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Related Experiment Video

Updated: Jul 6, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Balancing accountability and improvement: a case study from Massachusetts.

D P Smith¹, G Rogers, A Dreyfus

¹Clinical Data Policy and Research, Massachusetts Hospital Association, 5 New England Executive Park, Burlington, MA 01803-5096, USA. dsmith@mhalink.org

The Joint Commission Journal on Quality Improvement

|March 21, 2008

Summary

This summary is machine-generated.

Public reporting of hospital patient experience data is feasible. A voluntary survey by the Massachusetts Health Quality Partnership (MHQP) demonstrated that careful management of risks and rewards encourages participation and drives quality improvement.

Related Experiment Videos

Last Updated: Jul 6, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Health services research
Healthcare quality improvement
Patient experience measurement

Background:

The Massachusetts Health Quality Partnership (MHQP) initiated a voluntary statewide survey in 1998 to assess patient experiences with inpatient hospital care.
This initiative involved a coalition of healthcare providers, insurers, businesses, and government organizations in Massachusetts.

Purpose of the Study:

To evaluate the feasibility and impact of voluntary public reporting of patient experience data from Massachusetts hospitals.
To promote fair media reporting and emphasize quality improvement over punitive evaluation.

Main Methods:

Contracted The Picker Institute to conduct a survey on seven dimensions of care for adult medical, surgical, and maternity patients across 58 Massachusetts hospitals.
Developed a communication strategy to encourage participation, ensure fair media coverage, and focus on quality improvement goals.
Established agreements on report design, trial surveys, advertising, and the use of survey results among coalition members.

Main Results:

Statewide media coverage aligned with communication objectives, featuring widespread editorial praise for the report.
The project spurred significant hospital quality improvement initiatives and heightened focus on enhancing patient experiences.
All participating hospitals voluntarily continued their participation for subsequent survey cycles, with new hospitals joining the initiative.

Conclusions:

Voluntary public release of healthcare performance data is achievable through careful management of measurement and reporting risks, motivations, rewards, and penalties.
Integrating public accountability reporting with continuous quality improvement principles and engaging providers as partners accelerates the realization of reporting goals.