Send your staff to local customer-service seminars. Spend the time, money and energy to make them knowledgeable about their responsibilities and your general office operations. Doing so will enable your staff to work with increased confidence and improve the service your patients receive. That's not because they need to learn to use a complicated broom. Not only do Disney staff keep the park grounds immaculately clean, but they also spend an immense amount of time and money focusing on attention to detail.
Every task is performed to the highest set of standards.
A good example is the attention given to the horse-head hitching posts that line Main Street in the Magic Kingdom. Disney paints the high-wear spots on the posts each night, calculating the time they start painting according to the temperature and humidity levels so that the paint will be dry by the time the park opens the next morning. Similar attention to detail can be applied to your medical practice, and it doesn't necessarily require a better office space or new furniture, much less repainting every night. The first step to improving the ambiance in your office is to schedule a walk-through with your custodial service. Show them what areas require more attention, and if they can't meet your needs, look elsewhere for help.