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A Multifaceted Approach to Improve Physician Communication Scores.
Ryan McCaffrey1, Dane Hale1, Schawan Kunupakaphun1
1Lawrence General Hospital, Lawrence, MA, USA.
Community hospitals can improve patient satisfaction by focusing on physician communication. A multipronged intervention enhanced communication scores by 1% annually and improved percentile rank by 35 points.
Area of Science:
- Healthcare Management
- Patient Experience
- Physician Communication
Background:
- Improving patient satisfaction is a national priority for healthcare organizations.
- Community hospitals face resource constraints, impacting patient satisfaction initiatives.
- Hospitalist programs experience challenges with provider variability and turnover, affecting patient experience.
Purpose of the Study:
- To implement and evaluate a multipronged intervention to improve patient satisfaction scores in a hospitalist program.
- To assess the impact of appreciative inquiry and specific best practices on physician communication metrics.
Main Methods:
- Utilized an appreciative inquiry framework for intervention design.
- Implemented a rounding model where hospitalist leaders provided feedback to providers.
- Promoted positive feedback communication and encouraged best practices like "teach back" and providing business cards.
Main Results:
- Physician communication scores improved by approximately 1% annually from fiscal year 2015 to 2018.
- The hospitalist program's percentile rank in physician communication improved by 35 percentile points.
- A multifaceted approach demonstrated a positive association with enhanced patient experience.
Conclusions:
- A multipronged intervention incorporating appreciative inquiry and best practices can significantly improve physician communication.
- Targeted strategies can enhance patient satisfaction in resource-constrained community hospital settings.
- Consistent reinforcement of best practices is crucial for sustained improvements in patient experience.

