Quality Insights: Healthcare Performance in Massachusetts
MHQP helps consumers learn about the delivery of quality healthcare in Massachusetts with two types of healthcare quality reports:
Clinical Quality Report.
This report looks at how patients are treated for the types of illnesses
or health conditions (for example, diabetes care or depression management)
in their doctor’s office’s medical group.
Patient Experiences Survey Report.
This report is based on a survey taken by patients across Massachusetts,
and looks at how patients assess all (not just one) of the doctors working
in the same office.
Learn More About Healthcare Quality and MHQP:
What is quality healthcare?
Quality healthcare means treatment and care that is:
- Safe. Treatment helps patients and does not cause harm.
- Effective. Research shows that treatments have positive (good) results.
- Patient-centered. Healthcare providers (doctors, nurses, and others) treat
all patients with respect. This means taking into account each patient's
values about health and quality of life.
- Timely. Patients get the care they need at a time when it will do the most good.
- Efficient. Treatment does not waste doctors' or patients' money or time.
- Equitable. Everyone is entitled to high quality healthcare. This includes
men and women of all cultures, income, level of education, and social status.
"Doing the right thing, at the right time, for the right person, and
having the best possible result"
- Agency for Healthcare Research & Quality (AHRQ).
Massachusetts Health Quality Partners (MHQP) is an independent organization
that looks at the quality of healthcare in Massachusetts. It does so through the
use of claims-based clinical data in our
Clinical Quality Report that compares
side-by-side how different medical groups across Massachusetts treat the same
type of illness or health condition. MHQP also looks at the quality of healthcare
by asking patients about their health care experience through the
Patient Experiences Survey.
Patients complete surveys and tell us what it is like to visit with their doctors.
This information is then used to compare patients' experiences across the state.
MHQP healthcare quality data has been shared with doctors and health plans since 2004.
Since 2005, MHQP has been pleased to share this data with patients, their family members,
and the general public.
How can people help improve the quality of their healthcare?
- Ask questions. Make a list of all the questions you want to ask. Bring
this list to each appointment and write down the doctor's answer. If you
do not understand, ask again until you do.
- Give your doctor complete and accurate health information. This includes
your health history (diseases you or others in your family have); medication
history (medicines, over-the-counter drugs, and herbals you take); and lifestyle
(whether you smoke, drink, or use street drugs).
- Talk with your doctor about what matters to you. This includes your values
about medical treatment and quality of life.
- Speak up when there are problems. Tell your doctor if, at any time, you feel
that you are not getting quality healthcare.
For more information on what you can do to improve the quality of your healthcare,
How can healthcare quality data help patients and their family members?
Patients and their family members can use MHQP information to:
- Learn about differences in the quality of healthcare. This is important because not all doctors' offices treat patients the same way.
- Choose a doctor. This may happen when people move, doctors retire and move away, or people just want to change doctors.
- Feel empowered. This is when patients and their family members feel more in control of their healthcare.
How do I choose a doctor?
Most patients have a primary care physician. This can be a family doctor, internist,
pediatrician or general practitioner. Your primary care physician helps you stay
healthy and coordinates care when you are sick. He or she will also refer you to
specialists (such as allergists, cardiologists, or surgeons) when needed.
Doctors are not all the same -- they vary in terms of training, expertise, and the
quality of care they give. Here are some things to do when choosing a doctor:
- Make a list of the qualities you want in a doctor.
This may include the doctor's training, experience, credentials,
personal or "bedside" manner, availability (how quickly you can
get an appointment), hospital affiliation, and languages spoken.
You can often find out this information by going to the
Massachusetts Board of
Registration in Medicine.
- Ask for referrals. Get opinions about doctors from people you trust.
This may be friends, family, other doctors, medical society, health plan,
or your local hospital.
- Talk to your insurance company. Your insurance company may give you guidance on which
doctors and hospitals you may consider based on your health insurance coverage.
- Talk to staff in the doctor's office. Ask whether the doctor is taking
new patients, what hours the office is open, how long it takes to get routine
appointments, and ways emergencies are handled.
- Find out who works with the doctor. Some doctors work with nurse practitioners,
physician's assistants, and others to take care of patient's needs. Some doctors offices
may practice ‘team care,’ which means that the entire team of providers – and not just
your doctor – cares for patients, which means that you could see other doctors or providers for
your preventative or sick care.
- Find out about the doctor's network of care. This includes specialists, hospitals,
and medical groups the doctor works with and could refer you to. Also consider your comfort
level with the size of the doctors' office, such as whether you prefer a small doctors' office
or a larger site, where many doctors work together. The doctor may also belong to something
like an Accountable Care Organization (ACO). Centers for Medicare & Medicaid Services (CMS)
defines an ACO as a group of doctors, hospitals,
and other health care providers who come together voluntarily to give coordinated high quality
care to their patients.
- Meet the doctor. Make an appointment to meet the doctor you are thinking
about working with. Talk about what matters to you and decide whether this
is a doctor you trust and feel comfortable working with.
- Compare quality information. Use information from this website to compare
how medical groups and doctors' offices do in areas that matter to you.
How do people get healthcare in Massachusetts?
People in Massachusetts get healthcare through a system of doctors, doctors' offices,
and medical groups. Here is information about each part of the healthcare system,
along with pictures used throughout this website:
Doctors. Almost all patients get at least part of their care from doctors.
This includes primary care physicians as well as other doctors who treat patients,
provide care, or give medical advice.
Doctors' offices. These are the places where doctors treat patients.
Some offices are quite large with 50 or more doctors. Others are small
with as few as 3 doctors. Some doctors work at more than one office. Often,
doctors work with nurse practitioners, physician assistants, and other providers to
treat patients in their office.
Medical groups. These are organizations that employ or contract with
doctors, nurses, therapists, and others who treat and care for patients.
Medical groups vary in size and the kind of services they offer. Some
groups are small with just one doctor's office. Others are large with
many doctors' offices in a medical group.