Order 717405: University Search (Opens a new Window) Organizational Leadership and Interprofessional Team Development

Domain

Element1

Low to High

Do not

know

Leadership /

Operations

Clear statement of commitment to Patient Family

Centered Care and Patient/Family partnerships

1

2

3

4

5

Explicit expectation, accountability, measurement of

Patient Family Centered Care

1

2

3

4

5

Patient/Family inclusion in policy, procedure, program,

guideline development, Governing Board activities

1

2

3

4

5

Mission,

Vision, Values

Patient Family Centered Care included in Mission, Values,

and/or Core Values

1

2

3

4

5

Patient/Family “friendly” Patient Bill of Rights and

Responsibilities

1

2

3

4

5

Advisors

Patient/Family serve on hospital committees

1

2

3

4

5

Patient/Family participate in quality and safety rounds

1

2

3

4

5

Patient and family advisory councils

1

2

3

4

5

Quality

Improvement

Patient/Family voice informs strategic / operational

aims/goals

1

2

3

4

5

Patients/Families active participants on task forces, QI

teams

1

2

3

4

5

Patient/Family interviewed as part of walk-rounds

1

2

3

4

5

Patient/Family participate in quality, safety, and risk

meetings

1

2

3

4

5

Patient/Family part of team attending IHI, NPSF, and

other meetings

1

2

3

4

5

Personnel

Expectation for collaboration with Patient/Family in job

descriptions & Policies in Performance Appraisal Process

1

2

3

4

5

Patient/Family participate on interview teams, search

committees

1

2

3

4

5

Patient/Family welcome new staff at new employee

orientation

1

2

3

4

5

Staff/physicians prepared for & supported in

Patient/Family Centered Care practice

1

2

3

4

5

Environment

And Design

Patient/Family participate fully in all clinical design

projects

1

2

3

4

5

Environment supports patient and family presence and

participation as well as interdisciplinary collaboration

1

2

3

4

5

Domain

Element2

Low High

Do not

know

Information /

Education

Web portals provide specific resources for Patient/Family

1

2

3

4

5

Clinician email access from PF is encouraged and safe

1

2

3

4

5

Patient/Family serve as educators/faculty for clinicians and

other staff

1

2

3

4

5

Patient/Family access to / encouraged to use resource

rooms

1

2

3

4

5

Domain

Element3

Low High

Do not

know

Diversity &

Disparities

Careful collection and measurement; race / ethnicity /

language

1

2

3

4

5

Patient/Family provided timely access to interpreter

services

1

2

3

4

5

Navigator programs for minority and underserved patients

1

2

3

4

5

Educational materials at appropriate literacy levels

1

2

3

4

5

Charting and

Documentation

Patient/Family have full and easy access to

paper/electronic record

1

2

3

4

5

Patient and family are able to chart

1

2

3

4

5

Care Support

Families members of care team, not visitors, with 24/7

access

1

2

3

4

5

Families can stay, join in rounds & change of shift report

1

2

3

4

5

Patient/Family find support, disclosure, apology with error

and harm

1

2

3

4

5

Family presence allowed/ supported during rescue events

1

2

3

4

5

Patient/Family are able to activate rapid response systems

1

2

3

4

5

Patients receive updated medication history at each visit

1

2

3

4

5

Domain

Element4

Low High

Do Not

Know

Care

Patient/Family engage with clinicians in collaborative goal

setting

1

2

3

4

5

Patient/Family listened to, respected, treated as partners

in care

1

2

3

4

5

Actively involve families in care planning and transitions

1

2

3

4

5

Pain is respectively managed in partnership with patient

and family

1

2

3

4

5