Radical systems change: Innovative strategies to improve patient satisfaction

Nick Rave*, Monica Geyer, Barbara Reeder, John Ernst, Larry Goldberg, Cynthia Barnard

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


A project was initiated at Northwestern Memorial Hospital in Chicago focusing on patient satisfaction in the outpatient setting and how to improve it. Eight outpatient diagnostic areas were selected and a steering committee was formed. The team used patient satisfaction scores and patient and staff interviews to identify areas for improvement. Innovations were implemented in communications and information technology, staff role design, and process flow. Successes were realized in patient satisfaction above the 95th percentile, improved staff satisfaction, productivity, and internal and external recognition. The program serves as an organizationwide model supporting the hospital's Best Patient Experience strategic goal. This patient-focused model is being replicated in other areas of the hospital and can be replicated elsewhere.

Original languageEnglish (US)
Pages (from-to)159-174
Number of pages16
JournalJournal of Ambulatory Care Management
Issue number2
StatePublished - 2003


  • Communication
  • Consumer satisfaction
  • Expectations
  • Experience
  • Innovations
  • Patient satisfaction
  • Satisfaction

ASJC Scopus subject areas

  • Health Policy


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