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Michigan
Success
Stories: MICHIGAN
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MPRO,
the Michigan QIO, is an active member of the Michigan Health and
Safety Coalition, appointed by Governor Jennifer Granholm in 2004
to serve as the official State Commission on patient safety. In the
fall of 2005, the Commission will issue a report and recommendations
to improve patient safety across Michigan . The Commission is
c omprised of health care plans such as Blue Cross Blue Shield of Michigan
(BCBSM), health care providers, medical associations, state agencies
such as the Michigan Department of Community Health, as well as the
three major auto companies and the United Auto Workers Union. MPRO
has facilitated discussions among expert clinical review panels and
achieved consensus on “hospital volume guidelines,” created
as a statewide response to the national referral guides published by
the Leapfrog Group. The panel has also created guidelines for various
disease states based on the most recent evidence-based medical literature.
- Hilton Convalescent
Home partnered with MPRO, Michigan’s QIO, in a pain management
project to raise staff awareness and reduce chronic pain scores.
Hilton's score on the Chronic Pain Measure dropped from November
2002 was 10% to 0% in August 2003.
- MPRO, Michigan’s
QIO, worked with the Michigan governor’s office and the Michigan
Department of Community Health to develop the Governor's Quality Care
Awards, which aims to encourage physicians to improve preventive care
screenings for breast cancer and diabetes, and increase influenza and
pneumococcal pneumonia immunizations. More than 500 physician offices
have received the award since 2001; in 2005, two new categories were
added - Electronic Health Records and Chronic Care.
- MPRO, Michigan’s
QIO, collaborated with Detroit’s three health systems, The American
Medical Association Foundation, Michigan Center for Rural Health, and
the American Diabetes Association to reduce health disparities by providing
physician training in cultural competency and health literacy. They
achieved more than 60 percent reduction in the difference between Caucasian
and African-American diabetic patients receiving lipid profile testing.
- The Michigan
QIO, MPRO, hosts an annual Home Health Fall Conference where providers
come together to learn more about quality improvement initiatives and
network to share projects with their peers. At the conference, MPRO
awards the Michigan Award of Excellence to agencies that are actively
engaged in quality improvement projects.
- MPRO, Michigan’s
QIO, worked with providers across care settings (hospitals, community
groups, nursing homes, home health and assisted living) to reduce inappropriate
hospital admissions. The rate of inappropriate admissions in the target
group was reduced from 73.1 % at baseline (2001) to 50.3 % at remeasurement
(late 2004 to early 2005).
- MPRO, Michigan’s
QIO, worked with the American College of Cardiology, Greater Detroit
Health Council, and the Greater Flint Health Coalition, including 33
hospitals with 383 cardiologists in 10 health systems, to reduce mortality
for heart attack patients where standardized care is implemented. The
improved care – which included recommended tests, prevention
drugs, and lifestyle advice – led to a lower death rate at 30
days and one year for patients treated in participating hospitals.
- Thirty-three
Michigan hospitals perfect heart care processes: A partnership between the
Michigan QIO (MPRO), the American College of Cardiology, two local
health coalitions (The Greater Detroit Area Health Council and the
Greater Flint Health Coalition), joined with 33 hospitals in three
AMI Guidelines Applied in Practice ( GAP ) projects. Interventions
included identification of a hospital physician champion and project
leader, structured learning sessions, a collaborative learning environment,
focused communications, and regular hospital leader reports. For
the University of Michigan Medical Center, a hospital collaborator,
quality of care measures at admission showed improvement: aspirin
on admission went from 88.98% to 100% and Beta-blocker on admission
went from 75% to 100%. Later quality of care measures evaluated at
discharge also improved: aspirin at discharge (85.7% vs. 100%); Beta-blocker
therapy (60% vs. 100%); dietary counseling (81.8% vs. 96.7%).
- Hilton
Convalescent Home nearDetroit cuts chronic pain among residents:
Hilton Convalescent Home volunteered to partner with MPRO, the Michigan
QIO, in a pain management project that raised not only the pain awareness
of Hilton staff but resulted in reduced chronic pain scores. Hilton’s
score on the Chronic Pain Measure for November 2002 was 10%. In August
2003, that same score dropped to 0%. Hilton’s “Pain Team” focused
on increasing the involvement of the nursing home staff in quality
improvement efforts and boosted staff commitment through active participation
in the creation of a project slogan that spearheaded the Miles
of Smiles campaign.
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