Rounding on patients and staff has had the biggest impact on scores, be it GPTW or NRC. The biggest hurdle to this for me — time. My first year or so doing this, I just did it every morning, but the mornings would get full. I might not get to everyone. Then I tried to make it up, and sometimes it felt forced or too scripted. Now, I actually schedule the time on my calendar and block out other calls, meeting invites etc. for that time to be given specifically to my team, or the previous night’s patients (in the sleep center).