The mission statement of every hospital in the United States (U.S) is to improve the health of individuals and communities. The health care system in the United States focus on three dimensions for healthcare improvement. Which includes, improve the health of the population and our communities, improve the individual care experience and reduce or control the per capita cost of health care. Patient and families are important stakeholders in healthcare and a growing body of evidence shows that their engagement can improve better health outcomes. Patient and family engagement has many benefits such as, elimination of preventable harm, patients and families’ dignity and respect is preserved, clinical decisions made based on patients’ values and