CRP Certification: Promoting Accountability and Learning after Adverse Events

Communication and Resolution Programs (CRPs) are a rapidly emerging innovation for promoting patient-centered accountability and learning following adverse events. CRP Certification involves a panel of CRP experts and patient advocates reviewing voluntarily submitted CRP cases to determine whether the response contained all the CRP key elements (early event reporting, disclosure to patient, event analysis and prevention planning, resolution with patient, disseminated learning). Cases meeting this standard will be “CRP Certified.” This project will conduct an evaluation of the effectiveness of the CRP Certification Program including a descriptive analysis of the cases presented for review and their disposition; reviewing state board of medicine records to describe how the boards responded to CRP certified cases; and conducting key informant interviews with institutional risk managers, liability insurers, board of medicine members, patient advocates, and participating physicians to explore their perceptions of the strengths and weaknesses of the CRP Certification Program.

Detecting, Addressing and Learning From Patient-Perceived Breakdowns in Care

The goals of this project are to develop, implement, disseminate, and evaluate a program for detecting, addressing, and preventing patient-perceived breakdowns in care.

CRP Certification: A Novel Approach to Accountability and Regulation Following Medical Error

This project will launch and evaluate the Communication and Resolution Program (CRP), a novel approach to balancing professional self-regulation and public oversight in the response to medical error.

The Collaborative for Accountability after Medical Injury

Communication and Resolution Programs (CRPs) have started to spread nationally. Following adverse events, these programs conduct a rapid investigation of what happened, provide a full explanation about the event and apology to the patient, proactively make an offer of compensation to the patient if the care was found to be unreasonable, and ensure that lessons learned are integrated back into care delivery to prevent recurrences. The Collaborative for Accountability after Medical Injury is poised to bring CRPs to scale in the US and beyond. This project aims to strengthen and spread CRPs across the country by providing mentorship and guidance on best practices; create a policy environment that supports, rather than inhibits, CRPs; and cultivate the growing community for CRP pioneers everywhere.