A patient’s experience is tied to their expectations, which may, at times, be unreasonable. Nonetheless, your awareness of the patient’s expectations during consultations is vital to achieving effective communication.

When the quality of provider communication is rated highly, patients are more likely to be satisfied with the quality of care they receive.

Tip: If a patient has had a previous experience in the hospital, they should know that you’re aware. Simply acknowledging this fact can help you avoid one of the highest sources of frustration for returning customers (and patients): Being treated as if you’ve never been there before.

This isn’t new advice, but it bears repeating. Look into the patient’s eyes and listen intently and actively. Ask open-ended questions to draw out more information.

With the high levels of activity occurring throughout the hospital, taking the time (even though you may not have a lot of it) to stop, look, and listen is priceless. It shows empathy and respect, and demonstrates that you value the patient as a human being.

Tip: When you establish sincere eye contact, the patient perceives you have spent more time with them than you actually have. Studies also show that sitting down, even for a brief period, also improves the perception of time spent caring for the patient.

Effective communication accompanied by compassionate care fosters a healthy provider-patient relationship and engenders trust that can lead to better outcomes, both physiologically and psychologically.

To paraphrase an old adage, "Patients don’t care how much you know until they know how much you care."

Since, as a provider, you are limited in the time available to spend with each patient, following these techniques during treatment can help insure quality interactions with your patient and their family.

• Greet each patient formally and smile. Apologize for the wait and acknowledge other people in the room; • Establish sincere eye contact;
• Dress professionally. Proper dress communicates professionalism. Be sure to wear your nametag;
• Introduce yourself. Shake hands, sit down, and say, “What can I help you with today?”
• Listen empathetically. Patients need to tell their story. “Communication occurs when the doctor is listening to me,” is what’s on the patient’s mind. Allow patients to speak for one minute with minimal interruption. Studies show the patient typically speaks for an average of 18 seconds before the provider interrupts;
• Appear unrushed, even if you are;
• Establish the patient’s expectations. Set up realistic expectations for the visit. You are more likely to have a satisfied patient if you achieve reasonable mutual expectations;
• Tell the patient what is going to happen and how much time it will take. It’s best to overestimate time;
• Do at least one non-medical gesture. For example, give the patient a pillow or blanket, or adjust the bed;
• Watch for nonverbal cues. Remember that nonverbal cues and tone constitute about 80 to 85 percent of communication.

"Information delivery is a strong determinant of patient satisfaction,” says Kenneth J. Heinrich, MD FACEP and SVP, Group Medical Officer at SCP. “The lack of information magnifies a patient’s sense of uncertainty and increases their psychological distress.”

Be sure to communicate:

• Delays, if they occur;
• Types and reasons for tests;
• Diagnosis (in layperson language);
• Reason for admission;
• Discharge instructions;
• What you are doing now (e.g., performing an EKG) and what will be happening next (the doctor will read the EKG).

"Information delivery is a strong determinant of patient satisfaction,” says Kenneth J. Heinrich, MD FACEP and SVP, Group Medical Officer at SCP. “The lack of information magnifies a patient’s sense of uncertainty and increases their psychological distress.”

Be sure to communicate:

• Delays, if they occur;
• Types and reasons for tests;
• Diagnosis (in layperson language);
• Reason for admission;
• Discharge instructions;
• What you are doing now (e.g., performing an EKG) and what will be happening next (the doctor will read the EKG).

Another way to facilitate effective communication is to simplify the terminology you use. That’s not always easy but speaking in plain English at a level patients can understand can have positive benefits.

“Take time with the patient, be courteous, and express genuine concern,” says Dr. Heinrich. “Patients are poor judges of the technical aspects of care and, therefore, more affected by the expressive (caring) aspect of treatment than the technical (curing). They desire ‘high touch’ over ‘high tech.’”

Patients who better understand their conditions and your recommendations are more likely to take a greater interest in their care. They will ask questions, follow recommendations, and feel less intimidated, making for a better overall experience.

For example, instead of saying “cellulitis,” use the term “skin infection.” Or, in place of “PO” just say “by mouth.” Your patients will appreciate your effort to meet them where they are linguistically.

Tip: If you need help translating doctor-speak into language anyone can understand, check out our “cheat sheet” containing some of the more common terms providers should use when seeing patients.

One reason you may need these tools to communicate is that, with growing diversities in population, it’s likely that not all of your patients will speak English.

Translation apps such as Canopy Speak or MediBabble Translator communicate quickly with patients using translated medical phrases in a variety of languages, including Spanish, Chinese, French, Arabic, Russian, Haitian Creole, and many others.

Other apps, like VisualDX, contain thousands of images that you can use to help a patient better understand his or her condition.

Recognize that symptoms are subjective.

Dr. Heinrich reminds us, “Each patient experiences pain and other symptoms in their own way. Poor symptom relief can be perceived by the patient as lack of caring.”

Take the following steps when treating symptoms:

• Document pain and other adverse symptoms;
• Address pain, fever, vomiting, and other unpleasant symptoms;
• Re-document the response;
• Discuss treatment options with the patient;
• Explain your approach without personal judgment (including if you are unable to relieve adverse symptoms at the time of the visit)

Approximately seven percent of patients reportedly switch providers due to negative patient experiences, which translates to nearly $100 million in annual revenue loss per hospital.

This is one reason why it’s important to protect your reputation and that of your hospital from adverse public opinion resulting from negative word of mouth in order to drive patient loyalty.

When problems with customer service occur in the hospital (and they invariably will), you and your team must be prepared with a service recovery program designed to turn a displeased patient into a happy, loyal one.

A phenomenon known as the “service recovery paradox” says that when you handle your patients’ concerns or complaints quickly, they tend to be more satisfied than a patient who experienced no problems at all.

Excellence in onsite service recovery efforts starts with these 5 simple steps:

1. Anticipate Patient Needs
2. Acknowledge Patient’s Feelings
3. Apologize and Take Ownership
4. Fix the Problem... Fast!
5. Document to Foster Change

Related Resource: The Importance of Onsite Service Recovery

Having a physician call a patient the day after discharge is oftentimes unheard of today.

For that very reason, that outreach or something similar would likely feel monumental to a patient. The gap between expectation and what’s delivered feeds back into the earlier discussion of the “experience economy.” EM and HM providers stand to build immense trust, that is, by exceeding the current expectations that they are always on to the next patient and are too busy to follow up.