1. WILLIAM M. SAGE, MD, JD THE UNIVERSITY OF TEXAS AT AUSTIN The Texas Disclosure and Compensation Study SAGE1

2. 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. SAGE2

3. 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 SAGE3

4. 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 SAGE4