Key Findings
When stratified by patient ethnicity or race, significant differences in 2024 performance on clinical quality measures highlight disparities in all 4 care domains: behavioral health, chronic conditions, pediatrics, and preventive care.
During 2024 primary care visits, commercial patient reported experiences were significantly lower among adult Asian and Black patients compared with White patients for 7 of the 9 care composite measures.
In 2024, more than two-thirds of the 53 reporting hospitals performed well on nursing workforce metrics—37 of the reporting hospitals achieved the standard for total nursing care hours per patient day, and 35 hospitals achieved the standard for RN hours per patient day.
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Additional Information
To date, hospital-based measures have not been considered for inclusion in the Measure Set because global budget-based contracts may not include measures specific to hospital care. However, in acknowledgement of the importance of hospital quality measurement and transparency in health care system monitoring, CHIA also reports patient-reported experiences in hospital settings as well as measures of hospital quality and safety standards from the Leapfrog Group. The metrics included in CHIA’s quality reporting cross different domains of quality assessment, including:
- Clinical quality
- Primary care patient experience
- Hospital patient experience
- Maternity-related care
- Hospital adherence to nursing workforce and hand hygiene standards
- Payer adherence to Aligned Measure Set in global budget contracts
For more information about the Measure Set, visit the Quality Measure Alignment Taskforce webpage and CHIA’s Quality Measure Catalog Survey results.
Recommended Links
Annual Report
Statewide THCE totaled $83.3 billion or $11,663 per person in 2024, a 5.7% increase from 2023, according to CHIA's latest Annual Report on the Performance of the Massachusetts Health Care System.
Equity in Quality of Care and Patient Experiences
Analyses of quality and patient experience measures across Massachusetts providers, with findings by race, ethnicity, and payer.
Standard Quality Measure Set (SQMS)
Learn about the recommended measures for assessing health care quality and equity across Massachusetts providers and payers.