Knee and hip replacement
The Michigan Arthroplasty Registry Collaborative Quality Initiative is a statewide quality initiative that aims to engage Michigan hospitals and physicians in quality improvement activities for hip and knee joint replacement surgery procedures and reduce unnecessary costs of this care in the state of Michigan.
For more information, go to marcqi.org.
The initiative has built a statewide registry of baseline data with the goal of addressing clinical variations in patient outcomes related to hip and knee joint replacement surgery to ultimately identify best practices, improve outcomes and reduce costs. To date, MARCQI has:
- Achieved a 33 percent reduction in blood transfusion during the first four months of implementing the quality initiative.
- Implemented an infection prevention bundle across participating hospitals.
- Reduced discharges to extended care facilities after knee or hip replacement surgery.
- Reduced variation in practice for VTE prophylaxis, transfusion, tranexamic acid (TXA) administration.