Posted By Amy Vanderscheuren, MHA,
Monday, February 18, 2019
Updated: Tuesday, December 18, 2018
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In today’s highly competitive healthcare landscape, where health system leaders are challenged to achieve both clinical and operational excellence, while at the same time providing an exceptional patient experience, cultivating a decidedly engaged workforce has never been more important. Research shows that employee engagement directly impacts an organization’s bottom line: healthcare organizations with an engaged workforce – one that truly cares and consistently puts forth a discretionary effort – have fewer instances of hospital acquired conditions (HACs), better mortality rates, improved patient satisfaction scores and lower rates of turnover and absenteeism1. Inarguably, it behooves healthcare leaders to consciously invest in employee engagement.
Leadership Rounding, a structured activity, whereby executive, nurse and/or department leaders intentionally and purposefully engage with staff (and patients!) to collect firsthand, actionable insights, is an important and effective strategy for cultivating and improving employee engagement. A proven technique for connecting with staff in a meaningful way, informing leaders across the organization about patient care and other work-related challenges and highlighting the extraordinary work performed by frontline staff and managers, Leadership Rounding has the potential to transform an organization.
The benefits of Leadership Rounding for an organization are many: improved clinical outcomes and patient experience; higher rates of employee satisfaction and loyalty; ability to attract and retain talent; a recognized culture of continuous improvement; and increased employee engagement (which differs from employee satisfaction). Following are four ways Leadership Rounding directly contributes to cultivating and improving employee engagement.
- Build trust and accountability
Some estimates suggest that managers are responsible for 60% of all the reasons people quit their jobs, which is one reason manager-employee relationships are so important2. Leadership Rounding demonstrates that leaders care about their employees as people and shows employees that their leaders are interested in day-to-day operations and quality of work performed. Further, Leadership Rounding gives employees a voice, allowing them to share ideas about what is going well in their workspaces, what tools they may need to be more productive, and what they are most proud of at work – important aspects of forging relationships that are grounded in trust and accountability.
- Improve communication
Leadership Rounding enables two-way communication between leaders and staff and serves as a platform for collecting information and then closing the feedback loop. During these rounds, leaders have an opportunity to enforce key strategic messages, explain decision-making processes, correct misinformation, and note key behaviors. At the same time, Leadership Rounds also provide a conduit for employees to express their opinions and share their ideas for improvement.
- Boost morale
When leaders consistently connect with employees and show genuine interest in and appreciation for their contributions to the organization, staff (and leaders alike!) are energized and motivated to excel. Leadership rounding presents a level playing field, where leaders and employees can connect over their shared purpose: achieving the organization’s mission.
- Recognize staff
According to Dale Carnegie: “Nothing else so inspires and heartens people as words of appreciation.” And he’s right. One of the most powerful benefits of leadership rounding, particularly in relation to improving staff engagement, is identifying and publicly acknowledging employees who deserve recognition. Recognizing and appreciating employees for their good work confirms their work is valued by others, which leads to higher rates of job satisfaction and increased productivity (a happy worker is as much as 12% more productive than his unhappy counterpart!3). The value of employee recognition cannot be underestimated.
Leadership Rounding is a proven, best-practice strategy to collect vital information, reward and recognize, build relationships and validate key behaviors. Ultimately, leader rounds improve engagement levels for all stakeholders, leaders and employees alike!
1. Kruse, Kevin (2015). The ROI of employee engagement in hospitals. Forbes. Retrieved from: https://www.forbes.com/sites/kevinkruse/2015/02/26/the-roi-of-employee-engagement-in-hospitals/#6642044554ce
2. Schwantes, Marcel (2017). Why do employees really quit their jobs? Research says it comes down to these top 8 reasons. Inc. Retrieved from: https://www.inc.com/why-do-employees-really-quit-their-jobs-research-says-it-comes-down-to-these-top-8-reasons.html
3. Craig, William (2017). 3 reasons why employee recognition will always matter. Forbes. Retrieved from: https://www.forbes.com/sites/williamcraig/2017/07/17/3-reasons-why-employee-recognition-will-always-matter/#315c68463c93
Amy Vanderscheuren, MHA is a Performance Improvement Coach for TruthPoint. She has been partnering with clinical and administrative leaders, frontline staff, and patients and families to improve clinical outcomes, the quality and safety of healthcare, and the patient experience for more than a decade.
Posted By Anthony Orsini, D.O.,
Wednesday, May 16, 2018
Updated: Wednesday, May 16, 2018
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One of the hottest topics in medicine today is the continued growth of telemedicine.
According to a survey by Jackson Healthcare, Telehealth is expected to grow in the U.S. by 27.5%, reaching $9.35 billion by 2021. It is estimated that by the end of this year alone, the number of patients using telemedicine services will reach 7 million, with 44% of private practices making the development of telemedicine services, their number one priority. This approach is especially popular in rural areas where accessibility to physicians can be difficult.
As an increasing number of patients choose telemedicine as a more convenient option than emergency or urgent care visits, the challenges that physicians and other healthcare professionals face to build relationships with patients have become even greater.
The communication techniques healthcare professionals use to build trust are even more important during physician-patient video conference calling. The impersonal nature of communicating via screen amplifies the need to focus on communication techniques that build trust between the physician and patient. Without trust in their healthcare provider, patients are less likely to follow their treatment and have poorer outcomes.
Healthcare providers can use the following communication techniques to build trusting relationships with patients during telemedicine visits:
- Give the patient your undivided attention - It is easier to forget during videoconferencing that the patient is watching and interpreting your body language. Remember that 70% of all language is non-verbal. Take limited notes during the conversation. Writing or entering data in the EMR (electronic medical record) during conversations is perceived as multitasking and not interpreted by patients as being thorough. Be aware of your facial expressions. Since the patient cannot see your body positioning, he/she will be watching you even more closely than if you were in the same room. Your facial expressions can either be interpreted as compassionate, disinterested or rushed. The perception of eye contact can be felt even through video.
- Remember that each interaction with a patient is a conversation and not an interview. Don’t interrupt or ask follow up questions before the patient has finished speaking. Patients are even more sensitive to the feeling of being rushed during telemedicine. It is very important to let them feel that even though you may not be in the same room, they are the most important person to you at that moment.
- Be a genuine person. Although healthcare professionals will often be video conferencing with patients they have never met before, there is still an opportunity to form a trusting relationship in a short period of time. Today’s patient wants to interact with their healthcare professional on a personal level. Avoid the “all business” attitude. Relate on a personal level. Ask the patient where they are from and find a common interest if possible to help form that relationship.
By all accounts, telemedicine will play a large part in the future of healthcare. It has the potential for dramatic cost reduction, increases in healthcare accessibility and improved patient satisfaction. It should not be a replacement for the strong relationship between a patient and his/her healthcare provider as that is critical to any healthcare visit. By learning proper techniques in compassionate communication, healthcare providers can build relationships even through video conferencing.
Dr. Anthony Orsini, Founder and President, BBN, is a full-time neonatologist and expert in compassionate communication in medicine. He is currently the Vice-Chairman of Neonatology at Winnie Palmer Hospital in Orlando, FL. He also serves as the President of BBN, the organization he founded in 2012 that offers training services to educate professionals in the art and science of compassionate communication.
improving patient experience
Posted By Fred Altimont,
Monday, November 21, 2016
Updated: Monday, November 21, 2016
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Quality and cost. Two of the most important elements of the healthcare industry today, and key ingredients driving the shift from volume- to value-based care. Providers face tremendous pressure to deliver higher-quality care at a lower cost, and engaging patients in their own care can help on both of these fronts. On top of better health outcomes, engaged patients also typically report higher satisfaction levels.
The problem? Many patients’ interactions with their doctors are limited to the 10-minute in-person visit. Patients can often feel rushed and forget the questions they wanted to ask, and don’t have the time to process new information, leading to frustration. The patients return home, only to feel they’ve lost access to the personalized care and support of an in-person visit.
So, how can providers engage their patients between visits? There are a few ways technology can help bridge this gap.
The proliferation of wearables and mobile devices means we are now more connected than ever before. Patients can monitor and report activity levels, symptoms, and even vital signs today from the comfort of their own homes. When shared with doctors, this data can not only empower patients to self-manage their care, but also inform clinical teams, creating a more productive in-person visit. Data overload for the physician is easily avoidable by setting mutually-aligned goals with the patient. The patient monitors his or her vital sign ranges, and the physician is only alerted when a vital falls outside that range.
Often, a large portion of the office visit is spent educating patients about conditions and treatments. But when the patient only has a short, fixed amount of time with the doctor, retaining instructions or other information can be hard to do. What if that same education could be delivered virtually, though, freeing up more time with the patient to answer questions and have other discussion? For instance, a digital health program could educate patients about how to manage their allergies during the approaching pollen season, or teach them how to properly use an inhaler.
As simple as it sounds, a quick note to a patient between visits can improve patient engagement. In fact, a recent study from the International Journal for Quality in Health Care found that secure messaging “appears to be associated with higher quality diabetes care, particularly among at-risk populations.” By feeling more connected to care teams, patients often report higher satisfaction levels and may be more engaged in self-managing their conditions. The use of video can also propel the connected relationship for the patient. In seeing a provider’s face, patients can develop a deeper bond with the entire care team.
The in-person doctor visit holds a valuable place in the care continuum and cannot - and should not - be fully replaced. The relationships and trust built during face-to-face time are crucial in caring for patients in their health journey. With the right tools, however, these visits can be supplemented to facilitate even more trust and compassion, while delivering healthier outcomes. We’re committed to bridging this gap to improve patients’ lives and look forward to driving innovation in this area.
Fred Altimont is executive vice president at ViiMed, a digital health company that delivers customers’ care plans for acute, chronic, and episodic conditions through cloud-based software.