t h e t r u s t p r e s c r i p t i o n f o r h e a l t h c a r e Building Your Reputation with Consumers American College of Healthcare Executives Management Series Editorial Board Alan O. Freeman, FACHE, Chair Big Springs Medical Association, Ellington, MO Carolyn C. Carpenter, CHE Duke University Hospital, Chapel Hill, NC Ralph H. Clark, Jr., FACHE Eastern Health System, Inc., Birmingham, AL Terence T. Cunningham, III, FACHE Ben Taub General Hospital, Houston, TX Sandra A. DiPasquale, Dr.P.H., FACHE Community Health Center of Buffalo, Inc., Buffalo, NY James L. Goodloe, FACHE Tennessee Hospital Association, Nashville, TN Debra L. Griffin Humphreys County Memorial Hospital, Belzoni, MS Nick Macchione, CHE San Diego Health & Human Services Agency, San Diego, CA Gerald J. Maier, FACHE OU Medical Center, Oklahoma City, OK Mikki K. Stier, FACHE Broadlawns Medical Center, Des Moines, IA Warren K. West, CHE Copley Health Systems, Inc., Morrisville, VT Alan M. Zuckerman, FACHE Health Strategies & Solutions, Inc., Philadelphia, PA t h e t r u s t p r e s c r i p t i o n f o r h e a l t h c a r e Building Your Reputation with Consumers David A. Shore Health Administration Press Chicago, IL Your board, staff, or clients may also benefit from this book’s insight. For more infor- mation on quantity discounts, contact the Health Administration Press Marketing Manager at (312) 424-9470. This publication is intended to provide accurate and authoritative information in regard to the subject matter covered. It is sold, or otherwise provided, with the under- standing that the publisher is not engaged in rendering professional services. If profes- sional advice or other expert assistance is required, the services of a competent profes- sional should be sought. The statements and opinions contained in this book are strictly those of the authors and do not represent the official positions of the American College of Healthcare Exec- utives, the Foundation of the American College of Healthcare Executives, or of the Association of University Programs in Health Administration. Copyright © 2005 by the Foundation of the American College of Healthcare Execu- tives. Printed in the United States of America. All rights reserved. This book or parts thereof may not be reproduced in any form without written permission of the pub- lisher. 09 08 07 06 05 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data here Shore, David. The trust prescription for healthcare: building your reputation with consumers/ David A. Shore. p. : cm. Includes bibliographical references. ISBN-10: 1-56793-240-1 ISBN-13: 978-1-56793-240-9 1. Medical care—Public opinion. 2. Patient satisfaction. 3. Consumer education. 4. Consumer protection. 5. Trust. I. Title. RA395.A3S495 2005 362.1—dc22 2004060659 The paper used in this publication meets the minimum requirements of American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1984.∞ Acquisitions manager: Janet Davis; Project manager: Melissa A. Rompesky; Layout editor: Amanda J. Karvelaitis; Cover design: Betsy Pérez Health Administration Press A division of the Foundation of the American College of Healthcare Executives 1 North Franklin Street, Suite 1700 Chicago, IL 60606-4425 (312) 424-2800 To my parents, Ruth and Milton Shore, with admiration and love. To my wife, Charlotte, who has always given me the freedom and support to pursue my work and the love to make it possible. My love and appreciation cannot be returned in any tangible ways. To my children, Doug and Alyssa, with pride and love that will extend forever. This page intentionally left blank Contents Acknowledgments ix Introduction xi Part I: The Missing Element in Healthcare 1 What Is Trust, and Why Does it Matter? 3 2 The Trust Crisis and Healthcare Organizations 21 3 The Trust Crisis and Individual Providers 39 4 Healthcare Hype and Other Influences 53 5 What Happens When Trust Erodes? 63 Part II: Building Trust—and a Trusted Reputation 6 Thinking Differently 77 7 Understanding Branding 89 8 Raison d’Être: Mission, Vision, and Values 101 9 The Building Blocks: Increasing Your Trust Capacity 119 10 A Reputation—and a Position—Based on Trust 135 11 Marketing Trust 147 Epilog 161 About the Author 165 Contents vii This page intentionally left blank Acknowledgments This book is based largely on material presented in my one- and two-day executive education workshops and in my graduate course on building brand, reputation, and trust at Harvard University. I owe a great debt of gratitude to all of the healthcare professionals and students who have participated in these programs and in the process have taught me and helped me to refine my thinking. This book could not have been written without the guidance and assistance of many people. First and foremost is my associate and col- laborator of more than a decade, Holly Zellweger. A heartfelt thanks for the support and guidance that she has provided over the years, both in so many ways that can be counted and in countless ways that often cannot be counted, yet count most. I could not ask for a smarter, more talented, nor more gracious professional partner. I also thank my senior research assistant, Rachel Anderson, an outstanding human being who has emerged as an invaluable asset to the team. Never once did she let me down; rather, she consistently went above and beyond the call of duty and in the process exceeded my expectations. She earned my trust and in the process my eter- nal gratitude. Also many thanks to Colleen Carroll and Cathy ix
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