Process Improvement

CMS Compliant Joint Commission Ready Connected to PI Workflows Patient Voice to Action

Transform patient and family voices from symbolic to strategic.

Embed patient engagement directly into your improvement framework, ensuring consumer input becomes visible, measurable, and actionable. Structured intake, meeting management, and direct connections to PI projects - so what patients say actually changes how care is delivered.

PFAC Dashboard showing active projects, survey response rate, and patient & family advisory council activity

Current PFAC Challenges

Organizations recognize the value of Patient Family Advisory Councils, yet operationalizing PFAC input into meaningful, system-wide improvement remains challenging.

Inconsistent Engagement

PFAC activities vary by facility with no standardized method to capture or follow up on patient or family input effectively.

Documentation Burden

Health system leaders spend valuable time preparing manual reports, often missing deadlines or omitting key data.

Limited ROI Visibility

Tracing how PFAC feedback influences improvement initiatives is challenging, leading to frustration and disengagement.

Lost Learning

Effective PFAC initiatives aren't systematically shared across councils or sites, limiting the spread of success.

Manage the full member journey: from recruitment to renewal.

Most teams manage PFAC members the same way they manage volunteer spreadsheets. Beterra tracks the full lifecycle so nothing falls through the cracks.

01

Recruit

Track candidates, applications, and demographics for a representative council.

02

Orient

Document onboarding, training completion, and role acknowledgment.

03

Participate

Track meeting attendance, contributions, and action item ownership.

04

Co-Design

Connect member feedback directly to PI projects as active partners, not just advisors.

05

Renew

Manage term limits, renewals, and transitions with automatic reminders.

From Feedback to Strategic Partnership

The Beterra PFAC Module creates a living information system that guides improvement, connecting PFAC projects directly to organizational initiatives while honoring patients as true partners in care redesign.

What's included

Structured Improvement Framework Integration
Consumer Input Workflows
Robust Analytics and Reporting
System-wide Learning and Spread
Regulatory Alignment and Compliance
Measurable Impact Demonstration

Co-Design That Works

Most organizations run their PFAC the way they always have. Beterra is built to make the patient & family voice actually matter.

Status quo
  • - Members tracked in spreadsheets
  • - Minutes in email and shared drives
  • - Feedback collected, rarely acted on
  • - Compliance scramble at audit time
Beterra PFAC
  • Full member lifecycle in one place
  • Meeting records searchable and reportable
  • Feedback connects directly to PI projects
  • Always compliance-ready for CMS and JC

PFAC Module Core Capabilities

Comprehensive platform for managing patient and family advisory council activities with measurable outcomes.

PFAC Project Tracking

Every PFAC project follows a clear improvement framework (PDSA), translating patient & family input into actionable change with customizable templates.

Patient & Family Input Capture

Dedicated space to document patient and family insights from surveys, meetings, focus groups, or complaints - time-stamped and searchable.

PFAC Report Outs

Local councils can log when projects are shared at entity or system PFAC meetings, creating an audit trail of engagement and accountability.

Organized Initiatives

PFAC projects roll into broader system initiatives with a central hub for leaders to see all active projects and receive notifications.

Visual Management

Export project visuals for council meetings, unit huddles, or Joint Commission surveys with mobile-friendly real-time updates.

Learning Repository

Centralized PFAC project repository enables leaders to search projects by focus, outcome, or setting across all facilities.

Multiple Input Capture Methods

Comprehensive patient and family voice collection across all touchpoints - structured, searchable, and tied directly to improvement.

Surveys

Structured patient and family surveys with systematic data collection and analysis capabilities.

PFAC Meetings

Direct input capture from Patient Family Advisory Council meetings with structured documentation and follow-up tracking.

Focus Groups

Targeted patient and family focus group insights with thematic analysis and actionable recommendations tied to improvement projects.

Complaints & Grievances

Transform patient concerns into improvement opportunities through systematic tracking and response - closing the loop every time.

Meeting Rising Regulatory Expectations

Organizations face increasing expectations to integrate patient and family voice into improvement and governance.

Compliance Made Simple: Without a centralized platform, PFAC leaders struggle to demonstrate impact, maintain accountability, and scale engagement across the system. Our solution addresses these challenges head-on.

Compliance coverage

CMS Patient Safety Structural Measures (PSSM)
LeapFrog Patient Engagement Requirements
AHRQ Patient Safety Culture Integration
Joint Commission Patient Safety Standards
Board Governance Reporting
Quality Committee Documentation

Benefits & ROI

Measurable impact from embedded patient and family voice in organizational improvement.

Regulatory Alignment

Demonstrates integration of customer voice aligned with CMS, LeapFrog, and Joint Commission expectations.

Elevated Patient & Family Voice

Moves patient & family input from symbolic to strategic, with PFAC councils seeing their input acted upon meaningfully.

Streamlined Reporting

Two-click report generation enables leaders to meet board and regulatory requirements without administrative burden.

System-wide Spread

Successful PFAC initiatives can be scaled across facilities, reducing variability and amplifying impact.

Sustainability

Data-driven approaches with clear visibility into PFAC activity and outcomes help sustain improvements and buy-in.

Ready to Embed Patient & Family Voice Strategically?

Transform your PFAC from symbolic feedback to strategic partnership. Join healthcare organizations using Beterra's PFAC Module to honor patient lived experience while driving systemic, patient-centered transformation.