Understanding the care experience from the perspectives of our patients and their families is a key factor in delivering health care quality, safety and service. In our ongoing efforts to provide exceptional patient care, we are enlisting the assistance of former patients and their families to share their perspectives, insights and experiences.

We are currently in the process of selecting patients and family members to help us create a sustainable Patient and Family Advisory Council (PFAC). The new council will provide a forum that encourages patients and families to actively participate in improving the patient experience at Memorial Hermann Southwest by serving as an advisory resource for staff and leadership. Feedback from the council will be used to inform and improve hospital operations, patient safety, employee engagement/satisfaction, and the patient experience.

The estimated monthly time commitment for the PFAC would be 2 hours per meeting every quarter. If you would be interested in serving on the Memorial Hermann Southwest PFAC, please complete this short application. Selected applicants will be contacted to schedule an interview. If you have any questions, please contact Jacque Butler, Director, CRM, Patient Relations, Interpreter Services, Child Life at Jacqueline.Butler@memorialhermann.org.

Patient and Family Advisory Council Application

20-29
30-39
40-49
50-59
60+
Former Patient
Family Member
Maternity
Day Surgery
Medical
Outpatient
Emergency

REMINDER: WE WILL DO BACKGROUND CHECKS ON ALL COMMITTEE MEMBERS, AND A HEALTH SCREENING (FLU AND TB) IS REQUIRED BEFORE YOU JOIN AND ANNUALLY GOING FORWARD. MEMBERS MUST SIGN A CONFIDENTIALITY AGREEMENT. WE WILL KEEP APPLICANTS IN MIND FOR POTENTIAL OPPORTUNITIES FOR FUTURE PROJECTS.

Thank
You!

We have received your request to join the Patient and Family Advisory Council Application Southwest. A team member will contact you shortly.