Volume 51 | Number S3 | December 2016

Abstract List

Thomas H. Gallagher M.D., Michael L. Farrell J.D., Hannah Karson P.M.P., Sarah J. Armstrong R.N., M.S.N., J.D., John T. Maldon, Michelle M. Mello, Bruce F. Cullen M.D.


Communication and resolution programs (s) involve institutions responding to adverse events using transparency with patients, event analysis, recurrence prevention, and compensation. Collaboration with regulators around s could enhance health care quality.

Setting and Participants

Health care institutions, liability insurers, and the Medical Quality Assurance Commission (, board of medicine) in Washington State.

Study Design

has collaborated with the Foundation for Health Care Quality () on the Certification pilot. A panel of physicians, risk managers, and patient advocates at will review cases for use of the key elements. Cases meeting this standard will be “ Certified.” If determines that the enhanced patient safety comparable or better than board action, the Commission may close the case.

Principal Findings

Developing this process identified the following issues: (1) protecting information submitted for Certification; (2) determining what information the Commission needs to assess whether additional investigation is warranted; (3) preserving the Commission's responsibility to protect the public while working with health care organizations; and (4) addressing concerns that Certification not shield incompetent providers.


The Certification program is a promising example of collaboration among institutions, insurers, and regulators to promote patient‐centered accountability and learning following adverse events.