A Note from Leadership - Raed Alnajjar
I recently joined the MISHC Coordinating Center Leadership as a Co-program Director and am excited to be writing to you for the first time. I look forward to continuing to foster the collaboration between cardiologists and CT surgeons, working to reinforce the value of partnership in structural heart care. I’m also eager to develop best practice guidelines for structural heart procedures and share MISHC’s work and experience at the national level.
This issue of the newsletter includes a report on ways in which MISHC and BMC2 are outperforming the nation on key critical-to-quality measures. We also shine a spotlight on the quality improvement goals achieved by Corewell Health Dearborn Hospital to increase KCCQ and NYHA documentation and our meeting summaries link to a variety of resources available to help you as you work to better the lives of your patients.
We thank you for your continued support of quality initiatives and your partnership with us in all you do. Wishing you an incredible summer!
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Spotlight on Corewell Health East Dearborn Hospital
Corewell Health East Dearborn Hospital's structural heart team is committed to doing everything possible to improve outcomes for the patients in their care. The group respects the roles of each player and fosters effective communication. “There is a strong collaboration with all team members," said Dennis Hoy, MSA, BSN, RN, Director, Cardiovascular Services. "The team follows the model of high reliability with open and effective communication where anyone can speak up, with special attention when something may not seem or sound right.”
Previously, the Structural Heart Program recognized opportunities in multiple areas related to documentation. These included the 5-meter walk, the MISHC KCCQ, and the NYHA heart failure class documentation VBR goals.
Read our blog to learn about the projects they put in place and how the results they achieved exceeded collaborative goals.
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Demonstrating the Power of CQIs
A recent analysis of MISHC and BMC2 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 MISHC 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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VBR
Thank you, MISHC Physician Champions, for completing our VBR survey. We look forward to discussing possible VBR goals during the MISHC Collaborative Webinar on June 28th.
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National Meeting
TVT2023 was held in Phoenix this month. We hope many of you were able to connect while attending.
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Michigan Cardiac Rehab Network
The Michigan Cardiac Rehab Network (MiCR) will release updated cardiac rehab utilization reports in late June or early July. The reports will be posted on mishc.org and will include information about post-TAVR CR use. Please share them with your colleagues in cardiac rehab and consider how you can work together to act on driving increased utilization. If you need help identifying the right contacts at your hospital, please email the MISHC Coordinating Center at info.mishc@umich.edu.
Want to learn more about resources available through MiCR, including activities and achievements, meeting presentations, toolkits, and best practices? Stay tuned for a new MiCR-specific website coming later this year. In the meantime, visit the MiCR page on bmc2.org.
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Newsletter Archive is Now Accessible from MISHC.org
We have made it easier for you to find previous newsletter articles and share information about MISHC with your colleagues. Visit the “News and Events” page on mishc.org and then click on “Newsletters” to find links to our previous issues by year.
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MISHC Meeting Summaries
The MISHC Collaborative Webinar was held on Tuesday, April 18th. After a welcome by Dr. P. Michael Grossman, Dr. Jaffar M. Khan, of NHLBI, NIH presented on Hypoattenuating Leaflet
Thickening. You will find a video of Dr. Khan's presentation on our YouTube channel. Dr. Chetcuti also moderated the discussion after a case presentation on Structural Valve Deterioration by Dr. Bashar Al Jayyousi. Before the meeting adjourned, Dr. P. Michael Grossman moderated the next steps for MISHC related to HALT, including the consideration of a statewide best practice. You will find a pdf of Dr. Al Jayyousi's presentation on the password-protected side of MISHC.org. More information about this meeting can be found in our follow-up email.
The MiTVT2 Meeting for structural heart coordinators was held on April 20th from 9 am - 10 am. Sheryl Fielding welcomed, Annette Fruge of MyMichigan Health and Dr. Janet Wyman of Henry Ford Health System, to share an overview of the MISHC TAVR Readmission Prevention Best Practice Protocol. You will find a video of their presentation on our YouTube channel.
The MISHC Coordinator/Abstractor Meeting was held on Tuesday, May 23rd from 9 am – 10 am. A PDF of the full meeting presentation is posted on the password-protected section of MISHC.org. 2022 Q4 MISHC Reports are available on the password-protected side of MISHC.org and the QI Project Plan and Summary Form can be found on MISHC.org under "Coordinator Resources" and "General Resources." Sheryl will be asking you to share your projects at the July Coordinator Virtual Meeting. You can reach out to her if you need help in determining a quality project. More details on these items, along with links to additional resources can be found in our meeting follow-up email.
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Upcoming Meetings
The MISHC Collaborative Webinar will be held on June 28th from 6 pm – 7:30 pm. Dr. Jennifer Cowger of Henry Ford Health will present on patient heart failure optimization before edge-to-edge repair. Dr. Dee Dee Wang from Henry Ford Hospital, Dr. Neal Duggan from Michigan Medicine, and MISHC Co-Program Director, Dr. Stanley Chetcuti, will share information on appropriateness for mitral edge-to-edge repair. View the complete agenda on our website.
The MISHC Coordinator/Abstractor Meeting will be held on Friday, November 10th from 10 am – 3 pm in the Arbor Lakes Dome, 4251 Plymouth Rd. Ann Arbor, MI.
The MISHC Collaborative Meeting will be held in coordination with the MSTCVS Quality Collaborative Meeting on Saturday, November 11th from 9 am – 12 pm in the VistaTech Center at Schoolcraft College. We welcome and encourage you to stay for the afternoon session hosted by MSTCVS-QC.
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 - Melissa Clark
Structural heart disease is one of the fastest-growing fields in cardiovascular medicine. Melissa Clark is a registered nurse with a master’s degree in nursing informatics and is the Quality Initiatives Coordinator for the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative (MSTCVS Quality Collaborative). MISHC is a collaboration between the MSTCVS Quality Collaborative and the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2).
“My desire to continue improving care for patients with cardiovascular disease and the potential to impact care at the state, national, and international level drew me to MSTCVS,” Melissa said.
A typical day for Melissa includes supporting the MSTCVS Quality Collaborative Coordinating Center and assisting with audits and coordinator meetings. Her favorite part of the workday is interacting with data managers and Quality Initiative team members from around Michigan and supporting them in improving care for their patients.
Read more about Melissa and her work on our blog.
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Welcome New Coordinators
Stephanie Serra, RN, BSN - Corewell Health system
Jerilyn Fortier, RN, BSN - Munson Medical Center
Julie Johnson, RN, BSN - Munson Medical Center
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Opportunities for Participation
NEW Become a MISHC Social Media Ambassador - Are you interested in launching and establishing a presence on social media professionally or do you already actively participate on social media in a professional capacity? Consider becoming 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. She will help by:
- Assisting you with setting up your account(s) or reviewing current accounts to optimize your success.
- Ensuring you are following us on Twitter, LinkedIn, and YouTube.
- Giving you tips for commenting and liking posts, quote retweeting, and more.
- Sending you media reports containing consortium information for sharing.
- Sharing ready-made, editable posts and graphics to assist you in sharing MISHC social media campaigns.
We hope to hear from you soon!
Submit Photos of Your Team At Work - We would love to feature you on our website! Send photos of your teams in the cath lab or performing other tasks to the Coordinating Center at info.mishc@umich.edu.
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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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