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.

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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.

Participating Hospitals

Allegiance Health
Beaumont Hospital, Dearborn
Beaumont Hospital, Farmington Hills
Beaumont Hospital, Grosse Pointe
Beaumont Hospital, Royal Oak
Beaumont Hospital, Taylor
Beaumont Hospital, Trenton
Beaumont Hospital, Troy
Borgess Medical Center
Bronson Battle Creek Health System
Bronson Methodist Hospital
Covenant Medical Center
Crittenton Hospital Medical Center
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
Holland Hospital
Hurley Medical Center
Huron Valley Sinai Hospital
Lake Huron Medical Center
Lakeland Hospitals at Niles & St.Joseph
McLaren Bay
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
MidMichigan Medical Center – Midland
Munson Medical Center
Munson Healthcare – Cadillac Hospital
St. John Hospital and Medical Center
St. John Macomb Oakland
St. John Providence Hospital
St. John Providence Park Hospital
St. Joseph Mercy Hospital Ann Arbor
St. Joseph Mercy Hospital Chelsea
St. Joseph Mercy Hospital Livingston
St. Joseph Mercy Oakland
St. Mary Mercy Hospital Livonia
Sinai-Grace Hospital
Sparrow Hospital
Spectrum Health Butterworth Hospital
UP Health System Marquette
West Branch Regional Medical Center