Surgical Infection Prevention: Success Stories MICHIGAN Michigan Advances in Surgical Infection Prevention through MPRO Collaborative Twenty-one hospitals received an acknowledgement plaque for their participation in MPRO’s Southeast Michigan Surgical Infection Prevention (SIP) Collaborative, a voluntary project. The MPRO award was presented by Dale Bratzler, DO, MPH, principal coordinator at the Oklahoma Foundation for Medical Quality. Dr. Bratzler is a clinical expert for the National SIP Project. “Remeasurement data shows that the hospitals participating in the Collaborative stand well above the national average for the three quality measures they studied,” said Nancy Vecchioni, RN, director of quality at MPRO. For Quality Measure 1, prophylactic antibiotics within one hour prior to surgery start, participants’ base line was 68.6% and remeasurement was 88.2%. For Quality Measure 2, prophylactic antibiotic consistent with current recommendations, the Collaborative’s base line was 93.6% and rose to 95.5%. Lastly, for Quality Measure 3, discontinuation of prophylactic antibiotic, collaborative members began at 49.5% and concluded the project at 70.9%. MPRO analysts conducted a business study on one participating hospital. The study found that for a medium-sized urban hospital in Michigan , the payback period for the SIP quality improvement project was calculated to be 4.9 months. In other words, all of the costs (primarily the time cost of staff) involved in implementing quality improvement processes for SIP within the organization should result in higher revenues in less than five months. “The direct benefits of the SIP quality improvement project are higher revenues from increased patient volume; decreased costs from improved efficiencies; reduced length of stay; lower pharmacy costs from discontinuing antibiotics in 24 hours; and a reduction in unnecessary use of expensive antibiotics,” said Canopy Roychoudhury, PhD, senior analyst at MPRO. The initiative was the first statewide collaborative of its kind facilitated by MPRO, the Medicare Quality Improvement Organization for Michigan, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. MPRO is continuing to assist hospitals improve quality of care. For more information, contact: Susan Burns, (248) 465-7375; sburns@mpro.org This material was prepared by MRPO, the Medicare Quality Improvement Organization for Michigan , under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy.

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