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The Texas Disclosure and Compensation Study. WILLIAM M. SAGE, MD, JD THE UNIVERSITY OF TEXAS AT AUSTIN. The Texas Disclosure and Compensation Study: Best Practices for Improving Safety.
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The Texas Disclosure and Compensation Study WILLIAM M. SAGE, MD, JD THE UNIVERSITY OF TEXAS AT AUSTIN SAGE 1
The Texas Disclosure and Compensation Study: Best Practices for Improving Safety • Little is known about incorporating disclosure programs into quality improvement efforts, and involving injured patients and families in the process of analyzing events. • In 2009 and 2010 The University of Texas System began an effort to educate and train caregivers about disclosure. • This project, supported by AHRQ and conducted within the University of Texas Health System, will seek to establish best practices for disclosure, early compensation, and quality feedback. • It will utilize existing and new data from six UT health campuses, along with results of surveys, interviews, and workshops to evaluate the effects of existing and recommended approaches. SAGE 2
Study Personnel • PI • Eric Thomas, MD, MPH - University of Texas Medical School at Houston • Co-I’s • Tom Gallagher, MD – University of Washington School of Medicine • Bill Sage, MD, JD – University of Texas at Austin School of Law • Jason Etchegaray, PhD - University of Texas Medical School at Houston • Consultants • Sigall Bell, MD – Harvard Medical School • Michal Tamuz, PhD – SUNY Downstate School of Public Health • Research Nurse/Project Coordinator • Madelene Ottosen MSN, RN - University of Texas Medical School at Houston • Research Associate • Allison Ottenbacher PhD - University of Texas Medical School at Houston • Graduate Research Associates • Landrus Burress, MPH, MS - University of Texas Medical School at Houston • Crystal Stafford, MPH - University of Texas Medical School at Houston SAGE 3
Issues for States from “Disclose/Offer/Improve” and Similar Malpractice Reform Innovations • Policy significance of the “Disclosure Movement” • Politics of tort reform and of health reform • Secrecy or transparency as paths to safety • Individual versus system accountability • How much law do we need, and where should it come from? • Trading tort reform for health reform SAGE 4
