Communication and resolution programs emphasize transparency through early disclosure of adverse events and expedite attempts to resolve incidents. This study examined whether collaboration of health care organizations and malpractice insurers with state regulators through the development of a communication and resolution program certification pilot would enhance health care quality. The authors concluded that the development of such a program can lead to improved patient-centered accountability following an adverse event. They suggest that when designing such a process, care must be given to ensure that regulators' responsibility to act in the public's best interest is not compromised.