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Patient and Family Engagement (PFE)

In collaboration with Patient & Family Centered Care (PFCCpartners), the HealthInsight Hospital Improvement Innovation Network (HIIN) will follow a multi-tiered approach to providing support, resources and curriculum to address the needs of hospitals at all stages of evolution of PFE practices. Building on its experience with the HEN and the American Institute of Research Patient Family Engagement Council, and its position as the PFE subcontractor to the National Coordinating Center for the QIN-QIOs, PFCCpartners will provide existing programs, as well as develop new materials and resources. PFCCpartners is uniquely positioned to build programs based on the Six Strategies of Patient Family Engagement (AIR, 2015), with the goal of creating continuity of PFE practices across CMS programs.

HealthInsight and PFCCpartners will assess current PFE practices employed by our participating hospitals. The assessment will be based on the five PFE metrics and supporting approaches with the goal of stratifying hospitals into three groups: novice, experienced and master. This stratification will allow us to more appropriately provide resources of value and relevance to the organization. The five PFE metrics are:

  1. Prior to admission, hospital staff provide and discuss a discharge planning checklist with every patient who has a scheduled admission, allowing for questions or comments from the patient or family (e.g., a planning checklist that is similar to CMS’s Discharge Planning Checklist).
  2. Hospital conducts shift change huddles for staff and does bedside reporting with patients and family members in all feasible cases.
  3. Hospital has a person (who may also operate within other roles in the hospital) who is dedicated and proactively responsible for patient and family engagement and systematically evaluates PFE activities (i.e., open chart policy, PFE trainings, establishment and dissemination of PFE goals).
  4. Hospital has an active Patient and Family Engagement Committee (PFEC) OR at least one former patient that serves on a patient safety or quality improvement committee or team.
  5. Hospital has at least one or more patient(s) who serve on a governing and/or leadership board and serves as a patient representative.