1. Better Together Dashboard Template Name of Hospital Date
Since (date)_______implementation Number of family/care partners staying overnight ______ Number of problems encountered ______
WELCOMING/FAMILY PRESENCE SURVEY Time Period: __________________
Patients & Care Partners: Was this experience helpful and supportive? Yes: ____% No: ____%
Comments:
Nursing Staff: Was this experience helpful and supportive? Yes: ____% No: ____%
Security: What challenges or barriers were experienced by security staff?
WEEKLY PATIENT SURVEY Date: ________________
Do you have (or have you had) a family member or care partner with you during your hospital stay?
Yes: ____ No: ____ Not Available: ____ If yes, are they being encouraged and included in decisions about care by nurses and physicians?
PATIENT/FAMILY PERCEPTIONS OF CARE (HCAHPS Survey)
00%
During this hospital stay, how often did nurses treat you with courtesy and respect?
During this hospital stay, how often did nurses explain things in a way you could understand?
During this hospital stay, how often did doctors treat you with courtesy and respect?
During this hospital stay, how often did doctors explain things in a way you could understand?
During this hospital stay, did doctors, nurses or other hospital staff talk with you about whether you would have the help you needed when you left the hospital?
During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital?
During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left.
When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.
When I left the hospital, I clearly understood the purpose for taking each of my medications.
Would you recommend this hospital to your friends and family?
As your hospital or health system implements a policy which welcomes family presence and participation, it’s important to both evaluate and share the results.  This sample Dashboard provides a simple template to adapt to your organization and its needs.  The template’s section, PATIENT/FAMILY PERCEPTIONS OF CARE, is drawn directly from questions on the HCAHPS Survey.  However, other sections of the template can be altered to reflect outcome measures which have been identified as priorities by your organization in its planning process.
QUALITY AND EFFICIENCY*
*Changes related to the welcoming/family presence policy & other quality improvement initiatives
BUILDING COMMUNITY AWARENESS
How often has welcoming/family presence policy been included in the following:
Quality Measure
Current
Period
Prior Period
Last Year
Number of Medication Errors
Hospital-wide 30-day Readmissions
Returns to the ED within 30 days
Average Length of Stay
ICU Length of Stay
Health related events in the community
Newspaper and online articles
Social media activities
TV or radio interviews
Always
Sometimes
Never