When a hospital emergency department wants to improve relationships with the community and its residents, which approach should be chosen?

a. Hold focus-group sessions with community residents, write up the results, and disseminate to all staff.

b. Hold focus-group sessions with community residents and, based on the feedback, write a detailed procedure for how to interact with patients.

c. Identify those clinicians who are not in compliance, and counsel them to reinforce the value of good community relations.

d. Hold focus groups with community residents, and invite representatives from the community to join with staff members to develop simple, key elements of patient care and relationships.