The New Hampshire Health Care Quality Assurance Commission was established in August 2005 with the passage of HB-514 by the state legislature. It was reauthorized in 2010 (RSA 151-G). The charge of the Commission is to review and analyze quality of care and patient safety issues in hospitals and freestanding ambulatory surgery centers. The membership includes a representative from each organization.

Lori Key, Director, Quality & Safety at Dartmouth-Hitchcock Medical Center in Lebanon, chairs the Commission and Anne Diefendorf, Associate Executive Director with the Foundation for Healthy Communities, acts as administrator.

The members of the New Hampshire Health Care Quality Assurance Commission adopted the following principles in 2009 to promote high quality and safe care to all patients seeking services in our organizations:


  • Promote High Reliability Organizations
  • Adopt Evidence-Based Best Practices to Improve Outcomes
  • Establish Just Cultures within our Organizations

These principles are acted upon in a variety of ways including the statewide adoption of consensus-based patient safety initiatives, the commitment to accountability through data collection and reporting, the sharing of evidence-based best practices and the candid conversations related to adverse events and near misses.