Blogs / Reports
FEATURED ARTICLE
Statewide Patient Safety Coalitions: A Status Report
/in Policy Reports /by NASHPIn 12 states, providers, purchasers, consumers, and regulators have recognized the value of coordinating their efforts and have formed statewide public/private patient safety coalitions. These coalitions are educating health care professionals, purchasers, consumers, and policy makers about the nature of medical errors, the culture of safety, and strategies for reducing risks. The seven most mature […]
How States are Responding to Medical Errors: An Analysis of Recent State Legislative Proposals
/in Policy Reports /by NASHPThis report summarizes state legislation proposed or enacted in 2000 to address concerns over medical errors and patient safety issues. It includes summaries of 45 pieces of separate legislation. Medical Errors: An Analysis of Recent State Legislative Proposals 705.3 KB
Current State Programs Addressing Medical Errors: An Analysis of Mandatory Reporting and Other Initiatives
/in Policy Reports /by NASHPBased on interviews with state and hospital officials, professional boards, providers, consumer representatives, and purchasers, this report places mandatory reporting within the context of current state and federal hospital oversight activity. It provides detailed information about how eight state-based mandatory hospital reporting programs came into existence, how these programs are operated, the associated legal issues, […]
State-based Mandatory Reporting of Medical Errors: An Analysis of the Legal and Policy Issues
/in Policy Reports /by NASHPThis report explores data issues associated with mandatory reporting systems, potential interactions between mandatory reporting and malpractice litigation, the potential uses of publicly available mandatory reporting system data, and arguments for and against protections for such data. Click here to download the zipped pdf file.
Cost Implications of State Medical Error Reporting Programs: A Briefing Paper
/in Policy Reports /by NASHPThis paper examines the costs of designing and implementing a state-based mandatory reporting system for adverse events that occur within hospitals. The paper begins with a brief review of the Institute of Medicine’s study on medical errors and its recommendations regarding the role of states in addressing the issue. This is followed by a summary […]
How Safe Is Your Health Care? A Workbook for States Seeking to Build Accountability and Quality Improvement Through Mandatory Reporting Systems
/in Policy Reports /by NASHPThis comprehensive workbook provides a step-by-step guide to help state policy makers build or redesign a mandatory reporting system. The workbook provides an overview of the various policy goals and considerations that frame states’ mandatory reporting systems. It is designed to enable states to learn from the success of other states and, at the same […]
Defining Reportable Adverse Events: A Guide for States Tracking Medical Errors
/in Policy Reports /by NASHPThis report was developed to help policy makers develop, refine, and clarify mandatory reporting systems and potentially to compare their data nationally. The guide includes a comparison of the National Quality Forum’s (NQF) list of serious reportable events to existing state reporting systems and discusses further steps recommended by states to support the use and […]
How States Report Medical Errors to the Public: Issues and Barriers
/in Policy Reports /by NASHPThis paper explores how data from mandatory reporting systems are (or can be) disclosed to the public. Based upon detailed interviews with states that have mandatory reporting systems, NASHP identified critical junctures in the design of reporting systems that influence the ultimate use of data. By examining and mapping out these critical junctures, the parameters […]
Maximizing the Use of State Adverse Event Data to Improve Patient Safety
/in Policy Reports /by NASHPThis report reviews key findings from a meeting of data collectors (state officials who administer reporting systems), analysts (state officials or consultants to them), and users (providers, purchasers, and consumers). The meeting was held to identify mechanisms to improve reporting, tools used for event report analysis and dissemination, and opportunities for improvement. This report reviews […]
2007 Guide to State Adverse Event Reporting Systems
/in Policy Reports /by NASHPSince 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, complement other state functions, and help […]

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
























































































































































States’ COVID-19 Public Health Emergency Declarations and Mask Requirements
/in COVID-19 State Action Center Charts, Featured News Home, Maps COVID-19, Featured Policy Home, Health Equity, Population Health, Social Determinants of Health /by NASHP Staff and Ella Roth