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Our Measures and Methodology

Patients seeking care at a Mass General Brigham hospital have access to world-leading prevention and treatment protocols. By actively assessing, evaluating, and reporting on the care we deliver and the elements of care that matter most to our patients, we can continuously improve patient safety and quality of care.

Types of measures

How we achieve key quality and patient safety measures

Use of the same electronic health record (EHR), a customized data-sharing tool, throughout our system helps to coordinate care and make it easier for physicians to jointly determine the most effective treatment plan for their patients. The Mass General Brigham EHR platform allows for refined communication, less opportunity of error, increased transparency, and improved patient experience.

It has also changed the way we collect, measure, and assess quality of care and safety practices across the spectrum of care at our member institutions. Traditional sources of patient data, such as the Centers for Medicare & Medicaid Services (CMS) and the Healthcare Effectiveness Data and Information Set (HEDIS), are based on billing records and provide an incomplete picture of the patient experience, lacking information. We go beyond this, measuring useful data that our providers document every day from patients across our network—things like screenings, blood pressures, and lab results—to measure patient care holistically and assess if the right care was delivered at the right time. Unlike measures created by external parties, our confidential patient data resides within Mass General Brigham only and allows us to evaluate the quality of the care we deliver in a more timely and accurate way. 

In addition to measuring patient safety measures and care outcomes, we regularly survey our patients to learn more about their specific experiences at Mass General Brigham institutions—including how well we communicated with them as their caregivers, how well doctors coordinated their care, and how timely their care was and how willing are patients to recommend their hospital to family and friends.

Mass General Brigham also believes strongly in measuring things that matter, not just things that are required. Examples of our efforts dedicated to measuring things that matter to our patients include robust programs in:

  • Patient-reported outcomes (PROMs)
  • Enhanced recovery after surgery (ERAS)
  • Electronic clinical quality measures (eCQMs)