Make the six executive decisions
Define purpose, authority, representation, substantive work, measurement, and accountability before treating a PFAC as operational improvement infrastructure.
Open executive briefMPH Applied Practice Experience • Health-system leadership toolkit
Evidence-Based Approach to Improve Outcomes for Patient-Care Experience
Playbook for Improving Inpatient and Ambulatory Care Experience
Turn patient voice into accountable action through a practical leadership approach for assessing PFAC operating conditions, interpreting local population and access needs, assigning ownership, choosing defensible measures, and closing the loop on patient and family input.
Leadership path
Move from evidence to a documented next action.
Evidence-Based PFAC Summary
Separate current PFAC evidence, implementation implications, and limitations so leadership actions do not outrun the science.
Open evidence summaryUse local population evidence
Re-analyze 19 Upper Valley municipalities and current CHNA access signals to identify representation, access, and participation requirements.
Open applied analysisAssign and measure the work
Use working templates for current state, closed-loop action, representation, measurement, Domain 5 traceability, and the 90-day operating plan.
Open leadership toolsInspect the applied proof
Trace the environmental scan and leadership toolkit to the approved APE deliverables, local analysis, competency evidence, and implementation case.
Open APE deliverablesProject library
Keep the signature work one click away.
Rosie Bartel story anchor
The protected patient-story page that keeps the human consequences of system design visible while remaining separate from empirical evidence.
Open RosieHAI and MRSA dashboard
Interactive Plotly views that connect healthcare-associated infection context to the broader patient-safety and engagement work.
Open HAI analysisResources
Public AHRQ, CMS, IPFCC, AMA, and open-data resources for building stronger patient and family engagement.
Open resourcesAbout
Meet the project lead and learn how to connect or contribute.
Open AboutOpen the full reference library
Benchmark the current state
Review Dartmouth Health engagement assets against governance, Domain 5, co-production, and learning-system practices while separating supported findings from open questions.
Open DH benchmarkEvidence matrix
Trace sources by evidence type, limitation, leadership use, patient benefit, and measurement connection.
Open evidence matrixBibliography
Review the source base supporting the environmental scan, evidence synthesis, and leadership toolkit.
Open bibliographyResearch surveillance method
Reproduce the PubMed, My NCBI, Outlook, curation, and shared Zotero evidence-surveillance workflow step by step.
Open surveillance how-toEvidence launch page
Direct pathway through the Evidence-Based PFAC Summary, AMA 11 source layer, evidence matrix, benchmark context, and working leadership tools.
Open evidence launchToolkit scan
Compare established PFAC and patient/family engagement resources from AHRQ, IPFCC, AMA STEPS Forward, Betsy Lehman Center, and the learning health system literature.
Open toolkit scanLaunch charter
Define purpose, authority, representation, substantive work, measurement, and accountability before treating a PFAC as operational improvement infrastructure.
Open launch charterCollaboration model
See how source suggestions, benchmark inputs, and toolkit improvements can be organized without weakening evidence controls.
Open collaboration modelDecision standard
A PFAC should create inspectable decisions, not just meetings.
The practical test is whether leaders can trace a patient or family signal to a decision pathway, accountable owner, documented disposition, implementation evidence, measurement, and report-back.
Patient POV
The loved-one test
Every recommendation asks whether the change would help, harm, confuse, delay, disrespect, or exclude the person receiving care.
“What matters to a patient is to survive and to survive it with some dignity and respect.”
Open the lived-experience anchor
Improvement signals
Measure contribution before claiming impact.
Applied Practice Experience proof
Five selected competencies demonstrated through two practical deliverables.
Leadership deployment