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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_3_Application_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 3)
Patient and Family Advisor Application Form
Name (First and Last):
Street Address:
City: State: ZIP Code:
Home phone: Cell phone: Email address:
Preferred contact (circle one): Home phone Cell phone Email
The following questions will help u…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_3_Application_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 3)
Guide to Patient and Family Engagement :: 1
Patient and Family Advisor Application Form
Name (First and Last): ______________________________________________________________________________________________________________
Street Address: __…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.docx
June 02, 2025 - Information to Help Hospitals Get Started
About the Guide to Patient and Family Engagement
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Information to Help Hospitals Get Started
O Guide to Patient and Family Engagement :: 1
Guide to Patient and Family Engagement
The G…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_4_Letters_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 4)
Strategy 1: Working With Patients & Families as Advisors (Tool 4)
Sample Letter of Invitation
for Advisory Council Applicants
Dear [insert name],
I am pleased to invite you to join the [patient and family advisory council or name of the council if it ha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_4_Letters_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 4)
Guide to Patient and Family Engagement :: 1
Sample Letter of Invitation
for Advisory Council Applicants
Dear [insert name],
I am pleased to invite you to join the [patient and family advisory council or name of the council if it has been cho…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_8_PrtpntIntrsts_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 8)
My Participation Interests
Contact Information
Name (First and Last):
Street Address:
City: State: ZIP Code:
Home phone: Cell phone: Email address:
Preferred contact (circle one): Home phone Cell phone Email
Areas of Interest
I am interested in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_7_Story_Hndout_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 7)
Guide to Patient and Family Engagement
Sharing My Story: A Planning Worksheet
Use this worksheet to help plan what you want to share about your hospital experiences.
Key points about your hospital experiences
When you or your family member w…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.pdf
June 02, 2025 - Information to Help Hospitals Get Started
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement
About the Guide to Patient and Family Engagement
The Guide to Patient and Family Engagement in Hospital
Quality and Safety is a tested, evidence-based resource to
help hospitals work with…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_6_Checklist_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 6)
Guide to Patient and Family Engagement
Am I Ready to Become an Advisor?
Are you thinking about becoming a patient and family advisor? Review the checklist below and check those statements
with which you agree. If there are statements with whi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_7_Story_Hndout_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 7)
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 1: Working With Patients & Families as Advisors (Tool 7)
Sharing My Story: A Planning Worksheet
Use this worksheet to help plan what you want to shar…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_1_Brochure_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 1)
(Brochure Back)
Is being a patient and family advisor right for you?
Being a patient and family advisor may be a good match with your skills and experiences if you can:
Speak up and share suggestions and potential solutions to help improve hospital car…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_1_Brochure_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 1)
Become a
Patient and
Family Advisor
Working Together
to Help Improve
Our Hospital
Is being a patient and family advisor
right for you?
Being a patient and family advisor may be a
good match with your skills and
experiences if…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 5)
Insert hospital logo here
Become a Patient
and Family Advisor:
Information Session
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Patient & Family Advisor Information Session (Tool 5)
Guide to Patient & Family Engag…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 5)
Guide to Patient & Family Engagement
Insert hospital logo here
Become a Patient
and Family Advisor:
Information Session
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Patient & Family Advisor Information Se…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_2_BecomeAdvisrPC_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 2)
Do you have ideas
to help improve
our hospital?
Become a patient
and family advisor.
Dear ,
I would like to invite you to find out more about becoming a patient and family advisor at [insert hospital name].
I think you may have great ideas about h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_2_BecomeAdvisrPC_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 2)
Do you have ideas
to help improve
our hospital?
Become a patient
and family advisor.
Dear ,
I would like to invite you to find out more
about becoming a patient and family advisor at [insert
hospital name].
I think you may have gre…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_6_Checklist_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 6)
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 1: Working With Patients & Families as Advisors (Tool 6)
Am I Ready to Become an Advisor?
Are you thinking about becoming a patient and family adviso…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_8_PrtpntIntrsts_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 8)
My Participation Interests
Contact Information
Name (First and Last): ___________________________________________________________________________________
Street Address: ____________________________________________________________________…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_13_ShortTerm_HO_508.pdf
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 13)
Guide to Patient and Family Engagement :: 1
Working With Patient and Family Advisors on
Short-Term Projects
Are you (or is your unit) planning to work on a short-term project to improve quality and safety? Partnering with patient
and family a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_14_HO_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 14)
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 1: Working With Patients & Families as Advisors (Tool 14)
Readiness to Partner With Patient and Family Advisors
As a clinician or staff member, I am…