Contents
Guide
Praise for
Communication the Cleveland Clinic Way
At our very core, we are people caring for people. In order to excel, we need to make sure our caregivers know how to care. In Communication the Cleveland Clinic Way, Boissy and Gilligan provide an incredible how-to care guide as their team took on the challenge of ensuring empathy in over 5,000 caregivers. This book is really a journey that reveals the pitfalls and pearls of such a monumental undertaking and why every health system needs to do the same.
David Feinberg, MD, MBA, President and CEO, Geisinger Health System
Reengaging and enabling physicians in an increasingly challenging work environment, Boissy and Gilligan are spot on. Enhancing communication builds the physician-patient relationship in a way that creates a superior patient experience and a superior physician experience.
Vivian S. Lee, MD, PhD, MBA, CEO, University of Utah Health Care
Communicating effectively with patients is not an innate skill, and the emotional detachment we learn in medical training prevents us from building rapport and establishing solid relationships with our patients. Recognizing that there needed to be a better way, this book is a comprehensive road map created by a group of physicians who set out to transform the doctor-patient relationship and build the new gold standard for relationship-centered care. It is a must-read for every clinical provider.
James Merlino, MD, President and Chief Medical Officer, Strategic Consulting Division, Press Ganey and author of Service Fanatics
Caring for peoplebody and soulis the heart of healthcare. Boissy and Gilligan demonstrate how improving communication enables better experiences for patients and for caregivers. Their actionable insight on relationship-centered care is invaluable for achieving cultural transformation in healthcare delivery that supports both professionalism and patient success.
Elizabeth Teisberg, PhD, Professor of Community and Family Medicine, Dartmouth Geisel School of Medicine, and coauthor of Redefining Health Care
This invaluable book details the processes that Cleveland Clinic has used to boost its patient experience scores, which are associated with enhanced patient outcomes. Medical centers across the country would be well advised to replicate these programs in service of their patients and their staff.
Calvin Chou, MD, PhD, FAACH, Professor of Clinical Medicine, University of California San Francisco
What an inspiring, important, myth-busting book! It shows that human relationships are the real heart of healthcare, and the skill of building those relationships can be trained. Cleveland Clinic knows how.
Geoff Colvin, bestselling author of Talent Is Overrated and Humans Are Underrated
This book tells the story of a large and remarkably successful institution-wide program on physician communication skills. Told from a variety of perspectivesincluding senior executives, physician participants, and educatorsit describes the important contributions this program is making to quality, strategy, and the professional meaning and well-being of the physician workforce.
Beyond the inspiring story, the book offers a wealth of detail on instructional content and design that will be an enormous resource for others seeking to create their own communication programs. And it describes with great clarity the single most essential feature of a successful program: the informal curriculum or learning environment. We see the intentional effort to treat participants with the same kind of respect and engagement that they are being taught to show to patients.
Anthony L. Suchman, MD, MA, Senior Consultant, Relationship Centered Health Care
Today, external demands and pressures have left many dedicated clinicians and healthcare providers struggling to find meaning in their work. This essential book, drawing upon a deep understanding of human relationships and educational principles, illuminates a pathway by which those who are involved in patient care can develop more effective and satisfying partnerships with their patients, patients families, and colleagues.
Walter F. Baile, MD, Director, Program for Interpersonal Communication and Relationship Enhancement (I*CARE), University of Texas M. D. Anderson Cancer Center
Within the context of top-rated clinical and service excellence and the Patients First strategy, leaders at Cleveland Clinic have launched an innovative approach to enhance physicians human-centered communication skills to nurture the ongoing development of empathetic and compassionate interactions with the patients in their care. This practical yet profoundly transformational approach provides opportunities where physicians can reflect upon communications with their patients and family members, gain insights from dialogue with peers, and receive coaching and mentoring from experts to enhance and build new competencies. In addition, this program provides opportunities for clinicians to focus upon the ultimate purpose of healing not only the body but also the mind and soul of all in their care. And while doing so, many may find greater insight into their own human experience, build more resilience, and enhance or restore the joy in their professional careers. This book is an invaluable asset for all who strive to achieve a human-centered approach to healthcare and superior patient experience.
Pat Rutherford, MS, RN, Vice President, Institute for Healthcare Improvement
Copyright 2016 by Adrienne Boissy and Timothy Gilligan. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.
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ISBN 978-0-07-184534-2
MHID 0-07-184534-8
e-ISBN 978-0-07-184535-9
e-MHID 0-07-184535-6
R.E.D.E., R.E.D.E. to Communicate, and Communicate with H.E.A.R.T. are trademarks of The Cleveland Clinic Foundation.
Library of Congress Cataloging-in-Publication Data
Names: Boissy, Adrienne, editor. | Gilligan, Timothy, editor.
Title: Communication the Cleveland Clinic way : how to drive a relationship-centered strategy for exceptional patient experience / [edited by] Adrienne Boissy, MD and Timothy Gilligan, MD.
Description: New York : McGraw-Hill Education, [2016]
Identifiers: LCCN 2015051012| ISBN 9780071845342 (hardback) | ISBN 0071845348 (hardback)
Subjects: LCSH: Medical personnel and patient. | Patient-centered health care. | Interpersonal communication. | Physician and patient. | Medical ethics. | BISAC: BUSINESS & ECONOMICS / Business Communication / General.
Classification: LCC R727.3 .C665 2016 | DDC 610.7306/9dc23 LC record available at http://lccn.loc.gov/2015051012
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For my boys
I love you to infinity and beyond
AB
To my patients
who teach me and give meaning to my work
TG
Contents
Thomas H. Lee, MD, MSc
Adrienne Boissy, MD, MA
Adrienne Boissy, MD, MA, and Timothy Gilligan, MD, MS
Adrienne Boissy, MD, MA
Adrienne Boissy, MD, MA
Timothy Gilligan, MD, MS
Amy Windover, PhD
Amy Windover, PhD
Vicente J. Velez, MD