Quality and Performance Measurement

In 12 states, providers, purchasers, consumers, and regulators have recognized the value of coordinating their efforts and have formed statewide public/private patient safety coalitions. These coalitions are educating health care professionals, purchasers, consumers, and policy makers about the nature of medical errors, the culture of safety, and strategies for reducing risks. The seven most mature […]

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  • Publications

    This report summarizes state legislation proposed or enacted in 2000 to address concerns over medical errors and patient safety issues. It includes summaries of 45 pieces of separate legislation. Medical Errors: An Analysis of Recent State Legislative Proposals 705.3 KB  

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

    Based on interviews with state and hospital officials, professional boards, providers, consumer representatives, and purchasers, this report places mandatory reporting within the context of current state and federal hospital oversight activity. It provides detailed information about how eight state-based mandatory hospital reporting programs came into existence, how these programs are operated, the associated legal issues, […]

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

    This report explores data issues associated with mandatory reporting systems, potential interactions between mandatory reporting and malpractice litigation, the potential uses of publicly available mandatory reporting system data, and arguments for and against protections for such data.   Click here to download the zipped pdf file.  

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

    This paper examines the costs of designing and implementing a state-based mandatory reporting system for adverse events that occur within hospitals. The paper begins with a brief review of the Institute of Medicine’s study on medical errors and its recommendations regarding the role of states in addressing the issue. This is followed by a summary […]

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

    This comprehensive workbook provides a step-by-step guide to help state policy makers build or redesign a mandatory reporting system. The workbook provides an overview of the various policy goals and considerations that frame states’ mandatory reporting systems. It is designed to enable states to learn from the success of other states and, at the same […]

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

    This report was developed to help policy makers develop, refine, and clarify mandatory reporting systems and potentially to compare their data nationally. The guide includes a comparison of the National Quality Forum’s (NQF) list of serious reportable events to existing state reporting systems and discusses further steps recommended by states to support the use and […]

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

    This paper explores how data from mandatory reporting systems are (or can be) disclosed to the public. Based upon detailed interviews with states that have mandatory reporting systems, NASHP identified critical junctures in the design of reporting systems that influence the ultimate use of data. By examining and mapping out these critical junctures, the parameters […]

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    April 17, 2009 | Filed under: Publications, Quality and Performance Measurement
  • This policy brief addresses the issues raised by the convergence of medical error reporting and the fear of medical malpractice litigation. It discusses how states protect data with the intention of increasing the compliance level of reporting, examines a sample state protection statute, and explores recent proposals for alternatives that would address the reluctance of […]

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

    This report reviews key findings from a meeting of data collectors (state officials who administer reporting systems), analysts (state officials or consultants to them), and users (providers, purchasers, and consumers). The meeting was held to identify mechanisms to improve reporting, tools used for event report analysis and dissemination, and opportunities for improvement. This report reviews […]

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