General surgery

The Michigan Surgical Quality Collaborative is outperforming national initiatives in surgical outcomes, including reduction in complications and in surgical site infections.

A collaboration among 72 Michigan hospital participants in this initiative has successfully built a large data registry, and has shared and analyzed the data to develop evidence-based care processes that reduce complications, improve safety and save valuable health care dollars.

For more information, go to msqc.org.

Results

The goal of the Michigan Surgical Quality Consortium is to evaluate and improve the quality of general and vascular surgery while reducing health care costs.  Successes include:

  • Colectomy Procedures (2012-2016)
    • Reduction of 34% in surgical site infection rate
    • Greater than 36% increase on adherence to 3 colectomy bundle elements:
      • Oral antibiotics with bowel preparation
      • Postoperative glucose less than 140mg/dl
      • Prophylactic Antibiotic Selection
  • Colon Cancer (2014-2016)
    • Rate for positive margins has decreased (improved) 8.27%
  • Rectal Cancer (2014-2016)
    • The rate for 12 or more lymph nodes examined increased 4.4%
    • The positive margin rate decreased 2.02%
    • Organ Space surgical site infection has decreased 1.42%
  • Hysterectomy (2012-2014)
    • Developed an evidence based 4-item bundle of care processes (minimally invasive surgical approach, avoidance of hemostatic agents, surgical time <2 hours, and appropriate antibiotics) associated with fewer complications and readmissions.
    • Identified the increased cost of robotic hysterectomy for benign disease ($3,200 per case)
    • Identified decreased rates of superficial site infection and blood transfusion for robotic versus laparoscopic or vaginal hysterectomy.

 

 

Participating Hospitals

Allegiance Health
Huron Medical Center
Alpena Regional Medical Center
Beaumont Hospital, Dearborn
Beaumont Hospital, Farmington Hills
Beaumont Hospital, Grosse Pointe
Beaumont Hospital, Royal Oak
Beaumont Hospital, Taylor
Beaumont Hospital, Trenton
Beaumont Hospital, Troy
Beaumont Hospital, Wayne
Borgess Medical Center
Bronson Battle Creek Health System
Bronson Methodist Hospital
Covenant Medical Center
Crittenton Hospital Medical Center
Detroit Receiving Hospital And University Health Center
Dickinson County Memorial Hospital
Garden City Hospital
Genesys Regional Medical Center
Harper University Hospital & Hutzel’s Women’s Hospital
Henry Ford Hospital (Detroit)
Henry Ford Macomb Hospital – Clinton Township
Henry Ford West Bloomfield Hospital
Henry Ford Wyandotte Hospital
Hillsdale Community Health Center
Holland Hospital
Hurley Medical Center
Huron Valley Sinai Hospital
Lake Huron Medical Center
Lakeland Hospitals at Niles & St.Joseph
McLaren Bay
McLaren Central Michigan Community Hospital
McLaren Flint
McLaren Greater Lansing
McLaren Lapeer Regional Medical Center
McLaren Macomb
McLaren Northern Michigan Hospital
McLaren Oakland
McLaren Port Huron Hospital
Memorial Healthcare (Owosso)
Mercy Health Partners – Muskegon
Mercy Health Partners – Hackley Campus
Mercy Health – St. Mary’s Campus
Metro Health Hospital (Grand Rapids)
Michigan Medicine
Mid Michigan Medical Center – Clare
MidMichigan Medical Center – Gratiot
MidMichigan Medical Center – Midland
Munson Medical Center
Munson Healthcare – Cadillac Hospital
Munson Healthcare – Grayling Hospital
Oaklawn Hospital
Promedica Bixby Medical Center
Promedica Monroe Regional Hospital
St. John Hospital and Medical Center
St. John Providence Hospital
St. John River District
St. Joseph Mercy Hospital Ann Arbor
St. Joseph Mercy Hospital Chelsea
St. Joseph Mercy Hospital Livingston
St. Joseph Mercy Oakland
St. Mary’s of Michigan
St. Mary Mercy Hospital Livonia
Sinai-Grace Hospital
Sparrow Hospital
Sparrow Carson Hospital
Spectrum Health
Spectrum Health – Big Rapids
Spectrum Health Butterworth Hospital
UP Health System Marquette
West Branch Regional Medical Center