Engage patients in QI efforts, demonstrating the value placed on patients’ experiences and contributions.

Strategy
Engage patients in QI efforts, demonstrating the extent to which the CHC values patients' experiences and contributions. Patients are uniquely positioned and qualified to contribute to a CHC’s QI efforts in part because of their lived experiences with accessing health care, specifically contraceptive counseling and care.
Action Step(s)
  • Engage patients in health center-level improvement efforts using Patient Advisory Councils (PAC): vetted groups of patients, family members, and caregivers who come together to bring their own experiences to this improvement project and help identify priority areas for improvement.
  • Engage patients in the process of planning, collecting, and disseminating patient experience data, potentially using a PAC. This includes soliciting feedback about: the practical aspects of survey administration; what recruitment messaging will resonate most with patients; and how to share collected data with patients, the community, and other stakeholders.

  • Implement policies that strengthen the role of descriptive consumers (i.e., (patient representatives sharing traits with those they represent) on the CHC’s Board of Directors; for example, a policy mandating that at least one descriptive consumer sit on the Board’s Executive Committee. The proportion of descriptive consumers on the Board’s Executive Committee can result in a CHC providing more enabling services aimed at reducing barriers to access and supporting a positive patient experience of care.

Tools & Resources
  • Patient Engagement in Community Health Center Leadership: How Does it Happen? The objective of this qualitative study published in the Journal of Community Health, was to compare and contrast how CHCs engage patients in clinic management, decision-making and planning within governing boards versus PACs. Findings are based on 19 interviews conducted from August 2016 to June 2017 at CHCs in California, Arizona and Hawaii.
    https://pubmed.ncbi.nlm.nih.gov/29777334/
  • “How Can We Talk About Patient-centered Care without Patients at the Table?” Lessons Learned from Patient Advisory Councils: This qualitative study aimed to understand how PACs are organized and identify common challenges and perceived benefits of high-functioning PACs. Findings are based on key informant interviews at 8 CHCs in California with high-functioning PACs.
    https://pubmed.ncbi.nlm.nih.gov/28076261/