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Our Doctor / Practice Rating Process

Shortcuts:     Adult Primary Care       Pediatricians       Mental Health/Substance Abuse

For nearly a decade the Maine Health Management Coalition has been publishing quality data. During that time, the quality of healthcare delivered in Maine has improved. In fact, according to the latest information published by the Agency for Healthcare Research and Quality (a part of the U.S. Dept. of Health and Human Services) Maine currently ranks 3rd best overall in the U.S. in healthcare quality. We believe publishing quality ratings over these years has contributed to the improvements in Maine.

Healthcare in Maine can be even better; however, we all need to be part of the improvement.  If you want to receive and promote high quality medical care you should select a doctor or hospital of the highest quality, and follow their direction.  You should also speak up and ask questions.  Finally, we ask that you offer your comments and suggestions about this website to us so we too can improve.

Doctor Ratings

Doctors who treat adults voluntarily submit clinical information and the processes they have in place to store and transer patient information to Bridges to Excellence and/or the National Committee on Quality Assurance. These organizations in turn conduct assessments and generate rankings regarding the quality of the care being provided. Bridges to Excellence and the National Committee on Quality Assurance are independent, non-profit organizations that publish information about how well doctors and their staffs across the U.S. are doing at taking care of their patients. Once a ranking is given it remains valid for two to three years.  

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Doctors who treat children (pediatricians) also voluntarily submit clinical information to us.  Because there is no national organization that performs assessments or rankings of pediatricians, we developed our own quality assessment program. In developing our assessment program we held forums of local doctors, patients, employers and health plan representatives and thereby determined what questions to ask and how to assign our ratings.    Furthermore; we periodically conduct random telephonic and on-site audits of practices to help assure that our participants are honestly and accurately submitting their information.

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Doctors who treat mental health and substance abuse also voluntarily submit clinical information to us.  Because there is no national organization that performs assessments or rankings of mental health providers, we developed our own quality assessment program. In developing our assessment program we held forums of local doctors, patients, employers and health plan representatives and thereby determined what questions to ask and how to assign our ratings.    Furthermore; we periodically conduct random telephonic and on-site audits of practices to help assure that our participants are honestly and accurately submitting their information.

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From time to time we may raise the bar regarding what constitutes a “good”, “better” or in the case of office systems a “best” rating.   When we do that, we give the doctors ample notice that their ranking could change if they do not make improvements.

When national programs become available for doctors who treat children, mental health and substance abuse we will work to use them instead of our own surveys.

For a more detailed description of the metrics that contribute to our doctor, pediatrician, practice group, mental health, and substance abuse ratings, please review our Adult Practice Rating Methodology, Pediatric Practice Rating MethodologyPractice Group Rating Methodology and Behavioral Health Rating Methodology.