Accountability & Transparency- CME Paid Option-Building a Culture of Safety - Accountability and Transparency (720p HD)

Video Transcription

Video Summary

This webinar session in the “Building a Culture of Safety” series focuses on Domain 4 (Accountability and Transparency) of the CMS Patient Safety Structural Measure (PSSM). Presenter Amanda Donlan reviews how hospitals will attest to statements across five PSSM domains via the Hospital Quality Reporting (HQR) system, with reporting beginning for CY2025 and first submission in fall 2026; scores (0–5) will be publicly displayed on Care Compare. Domain 4 emphasizes open discussion of safety events, strong reporting culture without fear, learning from harm, and sharing safety data.<br /><br />Key elements covered include: (1) having a confidential safety reporting system for staff and patients, plus a feedback loop; (2) reporting serious events, near misses, and precursors to an AHRQ-listed Patient Safety Organization (PSO); (3) tracking and sharing patient safety metrics with all staff and publicly within units, while addressing barriers like transparency concerns and data understanding; (4) implementing an evidence-based Communication and Resolution Program after harm events (e.g., AHRQ CANDOR), including disclosure, investigation, caregiver support, and reconciliation; and (5) using standard measures to track program performance and reporting them to the governing board at least quarterly.<br /><br />The session concludes with improvement recommendations, resource links, and upcoming related events and webinars.

Keywords

CMS Patient Safety Structural Measure (PSSM)

Domain 4 Accountability and Transparency

Hospital Quality Reporting (HQR) system

Care Compare public reporting

confidential safety reporting system

AHRQ Patient Safety Organization (PSO) reporting

Communication and Resolution Program (CANDOR)

patient safety metrics and transparency