How to Transform a Health System's Organizational Culture and Hardwire It for the Future.

Organizational culture is a critical driver of workforce and patient experience, yet health care institutions often struggle to sustain their desired culture over time. In 2017, Vanderbilt Health identified inconsistencies in expected workforce behaviors through patient feedback, prompting the creat...

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Publicado en:NEJM Catalyst Innovations in Care Delivery Vol. 7; no. 5; pp. 1 - 2
Autores principales: Carlson, Brian, Lorenzi, Nancy M., Sternberg, Paul, Hennessy, Cassandra, Liu, Dandan
Formato: Journal Article
Publicado: New England Journal of Medicine May2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
      vid: 7
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      pub: New England Journal of Medicine
      place: Waltham, Massachusetts
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        10.1056/CAT.25.0332
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        atl: How to Transform a Health System's Organizational Culture and Hardwire It for the Future.
      aug:
        au:
          Carlson, Brian
          Lorenzi, Nancy M.
          Sternberg, Paul
          Hennessy, Cassandra
          Liu, Dandan
        affil: Vice President, Office of Patient Experience, Vanderbilt Health, Nashville, TN, USA
      sug:
        subj:
          Organizational Culture
          Health Facilities
          Workforce
          Patient Centered Care
          Management Styles
          Communication
          Leadership
          Health Facility Administration
      ab: Organizational culture is a critical driver of workforce and patient experience, yet health care institutions often struggle to sustain their desired culture over time. In 2017, Vanderbilt Health identified inconsistencies in expected workforce behaviors through patient feedback, prompting the creation of a strategic cultural renewal initiative. The resulting program, Defining Personalized Care, had a 4-year road map of seven e-learning modules designed to reinforce core values and improve interpersonal behaviors across the workforce. Over 39,000 employees voluntarily participated, achieving an 80% completion rate. This single-center pre-post study revealed statistically significant improvements in patient experience scores, particularly in the communication and courtesy domains. The initiative demonstrated that engaging, relevant content combined with visible support from leadership can drive voluntary participation and generate measurable outcomes. This case study offers a replicable framework for health care organizations seeking to hardwire their cultural expectations and align workforce behaviors with patient-centered care goals.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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