Quality of Care in the Commonwealth

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

• Clinical Quality Measures
• Hospital patient experience
• Primary care patient experience
• Maternity-related care
• Hospital adherence to safe practices
• Health care-associated infections
• Mortality
• Medication safety
• Effective care processes

CHIA calculates quality performance on all-payer adult acute hospital readmissions by applying a standard methodology to the Massachusetts Hospital Inpatient Discharge Database. This measure is 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.

For more information about the Commonwealth’s Aligned Measure Set, please visit the EOHHS Quality Measure Alignment Taskforce webpage.

Key Quality of Care in the Commonwealth Findings from CHIA's Annual Report (March 2023)

• Among adult members surveyed in the commercial population, patient experience ratings for office visits in 2021 were higher than 2018 ratings in six of the eight measures reported.

• Among Adult and Pediatric MassHealth ACO members, patient-reported ratings of experiences with telehealth decreased from 2020 to 2021, indicating less satisfaction with telehealth services in 2021.

• Readmission rates for patients hospitalized with any diagnosis of COVID-19 were consistently lower than for patients hospitalized for reasons other than COVID-19, 11.7% vs. 15.6%, respectively, in the last quarter of SFY 2021.

• Ten of 34 reporting acute care hospitals in Massachusetts achieved all three Leapfrog standards for reducing unnecessary maternity-related procedures in 2021

CHIA Focus on Provider Quality Interactive Data (Updated September 2021)