A Note from Peter Henke
Collaborative Quality Initiatives, or CQIs, address many of the most common and costly areas of surgical and medical care in Michigan. Blue Cross Blue Shield of Michigan provides funding which allows hospitals and physicians to work in a collaborative environment, and supports data collection, analysis, and administrative oversight. According to the CQI website, an estimated $1.4 billion in statewide health care costs have been saved by a subset of the CQIs due to decreased complications and improved patient outcomes.
BMC2 is proud to collaborate with other CQIs. The Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative, or MSTCVS-QC, and BMC2 collaborate in the management of the Michigan TAVR registry. BMC2 also partners with Michigan OPEN, which helps us to identify best practices for opioid prescription in post-surgical patients.
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Site Spotlight - Beaumont Dearborn
While no one has quite cracked the code for patient participation in post-event cardiac rehab, the team at Beaumont Hospital, Dearborn, is making headway.
A few years ago, in-hospital patient contact hovered around 50% prior to discharge and outpatient participation ran true to the industry standard of around 20%. Hoping to improve participation rates, cardiac rehab at Beaumont Hospital, Dearborn worked to include “referral to Phase II cardiac rehab” in the post-PCI, CABG, SAVR and TAVR physician order sets. Each morning, the team dedicates staff time to review those referrals, then staff visits the patients at bedside. There the team member can discuss the benefits of cardiac rehab services; determine the patient’s interest in participating; find out which site is most convenient for the patient, and, most importantly, hand deliver a physician referral and cardiac rehab program information for next steps. These initiatives increased inpatient contact rates to consistently greater than the 90% BMC2 threshold. Click here to read the full story.
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CQI Spotlight - Healthy Behavior Optimization for Michigan
Facing a major health event like pregnancy, the need for surgery, or the diagnosis of cancer or a chronic disease, can lead to teachable moments for patients. Healthy Behavior Optimization for Michigan, or HBOM, is a new CQI that aspires to enable and motivate primary care and specialty physicians to design and work within systems that positively affect health behaviors.
HBOM believes that both patients and providers have an opportunity to teach and learn around these moments and make better choices about diet, exercise, and tobacco use, leading to long-term change. Their motto is to make the healthy choice, the easy choice. “Our goal is to provide hospitals, clinics, physicians, and other caregivers with the resources and support they need to promote healthy behaviors among their patients,” said Dr. Tammy Chang, Program Director of HBOM. Read the full article.
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New Best Practice Protocol - Groin Bleed Protocol
The BMC2 PCI Groin Bleed Best Practice Protocol is in the form of a PDF which can be printed at letter size or pocket-card size. We are also sharing a jpg version for easy download to smartphone picture files. It includes instructions to stop bleeding as well as instructions for assessing for instability, volume resuscitating, and diagnostic testing. It also includes information on specific anti-platelet and anti-coagulant issues and other special considerations. View the complete downloadable protocol on our website. We encourage you to print and share these with your teams.
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National Meeting
“Impact of Left Ventricular End-Diastolic Pressure on the Outcomes of Patients a Undergoing Percutaneous Coronary Intervention” was presented via a poster by Dr. Lorenzo Azzalini at the Transcatheter Cardiovascular Therapeutics (TCT) conference November 4 – 6. Co-authors were Milan Seth, Devraj Sukul, Dilip S. Arora, Joseph Chattahi, Abdulfatah Osman, Vishal Gupta, Giuseppe Tarantini, Mamas Mamas, and Hitinder Gurm. Click here to view the poster.
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BMC2 Meeting Summaries
The Vascular Surgery Collaborative Meeting was held on November 4th.
The PCI Webinar was held on November 18th.
Thanks to all who attended our November meetings. Did you miss a meeting or do you need a refresher? Read our summaries.
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Upcoming Meetings
The next PCI Coordinator Meeting will be held on January 13th from 10 am – 11 am - virtual
The next Vascular Surgery Coordinator Meeting will be held on January 19th from 11 am – 12 pm - virtual
The next PCI Physician Meeting will be held on February 10th from 6 pm – 7:30 pm - virtual
The next Vascular Surgery Physician Meeting will be held on May 18th from 11:30 am – 5 pm with an MVS/VQI/SVS national speaker from 6 pm – 9 pm - Grand Traverse Resort. Coordinators are invited to attend and their attendance is optional.
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Welcome New VS Project Coordinator
Heather Oliver-Weimer, BSN, RN - McLaren Northern Michigan
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Staff Spotlight - Amy Shirato
Amy Shirato is a Clinical Quality Improvement Lead for PCI. Amy was new to the team in April of 2021 but was a longtime former colleague of our own Sheryl Fielding.
Amy provides education to registry participants to assure they understand how to collect data, interpret reports, and use registry data to improve quality at their respective facility. She processes data requests and creates query specifications for programmers. She also assists with the development of BMC2 PCI data fields, PCI reports, pay for performance, and VBR goals. Additionally, Amy assists with educational meetings, training materials and relevant tools for our participating sites to use for quality improvement and assists with special projects, develops surveys, and assists physicians and coordinators with the peer-review process. Read the full article.
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Patient Engagement at BMC2
We are seeking additional patients that represent the diversity of our State to join the newly convened 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. Learn more.
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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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