Operationalizing Your PFAC: 7 Steps to Sustainability
Published December 15, 2015
Allison Chrestensen, Project Coordinator at Duke University Health System
Tiffany Christensen, Performance Improvement Specialist, North Carolina Quality Center
Along with the national focus on improving the patient experience, hospitals and health systems are working to incorporate the patient and family voice into every facet of the organization from quality improvement efforts to policies & procedures and governing boards. To formalize these efforts, CMS’s Partnership for Patients has developed five fundamental criteria to facilitate patient and family engagement (PFE) in healthcare organizations. One of these tactics is to develop a Patient and Family Advisory Council (PFAC), and the other is to include Patient and Family Advisors (PFAs) as representatives on quality improvement and hospital leadership boards. Private insurance companies across the country are also adjusting their reimbursements to align with these PFE recommendations. As the PFE movement continues to gain momentum, the importance of utilizing evidence-based approaches for engaging patients and families becomes even clearer.
Building an effective and sustainable PFAC that serves as a key resource for your organization’s quality improvement efforts requires comprehensive training and careful planning. This webinar provides an overview of the “7 Steps to Sustainability” and offers information on the “nuts and bolts” of creating and developing a PFAC program for those who are just beginning their journey. Attendees who have experience working with PFACs will benefit from the discussion on innovative ways to partner with patients and family members outside the meeting room. Participants will leave this training with a clear understanding of the necessary steps for establishing effective partnerships and for becoming a top PFE-performer among healthcare organizations.
Related content
-
Culture & Leadership | Patient Family & Community Engagement
Ambulatory Care Community Connection Call – Rounding Best Practices
Published October 29, 2025
While rounding is a well-established practice in acute care, ambulatory leaders continue to voice the need for similar approaches in outpatient settings. Rounding, whether with patients, staff, or both, can play a vital role in improving communication, engagement, and overall experience. Join the Ambulatory Care Community for a conversation on current rounding practices in ambulatory
Learn more -
Patient Family & Community Engagement
Racial Concordance and the Assumption of Trust: Why Engagement Is Often Mistaken for Partnership in the Care of Black Men
Published August 6, 2026
Race concordance between patients and clinicians is frequently promoted as a strategy to improve trust and engagement for Black men in healthcare. Evidence suggests that encounters with Black male clinicians often increase patient comfort and observable engagement; however, engagement alone does not necessarily reflect trust. Drawing on professional experience as a nurse and researcher working
Learn more -
Patient Family & Community Engagement
Trust Earned Through Relational Care: How Adverse Childhood Experiences Shape Patient Trust in Their Inpatient Physicians—A Convergent Mixed-Methods Study
Published August 6, 2026
Background: Adverse childhood experiences (ACEs) are common, with approximately 60% of the population reporting at least one exposure. Despite well-established links between ACEs and adverse health outcomes, little is known about how ACE exposure shapes hospitalized patients’ trust in inpatient physicians. Objective: To examine the association between ACEs and hospitalized patients’ trust in inpatient physicians and to explore
Learn more