Patient engagement is an important strategy to improve quality and safety of care. This article describes the development of a tool for managers to assess patient engagement strategies within their health system. The tool contains four sections: (1) describing the healthcare organization; (2) gathering general information on their current patient engagement strategies; (3) assessing patient engagement strategies; and (4) describing their involvement in patient safety committees. The tool is intended to assess the health system’s integration of patient engagement for patient safety and to track changes over time.