MA Quality and Patient Safety Division Hospital Mortality Review

Dates: 2011-2012

State: Massachusetts

Client(s): Massachusetts Board of Registration in Medicine

Service: Applied Research & Evaluation

Technical Expertise: Patient Safety


In 2008, an expert panel was convened by the Massachusetts Division of Health Care Finance and Policy to "identify and adopt a meaningful measure of whole system quality and safety, including a whole system hospital mortality measure, in order to promote patient safety-across-the-board." After investigation, the panel concluded that no single measure of mortality should be publicly reported because there were vast differences in results by methodology and there was no way to determine which methodology correctly reflected "true" hospital-wide mortality. The expert panel recommended that the Massachusetts Board of Registration in Medicine's Quality and Patient Safety Division (QPSD) "provide confidential oversight of hospital’s mortality review and improvement program (…) to include audit of hospital’s organized program for analyzing mortality and implementing process improvement."

In 2011, QPSD developed a survey, which was distributed to all hospitals in Massachusetts and representatives were asked to provide information about their hospital-wide mortality measure, review and quality improvement (QI) programs. JSI was contracted to analyze the collected survey data and draft a final report that can be shared with hospitals in Massachusetts, so they can better understand their work in the context of the work being done across the Commonwealth. The ultimate goal was to share best practices and lessons learned with hospitals throughout Massachusetts.

This project was funded by the Massachusetts Board of Registration in Medicine's Quality and Patient Safety Division (QPSD).

 

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