A Note from Peter Henke
Last month we saw the return of in-person meetings for BMC2 with the Vascular Surgery Physician Meeting at Grand Traverse Resort in Acme, MI. It was so refreshing to see colleagues face-to-face after years of meeting virtually. We look forward to welcoming physicians to the Kellogg Hotel and Conference Center in East Lansing for the Vascular Surgery Physician Meeting on July 21st and our PCI physicians will have an opportunity to see each other in person at Cantoro Italian Market in Plymouth on November 10th.
While we have missed in-person meetings during the pandemic, the virtual platform did help to improve the way we offer coordinator training, enhanced audits, and site visits. We also appreciated the flexibility it offered while we attended meetings from our home, office, or on the road. We plan to merge the best of both experiences as we move forward by offering a mix of both virtual meetings and in-person events, for as long as it is safe to do so.
We look forward to seeing you in the coming months, no matter the location. The work that you do is essential to recording and disseminating data and using what we learn to improve quality of care and outcomes for patients across Michigan. THANK YOU for your partnership!
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Site Spotlight - Spectrum Health
When BMC2 revealed its new 2022 Pay for Performance (P4P) goal of documentation of 1-year follow-up imaging after EVAR at ≥ 70%, Michele Forist, RN, looked at her site’s data and saw there was some improvement to be made. Michele presented this challenge to the Vascular Surgery Expert Improvement Team (EIT) in the hopes of getting their feedback and collaborating to solve the problem. Read our blog to learn about the collaboration that led to improvement.
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Patient Spotlight - Carol Miller
Carol Miller believes cardiac rehab is essential. It is one reason she joined the BMC2 PCI Patient Advisory Council. She remembers only a few details from February 9th, 2019, the day she entered McLaren Port Huron Hospital and was diagnosed with a STEMI.
Carol arrived in the emergency department with a heart rate in the 40s and in cardiogenic shock. Her liver, kidneys, and pancreas had failed. Her troponin was over 79. She was transferred to the cath lab where she went into cardiac arrest and was treated by placement of a temporary transvenous pacemaker for a complete heart block. She underwent left heart catheterization and percutaneous transluminal coronary angioplasty and stenting of a totally occluded right coronary artery. After, she was transferred to the ICU. Continue reading on our blog.
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New Publication
Using BMC2 data, the study concluded that despite lifestyle and medical management being recommended as the first step to treat patients with peripheral artery disease (PAD), only half of patients were on optimal medical therapy before surgery. A lower risk of postoperative mortality, MI, and readmission was found for patients who did receive optimal therapy.
The findings suggest that there are both significant opportunities to improve clinical utilization of evidence-based treatment of PAD and that doing so can provide postoperative benefits to patients. The paper’s authors are Ryan Howard, Jeremy Albright, Chloe Powell, Nicholas Osborne, Matthew Corriere, Eugene Laveroni, Devraj Sukul, Philip Goodney, and Peter Henke. More information can be found at PubMed.
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BMC2 in the News
An article on the newly formed MiCR Network is included in the BCBSM Value Partnerships Update for June. The network, a collaboration between BMC2 and the Michigan Value Collaborative (MVC), strives to increase cardiac rehab participation for all eligible patients in Michigan through resources and education.
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News from MISHC
An article on the Michigan Structural Heart Consortium's (MISHC’s) new name and expansion to cover mitral valve procedures was recently published by the Blue Cross Blue Shield of Michigan Value Partnerships Update. Click here to read the inaugural MISHC newsletter in its entirety.
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National Presentations
BMC2 Vascular Surgery data was presented at SVS/VAM 2022 which was held June 15 - 18 in Boston.
Dr. Kiran A. Goyal presented, “Beta Blockers are Associated with Decreased 30-Day Postoperative Stroke Risk Following Both Carotid Stenting and Endarterectomy in Patients with Hypertension.” The study found that, in the study population, patients receiving beta-blocker therapy at hospital admission experienced a significant reduction in odds of experiencing stroke within the 30-day postoperative period in comparison to those taking ARB or ACEI, following both CAS and CEA. Read more in our blog.
Dr. Christopher O. Audu presented the poster “Opioid Prescription and Usage Patterns After Open Abdominal Aortic Aneurysm Repair in Opioid-Naïve Patients.” The study concluded that while there is large variability in the number of pills prescribed to opioid-naïve patients after open abdominal aortic aneurysm repair at discharge, 90% of patients have transitioned to non-opioid pain medication by 7 days after discharge. Visit our blog to learn what this may mean for patients.
Dr. Loay S. Kabbani presented, “Utilization Of Preoperative Vein Mapping in Patients Undergoing Infra-inguinal Bypass Is Associated With Increased Use Of Venous Conduits.” The study concluded that most patients do not have perioperative vein mapping (PVM) before their infra inguinal bypass (IIB). Patients who undergo PVM are more than twice as likely to have a venous conduit used for their bypass. PVM may be a marker for physicians who are interested in best practices for IIB. Study co-authors are Abdul Kader Natour, Peter Henke, Alexander Shepard, Robert Cuff, Nick Mouawad, Mark Mattos, and Timothy Nypaver. Learn more about this study on our blog.
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BMC2 Meeting Summaries
The Vascular Surgery Annual Coordinator Meeting was held on June 15th from 10 am – 12 pm and featured talks on aortic dissection, contrast associated AKI after EVAR, and hyperperfusion syndrome after CEA as well as a presentation of a QI project by Spectrum Health.
The Michigan Cardiac Rehab (MiCR) Network Meeting was held on June 15th from 4– 5 pm. We unveiled our new branding, heard a talk on smoking cessation by Dt. Tammy Chang of HBOM, and discussed creating a cardiac rehab toolbox.
If you missed a meeting, you can visit our blog to read meeting summaries as well as find links to meeting presentations on YouTube when available.
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Upcoming Meetings
The next PCI Coordinator Meeting will be held on July 14th from 10 – 11 am.
The next Vascular Surgery Physician Meeting will be held on July 21st from 5:30 – 9 pm at the Kellogg Hotel and Conference Center in East Lansing, MI. Physicians only.
The PCI Meeting to Discuss 2023 P4P Goals will be held on August 9th from 5:30 – 6:30 pm. Join us for this opportunity to share your preferences for 2023 goals. Look for a survey that you will receive in advance. This meeting is optional.
The next Vascular Surgery Coordinator Meeting will be held on August 17th from 11 am – 12 pm.
The next PCI Physician Meeting will be held on November 10th from 6 – 8 pm at Cantoro Italian Market in Plymouth, MI. Physicians only.
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Welcome New Vascular Surgery Coordinator
Alayna Froelich, RN - Ascension Borgess
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Opportunities for Participation
Free 1-1 Counseling Offered by Michigan OPEN - To support appropriate prescribing for vascular surgery patients, Michigan OPEN is offering BMC2 vascular surgeons the opportunity to participate in tailored, one-on-one counseling sessions. Sessions provide unbiased, evidence-based information about medications and prescribing. Participants will be compensated for their time. Learn more on our blog.
Imaging Educational Series - BMC2 seeks to create a library of archived cases to be used for training purposes. Do you have de-identified images to share? If so, this is an opportunity to contribute to BMC2’s ability to share and discuss ways to improve appropriate use of imaging during future meetings. This will lead to improved procedural and patient outcomes after PCI. Please contact the Coordinating Center if you have images or are interested in leading and participating in this initiative.
Patient Engagement at BMC2 - We are seeking additional patients that represent the diversity of our state to join our BMC2 PCI Patient Advisory Council. Can you recommend a patient to this group? There is no up-front commitment and patients will be compensated for their time.
Send the patient’s name and contact info to Annemarie Forrest, avassalo@umich.edu; or Pam Benci, plf@umich.edu. You can learn more about patient responsibilities and what we are looking for in a patient advisor by visiting our blog.
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Enjoy Your Summer!
We will take a break from our regularly scheduled newsletter in July. In the meantime, keep an eye on social media for breaking news and new multimedia content. We look forward to the return of the newsletter in August as we head into fall.
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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 Walker at ehorn@umich.edu.
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Support for BMC2 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 BMC2 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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