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Why Do Patients
Complain?
10 Common Patient Complaints and Grievances
with Hospitals, as Confirmed by Statistics.
What makes patients lose their cool?
In a highly competitive industry such as healthcare, hospitals must go the extra
mile to attract and retain patients. However, regardless of the efforts to deliver
high quality services, no medical facility is fully immune to errors and compla-
ints. What sets top-performing hospitals apart in this respect is how they
handle patient grievances once they happen.
Complaints may be a valuable source of information for medical organizations.
Patients often capture errors and omissions that would be easy to overlook
otherwise.
By conducting a detailed analysis of the sources of patient dissatisfaction, ho-
spitals have a chance to identify the greatest challenges facing their organiza-
tion and implement remedial actions. Investigating patient complaints allows
them to raise the bar for patient comfort and safety, and deliver patient-cen-
tric, high quality care.
To help hospitals pin down areas for improvement, we have collected ten
issues with hospitals that are frequently reported by dissatisfied patients.
2
Among high-developed
countries,
the U.S. ranks last in health system
performance, while spending the most
per capita on healthcare.
Source: The Commonwealth Fund
Hospital Noise
Hospitals are increasingly noisy places, so it’s hardly surprising that noise pol-
lution is one of the top grievances among patients. The issue has multiple so-
urces, from office and medical equipment, bed alarms, staff announcements,
to conversations, housekeeping, and opening and closing doors.
High noise levels not only cause annoyance to patients and personnel but also
have numerous adverse effects:
Sleep deprivation and fatigue among patients
Impaired communication
Negative impact on staff’s performance
Lower quality of treatment
Reduced recovery rate
4
Bedside alarms
go off 133 times per day
Source: US News
6
Dirty Rooms
In the healthcare context, a clean and healthy environment constitutes a criti-
cal quality factor. Hospital cleanliness is essential for infection prevention and
control, yet, sadly, numerous patients complain about bacteria-ridden heal-
thcare facilities.
Maintaining high standards of hygiene in hospitals requires a systemic appro-
ach; however, every employee should participate in the process and make an
effort to keep hospital rooms and equipment clean and tidy. All hospital per-
sonnel should be advised to disinfect their hands before and after entering a
room and touching a patient, dry their hands thoroughly after every wash, and
avoid touching germ-infested objects and surfaces such as patients’ property,
call buttons, linens, or hospital beds.
22% of hospital floor
sites are
positive for MRSA, 33% for VRE,
and 72% for C. difficile
Source: Very Well Health
Ineffective Scheduling
Appointment-making has a direct impact on hospital operations and revenue;
missed appointments cost US taxpayers $150B every year. If patients find ho-
spital scheduling systems confusing, cancellations and delays abound. As inef-
fective scheduling produces deleterious effects to any medical organization,
enhancing appointment systems and eliminating hostile schedules become a
priority for healthcare managers.
There are numerous strategies to minimize disruptions in the patient flow and
improve patient experience related to appointment-taking. The first step is to
identify peaks and valleys and working towards their mitigation. Solutions such
as patient portals, booking apps, or online appointment services help hospitals
reduce the number of late arrivals and no-shows, and facilitate the process for
patients.
8
65% of patients say
they face challenges when trying to engage
with their healthcare providers
Source: Healthcare Innovation
Long Wait Times
This common complaint is somewhat related to the previous one. Patients
usually expect immediate service and their frustration spikes when they’re
made to wait at any point of interaction with a medical facility; whether on the
phone, at the front desk, or in the examination office.
However, in a large number of cases, patients are to blame for extended wait
times. They don’t show up, cancel visits at short notice, or arrive late. Research
supports that; the mean unpunctuality rate is between 20-23 minutes (Source:
BMJ). There are various ways to keep patients more disciplined and shorten
queues, such as no-show fees, pre-registration systems, and call answering
services. By combining these tools, hospitals can remove bottlenecks, lessen
staff workload, and reduce he overall wait times.
10
Over 78% of patients
spend
2 h or less on the queue before being
seen by a doctor
Source: NBCI
Short Visits
Most physicians schedule patients at 15-minute intervals. In practice, many
visits last even shorter. Patients are vocal about doctors’ increasing tendency
to reduce face time and rush through appointments. They report that physi-
cians fail to interact with them in a meaningful way, as their attention is diver-
ted to paperwork, electronic health records, and other distractions such as
ringing phone or a knock on the door.
Short visits negatively affect the patient-doctor relationship, which is a crucial
component of high-quality healthcare. Most people coming to a doctor
demand to be heard and respected; when physicians don’t deliver on this
expectation, patients are very likely to file a complaint.
12
Just 11% of patients say
they have enough time with their doctors
Source: Healthcare Dive
Lack of Privacy
Respect for privacy and confidentiality is one of the fundamental patient’s
rights. Healthcare workers are bound to keep all patient information safe and
confidential, and a number of measures, including HIPAA regulations, are insti-
gated to enforce that obligation.
Nevertheless, many hospitals still fail to deliver on that aspect, and commit the
following privacy breaches:
They make patients speak about their intimate problems to receptionists.
They don’t provide soundproofing in examination rooms.
They use corridors to treat patients due to overcrowding.
They mishandle patients’ documentation, disclosing names and other details
to unauthorized parties.
14
2018 saw over 350
healthcare
data breaches reported, resulting in the exposure
of 13,020,821 healthcare records
Source: HIPAA Journal
Poor Communication
A positive interaction between a patient and a doctor is one of the chief deter-
minants of hospital quality services. Communication failures, on the other
hand, may lead to serious negative consequences, including poor handovers,
treatment errors, health deterioration, and in extreme cases - patient death.
It’s estimated that inadequate communication is the cause of 30% of malprac-
tice cases in hospitals. (source)
Despite this, efficient patient-doctor communication still remains a challenge
for many facilities. Patients complain about doctors being insensitive, lacking
empathy, and using highly-specialized terminology, which is confusing. But the
interaction between patients and their doctors is not the only one line of com-
munication that leaves a lot to be desired.
For numerous reasons, physicians and hospitals don’t talk to each other, which
is hugely detrimental for the medical progress of their patients.
16
Ca. 80% of serious medical
errors
involve miscommunication between
providers at handoffs
Source: Joint Commission
No Sense of Accountability
Getting patients involved in their treatment increases the rate of recovery and
brings down readmission. Patients seem to recognize this, as 89% want to
manage their own healthcare (source).
Providing them with that opportunity yields efficiency savings and improves pa-
tient satisfaction. Therefore, it is imperative for hospitals to make facilities
more accessible by:
18
Giving patients the sense of ownership over their health through shared decision-making
Providing easy access to health records
Streamlining online prescription renewals
Increasing medication adherence using text message reminders
Offering 24/7 access to healthcare services
Facilitating follow-up calls to reduce relapse and readmission
Patients who are
highly-engaged
in their health see 50% fewer ED visits
Source: Medical Economics
Paperwork
Medical records are an essential component of any treatment as they allow to
meticulously track the patient’s medical history and facilitate inter-provider
communication. However, few issues vex patients as much as ever-increasing
paperwork to be filled by themselves and their doctors.
Excessive documentation detracts doctors from face-to-face contact with
their patients. 92% of physicians report that clinical documentation duties are
burdensome and take too much time (source). This pertains to both, traditional
paper records, and electronic medical records, which were supposed to auto-
mate and streamline manual documentation.
To maintain a high quality of relevant records, it’s critical to train medical per-
sonnel in documentation-taking, periodically review the efficiency of the EMR
system, and implement consistent policies on creating, updating, and storing
health records organization-wide.
20
Physicians spend 49.2%
of their time on EHR and desk work
Source: Annals of Internal Medicine
Confusion over Billing
In 2017, 1.4 million Americans went overseas for medical care to save on treat-
ment. Such immense popularity of medical tourism can be partly attributed to
the fact that healthcare payment system in the US is extraordinarily complex.
Patients who don’t understand how much they need to fork out for a procedure
and where to seek reimbursement, won’t go into treatment at home for fear of
being overcharged.
Hospitals may decrease billing confusion and make patients feel comfortable
with medical payments in a number of ways. These include establishing a role
responsible for resolving payment and billing concerns, simplifying price lists,
educating patients about their rights for reimbursement, and providing auto-
mated, easily accessible methods of payment.
22
74% of patients are
confused
by Explanation of Benefits (EOBs) and medical bills
Source: Instamed
Step-by-step approach to patient
satisfaction
Receiving a complaint from a patient can be an extremely stressful experience.
That’s why many hospitals consider negative feedback as necessary evil and
wish it never happened. The fact is that even the best healthcare services pro-
vider face disgruntled patients at times.
People have different expectations and it’s impossible to always accommodate
all of them. However, complaints should be seen as an opportunity to improve
rather than a reason to become vexed.
By thorough investigation of patients’ complaints, hospitals can grow a better
understanding of the root of the problem, improve their services, and prevent
similar occurrences in the future.
While it’s not easy to diffuse patient frustration, developing an organized, stra-
tegic approach to complaints will allow hospitals to deal with patient discon-
tent faster and more effectively.
24
How to handle patient complaints:
1 Listen to your patients.
2 Acknowledge their complaints.
3 Find out more about what caused their annoyance.
4 Apologize and explain what happened.
5 Propose mitigation measures and take action.
6 Draw conclusions to prevent the situation in the future.
25
Are you looking to improve
patient experience?
If so, we have a common goal.
Visit our website www.thedoctorsanswer.com
and learn how you can refine healthcare services,
reduce patient complaints, and increase revenue
with 24/7 medical call answering.

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Why Do Patients Complain.

  • 1. www.thedoctorsanswer.com Why Do Patients Complain? 10 Common Patient Complaints and Grievances with Hospitals, as Confirmed by Statistics.
  • 2. What makes patients lose their cool? In a highly competitive industry such as healthcare, hospitals must go the extra mile to attract and retain patients. However, regardless of the efforts to deliver high quality services, no medical facility is fully immune to errors and compla- ints. What sets top-performing hospitals apart in this respect is how they handle patient grievances once they happen. Complaints may be a valuable source of information for medical organizations. Patients often capture errors and omissions that would be easy to overlook otherwise. By conducting a detailed analysis of the sources of patient dissatisfaction, ho- spitals have a chance to identify the greatest challenges facing their organiza- tion and implement remedial actions. Investigating patient complaints allows them to raise the bar for patient comfort and safety, and deliver patient-cen- tric, high quality care. To help hospitals pin down areas for improvement, we have collected ten issues with hospitals that are frequently reported by dissatisfied patients. 2
  • 3. Among high-developed countries, the U.S. ranks last in health system performance, while spending the most per capita on healthcare. Source: The Commonwealth Fund
  • 4. Hospital Noise Hospitals are increasingly noisy places, so it’s hardly surprising that noise pol- lution is one of the top grievances among patients. The issue has multiple so- urces, from office and medical equipment, bed alarms, staff announcements, to conversations, housekeeping, and opening and closing doors. High noise levels not only cause annoyance to patients and personnel but also have numerous adverse effects: Sleep deprivation and fatigue among patients Impaired communication Negative impact on staff’s performance Lower quality of treatment Reduced recovery rate 4
  • 5. Bedside alarms go off 133 times per day Source: US News
  • 6. 6 Dirty Rooms In the healthcare context, a clean and healthy environment constitutes a criti- cal quality factor. Hospital cleanliness is essential for infection prevention and control, yet, sadly, numerous patients complain about bacteria-ridden heal- thcare facilities. Maintaining high standards of hygiene in hospitals requires a systemic appro- ach; however, every employee should participate in the process and make an effort to keep hospital rooms and equipment clean and tidy. All hospital per- sonnel should be advised to disinfect their hands before and after entering a room and touching a patient, dry their hands thoroughly after every wash, and avoid touching germ-infested objects and surfaces such as patients’ property, call buttons, linens, or hospital beds.
  • 7. 22% of hospital floor sites are positive for MRSA, 33% for VRE, and 72% for C. difficile Source: Very Well Health
  • 8. Ineffective Scheduling Appointment-making has a direct impact on hospital operations and revenue; missed appointments cost US taxpayers $150B every year. If patients find ho- spital scheduling systems confusing, cancellations and delays abound. As inef- fective scheduling produces deleterious effects to any medical organization, enhancing appointment systems and eliminating hostile schedules become a priority for healthcare managers. There are numerous strategies to minimize disruptions in the patient flow and improve patient experience related to appointment-taking. The first step is to identify peaks and valleys and working towards their mitigation. Solutions such as patient portals, booking apps, or online appointment services help hospitals reduce the number of late arrivals and no-shows, and facilitate the process for patients. 8
  • 9. 65% of patients say they face challenges when trying to engage with their healthcare providers Source: Healthcare Innovation
  • 10. Long Wait Times This common complaint is somewhat related to the previous one. Patients usually expect immediate service and their frustration spikes when they’re made to wait at any point of interaction with a medical facility; whether on the phone, at the front desk, or in the examination office. However, in a large number of cases, patients are to blame for extended wait times. They don’t show up, cancel visits at short notice, or arrive late. Research supports that; the mean unpunctuality rate is between 20-23 minutes (Source: BMJ). There are various ways to keep patients more disciplined and shorten queues, such as no-show fees, pre-registration systems, and call answering services. By combining these tools, hospitals can remove bottlenecks, lessen staff workload, and reduce he overall wait times. 10
  • 11. Over 78% of patients spend 2 h or less on the queue before being seen by a doctor Source: NBCI
  • 12. Short Visits Most physicians schedule patients at 15-minute intervals. In practice, many visits last even shorter. Patients are vocal about doctors’ increasing tendency to reduce face time and rush through appointments. They report that physi- cians fail to interact with them in a meaningful way, as their attention is diver- ted to paperwork, electronic health records, and other distractions such as ringing phone or a knock on the door. Short visits negatively affect the patient-doctor relationship, which is a crucial component of high-quality healthcare. Most people coming to a doctor demand to be heard and respected; when physicians don’t deliver on this expectation, patients are very likely to file a complaint. 12
  • 13. Just 11% of patients say they have enough time with their doctors Source: Healthcare Dive
  • 14. Lack of Privacy Respect for privacy and confidentiality is one of the fundamental patient’s rights. Healthcare workers are bound to keep all patient information safe and confidential, and a number of measures, including HIPAA regulations, are insti- gated to enforce that obligation. Nevertheless, many hospitals still fail to deliver on that aspect, and commit the following privacy breaches: They make patients speak about their intimate problems to receptionists. They don’t provide soundproofing in examination rooms. They use corridors to treat patients due to overcrowding. They mishandle patients’ documentation, disclosing names and other details to unauthorized parties. 14
  • 15. 2018 saw over 350 healthcare data breaches reported, resulting in the exposure of 13,020,821 healthcare records Source: HIPAA Journal
  • 16. Poor Communication A positive interaction between a patient and a doctor is one of the chief deter- minants of hospital quality services. Communication failures, on the other hand, may lead to serious negative consequences, including poor handovers, treatment errors, health deterioration, and in extreme cases - patient death. It’s estimated that inadequate communication is the cause of 30% of malprac- tice cases in hospitals. (source) Despite this, efficient patient-doctor communication still remains a challenge for many facilities. Patients complain about doctors being insensitive, lacking empathy, and using highly-specialized terminology, which is confusing. But the interaction between patients and their doctors is not the only one line of com- munication that leaves a lot to be desired. For numerous reasons, physicians and hospitals don’t talk to each other, which is hugely detrimental for the medical progress of their patients. 16
  • 17. Ca. 80% of serious medical errors involve miscommunication between providers at handoffs Source: Joint Commission
  • 18. No Sense of Accountability Getting patients involved in their treatment increases the rate of recovery and brings down readmission. Patients seem to recognize this, as 89% want to manage their own healthcare (source). Providing them with that opportunity yields efficiency savings and improves pa- tient satisfaction. Therefore, it is imperative for hospitals to make facilities more accessible by: 18 Giving patients the sense of ownership over their health through shared decision-making Providing easy access to health records Streamlining online prescription renewals Increasing medication adherence using text message reminders Offering 24/7 access to healthcare services Facilitating follow-up calls to reduce relapse and readmission
  • 19. Patients who are highly-engaged in their health see 50% fewer ED visits Source: Medical Economics
  • 20. Paperwork Medical records are an essential component of any treatment as they allow to meticulously track the patient’s medical history and facilitate inter-provider communication. However, few issues vex patients as much as ever-increasing paperwork to be filled by themselves and their doctors. Excessive documentation detracts doctors from face-to-face contact with their patients. 92% of physicians report that clinical documentation duties are burdensome and take too much time (source). This pertains to both, traditional paper records, and electronic medical records, which were supposed to auto- mate and streamline manual documentation. To maintain a high quality of relevant records, it’s critical to train medical per- sonnel in documentation-taking, periodically review the efficiency of the EMR system, and implement consistent policies on creating, updating, and storing health records organization-wide. 20
  • 21. Physicians spend 49.2% of their time on EHR and desk work Source: Annals of Internal Medicine
  • 22. Confusion over Billing In 2017, 1.4 million Americans went overseas for medical care to save on treat- ment. Such immense popularity of medical tourism can be partly attributed to the fact that healthcare payment system in the US is extraordinarily complex. Patients who don’t understand how much they need to fork out for a procedure and where to seek reimbursement, won’t go into treatment at home for fear of being overcharged. Hospitals may decrease billing confusion and make patients feel comfortable with medical payments in a number of ways. These include establishing a role responsible for resolving payment and billing concerns, simplifying price lists, educating patients about their rights for reimbursement, and providing auto- mated, easily accessible methods of payment. 22
  • 23. 74% of patients are confused by Explanation of Benefits (EOBs) and medical bills Source: Instamed
  • 24. Step-by-step approach to patient satisfaction Receiving a complaint from a patient can be an extremely stressful experience. That’s why many hospitals consider negative feedback as necessary evil and wish it never happened. The fact is that even the best healthcare services pro- vider face disgruntled patients at times. People have different expectations and it’s impossible to always accommodate all of them. However, complaints should be seen as an opportunity to improve rather than a reason to become vexed. By thorough investigation of patients’ complaints, hospitals can grow a better understanding of the root of the problem, improve their services, and prevent similar occurrences in the future. While it’s not easy to diffuse patient frustration, developing an organized, stra- tegic approach to complaints will allow hospitals to deal with patient discon- tent faster and more effectively. 24
  • 25. How to handle patient complaints: 1 Listen to your patients. 2 Acknowledge their complaints. 3 Find out more about what caused their annoyance. 4 Apologize and explain what happened. 5 Propose mitigation measures and take action. 6 Draw conclusions to prevent the situation in the future. 25
  • 26. Are you looking to improve patient experience? If so, we have a common goal. Visit our website www.thedoctorsanswer.com and learn how you can refine healthcare services, reduce patient complaints, and increase revenue with 24/7 medical call answering.