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Enhancing Accountability in Massachusetts Healthcare: A Collaborative Framework

In Massachusetts, a comprehensive framework for accountability in managing incidents and adverse events has been developed by all segments of the healthcare system. This initiative aims to build a unified language, foster collaboration in error analysis, and improve error reporting. By sharing lessons learned and defining clear policies for human and system errors, the framework addresses both retrospective and prospective stakeholder responsibilities. Ongoing engagement with key stakeholders and work groups will drive the successful implementation of these accountability principles.

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Enhancing Accountability in Massachusetts Healthcare: A Collaborative Framework

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  1. Accountability

  2. Vision In the management of incidents and adverse events, all segments of the Massachusetts healthcare system utilize a jointly derived framework for accountability that is broadly viewed as just.

  3. Past – Priorities Identified • Develop a common language/approach • Encourage all parties to look collaboratively at errors • Make the reporting of errors more effective and integrated • Share lessons learned to minimize errors. • Define a clear policy regarding human error, as well as system error

  4. Present - Objectives • Set of principles to be applied in analyzing the role of systems and individuals in determining accountability • Matrix defining prospective and retrospective responsibilities of all stakeholders, in relation to adverse event • Recommendations to improve process of analysis and investigation

  5. Elements of Accountability

  6. Accountability Project • Support and engagement of key stakeholders in the development and adoption of an improved system • Workgroup • Regular consultation with members • Timeline

  7. Panel • Troyen Brennan, MD, JD, MPH • Allan Frankel, MD • Jean Pontikas

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