A Note from Leadership - P. Michael Grossman
We have accomplished an incredible amount as a consortium in 2023 and are excited to continue this work as we move into 2024. The 2025 Value Based Reimbursement goals include the opportunity for participating centers to choose their own site-specific quality projects – a first for MISHC. We anticipate incredible growth in the positive impact we as a consortium can make in the lives of structural heart patients in Michigan as a result.
Cardiac rehab remains an important focus and we are pleased to share a recent publication from MISHC and the Michigan Value Collaborative in JACC: Advances – “Predictors and Variation in Cardiac Rehabilitation Participation After Transcatheter Aortic Valve Replacement.” You will also find the newest MiTVT2 Best Practice Protocol on shared decision making in this issue.
Thank you, as always, for your unwavering commitment to improving quality of care and outcomes for patients statewide.
| |
Site Spotlight - Trinity Health Ann Arbor
Trinity Health Ann Arbor realized that their pre-procedural baseline and 30-day KCCQ questionnaire documentation compliance was below the consortium’s average. They scrutinized their process, reached out to other MISHC-participating sites for ideas about how they might improve, and set their goal to 90% compliance for documentation of baseline and 30-day KCCQ. Read our blog to learn how they increased their compliance to 91% and the impact it has on patients.
| |
MISHC Publication
Data from MISHC and the Michigan Value Collaborative was recently published in JACC: Advances. “Predictors and Variation in Cardiac Rehabilitation Participation After Transcatheter Aortic Valve Replacement,” outlines results from a study revealing that just 30.6% of patients who underwent TAVR participated in cardiac rehabilitation within 90 days after discharge. This is despite cardiac rehab being found to increase quality of life and decrease mortality.
Study authors include Devraj Sukul, MD, MSc; Jeremy Albright, PhD; Michael P. Thompson, PhD; Pedro Villablanca, MD; Steven J. Keteyian, PhD; Jessica Yaser; Duane Berkompas, MD; Alphonse DeLucia, MD; Himanshu S. Patel, MD; Stanley J. Chetcuti, MD; and P. Michael Grossman, MD. The publication is available open access on ScienceDirect.
| |
Sheryl Fielding Presents During the 2023 ACC Quality Summit
MISHC Clinical Quality Improvement Lead, Sheryl Fielding, BSN, RN presented with Holly A. Dalton, MSN, RN, of Baylor Scott and White Health during the ACC Quality Summit held October 11 – 13 in Orlando, Florida. Their interactive session “It Takes a Village to Care for TVT Nation!” discussed best practice ideas to improve quality in your structural heart program. You can find Sheryl’s portion of the talk on the presentations page of mishc.org.
| |
New Best
Practice Protocol Shared Decision Making
Shared decision making is guideline-recommended for patients with valvular heart disease. To achieve shared decision making, the heart team, the patient, and their caregiver(s) have a comprehensive discussion to review the risks, benefits, and potential outcomes for all treatment options in combination with the patient’s preferences and goals of care. The new MiTVT2 Shared Decision Making Best Practice Protocol includes tools to assist with the discussion and documentation. Thank you to the MiTVT2 Workgroup for leading the development of this protocol. Learn more and find a link to the protocol on our blog.
| |
Site-Specific VBR Goals for 2025
We are excited you have the opportunity to choose a site-specific QI goal as part of the 2025 Value Based Reimbursement. Patty Theurer presented information on this measure, including a list of sites and their chosen projects, during the coordinator meeting on November 10th. You will find a link to Patty’s presentation in the meeting follow-up email. We encourage you to reach out to sites with similar projects to yours to collaborate and learn from each other. Sheryl Fielding is happy to coordinate introductions as needed.
Don’t hesitate to contact the MISHC Coordinating Center or consult our website for resources as you work on your projects. We look forward to seeing the innovative ways you approach meeting your goals and the impact they have on improving quality of care and outcomes for patients across Michigan.
| |
Work by the Michigan Cardiac Rehab Network Helps Shape National CR Policy
The Michigan Cardiac Rehab Network (MiCR) contributed content to the second edition of the Million Hearts Cardiac Rehabilitation Change Package (CRCP) released in August of 2023. MiCR’s “Sample Blinded Hospital Report for Cardiac Rehab Performance” was included in the CRCP. This resource supports two key drivers: making cardiac rehab a health system priority and using data to drive improvement. The CRCP also includes the MiCR Cardiac Rehab Toolkit’s section, “Eliminating Transportation as a Barrier to Participation.” BMC2 members, Henry Ford Health System and Holland Hospital, also contributed CRCP content. Learn more in the "news" section of bmc2.org.
| |
MISHC Meeting Summaries for Q4 2023
MISHC held the Coordinator/Abstractor Meeting on Friday, November 10th in the Dome at Arbor Lakes, Ann Arbor. The MISHC Collaborative Meeting –combined with the Michigan Society of Thoracic and Cardiovascular Surgery (MSTCVS) Collaborative Meeting – was held on Saturday, November 11th at the VistaTech Center at Schoolcraft College in Livonia. The MiCR Stakeholder Meeting was held on November 17th at the Trinity Health Ann Arbor Intensive Cardiac Rehab Facility. The MiTVT2 Structural Heart Coordinator Educational Meeting was held virtually on December 5th. Read the full MISHC Meeting Summaries for Q4 2023 post on our blog for details, links to presentations, photos, and more.
| |
Welcome New Coordinators and Abstractors
Kim Boldt, RN, Structural Heart Coordinator - Corewell Lakeland Heart and Vascular
Jenna Burgess, RN, BSN, Clinical Database Coordinator - Bronson Methodist Hospital
Denise West, RN, MISHC/TVT Data Abstractor - MyMichigan Health
| |
Staff Spotlight - Jeremy Albright
Jeremy Albright, PhD, is a MISHC Statistician conducting statistical analyses for peer-reviewed research manuscripts that utilize MISHC data. In addition, he provides risk-adjusted estimates of hospital and physician performance and builds machine learning models to predict clinical outcomes. Jeremy has been a contributing author on a wide range of publications in health care research, epidemiology, psychology, pedagogy, and public policy. Learn more about Jeremy, including his favorite past and future MISHC projects, on our blog.
| |
News from BMC2
BMC2 PCI’s multi-year quality improvement initiative resulted in fewer hospital readmissions after coronary revascularization procedures, improving long-term outcomes for patients and reducing health care costs. Additionally, BMC2 has championed companion initiatives that impact readmission prevention, including appropriate pre-PCI hydration, prescription of guideline-directed medical therapy for patients with heart failure, and implementation of quality improvement measures and incentive goals to drive cardiac rehabilitation utilization. The impact is estimated at 250 fewer readmissions and a $5.75 million cost savings annually.
The Blue Cross Blue Shield of Michigan Value Partnerships Update shared BMC2’s success in reducing readmissions after PCI procedures in the October 30th article, “Reducing Readmissions After Heart Procedures." Read more in the Value Partnerships Update article or on our blog.
| |
We Want to Hear From You!
Do you have something to share via our newsletter? We want to hear from you! Email Elizabeth Horn at ehorn@umich.edu.
| |
MISHC is a collaboration between the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Consortium (MSTCVS QC) and the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2.)
Support for MISHC is provided by Blue Cross and Blue Shield of Michigan and Blue Care Network as part of the BCBSM Value Partnerships program.
Although Blue Cross Blue Shield of Michigan and MISHC work collaboratively, the opinions, beliefs, and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs, and viewpoints of BCBSM or any of its employees.
| |
|
|
|
|
