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.

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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.