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MSQC: Collaborative Quality Initiatives for Health & Cost Improvement

Discover how Michigan Surgical Quality Collaborative's approach and partnership with BCBSM save money and boost quality in healthcare through collaborative strategies and best practices. Learn about NSQIP, SSI prevention, and the impact of improved quality on cost savings. 8

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MSQC: Collaborative Quality Initiatives for Health & Cost Improvement

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  1. Improved Quality Saves Money The Michigan Surgical Quality Collaborative (MSQC) Presenter: Darrell (Skip) Campbell, M.D.

  2. A new approach to inpatient quality improvement: • Regional collaboration among hospitals

  3. MSQC • 34 Michigan hospitals • A standardized reporting format • Hospitals collaborate to share information • A partnership with BCBSM Collaborative Quality Initiatives: A Strategy That Works for Improving Health Care Quality & Cost

  4. The MSQC: what we do • Collect surgical quality data • Identify “best performers” • Identify “best practices” in the best performing hospitals • Share the information Collaborative Quality Initiatives: A Strategy That Works for Improving Health Care Quality & Cost

  5. NSQIPNational Surgical Quality Improvement Project • Prospective • Standardized definitions • Trained nurse reviewers • Defined endpoints • 30 day mortality • 30 day morbidity • RISK ADJUSTMENT

  6. Best Performers

  7. Michigan Surgical Quality Collaborative SSI Prevention Worksheet Clean Cases – MSQC hospitals Clean-contaminated Cases – MSQC hospitals (national NSQIP average = 1.45%) (national NSQIP average = 4.17%)

  8. The partnership with BCBSM • Participation in MSQC is part of a state wide hospital incentive program • Pay for participation, not performance • All costs of participation are covered, based on a uniform formula • BCBSM sees only aggregate data Collaborative Quality Initiatives: A Strategy That Works for Improving Health Care Quality & Cost

  9. Collegial Non-competitive MSQC: Guiding Principles FRIENDLY Collaborative Quality Initiatives: A Strategy That Works for Improving Health Care Quality & Cost

  10. How do we collaborate? • Quarterly meetings at BCBSM • Audience response system • MSQC web site • Hard copy MSQC Newsletter • You Tube (best practices) • Email Collaborative Quality Initiatives: A Strategy That Works for Improving Health Care Quality & Cost

  11. Do surgical results improve? Yes.

  12. Avg Morbidity O/E Ratio between MSQC and NSQIP (Gen and Vasc Surgery): 2005 - 2007 Collaborative Quality Initiatives: A Strategy That Works for Improving Health Care Quality & Cost

  13. Does improved quality save $ ? Yes.

  14. VAP: Ventilator Associated Pneumonia

  15. A life threatening complication Expensive (excess cost $55K/pt) The Problem of VAP

  16. % △ TP1 – TP 2

  17. Back of the envelope… • 34,000 cases in MSQC TP-1-TP-2 • 2.42% VAP TP-1 • 1.69% VAP TP-2 • 34,000 X 2.42%= 823 cases • 34,000 X 1.69% = 575 cases • 823-575 = 248 • 248 cases X 55K $ = $ 13,640,000

  18. The Michigan Surgical Quality Collaborative (34 Hospitals) Collaborative Quality Initiatives: A Strategy That Works for Improving Health Care Quality & Cost

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