During a four year period, ECU Physicians created a framework for improving communication skills between all clinical team members and with the patients and family members that they serve .In collaboration with the Department of Quality and Analytics, we found ways to improve the patient satisfaction scores from surveys completed by clinic patients. We divided our study into three phases: Phase one focused on provider-patient communication. Phase two focused on the Patient Access Service Staff members and patient communication skills. Phase three focused on clinical engagement. Each phase was…