Angioplasty

Percutaneous coronary intervention, commonly known as angioplasty or coronary angioplasty, is a therapeutic procedure used to treat the narrowed arteries of the heart. Close to a million angioplasties are performed in the U.S. each year. The Angioplasty CQI is designed to improve care for heart-disease patients who undergo angioplasty by reducing complications including kidney damage, the need for blood transfusions, and ultimately open-heart surgery. Participants also learn from one another by sharing best practices based on evidence-based medicine to improve quality and outcomes.

The initiative focuses on angioplasty procedures and collects data on approximately 25,000 artery-clearing angioplasties each year. It assesses complication rates such as kidney failure and heart attack as well as the need for emergency open heart surgery. Using the data, the initiative developed pocket-size cards and suggested guidelines to help physicians better manage patients at risk of serious complications by:

  • Evaluating evidence-based disease management in patients undergoing angioplasty
  • Identifying opportunities for quality improvement both locally and across the consortium
  • Developing risk assessment models and tools

For more information, go to bmc2.org.

Results

The Blue Cross Blue Shield of Michigan Cardiovascular Consortium-Percutaneous Coronary Intervention (BMC2-PCI) was the first Collaborative Quality Initiative.  Results to date include:

  • 5 percent reduction in contrast-induced nephropathy (2008-2014)
  • 4 percent reduction in blood transfusions after angioplasty (2008-2014)
  • 52 percent reduction in vascular complications (2008-2014)
  • 20 percent increase in cardiac rehabilitation referral (2008-2014)
  • In 2011, BMC2 PCI ventured into uncharted territory of physician review and compliance with nationally recognized appropriateness guidelines. In 2010, potentially inappropriate cases were an estimated 8.3 percent of all Michigan PCI cases; by 2013, this had dropped to 3 percent.
 

Participating Hospitals

Allegiance Health
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Beaumont Hospital, Royal Oak
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Beaumont Hospital, Troy
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Borgess Medical Center
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Bronson Methodist Hospital
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Covenant Medical Center
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Crittenton Hospital Medical Center
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Genesys Regional Medical Center
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Harper University Hospital & Hutzel’s Women’s Hospital
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Henry Ford Hospital (Detroit)
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Henry Ford Macomb Hospital – Clinton Township
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Lakeland Hospitals at Niles & St.Joseph
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McLaren Bay
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McLaren Flint
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McLaren Greater Lansing
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McLaren Macomb
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McLaren Northern Michigan Hospital
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McLaren Port Huron Hospital
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Mercy Health Partners
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MidMichigan Medical Center – Midland
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Munson Medical Center
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Beaumont Hospital, Dearborn
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St. John Hospital and Medical Center
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St. John Macomb Oakland
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St. John Providence Hospital
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St. Joseph Mercy Hospital Ann Arbor
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St. Joseph Mercy Oakland
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St. Mary’s of Michigan
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Sinai-Grace Hospital
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Sparrow Hospital
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Spectrum Health
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UP Health System Marquette
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Michigan Medicine
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