Patient- and Family-Centered Care Organizational Self-Assessment Tool

This document is a self-assessment tool for organizations to evaluate their implementation of patient- and family-centered care (PFCC) in a hospital setting. It includes various elements such as leadership, quality improvement, personnel, and environment, and provides examples of current practices with patient and family partnerships. The tool helps organizations identify areas for improvement and enhance their commitment to PFCC.

Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and Examples of Current
Practice with Patient and Family (PF) Partnerships
know
Leadership /
Operations
Clear statement of commitment to Patient Family
Centered Care and Patient/Family partnerships
1 2 3 4 5 4
Explicit expectation, accountability,
measurement of Patient Family Centered Care
1 2 3 4 5 5
Patient/Family inclusion in policy, procedure,
program, guideline development, Governing
Board activities
1 2 3 4 5 2
Mission,
Vision,
Values
Patient Family Centered Care included in Mission,
Values, and/or Core Values
1 2 3 4 5 3
Patient/Family “friendly” Patient Bill of Rights
and Responsibilities
1 2 3 4 5 4
Advisors Patient/Family serve on hospital committees 1 2 3 4 5 5
Patient/Family participate in quality and safety
rounds
1 2 3 4 5 4
Patient and family advisory councils 1 2 3 4 5 1
Quality
Improvemen
t
Patient/Family voice informs strategic /
operational aims/goals
1 2 3 4 5 4
Patients/Families active participants on task
forces, QI teams
1 2 3 4 5 2
Patient/Family interviewed as part of walk-rounds 1 2 3 4 5 3
Patient/Family participate in quality, safety, and
risk meetings
1 2 3 4 5 3
Patient/Family part of team attending IHI, NPSF,
and other meetings
1 2 3 4 5 5
Personnel Expectation for collaboration with Patient/Family
in job descriptions & Policies in Performance
Appraisal Process
1 2 3 4 5 5
Patient/Family participate on interview teams,
search committees
1 2 3 4 5 3
Patient/Family welcome new staff at new
employee orientation
1 2 3 4 5 3
Staff/physicians prepared for & supported in
Patient/Family Centered Care practice
1 2 3 4 5 1
Codes: PFCC=Patient- and Family-
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 1

Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and Examples of Current
Practice with Patient and Family (PF) Partnerships
Environment
And Design
Patient/Family participate fully in all clinical
design projects
1 2 3 4 5 1
Environment supports patient and family
presence and participation as well as
interdisciplinary collaboration
1 2 3 4 5 5
Domain Element1 Low to High Do not
1 Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Codes: PFCC=Patient- and Family-
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 2

Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and Examples of Current
Practice with Patient and Family (PF) Partnerships
Do not
know
Information /
Education
Web portals provide specific resources for
Patient/Family
1 2 3 4 5 5
Clinician email access from PF is encouraged and
safe
1 2 3 4 5 4
Patient/Family serve as educators/faculty for
clinicians and other staff
1 2 3 4 5 3
Patient/Family access to / encouraged to use
resource rooms
1 2 3 4 5 4
Domain Element2 Low High
know
Diversity &
Disparities
Careful collection and measurement; race /
ethnicity / language
1 2 3 4 5 5
Patient/Family provided timely access to
interpreter services
1 2 3 4 5 2
Navigator programs for minority and underserved
patients
1 2 3 4 5 3
2 Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Codes: PFCC=Patient- and Family-
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 3

Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and Examples of Current
Practice with Patient and Family (PF) Partnerships
Educational materials at appropriate literacy levels 1 2 3 4 5 4
Charting and
Documentatio
n
Patient/Family have full and easy access to
paper/electronic record
1 2 3 4 5 2
Patient and family are able to chart 1 2 3 4 5 5
Care
Support
Families members of care team, not visitors, with
24/7 access
1 2 3 4 5 1
Families can stay, join in rounds & change of shift
report
1 2 3 4 5 5
Patient/Family find support, disclosure, apology
with error and harm
1 2 3 4 5 3
Family presence allowed/ supported during rescue
events
1 2 3 4 5 4
Patient/Family are able to activate rapid response
systems
1 2 3 4 5 3
Patients receive updated medication history at
each visit
1 2 3 4 5 2
Know
Care Patient/Family engage with clinicians in
collaborative goal setting
1 2 3 4 5 5
Patient/Family listened to, respected, treated as
partners in care
1 2 3 4 5 4
Actively involve families in care planning and
transitions
1 2 3 4 5 1
Pain is respectively managed in partnership with
patient and family
1 2 3 4 5 3
Domain Element3 Low High Do not Domain Element4 Low
High Do Not
3 Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
4 Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Codes: PFCC=Patient- and Family-
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 4

Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and Examples of Current
Practice with Patient and Family (PF) Partnerships
Codes: PFCC=Patient- and Family-
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 5