A Note from Leadership - Stanley Chetcuti
We hope you have had an incredible summer. Over the past quarter, MISHC’s work improving collecting and documenting Kansas City Cardiomyopathy Questionnaires caught the attention of Blue Cross Blue Shield of Michigan and was shared via an article in their Value Partnerships Update.
The MISHC Coordinating Center staff has dedicated time to adding more resources for consortium participants including a dedicated email for correspondence about MISHC publications and a consortium-wide calendar. You can expect the new Best Practice Protocol, “Post-TAVR Conduction System Abnormalities” soon.
We enjoyed gathering with you during the MISHC Collaborative Webinar in June and are eagerly awaiting our in-person MISHC Coordinator/Abstractor Meeting and MISHC Collaborative Meeting in Southeast Michigan this November.
Your partnership with us at the Coordinating Center and with each other across the state makes all the difference for patients undergoing structural heart procedures in Michigan. Thank you for your commitment to improving quality of care and outcomes, yesterday, today, and tomorrow.
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Improving Quality of Life for Patients with Heart Valve Replacement
Blue Cross Blue Shield of Michigan published the article “Improving Quality of Life for Patients with Heart Valve Replacement” in their Value Partnerships Update. The piece outlines the ways that the Michigan Structural Heart Consortium (MISHC) worked to improve the collection and documentation of the Kansas City Cardiomyopathy Questionnaire (KCCQ) and, as a result, can more accurately detect changes in the KCCQ summary score, which measures quality of life for patients who undergo TAVR procedures. MISHC hospitals collect KCCQ documentation more often than the national average. They saw a 21% increase in the KCCQ summary score from 2016 through 2022 and MISHC patients report a better quality of life 30 days after TAVR compared to the nation. Read the complete article at valuepartnerships.com.
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2025 MISHC TAVR VBR Approved by BCBSM
The 2025 MISHC TAVR Value Based Recognition (VBR) Metrics have been approved by Blue Cross Blue Shield of Michigan and will be effective January 1st, 2024. You will also find more details below and can also access the measures on mishc.org under “Quality Improvement” and “Performance Indexes” and then MISHC VBR Goals. Read our blog for more information about the process for confirming site-specific VBR measures. Thank you for your input in choosing these goals and for your unwavering commitment to improving quality of care and outcomes for patients in Michigan.
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New Process for Report Distribution
The MISHC Coordinating Center will roll out a new process by which you will access your MISHC reports beginning with Q2 2023 reports.
You will no longer access your reports via the password-protected side of mishc.org. Instead, those with report access will receive a secure email to their inbox. Every quarter these links will expire, and you will be provided with a new link to your sites’ data. That link will take you to a directory with your updated current and previous reports.
If you misplace your unique quarterly link, you can use our new lookup tool and have your information re-sent to you. This lookup tool is accessible at downloads.mishc.org. Please do not request a new link from MISHC staff.
For more information about this change, including examples of what the emails will look like, read our blog.
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Reminder to Utilize the Contact Update Form to Update Contacts
Please use the Contact Update Form on mishc.org to add, update, or remove contacts from your site. This is the most efficient way for MISHC to ensure we are providing information to the relevant team members at your site. It also ensures the correct people have data entry and report receipt access and that new team members requiring training receive the appropriate information. You will find this link near the top of our “Coordinator Resources” page.
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New Best
Practice Protocol
A new Best Practice Protocol, “Post-TAVR Conduction System Abnormalities,” is now available on mishc.org. The protocol includes a predictive model for permanent pacemaker requirement that outlines patient and procedural factors. It provides a best practice workflow for each of the currently identified groups of patients with peri-procedural types of management regarding conduction abnormalities. MISHC best practice protocols are based on consortium-wide consensus at the time of publication and are updated regularly. Please remember that best practice protocols do not replace the professional opinion of the treating physician. Thank you to Amr E Abbas, MD, and Brittany Pridham, NP, for leading the development of this resource.
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National Meeting
The ACC Quality Summit will be held October 11th – 13th in Orlando, Florida. On Friday, October 13th from 9:15 am – 10:15 am, don’t miss MISHC Clinical Quality Improvement Lead Sheryl Fielding, RN, BSN, in the interactive session “It Takes a Village to Care for TVT Nation!” Sheryl will join Holly A. Dalton, MSN, RN, of Baylor Scott and White Health to discuss best practice ideas to optimize your Structural Heart Disease Program.
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Virtual Pre-Procedure Visits Have Ended
The Federal COVID-19 Public Health Emergency ended May 11th, 2023; virtual pre-procedure visits also ended. Please plan accordingly. Learn more about what this change means for your practice and your patients at CDC.gov.
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New Resources Available on MISHC.ORG
The Coordinating Center has established a new email address for correspondence about MISHC publications. Learn more about how to use publications.mishc@umich.edu by reading our blog. We are also piloting a comprehensive calendar that displays MISHC and BMC2 meetings, deadlines, and dates and locations of national and international conferences, all in one place. You will find the PDF available for download from our website under “Coordinator Resources” then “General Resources.” Additionally, we are pleased to now share health equity resources from Michigan Social Health Interventions to Eliminate Disparities (MSHIELD) on the BMC2 website.
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MISHC Meeting Summaries for Q3 2023
MISHC held the MISHC Collaborative Webinar on June 28th, the MISHC Coordinator/Abstractor Meeting on July 25th, the MISHC Coordinator/Abstractor Meeting on September 12th, and the MiTVT2 Shared Decision-Making Best Practice Workgroup on September 15th. Read the full MISHC Meeting Summaries for Q3 2023 post on our blog for details, links to presentations, and more.
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Upcoming Meetings
The MISHC Coordinator/Abstractor Meeting will be held on Friday, November 10th from 10 am – 3 pm in the Dome at Arbor Lakes, Ann Arbor, Michigan. The MISHC Collaborative Meeting - combined with the Michigan Society of Thoracic and Cardiovascular Surgery (MSTCVS) Collaborative Meeting – will be held on Saturday, November 11th, 2023, at 9 am at the VistaTech Center at Schoolcraft College in Livonia, Michigan. Registration and details will follow soon!
The MiCR Stakeholder Meeting will be held on November 17th from 10 am – 3 pm at the Trinity Health Ann Arbor Intensive Cardiac Rehab Facility.
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Staff Spotlight - Jeff Hartnagle
Applications Programmer Senior, Jeff Hartnagle, joined MISHC in May of 2023. Jeff maintains and develops server and database applications to support the collection and distribution of MISHC data. He also handles special data requests as they arise. Jeff was drawn to MISHC by the opportunity to apply his years of commercial experience to projects that work toward better health outcomes for patients in Michigan. He is excited to work with the team at the Coordinating Center to continue making data more accessible and easier to understand and is enjoying learning more about cardiovascular procedures and outcomes. Learn more about Jeff by visiting our blog.
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News from BMC2
Blue Cross Blue Shield of Michigan’s Value Partnerships Update published the article “Increasing Surveillance of EVAR Patients to Improve Long-term Outcomes.” The article shares how BMC2’s quality improvement initiatives led to a dramatic improvement in surveillance imaging documentation for endovascular aneurysm repair (EVAR) procedures in hospitals across Michigan with an increase of over 65% since 2017. Performing and documenting this surveillance imaging allows BMC2 providers to improve patient outcomes by more often spotting and mitigating potential aneurysm ruptures. Read the entire article in the “News” section of bmc2.org.
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Opportunities for Participation
MISHC Social Media Ambassadors Still Needed - We would love to have you on board as a MISHC Social Media Ambassador. We have resources to help you get started, ensure you are following current best practices, and provide you with tools to help you share the successes of the consortium. Contact Elizabeth Horn at ehorn@umich.edu for more information or to get started.
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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.
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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.
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