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! MACRMI Resources: Best Practices for Attorneys MACRMI and the MBA partnered to develop best practices for attorneys representing patients and healthcare workers in resolution of medical error using the CARe approach. These resources can be found in our new section - "For Attorneys" - which includes FAQs and other resources, as well as in our Resource Library. Click here to visit that page. To view and download the best practices for attorneys representing patients, click here, and to view and download the best practices for attorneys representing healthcare providers, click here.
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.
Request a speaker to present the CARe approach to your organization.
New! Communication and Resolution Programs Webcast The Risk Authority recently sponsored a live webcast in which a panel of leading voices in the field - a health law scholar, a physician, and a patient - discuss the successes and challenges of CRP programs such as CARe. MACRMI's own Michelle Mello is a presenter in this event. Click here to view it.
Blog Post - Spreading the Word and Building Awareness about CARe The Massachusetts Hospital Association (MHA) recently held a high-level overview of the CARe Process for its Board of Trustees as part of the ongoing effort to educate hospital chief exectutive officers about the program. Click here to read the latest blog post by Pat Noga, MHA VP of Clinical Affairs, MACRMI Leadership Member.
“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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