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Case study · Healthcare

Culture change for community health clinics in California.

How a Culture Canvas, quarterly training for 900 client-facing team members and steady reinforcement built a Culture of Quality.

1,000+employees
1+ yearduration
26+locations and mobile clinics in and around LA
900team members trained each quarter

Client overview

Community health clinic network

60 years of social justice and health equity.

Smiling diverse medical team in blue scrubs walks down a hallway. Woman in foreground holds a tablet.

What was keeping our client up at night?

  • New competition in their not-for-profit space, and with it, decreased funding
  • Customer satisfaction scores falling, complaints rising and patients leaving for other options
  • Fewer skilled employees and increased turnover
  • The COVID hangover for healthcare workers and the systems that support them
  • The dilution of their values: Dignity. Excellence. Well-being. Social Justice.

The ask

“Can you help change our culture to a Culture of Quality?”

The solution.

  1. 01

    Pre-training

    Strategic planning sessions with the C-suite and other stakeholders defined every element of the Culture of Quality: goals, expectations, areas of need and desired outcomes.

    Bonfire built a Culture Canvas that turned the Culture of Quality into a clear, visual framework: purpose, principles, the behaviors we reward, key tactics and the measures of success.

    A Culture of Quality Committee chose a respected champion to shepherd the new culture. Before each training, managers held three short preview huddles, and a Promo Week built excitement.

  2. 02

    Training

    On each training day, 18 Bonfire trainers and support staff met 900 participants in one location and trained simultaneously across ten rooms, with three 90-minute workshops.

    Talk about great energy and fellowship: every training day was full of fun, meaningful exercises and themed swag.

  3. 03

    Post-training

    Three “boosts” followed each training, led by clinic managers who reinforced the concepts and applied them with their teams.

  4. 04

    Year-one priorities, accomplished

    We trained leaders in coaching and feedback and in the new Behaviors We Reward, backed by a reward and recognition program.

    • An “I Matter” employee engagement survey
    • A patient survey aligned with the goal to love, serve and connect with clients
    • A Culture Day so new hires experience the Culture of Quality from the start
  5. 05

    Ongoing improvement

    Regular reviews with the Culture of Quality Committee and senior leadership kept everything aligned, measured and adjusted. Next up: leadership and management development so the culture sticks.

Real results.

Employee training feedback, quarterly combined

4.3/5Enjoyable training
4.65/5Relevant to the job
4.68/5Engaging training

Patient survey

98%felt our staff was there to serve them
98%felt listened to
98%felt treated with kindness
97%would refer friends and family

Key outcomes

  • Customer complaints significantly reduced through the end of the year
  • The “I Matter” employee survey launched, with baseline results reported

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