Quality of Care in the Commonwealth

CHIA Focus on Provider Quality
May 2019

Focus on Provider Quality:
Selected Clinical Measures, 2018
JUNE 2020

As part of CHIA’s ongoing work to monitor health care quality in the Commonwealth, A Focus on Provider Quality: Selected Clinical Measures, 2018 examines performance across a subset of metrics from the NCQA Healthcare Effectiveness Data and Information Set (HEDIS ®).

CHIA monitors and reports on health care quality using measures selected from the Commonwealth's Standard Quality Measure Set (SQMS), as well as other measures of interest. The metrics cross different domains of quality assessment, including:

  • Health care-associated infections
  • Mortality
  • Medication safety
  • Maternity-related care
  • Potentially preventable hospital admissions
  • Effective care processes
  • Hospital patient experience
  • Primary care patient experience


CHIA calculates quality performance on all-payer adult acute hospital readmissions by applying a standard methodology to the Massachusetts Hospital Inpatient Discharge Database. These measures are all reported in CHIA's Annual Report on the Performance of the Massachusetts Health Care System.

CHIA also displays quality information in a series of interactive online graphics found on this webpage.


Key Quality of Care in the Commonwealth Findings from CHIA's 2019 Annual Report


  • Adult patient-reported experiences were similar for most domains in 2017 and 2018, but the score for Adult Behavioral Health increased 10 points in 2018.


  • The unplanned, all-payer readmission rate for Massachusetts acute care hospitals was 16.1% in SFY2017 - an increase from the previous year.


  • Six of 36 reporting Massachusetts acute care hospitals fully met all three Leapfrog standards for reducing unnecessary maternity care.


  • Fewer hospitals performed better than predicted in 2018 on measures of CLABSI, CAUTI, MRSA, and SSI: Colon Surgery than in 2017.


CHIA Focus on Provider Quality Interactive Data (Updated May 2019)

If you are unfamiliar with using a Tableau interface, please watch this video.

Previous Quality Publication Materials