Massachusetts Alliance for Communication
and Resolution following Medical Injury
MACRMI is a Massachusetts alliance of patient advocacy groups, teaching hospitals and their insurers, and statewide provider organizations committed to transparent communication, sincere apologies and fair compensation in cases of avoidable medical harm. We call this approach Communication, Apology, and Resolution (CARe) and we believe it is the right thing to do. It supports learning and improvement and leads to greater patient safety.
This site is a central resource for information on the CARe approach and the health care institutions implementing it. Here you will find answers to many of your questions regarding medical injury; resources and support for patients, families and clinicians; education and training resources for health care providers; sample guidelines and policies; research and articles; and ways to connect with each other. By sharing what we learn from medical errors and near misses, we are enhancing patient safety together and improving our health care system. Thank you for participating.
New! Kaiser Article - Massachusetts Malpractice Reforms Offer Faster, More Open Process for Injured Patients Kaiser Health News (KHN) has published an article on medical liability reform in Massachusetts. The article highlights MACRMI's CARe program and the benefits of communication and resolution programs as an alternative to malpractice litigation. Click here to read the article.
MACRMI Resource: Implementation Guide MACRMI has developed a CARe Program Implementation Guide to help facilities that want to implement a CARe Program, but don't know where to start. This is an interactive guide that links MACRMI resources with a step-by-step process for developing a program. Please click here to view and download it.
Patient Representation - Best Practices for CARe Programs Have you seen our new resource to ensure appropriate patient represenation during conversations regarding resolution and compensation in the CARe process? Click here to view and download it.
Request a speaker to present the CARe approach to your organization.
New! Blog Post - CARe Education Forum at the MBA! MACRMI and the Massachusetts Bar Association (MBA) recently sponsored an interactive Educational Forum regarding Communication, Apology, and Resolution (CARe). Members from the legal community participated to learn more about the benefits of CARe and hear from attorneys that have participated in the process. Click here to read our new blog post by Jeffrey Catalano and learn more about the event.
Blog Post The first Advancing Relational Learning Worldwide will focus on Disclosure and Apology conversations. Check out our latest blog post to learn more OPENPediatrics at Boston Children's Hospital and the Institute for Professionalism and Ethical Practice (IPEP), and take a short survey about the needs as a practitioner in relation to Disclosure and Apology conversations. Click here to read it.
“Massachusetts hospitals are committed to always improving the quality and safety of the care they provide to patients. Aside from being fair to caregivers and patients, MACRMI's communication, apology, and resolution initiative will help advance this fundamental quality-improvement agenda by fostering open discussion among clinicians about the causes of adverse outcomes and the steps that need to be taken to avoid them in the future.”
Massachusetts Hospital Association
"CARe recognizes a universal truth: we are all in this grand effort of patient care together. And only by honoring that truth will we break down the barriers to make tomorrow’s patient care safer for our patients and all those committed to their care."
Richard C. Boothman, Executive Director of Clinical Safety, University of Michigan Health Services
"Our work at the Coalition has highlighted the value of the CARe model in preserving healing relationships between patients and their clinicians after an adverse event. We have also seen the potential for deep learning from adverse events as a consequence of the change in the organizational culture related to those events. This can significantly accelerate the pace of improvements in patient safety."
Massachusetts Coalition for the Prevention of Medical Errors
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