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Don’t Harp on the Customer’s Mistake - 6/24/25


Seth’s daughter, Sarah, had missed some swim classes, and Seth remembered that the aquatics center had several make-up classes available late in the summer.  So Seth pulled up the class schedule on his phone, found one that worked on his and Sarah’s schedules, and planned to attend a session Read more

Create Customers for Life - 6/17/25


Veronica has gone to the same automotive service shop for at least 20 years.  She bought a new car about a year ago, and this is the third car she’s brought to the shop instead of taking her car to the dealer where she bought it.  She’s had three Read more

Don’t Turn the Customer into the QA Department - 6/10/25


Roberta received a form with information filled in by the company after her conversation with the account rep.  Roberta just needed to review the information, fill in some of the blanks, sign it, and resend it in order to set up a new account. She noticed that the effective date Read more

Imitate to Improve - 6/3/25


Oscar Wilde said that “Imitation is the sincerest form of flattery.”  Now this doesn’t mean that plagiarism is the sincerest form of flattery.  Nor does it mean that great impersonators such as Rich Little, Dana Carvey, or Frank Caliendo are always offering flattering portrayals of those that they imitate. Wilde’s Read more

How the Customer Perceives a Truth as a Lie - 5/27/25


You’re the customer, you’re asking about an unused item that you’re returning, and you hear the employee say: “The refund process takes 7-10 days.”  You’re thinking: “Great!  I can get the refund check as early as a week from today!”  The reality is that the company means that they’ll Read more

Tell Customers What’s Next - 5/20/25


In most businesses that have been around for a while, how a process was originally designed is not how it currently operates.  Sometimes this change is referred to as “practical drift,” where the actual process moves further and further away from the documented steps over time.  Maybe the changes Read more

Questions to Guide You to Empathy - 5/13/25


“If I was him, I would do ABC…” If you’ve ever heard somebody say this - whether it’s a friend or acquaintance, whether it’s some TV reporter or podcaster - you may get as frustrated or as annoyed as I do. I get annoyed because we are not that other person. Read more

Negate the Nervousness - 5/6/25


The customer needed a loan, so he walked into the bank, but he was a little nervous.  He knew that launching his business would be easier if he had some working capital, but that’s about all he knew.  He was anxious because he didn’t know what to expect in Read more

Don’t Rush to Resolve Quickly - 4/29/25


The customer is angry, so you use the CSS LEAD technique as designed.  You, listen, empathize, accept responsibility, and deliver on a remedy.  But it doesn’t work.  The customer is still upset, and maybe even a little more frustrated than when you started…why?! If the use of this technique fails, Read more

Energy v. Apathy - 4/22/25


I asked a couple friends who are much more scientifically-oriented the question: What is energy?  I didn’t mean E=MC2.  I meant physiologically, what is energy? They described a lot of things that sounded really good, yet far too advanced for my non-medical mind. Part of the reason why energy is of Read more

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Create a Patient-Centered Culture

Posted on November 14, 2013 in Business Advice, Healthcare Please leave a comment

Zappos delivers great customer service, but its leader seems to talk mostly about his corporate culture. Disney is always brought up in seminars we provide for their great customer experience, but so much of what makes it a great experience is the consistently high performance of its “cast members.”

Culture and customer service are intertwined in great companies, and that’s why it’s no surprise that the article NY nurse executives focus on positivity addresses how to drive higher patient satisfaction by creating a patient-centered culture. According to the article, successful healthcare organizations possess a “strong unit and organizational leadership that promote a service culture tied to operations and finance; effective partnerships with patients and families; an engaged and satisfied workforce; and a strong performance improvement focus.”

Note what’s being discussed here…leadership that’s strong…leadership that promotes service…an organization that realizes patient/customer satisfaction is intertwined with operations (processes) and finance (business outcomes). They address partnering with customers, having motivated staff, and continually improving.

I agree with all these points; most cohesive cultures are created and fostered by leaders who have a well-articulated vision, who practice what’s preached, who understand the process impact on patient satisfaction and the patient satisfaction impact on financials.

But some of the “hows” are missing from the article. How do you get an engaged workforce? How do you continually improve? Leadership is the start, but that focus on patient satisfaction has to begin with your hiring process and criteria for staff, what you reward them for doing, and how you hold them accountable. A patient-centered culture requires training and an internal communication plan that is proactively conveying the messages to staff that you want repeated to patients. Patient-centered cultures require smooth information flow from patients and families to staff and leadership, so data-driven improvements can be made real-time when needed and through root-cause analysis when recurring issues occur.

To create a patient-centered culture, get leadership on board, and get the ball rolling through hiring, motivation, accountability, training, communications, process design, and continuous improvement.

Create a great culture with your people to create a great experience for your customer.

Did you like this post? Here are other Healthcare-related posts:


Getting at the Root of Patient Satisfaction Issues

Posted on October 17, 2013 in Business Advice, Healthcare Please leave a comment

When a patient shares with her doctor that she has a sore throat, he begins asking questions to learn more about the soreness – this symptom with a deeper root cause. When a patient goes to the Emergency Room with chest pain, staff run tests to determine the cause – to address the symptom and determine a course of action based on the cause.

When patients present ailments, injuries, aches and pains, medical professionals look to not only address the symptom, but they also want to get at the root cause. Resolve the root cause, and the symptoms go away.

In Roach: Patient Satisfaction Crucial To Hospitals’ Success, soon-to-be hospital CEO Steven Roach addresses the need to improve patient satisfaction. But he’s not talking about conducting Disney training and implementing valet parking. He’s talking about the fact that many patients either visit the facility to get treated in the Emergency Department and discharged, or they are inpatients who were admitted through the E.D. Since the E.D. is experienced by so many, it not only has a huge impact on the patient’s perceptions, but it also impacts patient waits, work flow, productivity, and hospital financials.

And along with addressing the E.D. experience, Roach takes the next step – looking at root causes. Many E.D. issues with wait times and delays are the result of demand for services that should be provided elsewhere – out of the hospital setting and often by primary care doctors. This is what we call “Demand Management.” Instead of ONLY asking “How do we handle the volume we receive?” ask “How do we reduce the volume we receive?”

If your hospital or organization has process and wait time issues, you can bring in management consultants and process experts to do workflow redesign, but also think about what’s driving that demand, and find ways to redirect or reduce demand for high cost services.

Move from the symptom to the true root cause.

Did you like this post? Here are other Healthcare-related posts:


Patient Satisfaction – Driven by What You Do After They Leave

Posted on August 30, 2013 in Business Advice, Healthcare Please leave a comment

The nurses.com article Discharge calls help nurses affect readmission rates, patient satisfaction notes that an increasing trend of calling patients post-discharge is having positive effects on patient outcomes and satisfaction. At one hospital, the calls involve social workers contacting patients to gauge the patient’s mindset (“psychosocial” state) as well as determine whether they’re getting their clinical needs met.

Generalizing what’s done here to apply to any industry, the customer is contacted soon after the transaction to gauge satisfaction (i.e., how they’re feeling mentally) and to follow-up to ensure that whatever next steps were identified are being addressed.

But before we say “this is too much work to contact every patient or customer…” after every encounter, let’s focus on another finding in the article. One facility looks at the home care population, and a member of management stated that “we stratify them into high risk, moderate risk and low risk. If they are high risk, they will also have a nurse practitioner with a specialty in heart failure either calling them or visiting their home within 72 hours of discharge.”

This is the key to being efficient and most effective – stratifying your patient base. Organizations that want to drive high levels of patient satisfaction need to realize that they must keep relationships fresh, they must gauge patient perceptions post-discharge, they must ensure that appropriate follow-up and compliance with post-discharge instructions are occurring. But they also must NOT view every patient the same.

Some patients are more at-risk of readmission, more likely not to return if dissatisfied, more driven to be satisfied/dissatisfied based on their relationship with the organization.

When you look to reduce readmissions and improve patient satisfaction, do the necessary follow-up and relationship-building in a targeted manner to make those improvements with efficiencies.

Remember that patient satisfaction is often driven by what you do AFTER they leave.

Interested in improving your hospital’s patient satisfaction? See our other blog posts at: http://serviceadvice.cssamerica.com/category/healthcare/

Check out our patient satisfaction improvement services at: http://cssamerica.com/csshealth.htm


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