Collaborative Meeting October 2, 2020 Meeting will start shortly, please stand by!
Welcome! A Few Housekeeping Notes: • It’s Great to “see” you all today, we can’t wait to REALLY see you! • We will be recording all presentations today • Everyone will be on mute with no video • Use the Chat function to ask questions • Bathroom/coffee break at 10:35
• Participation points and CME will be offered to all SCQRs who view all four sessions (3 live today and 1 pre-recorded) o Pre-recorded session available on our website o Once you have attended or viewed all four sessions , please complete an evaluation of the sessions to confirm completion and claim your CME/CEU credits, instructions will be sent by email after this meeting. o The deadline for completing this process is November 16, 2020 in order to receive the points & CME. • The SUCCESS Study meeting will immediately follow the last speaker, please take a short break and remain on the zoom, we will unmute you so you can participate.
Wor ork of k of the MSQ SQC Impacting P Pop opula lation ions
Vu JV, Howard RA, Gunaseelan V, Brummett CM, Waljee JF, Englesbe MJ. N Engl J Med . 2019;381(7):680-682.
60 Michigan Control states (IN, KY) 50 (# 5 mg Oxycodone tablets) Opioid prescription size 40 30 20 10 IN 7 day limit MI 7 day limit 0
Racism Health Behaviors
DESIGNING IMPACTF TFUL UL QI FOR T THE FUTUR URE • Smoking cessation at every clinical encounter • Activity counseling at every clinical encounter • Social determinant screening and referral at every encounter • Anti-racist and population health focus of every clinical presentation • System-wide expansion metrics regarding % Medicaid patients will serve
Referral to Surgical Follow up Surgical Care Ends Surgery Discharge surgery consult What if instead of surgical care looking like this…
Surgical Follow up Surgery Health Screening Discharge Referral Surgical Care Ends consult Smoking Cessation Referral SDOH Screening Diet Dietician, diet plan Health Structured exercise program Activity It looked like this? Improvement Continues Obesity Weight loss, bariatric eval Mental Health Psychology, CBT referral
Demand payment for these measures….
Prehab Interest Survey • SCQRs • Surgeon Champions • Anesthesia providers • Any person involved in care leading up to day of surgery. • Purpose: Assess needs for health behavior interventions in preoperative period. 5-10 minutes. • Email to come. Share with anyone! Help us serve Take the survey now! you! Point your camera app at the QR code and select the link.
Accountability for Cancer Care through Undoing Racism and Equity (ACCURE)
2020 QI Updates and 2021 Quality Improvement Initiatives
2020 Performance Index – Review Collaborative Wide Measure – 20 points available • Increasing the response rate to the PRO at 30 days • Focusing on 4 questions • Goal >45% average for ALL sites to receive the total 20 points Currently= 65.7% •
2020 Performance Index – Review Quality Improvement Implementation Project Sites chose 2 procedure groups 5 goals Goal #1: 90% of discharge prescriptions at or below the M-OPEN prescribing recommendations
2020 Performance Index – Review Quality Improvement Implementation Project (continued) Goal #2: Meet 80% compliance on performance metrics Preadmission & Postop pain management teaching • Pre/intraoperative/Postop multimodal pain • management
2020 Performance Index – Review Quality Improvement Implementation Project (continued) Goal #3: Maintain or improve surgical site pain scores Based on the % of mild pain scores (0-3) reported at 30 • days post-surgery
2020 Performance Index – Review Quality Improvement Implementation Project (continued) Goal #4: Enter complete discharge prescription information for ALL MSQC procedures
2020 Performance Index – Review Quality Improvement Implementation Project (continued) Goal #5: Complete project report (tracking sheet with narrative), and include the following: • Preop and postop education materials to address pain management • Documented order set or practice model for providing intraoperative pain management 2020 Project report due to MSQC Coordinating Center by 3/15/2021
2020 Box Reports Currently available in your Box folders: Includes completed cases • Measurement period data for Goals #2 and #3 included • Data through 7/31/2020 • October report release in the next few weeks, with data • through 9/30/2020
Quality Improvement Initiatives for 2021 Will offer 3 options: #1 Colorectal Cancer Project • Includes colorectal cancer measures and need for improvement with those measures • Must currently be collecting CRC variables #2 Major Hernia Care Pathway • Includes preop, intraop, postop and hernia-specific measures #3 Hysterectomy Care Pathway • Includes preop, intraop, postop and hysterectomy-specific measures
2021 Scorecard and QI Projects • New collaborative-wide measure for 2021 – Increase use of intraoperative multimodal pain management for all MSQC case types • 2021 QI projects submitted to BCBSM on 9/25/2020 • Waiting for approval • After Coordinating Center receives final approval from BCBSM, we will share project descriptions and PI scorecard with all sites
What's Next… • Data reports will be uploaded to Box folders in October • Review data reports within 1-2 weeks of release to submit any case edit requests that may be needed • Once approved by BCBSM, the Coordinating Center will release the final 2021 QI Project options • Continue doing the amazing work of gathering the 30 day PROs for the CWM • Continue working on the 2020 QI Measures • Any questions, please reach out to Coordinating Center
SUCCESS Study Surgical Urinary Catheter Care Enhancement Safety Dr. Jennifer Meddings
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