Patient Family Advisory Council

Family EngagementFormed in 2017, the MHA statewide PFAC is comprised of patients, family members, patient advocates, hospital staff and providers in Missouri. One of only a handful of state-level councils in the nation, MHA's PFAC is focused on increasing the role of patients and family members to improve health care delivery, health outcomes and reignite joy in work through improved patient-provider relationships.

Recognized as a Centers for Medicare & Medicaid Services priority focus area in 2018, MHA’s statewide PFAC serves to provide leadership and support to advocate for the sustainable integration of patient and family engagement across the care continuum in Missouri to achieve the Quadruple Aim. 

The Challenge

MHA's Statewide PFAC challenges every hospital in the state of Missouri to identify at least one non-employee patient or family member serving on at least one committee within the organization by July 2019. 

Patient Family Engagement RoadmapWe encourage all hospitals to accept this challenge and achieve this critical PFE goal. Use this Patient and Family Engagement Roadmap as a strategic guide throughout your journey.  It outlines and provides links to resources to support hospitals progression in achieving a “yes” answer to all 12 PFE metrics. 

Patient and Family Engagement Progress


Missouri Hospital Progress

MHA surveys all Missouri hospitals based on the Centers for Medicare & Medicaid Services’ five PFE metrics to assess the level of patient and family engagement within hospitals. Missouri hospitals’ progress will be updated quarterly.

The last date of data collection was July 2018.


  • Key Outcome Objectives
  • Council Action Items
  • Membership Demographics
  • Resources


  • We will ensure the council remains comprised of patients, family members, hospital staff and community leaders from across the state.
  • We will serve to inform broader health care initiatives and policy from a patient and family perspective.
  • We will aim to promote a statewide culture of health, integrating the patient and family perspective.
  • We will provide a consumer voice that is critical to achieving the Triple Aim of better health, better care and lower costs.
  • We will provide resources, support and expertise to meet these objectives.


Throughout the next 18 months, the council will complete the following actions.

  • Action 1: Identify metrics to evaluate statewide progress and to base supportive programming, resources and tools that raise awareness of the patient and family perspective.
  • Action 2: Inform, at a state level, common themes and issues that detract from the health care experience; provide insight and feedback for interventions.
  • Action 3: Collaborate with MHA on development of strategies and resources and support dissemination of these across the state
  • Action 4: Serve as mentors and liaisons to members developing internal PFACs
  • Action 5: Assist in understanding and deployment of health literacy and disparity reduction initiatives



  • comprised of 24 members
  • 12 Clinical/hospital staff members representing:
    • large health systems
    • medium size hospitals
    • small rural hospitals
    • Roles include CNO, Director of Patient Experience, Patient Safety, Social Worker, Clinical Quality
  • 1 Physician
  • 10 Patient/Family members:
    • 2 full time employed patient advocates
    • 6 serve on their local hospital’s PFAC
    • 2 non-hospital employed patient advocates