The Joint Commission has published a document that speaks to every area of patient
experience, from admitting to discharge, with a focus on PFCC (The Joint Commission (TJC),
2014).
In this publication is a table that gives a timeline, starting with a gap analysis in 2003,
continuing on to a program in 2010 to help aid hospitals in creating PFCC for very diverse
populations.
As TJC is one of only three agencies that provide accreditation for hospitals in the
United States, hospitals need to sit up and pay attention to the standards they set (Mosby’s Suite,
2
010).
The Centers for Medicare and Medicaid Services (CMS), one of the largest payers for
healthcare, also state the importance of PFCC by launching a program to “listen to the voices of
the patients” (CMS.gov, 2014).
Strategy to Improve Patient-Centeredness
The domain of Advisors is a good place to start implementing PFCC.
Our community is
our patients and their families.
The strategy identified is to have six former patients or family

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7
representatives speak at the patient satisfaction committee meeting.
Identification of potential
participants could come from discharge phone calls, a patient satisfaction tool already in place.
By asking three patients who had good experiences and three patients who had poor experiences
to speak at the patient satisfaction meeting, real time data could be obtained about what is going
right or wrong.
The patient satisfaction committee would reap a great benefit in understanding
what makes a patient satisfied or unsatisfied.
It is important to remember that the goals of the
patient satisfaction committee should align with the goal of our community.
What the
community feels is important needs to be the focus.
Financial Implications
The financial implications of such a change would not be a heavy burden.
The addition
of six speakers to the patient satisfaction committee would add some time to each meeting.
There is a possibility of overtime during the planning process.
The leaders of the patient
satisfaction team are salaried employees, as are the Risk Management and the Quality
Improvement staff.
The front line staff that serve on the patient satisfaction committee have four
hours per week available for participation that would be at regular time rather than overtime.
The return on investment (the aligning of the community and hospital priorities), has the
potential to increase patient satisfaction scores, which in turn would increase reimbursements.
Multidisciplinary Team
Members for the multidisciplinary team would include a representative of Risk
Management, a representative of Quality Improvement, a representative of Medical Staff (a
physician), and two members from the patient satisfaction committee (front line staff).
The team
would meet first to plan and implement change to the committee meetings to include the
speakers. Part of this process would be to develop a presentation for the patient satisfaction

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committee about the change and anticipated benefits.


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- Fall '17
- Organizational Leadership, patient satisfaction, PFCC