How Healthcare Organizations Can Elevate Rounding From a Routine Task to a Strategic Driver of Patient Loyalty, Experience, & Care Outcomes
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In this episode of the Becker's Healthcare Podcast, host Brian Zimmerman explores how healthcare organizations can transform routine rounding from a mechanical task into a strategic driver of patient loyalty, experience, and care outcomes. Joining him are Katie Haefeli, Director of Product at NRC Health, and Ashley Nelson, Strategic Advisor of Nursing at NRC Health. Drawing from NRC Health’s latest insight report, they highlight that patients who are rounded on show a 20-point higher likelihood to recommend their care—up to a 43-point gap in some cases—driven not just by the act of rounding, but by the quality of human connection during the interaction. The conversation emphasizes that effective rounding improves both operational efficiency and emotional trust by addressing immediate concerns like cleanliness and noise while also creating space for meaningful dialogue that makes patients feel seen and heard. Ashley Nelson shares her frontline nursing perspective, underscoring how leaders’ intentional presence at the bedside builds trust, surfaces real-time issues, and enables follow-through that turns negative experiences into positive ones. Katie Haefeli stresses that high-impact rounding is rooted in intentionality, active listening, and consistent follow-through—key differentiators from 'check-the-box' rounding that can backfire if concerns go unaddressed. Both guests advocate for evolving rounding practices over time, using data and feedback to refine the process and sustain improvements. Key takeaways include: (1) Rounding is a powerful lever for patient loyalty, with a 20-point increase in top-box NPS when done well; (2) The quality of the human interaction—listening, empathy, and presence—matters more than the mere completion of tasks; (3) Consistent follow-through closes the loop and builds patient trust; (4) Leaders should use rounding as both a real-time feedback tool and a long-term strategy for care improvement; and (5) Rounding should evolve—organizations should stay curious and adapt their approach to meet changing needs. The episode concludes with a strong call to action: leaders must commit to showing up with purpose, listening deeply, and acting on feedback to create a culture where care feels human, responsive, and truly patient-centered.
Rounding increases patient loyalty by 20 points in top-box NPS, with some organizations seeing up to a 43-point gap.
The quality of human connection during rounding—listening, presence, empathy—drives loyalty more than the act of rounding itself.
Consistent follow-through on patient concerns turns negative experiences into peak experiences and builds trust.
Rounding should be intentional, not just task-oriented; it’s a strategic tool for real-time feedback and long-term improvement.
Leaders must evolve their rounding practices over time, using data and feedback to refine questions and processes.
Introduction to Rounding as a Strategic Tool
Brian Zimmerman introduces the episode’s focus: transforming healthcare rounding from a routine task into a strategic driver of patient loyalty, experience, and care outcomes. He welcomes Katie Haefeli and Ashley Nelson from NRC Health to discuss their insights.
The Power of Rounding: Data-Driven Impact on Loyalty
“Our research shows that there's a 20-point difference and top box likelihood to recommend scores between patients who were rounded on versus those that weren't rounded on.”
Human Connection: The Heart of Effective Rounding
“Did they feel heard? Did they feel seen? Were they able to speak their voice? Those are the little things that are really adding up to help drive loyalty.”
Rounding as a Dual-Function Strategy: Operations & Experience
“It's improving operations. It's improving those quick wins. It's strengthening relationships. And then together, that's really what's driving broad impact across many domains.”
From Check-the-Box to Culture of Intentionality
“When organizations close the loop consistently, that's really where rounding becomes powerful. You can turn that low experience into a peak experience.”
“When organizations close the loop consistently, that's really where rounding becomes powerful. You can turn that low experience into a peak experience.”
“Our research shows that there's a 20-point difference and top box likelihood to recommend scores between patients who were rounded on versus those that weren't rounded on.”
“We have people's entire life, their world in our hands. And so that commitment of our leaders showing up to hear how that's going... I think it really sets the bar high.”
Host
Guests
NRC Health
organization
Katie Haefeli
person
Ashley Nelson
person
Brian Zimmerman
person
Becker's Healthcare
organization
Noble Health
organization
CNO
other
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