A Note from Hitinder GurmConsortium work has led to myriad successes that improve quality of care and outcomes for patients across Michigan and globally.
In this issue of our newsletter, you will read how Michigan exceeds the nation on key measures that include prescribing guideline-recommended medications, lowering transfusion rates, and increasing referrals to cardiac rehab. You will learn what BMC2 data have taught us about the impact of race and socioeconomic deprivation on outcomes following lower extremity bypass. You will find new resources for sharing post-PCI procedure discharge instructions with patients, multi-modal materials created in partnership with our Patient Advisory Council.
I will have the honor of sharing the rich history and the impact of BMC2 at the 25th annual meeting of Cardiac Care Outcomes Assessment Program (COAP) in Seattle on June 7th. COAP is the cardiac quality improvement collaborative for PCI and cardiac surgery in Washington state and they are very interested in adopting many of our practices and resource for quality improvement. It is wonderful to see that our work is having an impact outside Michigan.
We look forward to learning, sharing, and networking with you in person as we gather in May for the PCI Coordinator Meeting and the PCI Collaborative Meeting, in Ann Arbor, and the Vascular Surgery Physician Meeting in Boyne Falls. THANK YOU for your partnership today and always.
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Demonstrating the Power of CQIsA recent analysis of BMC2 and MISHC data compared to national registry data partners revealed a variety of critical-to-quality measures on which Michigan participants excel. These measures include the prescription of guideline-recommended medication at discharge, increased referral to cardiac rehab, decreased length of hospital stay, decreased rates of transfusion, and more.
Patients in Michigan clearly benefit from the strength of the collaborative work of BMC2 through improvements in care and outcomes.
Read our full article on these measures, and view the corresponding graphs, on our blog.
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New Resource on Post-procedure Care for Patients Undergoing PCIMembers of the consortium and our Patient Advisory Council collaborated to create supplemental instructions for discharge after percutaneous coronary intervention. This two-sided document includes written instructions and an infographic. It helps patients recognize which adverse symptoms to watch out for and includes parameters for calling your doctor versus 911 when symptoms arise. The document also contains a section on what patients should know about their medications and a reminder for patients to schedule their first cardiac rehab appointment.
A video version of the document is available on YouTube for those with barriers to sight or reading. We encourage hospitals to include this resource in their discharge packet for PCI patients to provide a quick look at the most important things to know after discharge, as a supplement to the more detailed and lengthier after-visit summary.
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P4P and VBR ReminderLooking for details about BMC2 Pay for Performance (P4P) and Value-based Reimbursement (VBR) goals? You will find this information on our website. Visit the “Quality Improvement” section and then click on “Performance Indexes” for current lists, information, and links.
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New Database LaunchThank you for your partnership and participation as we worked to create a new database for BMC2. This database, which utilizes the REDCap environment, launched during the first week of April. You will find REDCap details, including training and information on REDCap access, features, and accounts, on our website under “Member Resources” and then “Coordinator Resources.”
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MISHC News The MISHC Collaborative Webinar was held on Tuesday, April 18th from 6 pm – 7:30 pm.
Dr. Jaffar M. Khan, of NHLBI, NIH presented on Hypoattenuating Leaflet Thickening (HALT). You will find a video of Dr. Khan's presentation on our YouTube channel.
Dr. Bashar Al Jayyousi's case presentations on TAVR structural valve deterioration are available on the password-protected side of mishc.org.
Volunteers who are interested in participating in developing guidance surrounding HALT please contact Annemarie Forrest by emailing avassalo@med.umich.edu.
You will find our newest MISHC best practice protocols, for antithrombotic therapy post-TAVR and MISHC TAVR readmission prevention, on mishc.org.
Please join us to discuss current topics in TEER and TMVR during the MISHC Collaborative Webinar. This gathering will be held on Tuesday, June 20th from 6 pm – 7:30 pm.
Save the date for the MISHC Coordinator/Abstractor Meeting on Friday, November 10th, 2023. The meeting will be held from 10 am – 3 pm and the location for this event is still being determined. 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 from 9 am – 12 pm at the VistaTech Center at Schoolcraft College. Registration and details will follow soon!
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Upcoming MeetingsThe MiCR Meeting will be held on May 4th from 12 pm – 1 pm. Dr. Sherry Grace, York University, will discuss Cardiologists' and CV Surgeons' attitudes toward cardiac rehabilitation, and the design team from HBOM will engage attendees on using design to overcome barriers to enrollment in cardiac rehab. All are welcome to attend. Click here for the Zoom link. You will find the meeting agenda on our website.
BMC2 PCI Annual Coordinator Meeting will be held on Friday, May 5th from 10 am – 3 pm at the Matthaei Botanical Gardens in Ann Arbor. The event will include an update on TAVR and coronary access, a deep dive into BMC2 resources, and a guided tour of the space. We’ll also learn from a variety of coordinators from around the state as they discuss their QI successes and challenges. The meeting agenda is on our website.
BMC2 PCI Collaborative Meeting will be held on Saturday, May 6th from 10 am – 2:30 pm at the Kensington Hotel in Ann Arbor. We’ll hear from the Patient Advisory Council, discuss complete revascularization, hear the latest on coronary access after TAVR, and gain insight into advances in radiation management. Visit our website to view the agenda.
The BMC2 Vascular Surgery and MVS Physician Meeting will be held in person at Boyne Mountain Resort on May 17th from 11:30 am – 5 pm, followed by the MVS spring meeting from 6 pm – 9 pm. Learn the latest on social media best practices for physicians, discuss updates to national guidelines, and review BMC2 and VQI performance on key quality measures. Non-physician participants are welcome to attend. View the agenda on our website.
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Welcome New CoordinatorsVascular Surgery
Diane Fidler, RN, Henry Ford Wyandotte.
PCI
Christine Perez, Michigan Outpatient Vascular Institute (MOVI)
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Opportunities for ParticipationPatient 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.
Visit our website to download a patient-facing poster to share more about the council and how to get involved. If you prefer, contact the coordinating center and we will print copies for you and mail them to you. 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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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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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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