Current State of Family-Centered Rounds Three Years After Patient and Family Centered I-PASS Implementation

Joshua Pankin, MD · Samantha Pendleton, DO · Hannah Miller, MD

Baystate Children's Hospital, Springfield, MA · UMass Chan Medical School – Baystate

Rated as engaged

83%

Rated as included

96%

Closed-loop verification

<1 in 5

Rounds observed

55

A direct-observation audit of 55 rounds (June 2025–March 2026) on a 45-bed pediatric unit, three years after Baystate's participation in the SHM Patient and Family Centered I-PASS collaborative. Families were rated as engaged (83%) and included (96%) — yet closed-loop verification was observed in under 1 in 5 rounds (family synthesis 18–21%, teach-back 14%, visual aids 8%). Upstream I-PASS components stayed high-fidelity (bedside format 93%, action items 100%, contingency planning 86%). The largest current-vs-recommended gaps — family synthesis, bedside-nurse engagement, and teach-back — mark concrete targets for a re-intervention, with a re-audit planned afterward.