Quality and Performance Measurement

Feedback from reported data can help foster needed change within an institution. It can offer providers information on best practices and help prioritize critical issues in need of attention. It can also help purchasers and consumers exert external pressure for change and improvement by providing information about health care facility safety. Finally, it can assure […]

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  • Event report analysis can be conducted at various levels using a number of different approaches. States may analyze individual event reports to hold facilities accountable for serious errors and to better understand and share contributing factors (i.e., communication, safety culture, etc.) so that events can be avoided in the future. States may also aggregate data […]

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    May 1, 2009 | Filed under: Quality and Performance Measurement
  • Consistency in reporting is essential to analysis. States need consistent, reliable data in reporting systems in order to extract useful information. This section of the toolbox contains information and tools that may help states increase the number of reports and ensure that the reports they do receive are complete and accurate so that the resulting […]

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    May 1, 2009 | Filed under: Quality and Performance Measurement
  • This section of the toolbox includes information from the 26 states and the District of Columbia with legislation or regulation related to hospital reporting of adverse events to a state agency.  It includes background information on the reporting systems to provide context.  It includes authorizing statutes or regulations, advisory groups, websites, and other useful information. […]

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    May 1, 2009 | Filed under: Quality and Performance Measurement
  • Publications

    This report describes results of a state survey of legislative and regulatory requirements for reporting medical errors and adverse events in hospital settings. The paper addresses the following: which states require mandatory reporting systems, what type of data is reported, how states use the data, who has access to the data, and the type of […]

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    April 17, 2009 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    This report provides state executive and legislative branch officials with a framework for considering how they might coordinate with government and private stakeholders to address medical errors and patient safety in their states. The report outlines mechanisms to estimate the number of medical errors that occur and actions that states can take to improve patient […]

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    April 17, 2009 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    As of 2004, six states (FL, MD, MA, NY, OR, PA) have enacted legislation supporting the creation of state patient safety centers to help address the problem of medical errors. This report examines the various models states have adopted in designing these centers and includes discussions of how the centers operate and monitor performance. The […]

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    April 17, 2009 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    This report is designed to help policy makers sift through the complex responsibilities states assume as purchasers, regulators, and partners of health plans. Written in plain, jargon-free language, the report both clarifies state responsibilities for quality care and identifies the tools available to policy makers to help meet those responsibilities. mmc_building_quality.pdf 1.7 MB  

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    April 17, 2009 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    This briefing paper synthesizes a discussion held among key policy officials in June 2000, at NASHP’s Flood Tide Forum II. The brief examines current federal, congressional, and state activities; proposes roles for states; and identifies actions that foundations and others could take.   Contents Overview Background Patient Safety: How Significant a Problem for States? What […]

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    April 17, 2009 | Filed under: Publications, Quality and Performance Measurement
  • Publications

    According to the Institute of Medicine (IOM), preventable medical errors are a leading cause of death in the United States. Yet, state officials who focus on patient safety have few venues to meet, share innovative strategies, and problem solve with each other because patient safety initiatives originate in a variety of state agencies. This report […]

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    April 17, 2009 | Filed under: Publications, Quality and Performance Measurement