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.

Results

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
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Beaumont Hospital, Royal Oak
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Beaumont Hospital, Grosse Pointe
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Beaumont Hospital, Troy
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Borgess Medical Center
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Botsford Hospital
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Bronson Battle Creek Health System
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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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Garden City Hospital
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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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Henry Ford West Bloomfield Hospital
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Henry Ford Wyandotte Hospital
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Holland Hospital
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Hurley Medical Center
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Huron Valley Sinai Hospital
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Lake Huron Medical Center
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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 Lapeer Regional Medical Center
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McLaren Macomb
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McLaren Northern Michigan Hospital
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McLaren Oakland
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McLaren Port Huron Hospital
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Memorial Healthcare (Owosso)
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Mercy Health Partners
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Mercy Health Partners – Hackley Campus
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Mercy Health – St. Mary’s Campus
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Metro Health Hospital (Grand Rapids)
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MidMichigan Medical Center – Midland
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Munson Medical Center
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Munson Healthcare – Cadillac Hospital
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Beaumont Hospital, Dearborn
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Beaumont Hospital, Trenton
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Beaumont Hospital, Taylor
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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. John Providence Park Hospital
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St. Joseph Mercy Hospital Ann Arbor
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St. Joseph Mercy Hospital Chelsea
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St. Joseph Mercy Hospital Livingston
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St. Joseph Mercy Oakland
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St. Mary Mercy Hospital Livonia
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Sinai-Grace Hospital
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Sparrow Hospital
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Spectrum Health Butterworth Hospital
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UP Health System Marquette
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Michigan Medicine
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West Branch Regional Medical Center
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