The health care system is rapidly changing, forcing hospitals to adapt. That is certainly true for the city's Health and Hospitals Corporation, the largest municipal health care system in the country with 11 hospitals and 70 community clinics. Its new president is asking workers to meet the challenges head on. NY1's Erin Billups filed the following report.

You're likely to get a strong handshake and genuine inquiry into how you're doing from Dr. Ram Raju, the new president and CEO of the city Health and Hospitals Corporation. He wants that approach to trickle down throughout the sprawling HHC system.

The crux of his speech to his workforce Tuesday? Put the patient first.

"Whether you are a surgeon or a financial counselor, whether you are a nurse or clerk, a heightened level of kindness, of caring, of cultural sensitivity extending beyond the high quality medical care we already provide, must permeate our work- your work," says Dr. Raju.

He says a better patient experience is the key to survival as health care shifts focus to preventative care and more patients gain access to insurance through Obamacare, giving them the power to chose where they are treated.

"In this new environment, the marketplace will dictate and decide which hospitals will remain open, which hospitals will struggle, and which hospitals will close," says Dr. Raju.

Raju's 20-20 vision - pun intended - wants to see satisfaction scores of at least 80 percent for HHC patients staying at least one night, up from 59 percent today. Outpatient scores are 71 percent, but he wants to see a 93 percent average.

He hopes a better patient experience will help HHC double its MetroPlus Health plan membership to one million and increase the number of people served to two million by 2020, up from 1.4 million today.

The goal is to generate more revenue.

"As never before, we will be proactive in making up for lost government subsidies. As never before we will strive to increase access New Yorkers have to our services," says Dr. Raju.

Raju also wants to cut wait times for appointments in half, and is pushing each hospital to have training reflect these goals.

The crowd of 400 HHC managers and up-and-coming employees seemed to be on board.

It's a mandate for change, for the hospital system and its workforce.