5 Ways to Improve Patient Communication in Your FQHC
- Angela Hoegerl
- Jun 23
- 7 min read
Key Takeaways on Ways to Improve Patient Communication in Your FQHC
Implement HIPAA-compliant texting to reach underserved populations - achieves 96% reach rate and costs a fraction of phone calls while meeting patient preferences for appointment reminders and prescription refills
Start visits with non-medical connections (1-2 minutes), ask patients how they'd like to be addressed, and use open-ended questions like "How can I help you today?" to build trust with diverse populations
Practice trauma-informed communication by allowing patients to speak uninterrupted for up to 2 minutes, demonstrate active listening through eye contact and verbal cues, and validate emotions when patients express concerns
Use agenda-setting techniques by asking "Is there something else you would like to discuss?" repeatedly until patients say no, and end visits with teach-back method to ensure understanding and prevent follow-up issues
Enhance health literacy by using plain language instead of medical jargon, providing visual aids for complex information, limiting information to 3 pieces at a time, and asking "What questions do you have?" rather than "Do you have any questions?"
Start with one or two approaches that feel natural for your team, then gradually incorporate others as they become habits to improve patient satisfaction without major budget increases
Implement HIPAA-Compliant Two-Way Texting to Bridge Communication Gaps with Underserved Populations

Your FQHC patients live in a mobile-first world, even when other resources are scarce.
Text messaging achieves a 96% reach rate compared to significantly lower connection rates for phone calls - a game-changer when you're trying to reach patients who may not answer unknown numbers or have limited phone access.
The numbers tell a compelling story.
99% of text messages are opened versus much lower engagement rates for other communication methods, ensuring your vital health information actually reaches vulnerable populations.
For resource-limited FQHCs, the economics make sense too: text messaging costs a fraction of the price per message compared to costs of phone calls, printed materials, and postage.
Patient preferences align perfectly with this approach.

83% of patients want text appointment reminders and 79% want prescription refill reminders, which means you're meeting patients where they already want to communicate while reducing no-shows that drain your resources.
Modern texting platforms can reach over 4,000 people simultaneously in less than 10 minutes, making them invaluable for mass emergency communications or public health alerts that your community depends on.
The Dialog Health platform supports multiple languages, addressing the diverse patient populations that FQHCs typically serve with varying English proficiency levels.
Perhaps most importantly, texting reduces communication barriers for patients dealing with mobility issues, multiple jobs, or caregiving responsibilities - circumstances common in underserved communities that make traditional phone-based communication challenging.
Establish Culturally Competent Communication Protocols for Diverse FQHC Patient Demographics
Small changes in how you start patient interactions can transform the entire encounter.
Making a non-medical "connection" with patients at the visit beginning takes only 1-2 minutes but significantly improves patient perception of the interaction - time well spent when you're building trust with vulnerable populations.
Start by asking patients how they would like to be addressed and include family members or interpreters present in the room during introductions.
This simple courtesy acknowledges the cultural context many FQHC patients navigate and demonstrates respect for their support systems.
When gathering information, use open-ended questions like "How can I help you today?" which research shows has high impact on physician communication scores across diverse populations.

This approach works particularly well in FQHC settings where patients may feel rushed or unheard in other healthcare environments.
Whether you're communicating face-to-face or through digital channels, personalize your messages with patient names and ensure real human interaction is evident behind all communications.
Consider patient literacy and educational levels when providing written materials - particularly important for FQHC populations with varying educational backgrounds.
Finally, provide written information that patients can review at their own pace, accommodating different learning styles and processing speeds that reflect the diverse educational experiences of your patient community.
Build Trust Through Trauma-Informed Communication Practices for Vulnerable Communities

Many FQHC patients have experienced trauma that affects how they interact with healthcare systems.
Your communication approach can either reinforce these negative experiences or help heal them.
Allow patients to speak uninterrupted at the beginning of visits for up to 2 minutes maximum - research shows patients typically explain their complaints within this timeframe anyway.
This small investment prevents the frustration that builds when patients feel cut off before expressing their concerns.
Demonstrate active listening through eye contact, sitting down, nodding, and responding with facial expressions to show genuine concern.
Complement this with verbal cues like "Mmhmm," "I see," or "Ah-ha" to acknowledge patient communications without interrupting their narrative.
When patients express emotions, reflect their emotional state directly ("You are frustrated") or indirectly ("It seems like that would be frustrating") to validate their experience.
Don't ignore emotional cues due to time constraints - acknowledge when patients seem upset, angry, or anxious.
If care complaints arise, ask "What can I do to make this better?" to collaboratively address concerns rather than becoming defensive.
Use "for you" and "with you" language to demonstrate positive intent and a partnership approach that many FQHC patients rarely experience elsewhere.
Before entering each exam room, take a slow, mindful breath to re-center and be fully present for each patient encounter.
This simple practice helps you bring your best self to interactions with patients who may be dealing with significant stress and trauma.
Streamline Agenda-Setting and Active Listening Techniques to Maximize Limited Visit Time
FQHC schedules are notoriously packed, but rushing through visits often backfires.
Smart agenda-setting actually saves time while improving patient satisfaction.
Ask "Is there something else you would like to discuss?" repeatedly until the patient answers "No" to avoid end-of-visit surprises that derail your schedule.
Research shows that using "something else" rather than "anything else" elicits more concerns without unduly lengthening the visit duration.
Establish a shared agenda immediately after listening to the chief complaint uninterrupted, then negotiate what you can address in the current visit versus follow-up appointments.
Here's the key insight: patient perception of time spent with the physician matters more than actual time spent, making quality interaction techniques effective even in brief encounters.
When you can't address everything, set expectations early by stating "I know we have a lot to discuss, why don't we schedule another visit for the remainder of these concerns."
This prevents patients from feeling dismissed while protecting your schedule.

Avoid checking electronic health records while the patient is speaking unless you explain upfront what you're reviewing.
End visits with the teach-back method by asking "Can you tell me what the next steps are so I know I didn't miss anything?" to ensure understanding and prevent follow-up questions that consume staff time later.
Enhance Health Literacy Through Plain Language and Visual Communication Tools for Low-Resource Patients

Health literacy challenges are particularly acute in FQHC populations, but you can address them without adding significant time to visits.
Use simple, non-medical language when explaining conditions, procedures, or treatments, avoiding medical jargon that can confuse patients.
Always ask patients to repeat information back in their own words to confirm understanding before they leave the visit.
Use visual aids like diagrams, charts, or anatomical models to help patients understand complex medical information.
These tools are particularly effective for patients with limited English proficiency or varying educational backgrounds.
Write down all new diagnoses and medications to enable full patient engagement and provide reference material for home use.
When sharing information, give no more than 3 pieces of information at a time to prevent cognitive overload and improve retention.
Provide visit summaries filled out by staff that offer helpful post-visit information and instructions patients can reference later. Make it easily available if they misplace it.

For ongoing education, use text messaging to deliver bite-sized educational content, health tips, and condition-specific information that empowers patients with knowledge they can access on their own schedule.
These communication improvements don't require major budget increases or system overhauls. They do require intention and practice.
Start with one or two approaches that feel most natural for your team, then gradually incorporate others as they become habits.
Your patients - and your staff - will notice the difference.
From 96% Reach Rates to Multi-Language Support: Dialog Health Makes FQHC Communication Simple
You've just learned five powerful strategies to improve patient communication, but implementing them effectively requires the right technology foundation.
That's where Dialog Health comes in.
Our HIPAA-compliant two-way texting platform directly addresses the communication challenges your FQHC faces every day:
Reach More Patients: Achieve that 96% reach rate mentioned in the article with our mobile-first platform that connects with patients who don't answer unknown calls or have limited phone access.
Support Your Diverse Population: Our multi-language capabilities ensure you can communicate effectively with patients across varying English proficiency levels - essential for the diverse demographics most FQHCs serve.
Save Time and Resources: Send appointment reminders, prescription refill notifications, and health education content to over 4,000 patients in under 10 minutes, freeing up your staff for direct patient care.
Enhance Health Literacy: Deliver bite-sized educational content, visit summaries, and condition-specific information directly to patients' phones, supporting the plain language and visual communication strategies outlined above.
Emergency Communication: When public health alerts or urgent communications are needed, reach your entire patient community instantly with critical information they'll actually see and read.
Build Trust: Enable the trauma-informed, culturally competent communication your vulnerable patient population deserves through personalized, respectful two-way conversations.
Dialog Health isn't just another texting platform - we're specifically designed for healthcare organizations like yours that serve communities where every connection counts.
Ready to see how Dialog Health can transform communication at your FQHC? Request a personalized demo today and discover how our platform can help you implement these communication best practices with the technology that makes them work. No strings attached.
![]() | Written by Angela Hoegerl With almost two decades of experience in client success and implementations for major hospitals and health systems, Angela has developed a deep understanding of how to drive successful outcomes for clients and ensure seamless execution of projects.Angela's commitment to her clients' success is evident in her meticulous approach and unwavering dedication to providing top-notch service. In her personal life, she is passionate about spending quality time with her family, three children and four cats.Balancing her professional and personal life has given her a unique perspective and the ability to bring empathy and understanding to her work. |
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