Jim Dupree

Jim Dupree, M.D., M.P.H. is the Director of MVC

The next MVC collaborative-wide meeting is coming up soon, November 3rd at Schoolcraft College http://www.schoolcraft.edu/vistatech/maps-parking

I wanted to take a minute to explain why I’m particularly excited for this fall’s meeting. In the six months since our last collaborative-wide meeting, the coordinating center has been hard at work across several fronts:

  • We have expanded our peer-to-peer workgroups program to offer more hospitals a platform for learning from and teaching each other about best practices for improving care. This has included new workgroups about optimizing skilled nursing facility/extended care facility use for patients with congestive heart failure. We have also expanded these workgroups to cover topics such as palliative care and how to establish a heart failure clinic. For more information about joining these workgroups, please contact Abeer Yassine at abeery@med.umich.edu
  • We have added two new services lines: Atrial Fibrillation and Nephrolithiasis. Atrial Fibrillation represents a common reason for inpatient admission and the service line data expands our ability to provide actionable data about medial admissions. Nephrolithiasis is a high-volume surgery, and we now have a window into emergency department (ED) visits and/or hospital admissions that occur after this outpatient procedure.
  • In response to your comments, we have made several improvements to the registry website and its underlying data. For example, we have improved the accuracy of the National Provider Identification (NPI) number available on Blue Cross Blue Shield of Michigan (BCBSM) claims. In addition, we added patient age, gender and comorbidities (COPD, diabetes and ESRD) filters to the BCBSM claims. Finally, in response to your suggestions, we have added an index place of service indicator that allows users to identify episodes beginning in the hospital inpatient, outpatient, or ED settings.

On November 3rd, we will discuss the next opportunities for value improvement in Michigan.  These include:

  1. A focus on the emergency department as a location for improving healthcare value. We will learn from Donna Fox from Michigan Medicine about their program that leverages social and medical supports to reduce ED visits and readmissions. We will also learn from Lauran Hardin about a population-based intervention to reduce ED utilization and cost for high-need patients.
  2. A special presentation from Dr. Keith Kocher Program Director for the Michigan Emergency Department Improvement Collaborative (MEDIC). MVC members have asked previously for increased collaboration with other BCBSM collaborative quality initiatives, and Dr. Kocher will introduce the PATH initiative to prevent avoidable hospitalizations after ED visit.
  3. The launch of an important new initiative aimed at improving safe births in Michigan. Many hospitals are working to reduce the use of C-section for low-risk births, and we now have new tools to assist in those efforts. Dr. Dan Morgan will discuss this initiative at the collaborative-wide meeting and seek your feedback.

The November 3rd meeting will offer the Collaborative a chance to decide how we, collectively, want to improve the value of health care in Michigan.  We look forward to seeing you at Schoolcraft College (http://www.schoolcraft.edu/vistatech/maps-parking) on November 3rd . Please be sure to register by clicking here.  And as always, contact us at shiyuan@med.umich.edu with any suggestions or questions.