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Opportunities and Recommendations for State-Federal Coordination to Improve Health System Performance: A Focus on Patient Safety
Collaboration | Partnerships | System performance
NASHP convened a roundtable of state and national health policy leaders in October 2009 to discuss opportunities for states and the federal government to develop congruent policies to promote patient safety.  This brief summarizes recommendations that emerged from that meeting.  Participants identified four criteria to use in selecting...
Jason Buxbaum, Policy Analyst
January 2010
Nonpayment for Preventable Events and Conditions: Aligning State and Federal Policies To Drive Health System Improvement
Medical errors | Reimbursement | System performance
NASHP synthesized background information about state and federal policies that deny or reduce payment for adverse events. In October 2009, NASHP convened high-level state and national leaders to discuss 1) issues related to nonpayment of adverse events and 2) priority issues for state/federal dialogue.  This report examines policies...
Jill Rosenthal, Program Director
Carrie Hanlon, Program Manager
December 2009
2007 Guide to State Adverse Event Reporting Systems
Adverse event reporting | Measurement | Medical errors
Since the Institute of Medicine called for a nationwide, mandatory reporting system to provide for the collection by state governments of standardized information about adverse medical events, much state activity has focused on the development and refinement of these systems. The information collected can help identify health system weaknesses,...
Jill Rosenthal, Program Director
Mary Takach, Program Director
December 2007
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives
Collaboration | Medical errors | Quality oversight
According to the Institute of Medicine (IOM), preventable medical errors are a leading cause of death in the United States. Yet, state officials who focus on patient safety have few venues to meet, share innovative strategies, and problem solve with each other because patient safety initiatives originate in a variety of state agencies. This...
Carrie Hanlon, Program Manager
Jill Rosenthal, Program Director
December 2007
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives Summary Report
Collaboration | Medical errors | Quality oversight
According to the Institute of Medicine (IOM), preventable medical errors are a leading cause of death in the United States. Yet, state officials who focus on patient safety have few venues to meet, share innovative strategies, and problem solve with each other because patient safety initiatives originate in a variety of state agencies. This...
Carrie Hanlon, Program Manager
Jill Rosenthal, Program Director
December 2007