How to Apply

Applications for the 2025 PACT Collaborative are now closed

Email PACT@ariadnelabs.org to be contacted with information about the 2026 PACT Collaborative

CRPs have gained support and traction on the national stage. The FY2025 CMS Patient Safety Structural Measure, which began October 1, 2024, includes requirements that hospitals must attest to having “a defined, evidence-based CRP reliably implemented after harm events” and “standard measures to track the performance of our communication and resolution program.” The President’s Council of Advisors on Science and Technology (PCAST) Report and the National Action Alliance to Advance Patient Safety also name CRPs as a specific initiative to transform patient safety.

The first two waves of the PACT Collaborative involved 28 healthcare organizations with nearly 50 healthcare facilities from across the US. Through their participation in PACT, they have:

  • Developed communication coaching programs
  • Developed or enhanced support programs for providers, patients, and families
  • Created new Patient and Family Advisory Councils
  • Refined and standardized process maps
  • Strengthened event review with patient and family narratives
  • Improved timeliness of event reporting
  • Developed new systems to capture process measures

To learn more, download and review the PACT Collaborative Information Packet or email Melissa Parkerton, PACT Director, at mparkerton@ariadnelabs.org

Questions? Review our Frequently Asked Questions to get the answers.

Many healthcare organizations believe that the right way to bring healing and resolution to patients and families when an unexpected and unwelcomed outcome occurs, is through honest, open and on-going communication. However, achieving that goal requires providing their staff with the training, tools and on-going guidance they need to be successful. But organizations don’t have to build these resources alone. The PACT Collaborative can help any organization achieve success. Whether the organization is just beginning this important work, or is well on its journey, the resources provided by the PACT Collaborative are invaluable now, and will continue to be so into the future. Being a member of the PACT Collaborative also brings with it the fellowship and support of the PACT member organizations and their professional staff. Our job together has really just begun.

Larry L. Smith, JD, Vice President, Corporate Risk Management Services, MedStar Health

To learn more about Communication and Resolution Programs, please explore these resources:

BMJ Quality & Safety: Making communication and resolution programmes mission critical in healthcare organisations
JAMA Viewpoint: Another Medical Malpractice Crisis? Try Something Different
Communication and Resolution Programs: What Are They and What Do They Require?
The Impact of CRPs on Liability Costs
NEJM: Responding to Medical Errors — Implementing the Modern Ethical Paradigm
BMJ Quality and Safety: Disclosing medical errors: prioritising the needs of patients and families


If you would like to be contacted by a member of our team to learn more about the PACT Collaborative, please share your information below.