What is Net Promoter Score (NPS)?

Net Promoter Score (NPS) is a loyalty measure based on one question: how likely are you to recommend us to a friend or family member, on a 0 to 10 scale. Promoters score 9 or 10, detractors 0 to 6. NPS is the percentage of promoters minus the percentage of detractors, ranging from minus 100 to plus 100.

Why it matters for hospitals

NPS gives hospitals a simple way to track loyalty across units and departments. Its real value is the follow-up: calling detractors quickly and asking promoters for reviews.

How to put it into practice

  • Ask the NPS question after OPD and after discharge, by WhatsApp or SMS.
  • Add one open question asking why, and read the answers.
  • Close the loop with detractors within a day or two.
  • Invite promoters to share a review, following platform rules.
  • Compare NPS by department and over time, not with other hospitals’ claims.

The common mistake

Reporting NPS monthly without anyone calling detractors or acting on comments.

An illustrative example

A hospital called every detractor within 48 hours after discharge. Many complaints were resolved, and some patients later left positive reviews. (Composite example, not a specific hospital.)

Further reading

Part of the healthcare growth and digital glossary. Last reviewed 7 October 2026.

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