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The history of patient experience: trends & hospital ROI

By Richard Ellor
30 July 2021
4 min read
The history of patient experience: trends & hospital ROI
Healthcare PX & ROI Interactive Tool

Patient experience & missed appointment ROI calculator

Calculate clinical revenue loss from missed outpatient slots and project financial recovery from digital wayfinding, accessible navigation, and patient engagement.

Select facility scale:
180,000

Total scheduled outpatient clinic and diagnostic slots.

11.5%

Industry average ranges between 8% and 15% across specialties.

$210

Direct consultation value plus associated diagnostic testing loss.

Current Annual Revenue Loss
$4,347,000
Across 20,700 missed appointment slots
Recovered Clinical Revenue
$956,340
+4,554 patient consultations saved / year
Staff Directing Hours Saved
1,344 hrs
$48,384 in reclaimed clinical productivity
Total Annual Net Impact
$1,004,724
Combined appointment and staff efficiency gain

Why digital wayfinding directly reduces missed appointment rates

Hospital orientation studies show that over 30% of first-time hospital visitors experience severe wayfinding disorientation. When patients cannot locate designated parking garages, clinic wings, or check-in desks, appointments run late, clinical schedules cascade into overtime, and patients walk out in frustration. Providing interactive blue-dot navigation and SMS appointment reminders directly recovers outpatient capacity.

Transform patient experience across your hospital campus

Deploy turn-by-turn indoor digital wayfinding and patient WiFi on your existing wireless infrastructure.

Around $150bn is lost each year due to missed appointments, and $200 per missed slot for individual clinicians.

As populations grow and we start to live longer, the effect of missed appointments has already begun to disrupt healthcare operations; however, there are ways your facility can help.

What is patient experience?

Defined by the Agency for Healthcare Research and Quality, patient experiences are “...aspects of healthcare delivery that patients value highly when they seek and receive care, such as getting timely appointments, easy access to information, and good communication...” however, when originally defined by the NHS in 2011, patient experience falls into eight categories:

  • Respect for patient values, preferences and needs.
  • Coordination and integration of care.
  • Information, communication and education
  • Physical comfort including pain management.
  • Emotional support for clinical fears regarding the patient and their family.
  • Involvement of family and friends
  • Transition and continuity between locations and types of care
  • Access to care including waiting times and time between admission

Individual patient experience is more than just the appointment itself. Every step of getting to the location, finding their way around, and then locating the correct exit is a part of their experience.

All this contributes to an increasing amount of missed appointments, causing heavy losses in revenue and a waste of staff time.

Around $150bn is lost each year due to missed appointments, and $200 per missed slot for individual clinicians.

This amount of lost revenue further affects healthcare providers' ability to pay staff wages and available funding for medical equipment.

Fortunately, there are increasingly more solutions in place to help your hospital be more efficient and enhance your patients' experience.

What has changed? A patient experience timeline

The healthcare industry has become increasingly competitive in trying to deliver the best patient experience possible. In some countries the reasons differ; however, it's clear that in order for healthcare venues to survive, they need patients to attend.

1990s & 2000s

During the 1990s, understanding the patient experience became highly relevant, and a widely agreed concept to review the quality of care provided. The issue at the time, however, was that there were no existing attributes defining what contributed to a patient experience.

In 1995, the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program was created in the US as a method to survey patients about their experiences. “CAHPS surveys do not ask patients how satisfied they were with their care; rather, they ask patients to report on the aspects of their experiences that are important to them” - AHRQ

With little understanding of how to accurately collect and action patient experience insights, the 1990s and 2000s primarily focused on developing surveys like CAHPS.

2010s

The standard of using surveys to understand patient experiences improved. During the 2000s, advancements in technology enabled healthcare providers to conduct survey outreach via SMS.

Additionally, surveys could be completed online on handheld devices, or at healthcare kiosks for real-time feedback - for example, during a patient's discharge. Further insights were provided directly by staff members regarding complaints and compliments from their patients.

During this time, the methods for collecting patient feedback were scrutinized based on whether patients were able to provide credible insights, making it harder for venues to have actionable feedback and improve on the issues mentioned.

2020s so far

During the COVID-19 pandemic, the world became a different place. Overwhelmed hospitals and medical practices were left with no choice but to find ways to better manage the influx of patients and their expectations.

Following the pandemic, healthcare facilities are struggling to meet demand while over 30% of first-time patients are getting lost in increasingly complex hospitals, leading to frustration and anxiety.

Fortunately, there are ways you can help improve patients' experience.

Provide for those with accessibility needs - According to the CDC, 1 in 4 (or 26%) of adults in the United States report having at least one disability. Technology can help meet the needs of all visitors, including making it easier for everyone to find their way around in a way that suits them best.

Get patients seen more quickly - Decrease the time to care by helping staff to be more efficient and focused on their jobs.

Help patients to get to their appointments - Assist with navigation within your hospital to get patients to their appointments on time, and stress-free.

What's next for patient experience?

Innovation within the healthcare sector is now soaring, driven by a need to fulfill patient demand. 72% of consumers read online reviews before booking with a new healthcare provider, meaning meeting the needs of patients is more crucial than ever before. Hospitals should therefore drive the usage of digital solutions that best fit the needs and behaviors of multiple groups and demographics where possible.

Find out more about how a digital wayfinding solution can help enhance your patient experience.

Frequently asked questions

What is patient experience (PX) in healthcare?

Patient experience encompasses all interactions that patients have with the healthcare system, including care from doctors, nurses, and hospital staff, communication clarity, facility accessibility, appointment scheduling, and physical navigation across clinical facilities. It represents how patients experience care delivery across the entire patient journey.

What is the difference between patient experience and patient satisfaction?

Patient experience evaluates objective events and processes during care delivery (e.g. whether a patient received timely appointments, clear medical explanations, or accessible hospital directions). In contrast, patient satisfaction measures subjective expectations and personal perceptions of that care. Two patients who receive the exact same experience may report different satisfaction levels based on individual expectations.

How do missed hospital appointments impact healthcare operations and revenue?

Missed appointments (no-shows) cost the United States healthcare sector approximately $150 billion annually, costing individual clinicians an average of $200 per open slot. In addition to revenue loss, missed appointments underutilize diagnostic equipment, disrupt clinical staffing schedules, and cascade into longer waiting times for other patients.

How does hospital digital wayfinding improve patient experience and attendance?

Studies indicate that over 30% of first-time hospital visitors experience navigation anxiety or disorientation. Digital wayfinding provides turn-by-turn blue-dot navigation on patient smartphones and digital kiosks, guiding visitors directly from parking bays to clinical check-in desks. This eliminates late arrivals, cuts no-show rates by up to 25%, and relieves clinical staff from giving directions.

How does Purple deploy patient wayfinding and guest WiFi in healthcare environments?

Purple integrates directly via cloud APIs with existing healthcare wireless networks (Cisco Catalyst, Cisco Meraki, HPE Aruba, and Juniper Mist). Hospitals can deploy zero-download indoor wayfinding, secure patient and guest WiFi, and real-time visitor flow analytics without installing proprietary beacons or replacing network hardware.

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