The work of Building Trust is critical to improving American health care. The patient-physician relationship depends upon patients’ trust that physicians have their best interest at heart, especially during times when patients are particularly vulnerable. Similarly, trust between clinicians and the institutions with and for whom they work is essential to the efficient working of our health care system and ensuring patients get the care they deserve.
The submissions we have received from our Building Trust Collaborators affirm five dimensions of trust: competency, caring, communication, comfort, and cost.
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Communication (13)
- First 5 Minutes®
American College of Chest Physicians
The First 5 Minutes program builds trust by equipping clinicians with evidence-based skills to establish rapport, respond empathetically, and prioritize patient concerns, leading to improved communication, adherence, satisfaction, and outcomes.
- Dell Seton Medical Center Trust Challenge
Dell Seton Medical Center
DSMC-UT coordinated a number of overlapping activities in April 2022 to address the overall goal of cultivating trusting relationships.
- Reducing Inequities and Building Trust: QI Outreach
UC Davis Health
This practice builds trust between organizations and the community by bringing together historically siloed quality improvement leaders in Sacramento across a diverse set of practices—community, academic, community federally qualified health centers (FQHC), and public health—to build stronger relationships for the health of the shared community.
- Graphic Medicine to Empower Patients & Promote Trust in Clinician Electronic Health Records Use
UChicago Medicine
A comic strip encouraged patients to speak with their clinicians about their electronic medical records.
- Cultural Ambassadors
Yale New Haven Health
The partnerships create a space for open and honest communication and the opportunity to learn from community members about their interest in and concerns about clinical trials, in order to increase participation from historically marginalized populations.
- Policy Coordination
American Board of Internal Medicine
ABIM uses surveys and social media to collect input from sectors of the internal medicine community that will be affected by significant policy decisions.
- Co-creation with professional societies: Transparency, listening, and trust
American Board of Internal Medicine
ABIM employed a co-creation strategy to address concern among professional societies about its Maintenance of Certification (MOC) program.
- Melting Pot: An Institutional Approach to Diversity, Equity, and Inclusion
AIAMC & HonorHealth
The initiative emphasizes the importance of listening and communication to build trust and enhance equity.
- Reframe: A public health approach to firearm violence and injury prevention
AFFIRM
AFFIRM helps build respectful relationships among diverse stakeholders inside and outside of health care who share a common interest in reducing firearm injury and death as a preventable health problem.
- Building and Sustaining an Organizational Culture of Respect for People
Virginia Mason Medical Center
Listening, psychological safety and facilitation skills are used to build and support team members’ understanding and application of the 10 respect behaviors in patient care and non-patient care settings.
- TeamBirth
Ariadne Labs
The care model helps ensure people who are giving birth are informed about the care they are receiving, have the role they want in care decisions, and feel their input makes a difference in what happens.
- MD/APP-in-Room
UChicago Medicine
A multidisciplinary team developed the MD/APP-in-Room button as a novel tool to facilitate socially distanced, face-to-face encounters between physicians and nurses.
- Increasing Influenza Immunizations Among Spanish-Speaking Medicare Advantage Beneficiaries Through Care Navigator Outreach and Teletalks
SCAN
The program recruited Spanish-speaking care navigators to conduct outreach to encourage community members to receive the flu vaccine.
Caring (25)
- Food is Medicine: Trust between Community and Health Systems
UC Davis Health
This practice builds trust by bridging community leaders, patients from historically marginalized communities, and health system leaders to come together in identifying community priorities and co-develop programs addressing social risk factors such as food insecurity.
- Discharge Virtual Visits
NYU Langone Health
The essential elements of trust – caring and competence – were provided to discharged patients through telehealth follow-up visits with the physicians who cared for them during their hospitalization, and care team members helped solve any identified problems.
- Addiction Psychiatry Service
Parkland Health & Hospital System
A team-based approach to delivering inpatient addiction services, the service works to build trust with patients through a team-based approach, and relies upon community partnerships to link patients to the resources they need upon discharge.
- The Village Project
Parkland Health & Hospital System
The project is an intensive case management-based intervention that harnesses peer navigation and integrated behavioral health services to improve the health outcomes of young HIV+ Black Men who have Sex with Men (BMSM).
- SPARKS
Parkland Health & Hospital System
The program builds trust with employees at all levels of the organization by providing effective and compassionate support from their fellow employees at a time of vulnerability.
- RIGHT Care
Parkland Health & Hospital System
Through its collaborative effort, the project has enhanced the trust of community members that mental health concerns can be addressed effectively and safely.
- COVID Call Center
Yale New Haven Health
The call center, and its ability to triage sick individuals and facilitate connections for them with clinicians, communicates a strong message of caring and compassion to patients and enhances the reliability and consistency of services.
- Access to Pharmacy Support for Members With Language Barriers
Fallon Health
Plan members have access to community pharmacies fluent in multiple languages, enabling consumers to consult with pharmacists or technicians in their native language.
- Behavioral Health Resource Center
SSM Health
The behavioral health resource center offers patients dedicated social workers to help evaluate needs and connect them to the most appropriate care.
- Hospital Experience Program
CDPHP
Admitted patients benefit from a coordinated care team that helps ensure full understanding of insurance coverage, expedites authorization decisions, and prepares patients to transition home.
- Community Health Worker Program
Novant Health
The program brings integrated community health workers and a care connections specialist into a community resource center setting to make it easier for people to access critical resources.
- Cardiology Clinic
UW Medicine – Complex Care
Nurses provide personalized supplemental services and support to high-risk cardiac patients to build trust and address social barriers to health.
- Community Health Workers
Baylor Scott & White
Community Health Workers help patients navigate the health care system, facilitate self-management of chronic diseases, and connect patients to primary care homes.
- Workplace embedded injury prevention advocacy
WorkWell
Workplace embedded physical and occupational therapists engage with workers, supervisors and safety professionals during ergonomics or rounding activities to promote injury prevention through collaborative problem solving.
- Telerehabilitation Program for Physical, Occupational and Speech Therapy
Kessler Rehabilitation Center
Through the program, patients connect with a licensed therapist from the convenience of their own home.
- Geriatric Medicine Clinic and Primary Care Physical Therapy
Johns Hopkins Bayview Medical Center
Physical therapists are trained to understand the social determinants of health and understand the impact of previous trauma on the healing process.
- ASCP Patient Champions: Patient Advocacy and Education through Understanding the Role of the Laboratory in Patient Care
American Society for Clinical Pathology
The program educates new patients about specific types of diagnostics, laboratory tests, and pathology follow up so that they can better understand the reason for the test, what the results mean, and feel more confident about engaging with their physician on appropriate next steps.
- Tell Me More®
The Arnold P. Gold Foundation
The program encourages patients to share aspects about themselves, such as their interests and personal characteristics, so that it can inform ongoing collaborative discussion, and ultimately, the mutual development of the care plan.
- Fostering Trust From Start to Finish
North American Spine Society
The program generated a set of ideas for improving communication and putting patient interests at the center of the clinical visit.
- One Thing Different
Scripps Health
The program gives staff and physicians the autonomy to do one thing of their own choosing to make a difference in the lives of their patients.
- Ensuring Access to Needed Health Services During the COVID-19 Pandemic
Humana
During the COVID-19 pandemic, Humana connected with members to find out more about their specific needs.
- “Safe Care, Your Way” Branding and Communication Campaign
UnityPoint Health
The program provides safe services while addressing patient concerns and preferences.
- Communication and Resolution Program (CRP)
UW Medicine
The program provides support for patients, families and involved clinicians following a patient harm event.
- Health Centers
Walmart
Health centers provide whole-person care, including primary care, dental, behavioral health, audiology and optical services.
- Health & Wellness
Walmart
The practice administers vaccines and other offerings by collaborating with, and providing resources, to community partners.
Competency (13)
- Food is Medicine: Trust between Community and Health Systems
UC Davis Health
This practice builds trust by bridging community leaders, patients from historically marginalized communities, and health system leaders to come together in identifying community priorities and co-develop programs addressing social risk factors such as food insecurity.
- Assessing and Meeting Patients’ Needs
Signify Health
Clinicians spend an hour with each patient to take stock of their clinical, social and environmental circumstances to decide how to best serve them.
- Convening a Region and a State Around Equitable, Culturally-Sensitive Comprehensive Maternal and Infant Health
The Jewish Healthcare Foundation
The Foundation secured funding and recognition for local organizations promoting and embodying best practices in maternal care.
- Community Advisory Committee
Camden Coalition of Healthcare Providers
By incorporating community members in governance through a Community Advisory Committee, the Coalition gains expertise that enables it to improve its programming and relationships, and participants gain a sense of purpose and belonging and contribute to their own health and that of the community.
- Blueprint Review by Physicians Taking the Certification Assessments
American Board of Internal Medicine
ABIM surveyed all of its diplomates about the content they believed was most relevant to their practices by asking about the importance and frequency of clinical topics in their discipline.
- Michigan Medicine / University of Michigan
Michigan Medicine
The University of Michigan serves as the operational hub of Michigan’s many BCBS-funded statewide Collaborative Quality Initiatives (CQI). Their work as an impartial and competent partner helps physicians and hospitals to design the pay-for-performance environment within Michigan.
- The “Experience Collaborative”
Cedars-Sinai
Patients and family advisors work with the system’s Patient Experience team to co-design initiatives and make recommendations to improve different facets of patient experience.
- Value Partnerships: Statewide Insurance Plan Collaborating with Hospitals and Physicians to Improve the Cost, Quality, and Outcomes of Care
Blue Cross Blue Shield of Michigan
Value Partnerships is a decades long collection of programs among Blue Cross, hospitals and physicians across Michigan to improve the cost, quality and outcomes of care.
- Refund Promise
Geisinger
The program ensures that the health system is held accountable for its hospitality and its reliability of the services it provides to the community.
- Building Trust for Industry Leadership and Engagement through RESET process
National Alliance of Healthcare Purchaser Coalitions
The initiative uses a disciplined, private sector approach to systematically and measurable improved five established best practices of mental health and substance use care.
- Quality Improvement Committee
Washington Health Alliance
The committee published a report showing that 51 percent of services provided in Washington state were low-value.
- Quality Verification Programs and THRIVE
American College of Surgeons
The program analyzes surgical procedures in order to reduce variation in cost, quality and safety.
- Community-First Approach to Sickle Cell Disease Clinical Research
ASH Research Collaborative
This engagement strategy emphasizes relationship-building that facilitates listening to, and acting on, community needs.
Comfort (4)
- The Patient Affordability Framework
Costs of Care
The framework helps health systems and care teams develop strategies to make care more affordable for patients.
- Price Transparency
Novant Health
Making services available to patients in locations that they already visit demonstrates caring and provides comfort and safety for patients from historically marginalized populations.
- Transparency on Hospital and Surgery Center Billing Practices
The Leapfrog Group
The Leapfrog Group is working to set standards for health systems on ethical billing practices including price transparency, network matching, fair collections, comprehensible and comprehensive invoicing, fair pricing, and proper referral to assistance programs.
- Northwestern Medicine African American Transplant Access Program
Northwestern Medicine
This program builds trust through racial concordance between physicians and patients, the use of lay language, and removing time constraints on the visit; this demonstrates care and increases patients’ comfort with this potentially life-saving process.
Cost (4)
- The Patient Affordability Framework
Costs of Care
The framework helps health systems and care teams develop strategies to make care more affordable for patients.
- Price Transparency
Novant Health
Making services available to patients in locations that they already visit demonstrates caring and provides comfort and safety for patients from historically marginalized populations.
- Transparency on Hospital and Surgery Center Billing Practices
The Leapfrog Group
The Leapfrog Group is working to set standards for health systems on ethical billing practices including price transparency, network matching, fair collections, comprehensible and comprehensive invoicing, fair pricing, and proper referral to assistance programs.
- Quality Verification Programs and THRIVE
American College of Surgeons
The program analyzes surgical procedures in order to reduce variation in cost, quality and safety.