Presentation on theme: "Together we can do so much February 5th , 2016:"— Presentation transcript:
1 Together we can do so much February 5th , 2016: Alone we can do so little;Togetherwe cando so much-Helen KellerFebruary 5th , 2016:One Day in the Life of BCBSM’s CQI Program - Four CQIs Addressing Quality of Care for Michigan Residents
2 February 5th Meeting of the Michigan Bariatric Surgery Collaborative (MBSC) Launched: 2005Participants (sites): 38 of 40 hospitalsParticipants: 66 bariatric surgeonsData collection: ~62,000 surgeries to date95% of all bariatric surgeries in MichiganCQI Specifics155 attendees49 surgeons, 74% of MBSC surgeons37 of 38 hospitalsTopics:Preventing blood clotsUnderstanding/reducing ED visitsTool to assist patients in choosing type of bariatric surgeryFebruary 5, 2016 MeetingImprovements are inception to present for all CQIsTo date, an estimated 3,464 patients avoided an unnecessary procedure (IVC filter); yearly, 433 Michigan patients are impacted490 patients did not experience a readmission; that’s ~61 patients per yearSelect Improvements to Date
3 February 5th Meeting of the Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) Launched: 2012Participants (sites): 59 of 61 hospitalsParticipants: 430 orthopedic surgeons and trauma-orthopedic surgeonsData collection: ~100,000 cases to date93% of all knee and hip replacements in MichiganCQI Specifics185 attendees55 physicians (representing their practices and hospitals)58 of 59 facilitiesTopics:Improving readmission ratesAddressing patient factors pre-surgery to improve outcomesMost effective way to capture patient reported outcomesFebruary 5, 2016 MeetingAn estimated 5,200 patients avoided blood transfusions; 2,400 in 20142,500 patients avoided a nursing home stay post-surgerySelect Improvements to DateTotal spend on knee and hip replacements is projected to be over $7 billion annually in the US
4 February 5th Meeting of the Michigan Anticoagulation Quality Improvement Initiative (MAQI2) Launched: 2009Participants (sites): 6 anticoagulation facilities*Participants: 35 physicians, nurses, and pharmacistsData collection: ~25,000 cases to date5% of all anticoagulation cases in MichiganCQI Specifics*Represent various types of delivery in hospitals and freestanding clinics26 attendees7 physicians6 of 6 facilitiesTopics:Blood clots – choice of drug when there is a clotUnderstanding/reducing ED visitsEfficacy of new oral anticoagulant drugsFebruary 5, 2016 Meeting48,000 patients did not receive unnecessary testing (International Normalized Ratio testing)8,200 visitors from all 50 states were educated on anticoagulation guidelines via the MAQI2 toolkitThe mobile app version of the toolkit has been downloaded ~1,000 timesSelect Improvements to DateBlood clot prevention and treatment is one of AHRQ’s top 10 issues impacting patient safety
5 February 5th Meeting of the Michigan Spine Surgery Improvement Collaborative (MSSIC) Launched: 2013Participants (sites): 27 of 36 hospitalsParticipants: 156 neurosurgeons and orthopedic surgeonsData collection: ~36,000 cases to date80% of all spine surgeries in MichiganCQI Specifics91 attendees25 physicians (representing larger practices and hospitals)27 of 27 facilitiesTopics:Dependency on drugs for pain pre & post-surgeryInfection at the surgical siteHow to avoid adverse events (harm to a patient as a result of care)February 5, 2016 MeetingTotal spend on spine surgery is projected to be approximately $13 billion annually in the USThis is a new CQI. Due to the type of data collected, as well as factors such as length of treatment, timing rules, and tracking of patient outcomes, it takes time for the dataset to mature and become robust enough for analyses to occur and quantitative results to be realized.Select Improvements to Date
6 So Much Can be Accomplished in One Day… Over 450 people, including 136 physicians, representing more than 60 hospitals, came together to work together to improve health care quality.These 4 CQIs are a sample of a larger portfolio of over 20 statewide initiatives with hospitals and physicians. These programs have saved Michigan $793 million, the Blues $284 million and have quantified improvements (e.g. Complications reduced or avoided, as well as deaths averted).In just one day, 450+ professionals dedicated to making care better for Michigan patients convened to discuss best practices and commit to taking action across the continuum of pre-op, intra-op, and post-op care by:Reducing and effectively treating blood clots – one of the top issues impacting patient safetyReducing visits to the emergency roomImproving care by reducing complications; determining the best medications; helping patients choose the best surgery; and helping patients improve their health to be better prepared for surgerySavings are for 5 of the longest standing CQIs over a 6-year period.MSSIC - New HudsonMAQI2 - CommerceMBSC - PlymouthMARCQI - LivoniaIf this can happen in a day, imagine the impact in a week…in a month…in a year… in several years…The CQIs are a win for those who seek care, those who provide care, and those who pay for care.