Nine Pillars Patient Experience Audit

Patient Experience Audit for Medical Practices

Find out exactly where your practice builds patient trust and where it quietly loses it. HMCG's Nine Pillars audit evaluates every stage of the patient journey, from the first Google search to the final bill, and gives you a prioritized plan to fix what matters most.

At a glance

Best forIndependent, specialty and multi-specialty outpatient practices
CoversAll 8 patient touchpoints plus long-term loyalty
FormatOn-site in Northern Virginia, DC and Maryland, or virtual nationwide
TimelineMost audits complete in 6–8 weeks

Why great clinical care still gets bad reviews

Practices invest heavily in clinical excellence, staffing and technology, yet patients still leave dissatisfied. The issue is rarely the quality of care itself. It is the quality of the experience surrounding that care.

Every touchpoint a patient encounters, from discovering your practice online to receiving a bill, shapes how they perceive you. Most practices manage those moments in isolation, so a slow phone line, a confusing check-in or a surprise statement can undo an excellent visit.

A patient experience audit connects those moments into one picture, so you can see the breakdowns your patients see and fix them in the order that matters.

Signs your practice needs an audit

  • Online reviews mention phones, wait times or billing more than care
  • New patient volume has flattened despite marketing
  • Patients aren't returning or following through on referrals
  • Front office turnover keeps resetting the experience
  • Complaints are handled one at a time, never as patterns

The framework

The Nine Pillars we evaluate

Eight touchpoints across the patient journey, and the long-term outcome they add up to.

01 · Pre-visit

Initial Exposure

First impressions happen before the visit.

02 · Pre-visit

Inquiry & Scheduling

Access is experience.

03 · Pre-visit

Pre-Visit Communication

Clarity reduces anxiety.

04 · Visit

Arrival & Check-In

The waiting room is a trust checkpoint.

05 · Visit

Clinical Encounter

Connection matters as much as care.

06 · Visit

Checkout & Exit

Clarity drives follow-through.

07 · Post-visit

Post-Visit Communication

The experience doesn't end when they leave.

08 · Post-visit

Billing

Transparency protects trust.

09 · Outcome

Long-Term Relationship

Retention. Trust. Referrals.

What you receive

Nine TouchPoints Patient Survey

A customized survey aligned to the Nine Pillars, in branded digital and printable formats.

Patient Experience Dashboard

Visual scoring by touchpoint that shows your strengths and priority areas at a glance.

Google Reviews Analysis

Your public reviews sorted by touchpoint, so you can see which moments patients talk about and why.

Detailed Audit Report

Touchpoint-specific findings and a patient experience map of your practice.

Executive Summary

A concise view of your overall patient experience health with prioritized next steps.

Strategy Session (optional)

A working session with your leadership team to review results and plan targeted improvements.

How the audit works

  1. 1Week 1

    Kickoff

    We learn your practice, goals and the problems you already suspect, then customize and launch your patient survey.

  2. 2Weeks 2–4

    Data collection

    Patient survey, Google reviews analysis, operations review and patient journey mapping.

  3. 3Weeks 5–6

    Scoring and analysis

    Every touchpoint is scored and connected, so root causes surface instead of symptoms.

  4. 4Weeks 7–8

    Findings and action plan

    You receive the report, dashboard and a prioritized plan your team can act on.

Melissa Gilkes-Smith, DHA(c), who leads every HMCG patient experience audit

Why HMCG

Led by an operator, grounded in research

Melissa Gilkes-Smith, DHA(c), founded HMCG after more than 15 years of hands-on healthcare operations leadership across diverse care settings. Her doctoral research on what patients actually say in online reviews informs how every audit reads your Google reviews.

Every engagement is guided by HMCG's Culture of Care values: accountability, compassion, empathy and collaboration. Based in Springfield, Virginia, HMCG works with practices across Northern Virginia, Washington, DC and Maryland, and virtually nationwide.

Meet Melissa →

Patient experience audit FAQs

What is a patient experience audit?

It is a structured review of every interaction a patient has with your practice, from finding you online to paying their bill. It identifies where the experience breaks down and what to fix first.

How is this different from a patient satisfaction survey?

A survey tells you how patients feel. The audit tells you why, by connecting survey results to your Google reviews, your workflows and each stage of the patient journey, then turning that into an action plan.

What specialties do you work with?

HMCG works with outpatient practices including primary care, internal medicine, cardiology, vascular, orthopedics, gastroenterology, dermatology, behavioral health and multi-specialty groups.

How long does an audit take?

Most audits are completed in 6–8 weeks from kickoff to findings. Timing depends on practice size, number of locations and how quickly patient survey responses come in.

Do you work with practices outside Virginia?

Yes. HMCG works on-site across Northern Virginia, Washington, DC and Maryland, and virtually with practices anywhere in the United States.

See your practice through your patients' eyes

A 30-minute conversation is enough to know whether an audit is the right next step.

Schedule a Free Consultation