The 5-star hospital
The Ritz Carlton experiment applied to Patient Experience
Alba Domínguez, 2019
8 min
Shawn Achor, author of the book Before Happiness, explains how he helped the leaders of the Ochsner Health System project to improve the patient experience with its Happiness Advantage Research method, whose ultimate goal is to raise patients’ happiness.
Contagious realities
According to Shawn it is necessary to instil in each and every worker of the organization one clear idea: happiness is contagious and beneficial.
The 10/5 method
- Rule 1: Whenever an employee meets a hotel guest within a 10 step distance, the employee has to establish eye contact and smile.
- Rule 2: Whenever an employee meets a hotel guests within a 5 step distance, the employee has to greet the guest with a “hello”.


- “We found moderately high levels of satisfaction for patient service (for example, 67.4% of hospital patients would definitely recommend the hospital), with a high correlation with the drivers of patient experience (Cronbach's alpha, 0.94) . (...) Hospitals with a high level of patient satisfaction provided clinical care that was higher in quality for every driver examined.(...)”
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“Higher ratings for patient satisfaction, both for the overall evaluation and for the hospital discharge, were associated with lower readmission rates in the following 30 days for acute myocardial infarction, heart failure and pneumonia (...)”
- “Higher overall patient satisfaction with the discharge planning is associated with lower 30-day hospital readmission rates after adjusting for clinical quality. This finding suggests that patient experience (patient-centered information) may have an important role in the evaluation of hospital performance and management.“
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