A Note from Hitinder Gurm
Virtual site visits have been an important way for us to stay connected during the pandemic. Members of the Coordinating Center meet with teams at participating hospitals for an opportunity to ask questions and share ideas. We value site feedback on what makes participating in BMC2 valuable to you, and how we can better support you in your quality initiative efforts.
We appreciate hearing your suggestions for ways that we can direct our future work in quality improvement to continue to positively impact cardiovascular care for patients across the State of Michigan. It’s also an opportunity for us to hear your successes and collaborate to share them across the consortium. We look forward to continuing this practice of site visits and meeting with those we haven’t yet met over the coming months.
Michigan is truly one of the safest places to receive cardiovascular care. Throughout this month's newsletter, you’ll find examples of this, including a new best practice protocol, a feature on vascular surgery’s collaboration with Michigan OPEN, and information on a video that highlights BMC2 versus national data. THANKS for all you have done, and continue to do, to make this the case for patients across the state.
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BMC2 Vascular Surgery Partners with Michigan OPEN to Reduce Opioid Prescriptions
Michigan OPEN’s mission is to change the trajectory of the opioid epidemic, finding transformative solutions through research, engagement, and evidence-based actions. BMC2 Vascular Surgery collaborates with Michigan OPEN to develop prescribing recommendations for patients who undergo vascular surgery procedures. In addition to working on prescribing guidelines, Michigan OPEN does community outreach, Naloxone training, helps patients with transitions of care, informs policy, and more.
At our most recent vascular surgery meeting, Mark Bicket, MD, PhD, FASA, Assistant Professor, Anesthesiology and co-director of Michigan OPEN, gave the presentation, “Optimizing Pain Relief After Vascular Surgery for EVAR and CEA.”
Dr. Bicket explained that in order to help patients through their recovery with fewer opioids, we need to give them some additional training. It’s important to help patients understand what the process and procedure are going to be like and to set expectations around their procedure. Continue reading.
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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.
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New Video Highlights BMC2's Outperformance of National Averages
BMC2 collects data that helps inform quality improvements to PCI care and the State of Michigan performs at levels that outpace national averages. BMC2 hospitals have higher rates of aspirin, statins, and all recommended medications prescribed at discharge. We better document radiation use during procedures and use less radiation overall. We also perform fewer blood transfusions after PCI and have more referrals to cardiac rehab. These achievements are highlighted in a brief video describing these performance measures and the impact they have on patients. The video is available on our website and our YouTube channel and has been posted on our social media channels. We invite you to view it and share it with your colleagues and patients to demonstrate the amazing results we achieve when our teams share what they have learned and grow together.
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New PCI Best Practice Protocol - Management of Radial/Ulnar Access Bleeding and Hematoma
A new Best Practice Protocol (BPP), Management of Radial/Ulnar Access Bleeding and Hematoma, is now available on BMC2.org. This protocol is available as a zip file with several formats including jpgs for easy viewing on your phone or tablet, a pocket-sized printable PDF, and a PDF suitable for printing at 8.5” x 11”. This BPP includes step-by-step instructions to aid in stopping bleeding and information on specific anti-platelet and anti-coagulant management issues. Find this, and other BPPs, on our website under “Quality Improvement” and “Best Practices.”
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BMC2 Meeting Summaries
The PCI Collaborative Meeting was held on May 12th. We heard from Patient Advisory Council member, Lisa Cardillo who reflected on her experiences as a cardiovascular patient. Dr. Stephanie Spehar and Dr. David Nerenz both presented work on racial disparities. Dr. Devraj Sukul presented slides demonstrating how BMC2 data compares to NCDR data. Case presentations on atherectomy and lithotripsy were given by Dr. Amir Kaki of Ascension St. John Hospital and Dr. Babar Basir of Henry Ford Hospital. The meeting concluded with BMC2 updates from Dr. Gurm.
The Vascular Surgery Physician Meeting was held on May 18th. Dr. Mark Bicket presented on optimizing pain relief after vascular surgery followed by a VQI data review from Dr. Mansour and a BMC2 data review by Dr. Henke. We then heard from Dr. Mitchell Weaver of Henry Ford Hospital who shared the MVSG Arterial Quality Committee Report. The MSVG Venous Quality Committee Report was presented by Dr. Mansour and the MVSG Research VQI Committee Report was given by Dr. Nick Osborne from Michigan Medicine.
Michigan Medicine’s Dr. Drew Braet presented, “CIN in EVAR” and Dr. Paul Bove, from Beaumont Health, presented “ICAVL and Carotid Studies in MI.”
We heard from Dr. Kush Sharma of Spectrum Health who presented “Advanced Tibial and Endo PAD Procedures. Following Dr. Sharma’s talk, Henry Ford Jackson Hospital’s Dr. Jordan Knepper shared “Management of Pulmonary Emboli” and Dr. Andrew Kimball from Spectrum Health presented “Updates in Aortic Dissection.”
In the evening, Dr. Gilbert Upchurch, Jr., presented “My/Our History of Thoracoabdominal Aortic Repair.”
Thanks to all who attended our May meetings. Did you miss a meeting or do you need a refresher? Read our full summaries.
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BMC2's Sheryl Fielding Recieves Staff Award for Excellence
Sheryl Fielding, BMC2’s Clinical Quality Improvement Lead for MISHC, has been honored with a Staff Award for Excellence by Michigan Medicine’s Department of Internal Medicine. An exemplary team member, Sheryl has been instrumental in making Michigan a leader in structural heart care. BMC2 Program Manager, Annemarie Forrest, reflects, “Sheryl has graciously handled change in workflow, management, and overall team membership at BMC2 in the last year and will be a critical player in expanding the scope of our work in the years to come.” Please join us in congratulating Sheryl and click through to read more about her achievements and contributions.
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Upcoming Meetings
The next Vascular Surgery Coordinator Meeting will be held on June 15th from 11 am – 12 pm.
The next MiCR Meeting will be held on June 15th from 4 pm – 5 pm.
The next PCI Coordinator Meeting will be held on July 14th from 10 am – 11 am.
The next Vascular Surgery Physician Meeting will be held on July 21st from 6 pm – 9 pm at the Kellogg Hotel & Conference Center in East Lansing, MI.
The next PCI Physician Meeting will be held on November 10 from 6 pm – 8 pm at Cantoro Italian Market in Plymouth, MI.
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Welcome New VS Coordinators
Lindsey Paulick, RN – Beaumont Health
Melissa Wienczewski, RN – Beaumont Health
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Happy Retirement!
Sharon Hunsberger, MSN, RN – Ascension Borgess
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NEW - 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 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.
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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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