Transcript New VP PPT Template 11-2014

Alone we can do so little;
Together
we can
do so much
-Helen Keller
February 5th , 2016:
One Day in the Life of BCBSM’s CQI Program Four CQIs Addressing Quality of Care for Michigan Residents
February 5th Meeting of the
Michigan Bariatric Surgery Collaborative
(MBSC)
February 5, 2016 Meeting
• 155 attendees
• 49 surgeons, 74% of MBSC surgeons
• 37 of 38 hospitals
• Topics:
• Preventing blood clots
• Understanding/reducing ED visits
• Tool to assist patients in choosing type of bariatric
surgery
Select Improvements to Date
• To date, an estimated 3,464 patients avoided an
unnecessary procedure (IVC filter); yearly, 433
Michigan patients are impacted
• 490 patients did not experience a readmission;
that’s ~61 patients per year
February 5th Meeting of the
Michigan Arthroplasty Registry Collaborative Quality Initiative
(MARCQI)
February 5, 2016 Meeting
• 185 attendees
• 55 physicians (representing their practices and hospitals)
• 58 of 59 facilities
• Topics:
• Improving readmission rates
• Addressing patient factors pre-surgery to improve
outcomes
• Most effective way to capture patient reported
outcomes
Select Improvements to Date
• An estimated 5,200 patients avoided blood
transfusions; 2,400 in 2014
• 2,500 patients avoided a nursing home stay postsurgery
Total spend on knee and hip
replacements is projected to be over
$7 billion annually in the US
February 5th Meeting of the
Michigan Anticoagulation Quality Improvement Initiative
(MAQI2)
*Represent various types of delivery in hospitals and freestanding clinics
February 5, 2016 Meeting
• 26 attendees
• 7 physicians
• 6 of 6 facilities
• Topics:
• Blood clots – choice of drug when there is a clot
• Understanding/reducing ED visits
• Efficacy of new oral anticoagulant drugs
Select Improvements to Date
• 48,000 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 toolkit
• The mobile app version of the toolkit has been
downloaded ~1,000 times
Blood clot prevention and treatment is
one of AHRQ’s top 10 issues
impacting patient safety
February 5th Meeting of the
Michigan Spine Surgery Improvement Collaborative
(MSSIC)
February 5, 2016 Meeting
• 91 attendees
• 25 physicians (representing larger practices and hospitals)
• 27 of 27 facilities
• Topics:
• Dependency on drugs for pain pre & post-surgery
• Infection at the surgical site
• How to avoid adverse events (harm to a patient as
a result of care)
Select Improvements to Date
• This 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.
Total spend on spine surgery is
projected to be approximately
$13 billion annually in the US
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.
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 safety
• Reducing visits to the emergency room
• Improving 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 surgery
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).
MSSIC - New Hudson
MBSC - Plymouth
MAQI2 - Commerce
MARCQI - Livonia
If 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.