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Authentic gratitude platform for healthcare workers

We built the first ever online system for patients to share authentic gratitude directly with nurses and other caregivers

Photo of Amanda Krantz
10 17

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Our platform for authentic gratitude can be expanded from Healthcare to other service industries such as hospitality or education.  

Idea Title

DohJe: Taking care of those who take care of us

How the Idea will inspire the experience and expression of gratitude within an organization.

DohJe is all about removing the barriers to expressing authentic gratitude between caregivers and from patients to healthcare workers. Nobody is forced to participate in DohJe but everyone in the organization is invited to create a DohJe account. When a co-worker or patient sends a DohJe note, there is an email notification that the gratitude is waiting for them in their DohJe gratitude locker. So, they are brought into the system by receiving gratitude. Once they receive gratitude, it's easy for them to send gratitude to a co-worker from their locker, which creates a ripple effect of gratitude from one note. Notes that the sender chooses to make "shareable" can be posted to gratitude walls

Who are you innovating for?

We are innovating for nurses, front desk staff, doctors, therapists, and all the healthcare workers who make a huge impact on the experience of patients in the hospital. Improving their morale through gratitude fights burnout and provides a better experience and better care for everyone in the hospital. Our gratitude platform also provides visibility for managers to recognize and retain their employees. We also provide reports for Chief Nursing Officers that help with Magnet Certification.

What type of workplaces are you innovating for?

Inpatient and Outpatient medical centers of at least 20 people up to 10s of thousands in the U.S.

How you envision the Idea being introduced to your selected organization?

We have been implementing DohJe in one department such as Labor & Delivery first. We have learned that we need to integrate with existing HR systems in order to scale. Therefore HR and IT / CIO at the corporate level of health systems would need to support the rollout and then we would work with department managers to rollout in each department.

What obstacles, if any, do you foresee in implementing this Idea, and how would they be overcome?

We need to build integrations with several HCM (Human Capital Management) vendors such as Workday, Infor, HealthStream, and Oracle. This obstacle is overcome when our mutual customers request the integration, and the large companies realize that although we are relatively small, we've created the best user experience for healthcare workers and patients that leads to ten times more gratitude being shared.

How will you test and prototype your solution?

We launched our prototype with UCSF Benioff Children's hospital and iterated based on those learnings. Next we need to try integrating with one large HCM vendor to manage the onboarding and departure of staff at a large a health system to build out our APIs to make integrating with any HR system more turnkey.

What immediate next steps will you take if you receive an implementation grant.

The next step we would take if we receive the implementation grant is to develop the ability to integrate our gratitude tool with existing HR systems to make adoption easier at large organizations.

At what stage of development is your Idea?

  • Full-scale roll-out: You have developed a pilot, tested, and analyzed the impact of that pilot as it pertains to the problem scope. You are ready to expand the pilot significantly and begin to scale.

Please describe from where your Idea emerged

I was a patient who felt compelled to share my gratitude with my nurse, but it was ridiculously difficult to track her down after I left the hospital. I asked a former co-worker from a tech startup and a former band mate to help me build an authentic gratitude platform for healthcare workers.

Tell us about yourself

I am Amanda Krantz, CEO. Francis Li is CTO. Dawn Cheairs is VP of Marketing and Design. I lead product management and sales. Francis is a full-stack developer and architect who built DohJe. Dawn leads implementation and rollout with hospital staff.

Where are you / your team located?

I am in Bend, OR. Francis is in San Francisco, CA and Dawn is in Denver, CO.

Please describe your legal and organizational structure


Company / Organization Name



Tell us about your experience

I've done many different things from being an Air Force Officer doing electrical engineering at NASA to entrepreneur at silicon valley startups. I was also a drummer in a touring rock band and played in a band in Denver with Dawn (who was the bassist and lead singer) 17 years ago. I was the first business hire in a mobile photo sharing startup funded by Reid Hoffman and Mohr Davidow Ventures (before instagram), which is where I first worked with Francis, who was the VP of Product and Design.

Please describe, in detail, how you will test and get feedback on your concept.

We tested and got feedback on our concept by talking to 100s of nurses, doctors, and hospital administrators. We also ran pilot tests at a small birth center in Colorado and at the large labor & delivery department at UCSF. Our initial prototype was just patients thanking caregivers. UCSF asked us to ad peer-to-peer gratitude to our product, so we did. We wanted to list all the staff on DohJe with photos so patients can find and thank the person they want to thank, even if they can't remember their name. Only doctors are currently listed online, so we had to test how to get other healthcare workers to choose to list themselves on DohJe. We had a hypothesis that if we took a nice photo of them, they would be much more likely to want to be listed on our gratitude platform. Turns out we were, right. See attached video that is a 5-minute ignite talk I gave in November 2017 that describes how we tested and got feedback from all the different "gatekeepers" at hospitals.

Please describe specifically how you plan to scale your idea. What are the key next steps you will take, and how will those steps inform the evolution and growth of your concept?

In order to scale, we need to integrate DohJe with existing HR systems like Workday, Infor, Oracle, and SuccessFactors to manage the onboarding and departure of staff at scale. In order to do this, we need hospital customers who use each of these HR vendors to give us access to their APIs. Several of the customers we are already talking to are using various systems. For example, Johns Hopkins uses SuccessFactors and St. Charles Hospital uses Workday. How the hospital HR teams use the current employee engagement and retention tools from the HR software will inform how we push our recognition data to their existing dashboards.

As we have seen in the Challenge, there is a tension between authentic expressions of gratitude and mandatory gratitude. How does your idea inspire truly authentic expressions of gratitude versus mandated ones?

Most peer-to-peer recognition software uses gamification and public / social feeds to try to entice people to express gratitude. When we created DohJe, we felt strongly that gamification of gratitude, especially in healthcare when people are grateful around such significant events, takes away the authenticity and actually discourages the authentically grateful people from participating. With DohJe, we invite staff to create an account, but it is never mandatory.

Gratitude often thrives when opportunities for connection are created. How will your concept create new opportunities for human connection?

With DohJe, for the first time patients can thank their nurses and other healthcare heroes directly and get a reply so they know their gratitude was received. Appreciated staff are then more likely to thank their co-workers, creating a ripple effect of gratitude. At Delta County Memorial Hospital, an average of 21 DohJe notes were sent per week during 1-year pilot that was part of a Harvard Study using DohJe as the intervention, which found increased social worth and meaning among caregivers.

Who (specifically) will benefit from your concept, and how they will interact with it? What design considerations have you included to ensure easy and intuitive interactions? 

The news video from our launch at Delta County Memorial Hospital shows how healthcare workers and patients benefit from our gratitude platform optimized for healthcare. We built DohJe in close collaboration with nurses and other caregivers to make sure it has easy and intuitive interactions. For example, we've included pre-written message choices and responses since people don't always know what to say (as well as open text boxes to write your own), we've built a mobile optimized web app that works well on any device, and we take great photos of nurses and other staff who do not normally have professional photos so patients can pick them out even if they don't remember their name. We have included filters that allow you to reduce a large list of staff to find the person you want to thank. Nurses do not spend much time in front of computers, so we made sure DohJe is fast and easy to use.

Please describe how you intend to use the prize funding, if selected as a Top Idea. Be specific.

We would use the prize money to: (a) integrate with Workday (used by St Charles Hospital) and SuccessFactors (used by Johns Hopkins) to help us scale our authentic gratitude solution at larger health systems while keeping the cost low. (b) attend key healthcare conferences to continue to test and refine our ideas. The prize money will help DohJe scale so more people can authentically share their gratitude with more healthcare workers more easily.


Join the conversation:

Photo of Elisa Coronado Bonilla

Hello Amanda and Team!
Congratulations on your idea, taking care and stand out the amazing work that caregivers do every day is very inspiring.
For patients, having the opportunity to express authentic gratitude to those who help relieve their pain or sadness is incredibly touching and undoubtedly improves caregiver´s morale and professional purpose.

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