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Improved Quality Saves Money

Improved Quality Saves Money. The Michigan Surgical Quality Collaborative (MSQC) Presenter: Darrell (Skip) Campbell, M.D. A new approach to inpatient quality improvement:. Regional collaboration among hospitals. MSQC. 34 Michigan hospitals A standardized reporting format

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Improved Quality Saves Money

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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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