Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Objectives:
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- Open discussion guided by several specific questions. - Time together: 60 minute discussion groups. - This discussion is INFORMAL. Relax and enjoy yourself. - There are no right or wrong answers. We are interested in your opinions, no matter what they are. - Please be considerate of other opinions. If you disagree with what someone else said feel free to talk about it. But we want to keep this discussion friendly. - Assurance: Confidential discussion where open, honest feedback is critical. Objective is to learn about the organization's culture from the employees' and leaders' perspectives.
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1. Please tell me your name and role.
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2. Tell me about what is going well at this organization?
- Teamwork
- Loyalty
- Community Involvement
- Physicians
- Hospital Size
- Commitment
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2 - Additional Notes
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3. If you could change one thing to improve the patient experience here, what would it be?
- Tolerated
- Don't Know
- Disciplinary Process
- Coaching
- Not Happening
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3 - Additional Notes
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4. Give me an example of a time when change was implemented successfully from senior leadership down to front line staff.
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4a. What made that change so successful?
- Teamwork
- Communication
- Clear Roles
- Set Expectations
- Executive Commitment
- Planning
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4a - Additional Notes
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4b. If none, what have been the biggest barriers/break downs in previous change initiatives?
- Competing Priorities
- Time
- Accountability
- Lack of Leadership
- Lack of Communication
- Resistance to Change
- Poor Planning
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4b - Additional Notes
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5. Tell me how your patient experience scores are used in your department. Is the patient experience a priority here?
- Posted on Boards
- Shared at Staff Meetings
- Huddles
- Town Halls
- Don't Know
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5 - Additional Notes
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6a. Do you feel this is a great work environment? (look for strengths and/or gaps for a satisfied/engaged workforce)
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6a - Additional Notes
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7. How would you assess your relationship with physicians? How do you support them and how do they support you?
- Two Way Communication
- Responsiveness
- Supportive
- Conduct
- Inconsistent
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7 - Additional Notes
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8. Describe how leaders are held accountable?
- Evaluations
- Goals
- By Their Leader
- Regular Meetings
- Posted Results
- Don't Know
- Needs Improvement
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8 - Additional Notes
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9. Can you explain how staff are held accountable here at (name of hospital)?
- Evaluations
- Goals
- By Their Leader
- Regular Meetings
- Posted Results
- Don't Know
- Needs Improvement
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9 - Additional Notes
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10a. How are high achievers recognized?
- Reward and Recognition
- Merit Pay
- Thank You's
- More Work
- Inconsistent
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10a - Additional Notes
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10b. How are under achievers dealt with?
- Tolerated
- Don't Know
- Disciplinary Process
- Coaching
- Not Happening
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10b - Additional Notes
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11. Do you feel like you receive the information you need to do your job? Explain.
- Intranet
- From Leaders
- Orientation
- Staff Meetings
- Not Happening
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11 - Additional Notes
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12. Do you feel like your input is valued? Explain.
- Shared with Leaders
- Leaders Follow Up
- Trust
- Open Door Policy
- Not Acted Upon
- Not Happening
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12 - Additional Notes
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13. What do you believe is the ideal culture for (name of hospital)? What would you define as success?
- Friendly
- Welcoming
- Patient Centered
- Innovative
- Respectful
- Accountable
- Open Communication
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13 - Additional Notes
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13a. What is already in place to support that culture?
- Leadership
- Commitment
- People
- Planning
- Physicians
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13a - Additional Notes
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13b. What barriers do you have that are preventing that culture?
- Competing Priorities
- Time
- Accountability
- Lack of Leadership
- Lack of Communication
- Resistance to Change
- Poor Planning
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13b - Additional Notes