames the field of patient experience, defines its core ideas and provides a clear foundation of knowledge that supports the consistent and continuous development of current and future leaders in the field. Also consider earning your formal certification as a Certified Patient Experience Professional (CPXP) which is awarded through successful completion of the CPXP examination, offered through our sister organization, Patient Experience Institute. CPXP Prep Course workshops are available through The Beryl Institute to help you prepare.
At the Institute, our 2019 commitment to you is that we will continue seeking ways to support and elevate your efforts through offering the most relevant research, resources and connections – and by helping you to easily navigate these offerings. We have tremendous respect and gratitude for the work happening globally each day to improve experiences for patients, families and caregivers, and we will continue to provide a place for our community to share, learn, celebrate and inspire together.

If you have specific needs we can assist with as you embark on your 2019 organizational or personal PX journey, please let us know. We’re here to help!

Stacy Palmer, CPXP
Senior Vice President
The Beryl Institute

Tags:  accountability  body of knowledge  celebration  collaboration  community  community of practice  connection  culture  Field of Patient Experience  global healthcare  healthcare  Human Experience  improving patient experience  Leadership  member benefit  member value  movement  Patient Experience  patient experience community  patient experience week 

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To Care is Human: 3 Considerations for the Future of Patient Experience

Posted By Jason Wolf, Wednesday, December 5, 2018
Updated: Wednesday, December 5, 2018

This has been an exciting year for the patient experience movement in which an unwavering commitment to human experience has been elevated and expanded globally. In our efforts at the Institute we have had the opportunity to engage the voices of healthcare consumers on their views of experience and what drives their decisions, we introduced the Experience Framework to reinforce the integrated nature of the human experience in healthcare and now just last week released our latest study on the influence factors on patient experience.

This is significant in that in linking these efforts together we begin to see for the first time in practice and evidence that there is alignment around what we can and should do to ensure experience excellence. This work lays out a pathway that while not surprising has been sometimes difficult to ensure a commitment to in a healthcare system driven by transactions, checklists and processes that overlook the very essence of healthcare itself – the human caring at its heart.

I shared a story to open Patient Experience Conference 2018 about how my son Sam taught me a valuable lesson in the power of human connection and how simple and brave we must be to ensure these connections occur. He showed me sometimes it just takes commitment, the willingness to reach out and acknowledge another human being in front of you for who they are, not what they have or what they do. This too is what consumers told us they wanted, and it is what we discovered in the findings of the Influence Factors Study as well.

For the Influence Factors Study, over 1400 respondents identified the factors of greatest importance to patient experience. In addition, almost 300 high performing healthcare units (as defined by achieving and sustaining high percentage of scores in the top box of 9-10 in the overall rating question on the CAHPS survey) representing 175 organizations provided input as well.

The study revealed that for both respondent groups how patients and family were treated and how they were communicated with had the greatest influence on experience. This was followed closely by the teamwork and engagement of care teams and core clinical indicators such as responsible management of pain and care coordination. Interestingly enough what was shared here, that is that experience is driven by 1) how we treat people we serve, (2) how we treat each other and (3) how we provide the quality people expect, perhaps provides the triangulation of factors that sums up the potential of and opportunity for an elevated commitment to the human experience in healthcare overall.

This discovery reinforces that at the end of the day our opportunity to care for one another as human beings is the essence of our work in healthcare. This was supported in the alignment of the influence factor responses with the voices in the study, Consumer Perspectives on Patient Experience released this summer, which found that that top-rated items of importance to consumers were, in order, ‘listen to you’, ‘communicate clearly in a way you can understand’ and ‘treat you with courtesy and respect’. The most significant realization in this finding in comparison to what were identified as the top influence factors was that not only were the top items nearly identical, in essence effective communication and respectful treatment, but also that these items scored significantly higher response percentages in both studies. This had them stand out clearly as the top items in both surveys and coming from two very distinct respondent groups.

What this means is that what people are asking for from healthcare, it is evident healthcare organizations know and high performers provide. So, then what has been in our way of meeting those expectations and needs? I offer it has been healthcare’s commitment to process at the expense of people and transactions at the expense of interactions that has undercut its very capacity to achieve this ultimate goal.

This is not offered to diminish the complexity of healthcare we face today, but rather to call us to ask if we are the reason for the very complexity that gets in our way. If we were to focus on these simple things, to build processes, programs, technologies and innovations to support and sustain this focus on the humanity in healthcare, would we see something very different in how we look to lead healthcare globally. That is our opportunity and the story I hope you will find of interest in our latest paper: To Care Is Human: The Factors Influencing Human Experience in Healthcare Today.

With this we are called in healthcare to come back to ground with three considerations that can help us all lead the experience effort forward. These include:

  1. Patient experience must be seen with an integrated focus that ties together the many facets impacting how human beings on both sides of the care equation experience healthcare. It must be operationalized with this broad and inclusive perspective.
  2. Experience excellence, at its heart, is about the relational interactions we have in healthcare. It is grounded in the kind of organizations we build to sustain quality, safe and effective healthcare for all engaged. We must move beyond simple transactions and find comfort in the human complexities that are at healthcare’s core.
  3. To care is human and above all else that must be a rallying cry for what healthcare can and must be. Yes, medicine is a complex science, but healthcare is not just about medicine. When we mix that science with the art that healthcare ultimately represents, we get a symphony comprised of the greatest experts, but one that only works when all those expert parts play together. And if we do that, the outcome will be truly magnificent.

The Dalai Lama is quoted as saying, “The human capacity to care for others isn’t something trivial or something to be taken for granted. Rather, it is something we should cherish.” I would add it is something we must acknowledge will require hard work, unwavering commitment, a willingness to try and fail and a focused commitment to excellence.

The things healthcare has shown it knows to be true and the things consumers are asking for consistently come down to something so essential I could be blamed for saying it too much – that in healthcare we are human beings caring for human beings. So, whether I am walking the halls of a VA facility or waiting in an essential hospital’s emergency room, seeking new research innovations from an academic medical center or being cared for in my rural healthcare center, or standing on any continent in any health system, in any healthcare setting across the continuum around the world for that matter, this universal truth remains.

It then is up to us to consider how we balance the science that has driven healthcare with the art that is what will enable it to ultimately succeed.  We can no longer say that all people want is for us to make them better. That has been healthcare’s driving outcome, but for the patients and families we serve, it has been a fundamental expectation that we do so. Where the real difference and ultimate distinction lies is in HOW we make them better, in the acknowledgement that in caring for the human in front of us and those who serve around us we are realizing the true potential healthcare has to offer.

Yes, to care is human, the evidence bears out its impact and value. And in giving ourselves the permission to hold that idea as central to all we do in healthcare we can and will reframe a system with a potential for care, wellness and healing we have only dreamed could be possible. Experience is not something else we must or should do, it is all one does in healthcare, it is time we acknowledge this and move forward with this new sense of possibility. What will be your first step?


Jason A. Wolf, PhD, CPXP
President
The Beryl Institute

Tags:  amenities  cleanliness  Clinical  defining patient experience  employee engagement  feedback  HCAHPS  Human Experience  improving patient experience  Leadership  patient and family  patient engagement  Patient Experience  policy  quality  safety  service excellence  signage  thought leadership 

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Experience Innovation: Connecting Motive to People and People to Action

Posted By Tiffany Christensen, Tuesday, November 13, 2018
Updated: Tuesday, November 13, 2018

As the VP of Experience Innovation at The Beryl Institute, it seems quite logical (and necessary) for me to have a clear understanding of how to define innovation in the Field of Patient Experience. Since I have just celebrated my one-year anniversary at The Beryl Institute, I thought this might be the right time to share my perspective on what we mean when we say “Experience Innovation.” 

At its core, innovation requires creating something new or changing something that already exists so that it becomes new/improved. By this framing, we can safely say innovation permeates experience efforts across all aspects of the Experience Field. Perhaps more important than defining Experience Innovation, however, is determining the motive and method for innovation. 

IDENTIFYING MOTIVES BY UNDERSTANDING WHO WILL BE IMPACTED

Healthcare is competitive. Even in the Field of Patient Experience, we see organizations and individuals striving for recognition and advancement. At times, the motive for innovation might be driven more by a desire to stand out. In some cases, innovations are designed for the sake of being innovative. For these and other reasons, we must closely examine if the motive for innovation is directly tied to being helpful to a PERSON or GROUP of people. Innovations without a clear connection to the people potentially served, at the very least, run the risk of wasting effort/resources or, in the worst case scenario, creating harmful innovations. 

The first step in examining an innovation’s motive involves becoming clear about who will be impacted by the innovation. This requires an in-depth understanding of the experiences of the “end-users” (to borrow a Human Centered Design term). In healthcare, the “end user” is often a patient but it is certainly not limited to patients and families.  

Once the “end-user(s)” are clearly defined, it is important to ask a few basic questions:

  1. Do we know the problem we are trying to solve is a) really a problem and b) is a priority for those impacted?
  2. Have we gathered sufficient data from those we plan to help to a) understand their experiences and b) ask them if our innovation would potentially make their experience better?

After these questions have been answered we can then begin to walk through ow the innovation is directly tied to being helpful to a PERSON or GROUP of people. One possible way of doing this is by pulling in the Model for Improvement. While this approach is a widely recognized step-by-step way of improving safety and quality in healthcare, for some reason, this model is applied to experience improvement far less often. Because we have a large and diverse toolbox filled with potential tactics for change, we want to be sure we are not using an “innovation for innovation sake” approach but, rather, building an innovative strategy to help people by addressing a specifically identified need. Using something like the Model for Improvement can help guide the discovery of the “why” before the “how”. 

KNOWING THE “WHY” BEFORE CONSIDERING THE “HOW”

For organizations working to find strategies that enable them to hear the voice of their patients and families, finding a structure to do so is innovative and met with enthusiasm. 

A Patient and Family Advisory Council (PFAC) is a well-known, widely accepted strategy with low risk to the organization. For these and other reasons, PFACs are often the first choice for partnering with the community. Despite the popularity and comfortability, in some cases, organizations are surprised to find the PFAC’s administrative lift is too heavy or the community itself is not interested in engaging with their local healthcare organization in that way. Such a discovery may be followed by a revisioning of the goals for the PFAC and, in some cases, the choice is made to use an entirely different partnership strategy. In either case, the time spent running a PFAC without clear aim was potentially wasteful and frustrating. 

In instances like these, it was recognized far down the road that there was not a clear vision for the “why” but, rather, only a focus on “how” to build and implement the strategy.

Rather than starting out by choosing an innovative strategy (like building a PFAC), we can begin by getting clear about the desired improvement to experience. Moving forward, it is important to know a few basic things:

  1. What are we trying to accomplish with this innovation? How will it help people?
  2.  How will we know we have helped people?
  3.  What strategy will we choose to improve the experience? (Included in this might be “how will we learn from the Experience Community about all of the potential solutions we have to choose from?”)

Once you are clear about the people who you plan to help and the way their experience will be better through this innovation, you can decide if the motive for the innovation is a healthy one.

So, how do I define Experience Innovation? Amazingly, even after a year of thinking about it, the complete definition is still coming into focus. The more time I spend at The Beryl Institute, the more I am excited by the nuances of both language and operationalization required to describe it. My hope is to share my personal definition of Experience Innovation at my 2-year anniversary with The Beryl Institute! 

For now, what I know for sure, is how to define what constitutes the spine of Experience Innovation. Before we can innovate in any meaningful way, we must, like vertebrae, connect motive to people and people to action. I visualize this as “the Backbone of Experience Innovation.” When healthy, this is what makes innovation strong, enabling it to move nimbly forward. I define this backbone as being: 

Thoughts, actions and designs driven by a deep understanding of the lived experiences in healthcare that result in improvements created to address the most urgent needs. 

 

Tiffany Christensen, CPXP
Vice President, Experience Innovation
The Beryl Institute

Tags:  Advocacy  healthcare  improving patient experience  patient and family  Patient Experience  perspective 

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When Work Has Meaning

Posted By Deanna Frings, Tuesday, July 10, 2018
Updated: Friday, July 6, 2018

The title of this blog is not original to me but was a headline on the cover of the July-August 2018 issue of Harvard Business Review (HBR) referencing an article, Creating A Purpose-Driven Organization. It seems everywhere I turn, there is another book, article or referenced research on the neuroscience of purpose as a driving force that gives our lives meaning. And let me be clear, I love that there is currently an abundance of discussion on purpose and meaning. 

 

I have worked in healthcare my entire career from being on the front line as a respiratory therapist, leading teams in multiple leadership capacities to my current role as Vice President of Learning and Professional Development of The Beryl Institute. From my experience, conversations on meaning and purpose are not uncommon in the field of healthcare. I don’t know, maybe it’s because those of us who work in healthcare can easily connect that what we do really matters? We save lives. But how is this knowledge being lived out in our day to day practice as leaders in healthcare. Are we creating cultures that facilitate a discovery of purpose for ourselves and our employees? 

 

Organizations are focused on employee engagement and acknowledge its critical role in their experience efforts as reported in our, State of Patient Experience 2017: A Return to Purpose. And, it’s not surprising given the 2017 Gallup State of American Workplace report, that only 33% of employees are engaged in their work and workplace and only 21% of employees strongly agree their performance is managed in a way that motivates them to do outstanding work. 

These startling figures are not a new phenomenon. Previous Gallup Reports have shown much of the same. So, while we acknowledge the importance of an engaged workforce, the data suggests we continue to struggle, despite all the focus on improving it. 

I often speak on the critical role of leaders in achieving experience excellence and I would suggest that leadership is the critical link in transforming organizational cultures and creating engaged environments where individuals can reach their full potential. During these speaking engagements and workshops, I love taking people through a journey of discovery of purpose and meaning and I have witnessed the immediate and powerful impact it has. I hear a higher level of excitement in their voices, a clarity in vision and a drive in their commitment as they share their stories with each other. 

The conversation continues as we take the critical next step and determine actions we, as leaders, can take to not only share our purpose but invite employees to do the same. It’s one way to connect people to purpose. Simply stated in the HBR article, leaders most important role is to connect people to purpose.

Acting on a higher purpose can often motivate us to learn and develop our skills so we can excel in our performance contributing to what’s meaningful to us. It’s one reason I’m excited about Patient Experience 101(PX 101), a new educational resource releasing next week from The Beryl Institute. PX 101 is a comprehensive community-inspired and developed resource to build patient experience knowledge and skill for all employees across an organization by taking individuals through a discovery of purpose. It’s one of several new opportunities we’re launching this year in an effort to support global patient experience efforts based on the needs of our community. 

PX 101 offers the tools and activities you need to engage in deeper and authentic conversations on what patient experience is, what it means to your employees and how they positively impact experience excellence. It invites them to share their own accounts of how they make a positive difference resulting in a stronger sense of purpose and meaning to the work they do every day. 

 

When we find meaning and purpose in our work, the sky’s the limit to how high we can soar and how much we can contribute to our individual and organization’s success.  

As leaders in healthcare striving for excellence in experience, how do you connect people to purpose?


Deanna Frings, MS Ed, CPXP
Vice President, Learning and Professional Development
The Beryl Institute

Tags:  choice  compassion  culture  employee engagement  healthcare  improving patient experience  leadership  Patient Experience  personal experience  perspective  purpose 

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You Had Me at Hello: The Importance of the First Greeting in the Patient Experience

Posted By Terri Ipsen, CPXP, Thursday, February 1, 2018
Updated: Monday, January 22, 2018

The greeting. Such a small thing, but a wide lens to what a patient’s experience might be like during a visit to the doctor. At The Beryl Institute, our definition of experience includes “the sum of all interactions”; so getting this first step right – greeting the patient – is critical to influencing the patient’s perception and expectations about the care they will receive.

As Hurricane Irma was blasting through my home state of Florida, I was experiencing a physical “natural disaster" of my own: a herniated disc in my back that had trapped the nerve in my left leg, leaving me almost incapacitated. Getting immediate treatment for the pain from my regular doctor was impossible, as the storm had forced her to evacuate. To delay finding relief from my excruciating pain was not an option, so with the help of a friend, I was fortunate to get an emergency appointment with a spine specialist in another town. And this is where my story about first greetings begins.

The long 45-minute drive to the specialist was horrendous; my daughter was my driver as I laid flat in the back seat. Upon arrival, I shuffled into the medical office. Grimacing, I slowly approached the reception desk.  Before my name could even pass my lips, harsh words came flying at me from the other side of the glass window.

Do you have an appointment?” I thought to myself: Seriously? That is the most important question to ask me at this moment? I hobble through your front door, contorted with pain, and you are concerned about whether I have an appointment? The person on the other side of the window clearly was not focused on me, the patient, but rather the disruption that an unexpected patient would have on her day. No expression of empathy or compassion was displayed as she shoved a clipboard of papers into my hands. No assistance in finding a comfortable chair ever came. 

The poor welcoming carried over into the remainder of my visit: a 45-minute wait in reception and another 30 minutes in the exam room. There was no communication from the staff during either of these wait times – missed touch points that could have had major impact on my perception of care.

My experience in that medical office reinforces that there is still a lot of work to do in returning humanness to healthcare. The good news is that there are practices that do get it right, and this is where my story continues. The following week I visited a surgery center for a spinal injection. The greeting I received there was so different from my experience at the doctor’s office. Still in pain, I shuffled up to the front door. There, three nurses rushed outside and greeted me. One took my hand and acknowledged the pain in my eyes, “Looks like you need some help here. Let’s get you a wheelchair. We’re going to take good care of you.”  I felt I had arrived in heaven.

The receptionist was equally compassionate. Instead of giving me a clipboard of papers to fill out on my own, she left her desk and sat next to me in my wheelchair. She asked me the questions and completed the paperwork on my behalf. This provider got it right. The surgery center had built a culture of excellence based on empathy and compassion which was evident at every touch point of my visit. Imagine how healthcare could be changed if all providers embraced such a philosophy!

Frontline staff speaks volumes to the culture of healthcare organizations. A greeting that includes a smile and a courteous acknowledgement of a patient’s needs sets the scene for a good experience and, more importantly, customer loyalty. It made all the difference for me. Thank you, surgery center, for a great patient experience. You, indeed, had me at hello.

 

Terri Ipsen, CPXP
Executive Assistant
The Beryl Institute

Tags:  communication  compassion  empathy  first impressions  organizational culture  patient experience 

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With Healthcare at the Edge of Uncertainty, Human Experience Matters More than Ever

Posted By Jason A. Wolf, PhD, CPXP, Thursday, January 4, 2018

Happy New Year and I hope the first few days of January find you rested and ready for an exciting year ahead. I also recognize that 2018 brings continued uncertainty for healthcare and shifting pressures on our healthcare systems globally. This potential friction of calm and chaos is the boundary on which I believe we will find ourselves in healthcare for some time to come. And it is on this very active boundary where I believe we can and will thrive.

In the last year, we saw great strides in our efforts to elevate the patient experience conversation. Patient experience gatherings dotted the globe covering continents, inspiring national systems to refocus their intention, and encouraging new thinking and renewed purpose. Evidence continued to mount on the value of a broader commitment to experience and healthcare overall showed increasing commitment to a focus on experience as a central and integrated component of all we do. The State of Patient Experience 2017 revealed increasing investments, expanding scope and a realization that experience efforts are a clear path to achieving desired outcomes.

We were also guided by the powerful stories of those experiencing care. I was particularly inspired by the thoughtful call for compassion raised as we closed the year by Dr. Rana Awdish from Henry Ford and Tiffany Christensen, our new VP of Experience Innovation at The Beryl Institute at the IHI National Forum. Rana reinforced “We really can't presume to know the answer, we must ask generous questions to really know what matters to our patients,” while Tiffany challenged us to reconsider our perspective, asking, “What would happen if we admired our patients rather than pitied them?” and reminded us, “There is room for compassion on both ends of the bed.”

This idea of the need to connect, of a “both/and” versus an “either/or” in many ways is in direct conflict with much of the political and cultural climate in which we find ourselves today, where extremes are elevated and common ground eroded. This too represents that very boundary on which I believe we can thrive. It is through this expanded perspective on what actually matters that we realize we are talking about something much bigger – we are moving to a focus on the human experience at the heart of healthcare.

As I have reflected on this “evolution” in our journey, what I believe we have been doing is driving back to the very purpose on which healthcare was initially grounded. Before there were systems and structures, methods and machines, there was one human being engaging with another, one committed to help and one in need. It required both to participate, it took both to succeed…and it still does.

Jeff Bezos, founder and CEO of Amazon recently said that while he frequently gets the question: 'What's going to change in the next 10 years?' he almost never gets the question: 'What's not going to change in the next 10 years?'. His point being the second question is actually the more important of the two. It is those things that remain stable on which we can build and through which we can find our greatest success.

While we cannot predict how policy will change and in what ways or what new constraints or challenges we will face at the boundary of calm and chaos, we do know that each of us in the business of human beings caring for human beings will continue to have choices. While they are not necessary choices in what illness or disease may befall you, you do have the choice of how you believe you deserve to be treated, in what ways you want to be treated and therefore ultimately where you will choose to be cared for. You have choices in how you will care for others, in what you will do to understand what matters to them and to you and ultimately choices in how you will care for yourself as someone committed to helping others.

That is the essence of human experience. That is the essence of healthcare. Where we go from here depends on that idea. We can use the uncertainty of the moment or the lack of clarity or variability of what lies ahead as a distraction, or even an excuse, or we can focus on what matters at our core. In our efforts to focus forward, I offer four considerations:

1.     Intention and clarity matter.

The growing number of organizations defining what experience is for their organization reinforces that a clear intention and shared commitment to that purpose is central to any opportunity to drive excellence in healthcare.

2.     Consistency is the antidote to uncertainty.

When the ground feels unstable we must find places of strength on which to support ourselves. Being consistent in efforts to elevate and expand experience excellence is a central way to remain focused on purpose, ensure positive outcomes and manage through uncertainty.

3.     Shared understanding/ownership will change how we work.

The opportunity now presents itself to move beyond engaging people at the personal level, to activating them as co-owners in their care. This is more than a focus on centeredness, which represents a one-way relationship, to a dynamic sense of shared awareness and understanding in which all engaged contribute to outcomes.

4.     Listen to understand ALL the voices that comprise the healthcare ecosystem.

There must also be a commitment to listening at the broadest levels in healthcare to understand what drives people’s choices, what motivates their actions and why this work is important overall. In acknowledging that each voice in the process is critical we also reinforce the value and purpose that had people choose healthcare as a place to work and elevate those receiving care (as Tiffany challenged us) from passive participants to individuals we should admire.

As we move into 2018 we will push this idea further, learning from each of you, honoring the voices of all engaged in healthcare, truly clarifying what matters to those impacted by what healthcare chooses to do and ultimately reinforcing that in each of those choices we each make tiny ripples that touch thousands and thousands of lives around our globe. That is the opportunity for us as we look to the year ahead and beyond, to thrive at the boundary on which we find ourselves and use the energy that this dynamic tension creates to spur us on. In doing so, with our eyes forward and our hearts grounded in the human experience, we can continue to change healthcare for the better for one another and for all it serves.

 

Jason A. Wolf, PhD, CPXP
President
The Beryl Institute

Tags:  clarity  compassionate care  consistency  healthcare policy  healthcare uncertainty  human experience  patient experience  perspective 

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A New View: An Unwavering Commitment to the Human Experience in Healthcare

Posted By Jason A. Wolf, Ph.D., Thursday, August 3, 2017
Updated: Tuesday, August 1, 2017

This month’s Patient Experience blog is an excerpt from the recently released research report, The State of Patient Experience 2017: A Return to Purpose.

We have always maintained that in patient experience there are no major secrets and with that believe strongly that the differentiator is not in the private processes you create or the proprietary models an organization might produce. Rather it is in the spirit of an open sharing of ideas through which all should play and in the distinction of a true commitment to execution through which you should compete. Experience will be and is already emerging as a key, if not the primary, differentiator in healthcare. The opportunity in front of each organization is how they will seize this moment.

For us at the Institute, part of this moment is to acknowledge that patient experience will forever be central to healthcare, but also as we learn from the community and from the very data in this year’s benchmarking study the healthcare experience we are speaking to reaches beyond patient experience itself. In an environment where we clearly base all work on human beings caring for human beings we are ultimately addressing and impacting the human experience in our midst. For this reason, we believe at The Beryl Institute as we remain committed to patient experience we must address the reality of the human experience that is central to healthcare overall.

With this, we have set a bold and fundamental desired impact for how we look to move into the years ahead. Our intended focus is simple, clear and true:

Changing healthcare by advancing an unwavering commitment to the human experience.

In doing this we honor the work each of you are doing and the reality of the healthcare world we find ourselves collectively creating around the globe. In a commitment to shift how healthcare works, we must dedicate ourselves to the broader human experience, honoring both the patient experience at its core and the experience of all driving and supporting healthcare’s efforts every day. With that we believe this commitment must be grounded on four key points:

  • Understanding experience is defined as the sum of all interactions shaped by an organization’s culture, that influence patient perceptions across the continuum of care.
  • Acknowledging experience (1) encompasses the critical elements of healthcare from quality, safety and service, to cost and population health issues that drive decisions, impact access and ensure equity and (2) reaches beyond the clinical encounter to all interactions one has with the healthcare system.
  • Recognizing that human experience reinforces the fundamental principle of partnership and is therefore inclusive of the experiences of those receiving and delivering care as well as all who support them.
  • Reinforcing that focused action on experience drives positive clinical outcomes, strong financial results, clear consumer loyalty, solid community reputation and broad staff and patient/family engagement.

This commitment has been spurred by all we have seen in this work and by all each member of the broader patient experience community has taught us. As we travel a journey to reinforce the critical role of the human experience in healthcare all that we learned in this year’s study takes on even greater relevance.

We must strive for what we believe is important collectively and then ensure we find ways in each and every one of our organizations to apply these principles, practices, ideas and findings for the good of all engaged. This is not idealism, but rather a practical reflection on where we are and what we can achieve. The state of patient experience is about much more than what we have or will do, to what we are and what we can become. That is the inspiration we glean from those that contributed their voices in this year’s study and the motivation we garner from working collectively as a community dedicated to the human experience in healthcare.

The state of patient experience is strong, your efforts and commitment are true and the possibilities of all we can accomplish as a result are yet to be realized. That makes this perhaps one of the most exciting times to be committed to this work. We look forward to traveling the next steps of this journey with each of you.

> Download the full State of Patient Experience 2017 research report


Jason A. Wolf, Ph.D., CPXP

President
The Beryl Institute

Tags:  community of practice  culture  global healthcare  healthcare  Human Experience  Patient Experience 

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We the People: Why Patient Experience Must Be the Foundation of Healthcare Policy

Posted By Jason A. Wolf Ph.D. CPXP, Thursday, July 6, 2017
Updated: Wednesday, July 5, 2017

Two things have become central to all I see, say and share in engaging in discussions on the patient experience globally: one, that ALL voices matter, and two, that in healthcare we are human beings caring for human beings. These ideas while simple in concept also provide for all that is complex in healthcare. They have implications in both the delivery of care and in the design of the policies and systems that support the delivery of care.

As we think about the delivery of care, the provision of care at a personal level, the idea of experience – of quality, safe and service focused encounters grounded in dignity and respect and driven by communication, partnership and knowledge – is a natural fit. As citizens of our planet, as people who choose our points of focus from ideals, beliefs and/or faith, we have been taught and encouraged to treat others as we hope to be treated and to act with compassion as we engage in caring for others.

Yet, as we get to the level of policy and the systems that both support and yes, constrain, our capacity to create environments of caring, we have a much greater opportunity. In instilling the ideas of all voices, not only do we add perspective, but we by default introduce potentially perpendicular ideas. As we author policy and adapt structures that circumscribe the humanity at the heart of healthcare, we create both clearer pathways and opportunities for obstacles. It is in the midst of this noise that we must find and mold the material needed to positively frame the human experience in healthcare.

It is pertinent to explore this idea during a week where we saw both Canada Day in Canada and Independence Day in the United States. As we explore the roots of these two great democracies, or of any democratic society around the world, there may be no more important concept than the first three words found in the United States Constitution – We the People. Democracies by their very nature favor equal rights, freedom of speech and support the ability to raise conflicting perspectives. Therefore democracy, the idea of citizenship, of partnership, of equality, underlines the idea at the core of patient experience that all voices matter. Yet often, for people of all political beliefs and perspectives, for those who engage in healthcare from the aging, to those with chronic disease, family caregivers, to concerned parents and even for those who have yet to have a serious medical encounter, it feels as if the “system” and the policies that dictate its actions have forgotten them.

This idea that We the People have a voice that matters in healthcare is more relevant now than in any other time, not just in this period of policy change in the United States, but in how people view healthcare globally. This understanding of the criticality of the moment spurred a call to action by a group of committed leaders who have been listening to patients and peers, leaders and policy makers and recognized a great opportunity existed. If efforts were going to be more than just claiming to be “patient centric” and instead actually worked to engage the voices that are impacted by policy itself, then voices had to be raised, issues identified and actions taken.

This belief led to the initial idea of what has emerged as the Patient Experience Policy Forum (PXPF). The PXPF originated in 2016 through a series of conversations among a group of patient experience leaders and patient and family advocates who recognized the growing imperative to influence and help shape policy at the national and state levels on issues that directly affect the patient and family experience. The group and a growing number of individuals who have fostered its initial growth believed it was time to move the conversation on experience excellence beyond practice to address the policies and systems that were impediments to and encourage and support those that were supportive of the very principles all strive for in delivering care.

PXPF has quickly moved from concept to reality in establishing itself as a broad-based coalition of organizations and individuals engaged in advocacy and action to give a greater voice in healthcare policy to those working to improve the patient and family experience. It just announced last week that it will hold its inaugural meeting this September 19, 2017 in Washington, DC. PXPF will be working to advocate for policies and systems that will:

  • Advance Patient and Family Partnership
  • Elevate the Value Case
  • Improve Patient-Centered Measurement and Reporting
  • Strengthen Systems for Patient Involvement
  • Expand Professional Education and Support
  • Reduce Disparities

I invite you to explore the inaugural event of PXPF, share this opportunity with your peers and consider ways in which you can engage either in person or in an ongoing nature.

There is a reality in healthcare that we cannot overlook. That for as much as the conversation today, especially in the United States, is about the issues and challenges of insurance companies and/or constraints placed on provider organizations, those impacted by policy, especially those experiencing healthcare itself must not be left from this conversation. There are many organizations today doing great work advocating for specific diseases or segments of the population, but what is deemed missing is the idea that at the heart of all we do in healthcare, we must return to the human experience. If we believe fundamentally that caring for our fellow citizens, and in particular their health, matters, if we believe that ‘We the People’ matters, then we cannot waver in ensuring that patient experience must be the foundation of healthcare policy. I hope you will join us in this endeavor.

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

Tags:  equity  experience era  healthcare  healthcare policy  improving patient experience  Patient Experience  patient experience policy forum  PXPF 

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There’s No Place like Home…The Value of Connecting with Your Patient Experience Community

Posted By Stacy Palmer, Tuesday, June 13, 2017
Updated: Tuesday, June 13, 2017

I recently chatted with one of our members after she returned from another healthcare conference. While she enjoyed the event, she shared that the experience itself felt dramatically different than her time at our March Patient Experience Conference in Denver. I asked a few questions to try to understand what the difference was. The breakout sessions were great, the keynote speakers were inspiring, and it was a large crowd of other leaders in similar types of roles. Yet, she still felt something was lacking. Upon further reflection, she realized the missing element was the sense of community and emotional connection she experiences every year at The Beryl Institute conference.

Her comments reinforced feedback received after this year’s Patient Experience Conference. Participants said things such as, “Everyone was so kind and helpful…it was easy to meet people…it was so wonderful to be surrounded by like-minded people…we're all in this together!” These statements reflect things we hear often at the Institute, an appreciation for the welcoming and engaging community that has developed through a shared passion for building and sustaining the patient experience movement. 

Our community connects in many ways throughout the year – chatter on social media, regular discussions on listservs, and conversations through Topic Calls and Patient Advocacy Connection Calls. In recent months, we’ve also enjoyed watching dialogue between members explode in the chat box of our regular webinars where participants share where they’re logging in from, reconnect with old friends and tap into the tremendous wealth of knowledge that is represented in this patient experience community.

The virtual connections are powerful and a hallmark of The Beryl Institute. While these opportunities are invaluable, I would argue there is no replacement for spending time together in person. As the patient experience movement has grown, we’ve witnessed incredible connections between the leaders doing this work and an amazing energy and enthusiasm that comes when we gather together to share ideas, connect and learn. Our community believes patient experience is a foundational element of the overall healthcare experience, and there is something about getting together in person that inspires us to live and share that message.

At The Beryl Institute we continue to foster opportunities for face-to-face connections. Last week we announced the opening of the Call for Submissions for breakout sessions at Patient Experience Conference 2018 to be held April 16-18 in Chicago. We hope you will join us there and even consider submitting a proposal to share your patient experience successes.
 
But even before then we have many opportunities for you to engage face-to-face with patient experience peers. This fall we’ll hold Patient Experience Regional Roundtables in Canada, California, Louisiana and New York. Regional Roundtables are one-day programs bringing together the voices of healthcare leaders, staff, physicians, patients and families to convene, engage and expand the dialogue on improving patient experience. Through inspiring keynote sessions and working group discussion, participants leave with an expanded network, renewed energy and actionable ideas to support patient experience efforts in their own organizations.

We also have two upcoming Certified Patient Experience Professional (CPXP) preparation workshops. These are opportunities to gather with other patient experience leaders to not only network and share, but to prepare together for the CPXP exam. Community members will gather later this month in Chicago and in September in Los Angeles for full day courses reviewing the domains outlined in the job classification on which the CPXP examination is based. 

The Beryl Institute continues to be the global community of practice dedicated to improving the patient experience through collaboration and shared knowledge. We are a welcoming and engaging community. I am often reminded of an early Patient Experience Conference where a participant stood up and joyfully proclaimed “I have found my professional home!”  As a leader in the movement, we hope you view the Institute as your professional home, and we invite you to further connect with your patient experience family. 


Stacy Palmer, CPXP
Senior Vice President
The Beryl Institute 

Tags:  community of practice  Field of Patient Experience  healthcare  improving patient experience  leadership  networking  Patient Experience  Patient Experience Conference  thought leadership 

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The Spirit of the PX Movement – Sharing, Learning and Improving Together

Posted By Stacy Palmer, Monday, December 12, 2016
Updated: Monday, December 12, 2016

After six years as a membership community focused on improving patient experience, we continue to be amazed and inspired by the generosity of our members and guests committed to this movement. The spirit of this work is illustrated perfectly by the willingness to share, learn and grow together.

Just last week we released a great example of this in action through the white paper, Guiding Principles for Patient Experience Excellence. We’re careful to always acknowledge there is no one recipe for improving patient experience, but we have identified eight themes consistent in organizations who have found success in this work. The paper shares those principles, reflects on why each is a critical consideration and, perhaps most importantly, highlights specific examples from 15 organizations who excel in one or more of these areas.

As in all the work shared through the Institute, the examples represent only a sample of the many approaches that could be tied to each principle. They are offered to spark thinking in ways others can move from concept to action. It’s the willingness of these organizations to share their successes that fuels that thinking for others.

The gifting of knowledge and experiences has helped to build the field of patient experience and establishes both credibility and accountability for our efforts. This year our sister organization, Patient Experience Institute, recognized the first three classes of Certified Patient Experience Professionals (CPXPs), an incredible statement and stride for the movement. We continue to see this work validated and see our community eager to spread the word on the importance of addressing experience excellence and sharing successes and challenges encountered along the way.

We wholeheartedly offer thanks to every individual and organization who contributed to this work over the past year. Thank you for every case study shared, On the Road visit or regional roundtable hosted, webinar or conference session presented, ListServ email sent, topic call or connection call attended and learning bite delivered. It’s through these and other collective efforts that we can truly shape this movement and positively impact the experiences of patients, families and caregivers.

Interested in learning more about how you can personally contribute to the community in 2017? Visit http://www.theberylinstitute.org/?page=CONNECTIONIDEAS.

 

Stacy Palmer, CPXP
Senior Vice President
The Beryl Institute

Tags:  accountability  collaboration  community  community of practice  engagement  Field of Patient Experience  healthcare  improving patient experience  networking  patient experience  thought leadership 

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