Perspective: The State of Patient Experience [Podcast]

Prior to joining Press Ganey, Dr. James Merlino—also a practicing surgeon—was the Chief Experience Officer of the Cleveland Clinic Health System.

In this leadership podcast, Dr. Merlino draws on his practical and diverse knowledge and experience and speaks with us about contemporary issues for hospitals and the nation’s health care delivery system.

Among today’s topics, Stewart Gandolf and Dr. Merlino discuss patient safety as a strategic priority, transparency in healthcare, healthcare reform and patient experience. Some highlights include:

ON PATIENT SAFETY AS A STRATEGIC PRIORITY:

In the United States, patient safety and quality of care are among the most significant issues. And while hospitals have made tremendous improvements in patient safety, much more remains to be accomplished. If you treat patient safety as if it were a disease, it would be the third leading cause of death in the United States.

“When you look at organizations that have achieved high performance and high reliability like the airline industry, the reality is that [the hospital industry] can be more like them. We can do a better job of delivering safer healthcare. We have to standardize more of what we’re doing, we have to elevate reduction of harm to a top strategic priority, we have to make safety an uncompromisable core value of our organization. We have to do more to protect people.”

ON TRANSPARENCY IN HEALTHCARE:

Healthcare has made a lot of progress on the topic of transparency—more and more organizations are transparent in their information—but we still have a lot of work to do. There’s more and more information available, and when we are transparent about it, it drives change.

Dr. Merlino observed that transparency applies to accolades as well as opportunities. At the University of Utah, for example, when doctors’ scores and comments were published on their website, several things happened.

First, the scores improved. Second, the doctors had many, many more positive comments than negative comments; and they liked seeing their positive comments out there. And third, it had a significant impact on their brand because it changed the search dynamics on a site like Google.

ON HEALTHCARE REFORM:

“The bottom line is that healthcare reform has fundamentally brought some good things to healthcare. The thing that I get excited about is the focus, finally, on metrics that matter.

“For example, this has taken things that are really important to patients—things like safety, equality, the service experience—and it has linked provider performance to reimbursement. And that is driving significant attention and change in healthcare.”

ON HOW ORGANIZATIONS PRIORITIZE CRITICAL ISSUES:

A significant insight is that, “you can list the top issues that hospitals across the county are paying attention to today. But it was somewhat surprising for me to find that the priority of those issues is very different. Some organizations are focused on market share, some are focused on safety, and some have elevated patient experience to the top [of the list].

“But what is most surprising to me is just how differently organizations approach problems. The variability of how organizations execute a solution is fascinating. There are a lot of “right ways” to do things, but the variability of approach is striking.”