Balancing accountability and improvement: a case study from Massachusetts.

Background: The Massachusetts Health Quality Partnership (MHQP), a coalition of health care providers and insurers, and business and government organizations, conducted a voluntary statewide survey about patients' experiences with inpatient care at Massachusetts hospitals in 1998, and made the results public.

Methods: MHQP contracted with The Picker Institute (Boston) to conduct the statewide survey about seven dimensions of care for adult medical, surgical, and maternity patients at 58 hospitals across Massachusetts. The communications strategy for public report release was designed to promote fair reporting by the news media and emphasize the improvement goals of performance measurement above evaluation.

Piloting nursing-sensitive hospital care measures in Massachusetts.

Under the umbrella of the Massachusetts Hospital Association and Massachusetts Organization of Nurse Executives Patients First Initiative, Massachusetts hospitals tested a subset of NQF-endorsed nursing-sensitive care measures in 2006. In this report, we describe the pilot test, report on pilot test measure data, summarize participant feedback on the tested measures, and offer observations on lessons learned from the pilot test.

Privacy on trial in Massachusetts: Commonwealth v. Stockhammer.

Health records are not always private. In this case, the court said that a defendant in a rape case could see certain medical records pertaining to the victim's hospitalization for an unrelated overdose that occurred months after the attack. This article explores the legal decision and its impact on medical privacy.