Patient Safety Measures

Patient Engagement and Patient Safety Structural Measures 
By Rosie Bartel, Patient Advisor

The integration of patient engagement into structural safety measurements is an evolving focus within healthcare, particularly as emphasized by the Centers for Medicare and Medicaid Services (CMS) and the Institute for Healthcare Improvement (IHI). The “Patient Safety Structural Measure” (PSSM) is a pivotal component of this evolution, and it underscores the importance of involving patients, their families, and care partners in safety-related activities. 

A cornerstone of the PSSM is the establishment of Patient and Family Advisory Councils (PFACs). These councils ensure that patient, family, care partners, and community voices are represented in safety discussions, goal-setting, and performance metrics. By having diverse representation reflective of the patient population, PFACs help facilitate a more comprehensive understanding of safety concerns and improvement initiatives. 

Furthermore, the PSSM promotes patient access to their medical records, encouraging transparency and empowering patients to engage actively in their healthcare. This access is not merely about viewing records; it includes support for interpreting medical information in a culturally and linguistically appropriate manner, fostering an environment where patients can submit comments for potential corrections to their records. 

Engagement does not stop at information access. The PSSM also advocates for the inclusion of family and designated care partners as integral members of the healthcare team. Their involvement in bedside rounding, shift reporting, and discharge planning enhances communication and continuity of care, ultimately leading to improved safety outcomes. 

Notably, the current focus areas outlined by CMS, such as maternal safety and health equity, underline the connection between patient engagement and broader safety initiatives. Addressing social determinants of health (SDOH) and promoting health equity are essential for creating safe environments that cater to all patients, especially those from marginalized communities. 

To effectively implement these strategies, healthcare organizations are encouraged to utilize the Self-Assessment Tool provided by IHI. This tool allows organizations to assess their current engagement practices and identify areas for improvement across the four foundational areas of safety. By conducting regular assessments, organizations can develop targeted strategies that enhance patient and family engagement in safety initiatives. 

In conclusion, the integration of patient engagement into structural safety measurements represents a significant shift towards more inclusive and effective healthcare practices. By recognizing patients, families, and care partners as vital partners in safety efforts, healthcare systems can foster environments that prioritize patient well-being, ultimately leading to improved safety outcomes and a more equitable healthcare landscape.