Table 1

Participating hospitals, insurers and individuals*

IdentifierDescriptionParticipating individuals, n
Baseline interviewsFinal
interviews
Conference
calls
InsurerA risk retention group that insures a group of academic medical centres for professional liability.210
BIDMCA not-for-profit academic medical centre system in eastern Massachusetts. BIDMC’s liability insurance carrier is Insurer. Insurer also provides insurance for most of the physicians who practise in BIDMC hospitals.
 BIDMC-1A 672-bed, level I trauma centre in an urban area.2211
 BIDMC-2An 88-bed, acute care general hospital in a suburban area.333
 BIDMC-3A 58-bed, acute care general hospital in a suburban area.226
BaystateA not-for-profit academic medical centre system in central and western Massachusetts. Baystate self-insures its hospitals and employees and offers optional insurance to affiliated community physicians and practices. Risk management functions are carried out at the hospital level, but central administration plays a major role in claims management.122
 Baystate-1A 716-bed, level I trauma centre in an urban area.653
 Baystate-2A 90-bed, acute care general hospital in a suburban area.225
 Baystate-3A 25-bed, acute care general hospital in a suburban area.212
Total201832
  • Participants in the row for ‘Baystate’ worked across all three Baystate hospitals. Two participants shown in the row for Baystate-2 also performed work for Baystate-1. Two participants from the Insurer were interviewed together at their request.

  • *Hospital characteristics are reported as of the time the study was completed.

  • BIDMC, Beth Israel Deaconess Medical Center.