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Approaching and managing the ongoing project in the framework of a decentralized system where garnering buy-in from stakeholders at a facility/clinic/group-level can be difficult.

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Lack of support to proactively understand and address research-related issues that may arise - I.e. - transition to Real-Time impact scores and Star Ratings

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Understanding and validating their data.

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Low response rates and low volumes in pediatric settings.

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What do we do with all of this data?
Turning improvement plans into actionable items.

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Best practices in everything under the sun.

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Aligning operations with consumer/patient needs/wants. Communicating consumer preferences with senior leadership in a cohesive, understandable way. Moving from "what does this mean?" to "what do we do about it?" to "how do we measure it?"

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Low response rates to the longitudinal surveys is problematic for select hospitals, especially in poorer urban areas and with patient populations where English is not a first language. Also, the longitudinal survey results aren't moving and don't appear to be responsive to quality improvement efforts.

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Staffing issues - caregivers have too much on their plate and are just trying to keep their heads above water. How do you keep PX a priority during high volume times, especially if you have to pull in agency nurses?

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They are wanting tried and true improvement ideas.  Along with that, they really struggle to get leadership buy in and direct follow through with strategy champions, accountability, and "see something, say something" empowerment within teams.

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I think that a large amount of my partnerships are facing challenges with acquisition - some in terms of acquiring other hospitals or systems and needing to know how to manage the communication and pick up the slack, some in terms of competition, and others in terms of being acquired (we are losing contracts somewhat frequently for this reason).

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Low patient volumes in a new outpatient facility, what drives consumers to make a change in healthcare provider?

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How to drive provider engagement while holding staff accountable?

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Customers are facing low response rates/size, looking to us to have the magic answer., also lack of seeing our value at times or showing our value to their C suite .

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Lindsay Laug Question:  What problems do your customers face?  I know you may be dealing with technical NRC issues at the moment, but think bigger picture.  What are they telling you?  What are you able to observe? (Low n-size, worried about being acquired, low-patient volumes, lack of physician engagement, etc.)