Patient and Family Advisory Council (PFAC) Hallmark Health System Annual Report: Fiscal Year 2013

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Charter Statement: The was chartered in May 2007 with the goal to partner with community members and hospital leaders in order to provide a forum to improve the quality of patient care, safety of the facilities, and identify opportunities to assess community needs in the Hallmark Health Service Area. Mission: The PFAC is committed to partnering with community members and hospital leaders in order to provide a forum to improve the quality of patient care and to assess community needs within Hallmark Health System service areas. Purpose: The purpose of the PFAC is to: Serve as an advisory resource to. Increase and improve communication between patient/families, community residents, and staff Provide opportunities for staff to listen to and better understand the perspectives of patients, families and community members Provides a venue for patients, families, and community residents to provide input into policy and program development both within and in community-based programs. Assure that improvement efforts and strategic planning meet the needs of and the community Promotes optimized relationships between patients, families, staff, and the community Provides a vehicle for communication between patients, families, community residents, and staff Actively helps implement identified changes Provides a safe venue for patients and families to provide input in a setting where they are receiving care Provide feedback and input around the pertinent issues and activities of the PFAC to the Board Quality Committee of the Provide input to the Community Benefit planning process Guiding Principles and Scope of Activity: Share observations/perceptions of : your own, and those of your family, neighbors, friends, etc. Identify key opportunities for improvement and specific recommendations to achieve improvement. Serve as a sounding board for staff seeking patient/family input when evaluating options for change or improvements Participate in quality improvement projects as appropriate Assist in the development, review and evaluation of patient education materials as needed. Recommend strategies for sharing information with the local community regarding services available through Participate in the planning of improvements for families/visitors of LMH, MWH and ambulatory centers. (What it is like to visit a relative or friend here? What is it like to accompany a relative to an appointment here?) Increase community awareness of available services at. Assist in renovation planning as appropriate Participate in the identification of community health care needs to assist in the development of new services/programs and provide input regarding existing programs and services. This input will be provided to the HHS Community Benefits Advisory Council.

1. Membership established that included: Community Members o Dorothy and Joseph Angelo o Asif Babu o Virginia Caruso Bove o Karen Browne o Charlene Costello o Missy Garrity o Joanne Lambert o Karen McGarrahan o Marshina Mitchell o Phyllis Notaro o A. Joseph Panico o Kenneth Phillips o Caroline Resendes o Eleanor Risman o Jim and Ellie Stace o Diane Smith Hospital Members o Deb Cronin-Waelde ad hoc o Camarie Clark o Sue Cocchiarella Current Co-Chair o Justin Ferbert o Nancy Gaden, CNO Executive Sponsor o Kristin Guilliani ad hoc o Patricia Merlina ad hoc o Susan Morley- Corbett o Raymond Murano ad hoc o Rick Pozniak ad hoc o Diana Richardson ad hoc o Saratha Sivasithamparam ad hoc o Lori Stevens Co-chair through April 2013 o Judith Thorpe Co-chair through April 2013 o Cheryl Warren Current Co-Chair o Johnna Wasdyke 2. Regular meetings have been held since 2007. 3. PFAC 2013 meetings o Meetings were held monthly, alternating campuses. o Meetings were held on the 2 nd Wednesday of each month until April 2013 at which time they were moved to the 4 th Tuesday of each month (excluding summer months).

4. Support for PFAC a. Administrative support for the PFAC was through nursing administration b. A copy of this annual report will be available on the website. 5. Membership a. Additional members were recruited from both ambulatory and in-patient settings. b. The Council developed a new application form and interview process for membership. c. The Council reached out to the community and physician leadership for referrals of potential new members. 6. Recruitment Criteria of new PFAC members a. Recruitment was accomplished via discussion with membership and the Co-chairs of the PFAC. b. System leaders identified potential community members that were able to see and articulate the big picture of the system s needs. c. The Council began working on updating membership guidelines and criteria for participation in order to recruit and retain new members. 7. Orientation, Training, and Continuing Education for PFAC members a. Orientation of new PFAC members included the purpose, membership guidelines and mission of the PFAC. 8. Strategies for Maintaining Success with PFAC a. Representative from the Community Benefits Advisory Council attended a meeting to discuss process for meeting community needs. b. A summary of discussion and feedback was regularly provided to the Senior Executive Team and Board. 9. Council Activities/Accomplishments for 2013 as recorded in the meeting minutes: a. The PFAC membership continued to identify and recruit new members from the community and the Hallmark Health patient population. b. The PFAC members assisted in revising the Patient Education Manual. Members provided feedback regarding the content, color and font. Feedback was incorporated into the newly developed manual.

c. Several PFAC community and staff members attended the first annual PFAC Conference that took place on May 17 at the Wesborough Doubletree Inn. Members who attended the conference shared highlights from the day with members who were unable to attend. d. Members were kept up to date on service excellence projects and asked to give feedback from their experiences and those of their neighbors. e. The PFAC members provided feedback to Philips Lifeline Medical Alert Service and Medication Dispensing Service on the Lifeline products that offers to patients. Additionally, members reviewed marketing materials from the Dutton Center. Feedback was appreciated and considered for incorporation. f. The PFAC members were asked to provide feedback to the Patient Education Committee on a sampling of tools and videos that the Education Committee is considering using as new patient education tools. The Patient Education Committee plans to utilize PFAC members feedback in choosing from various vendors offering to partner with Hallmark Health for patient education media. g. The PFAC members toured several areas and department of the hospitals and offered feedback on their impression of the physical and psychological environments as well as suggestions for improvements. 1. On the MWH campus, these areas included Med 5 and Radiology/CT. 2. On the LMH campus, the area included Urgent Care. 3. The group also toured the Comprehensive Breast Center/Cancer Center. h. PFAC membership was instrumental in instituting process improvement efforts in the laboratory and in the Comprehensive Breast Center. i. The PFAC members continued to provide valued input on community initiatives such as the Food Pantry Truck and shuttle service.