DSC_0189cDespite the implementation of state and county trauma systems and the use of trauma registries, individual trauma centers receive minimal feedback on risk-adjusted outcomes.

The Michigan Trauma Quality Improvement Program, launched in January 2011, is creating a statewide registry and infrastructure for trauma care that addresses inconsistencies and variations in patient outcomes. The goal of the initiative is to develop best practices and improve care outcomes for trauma patients.

DSC_0196cThere are 29 Michigan hospitals currently participating – this is all of the American College of Surgeons verified trauma centers in the state. This initiative has partnered with the American College of Surgeons Trauma Quality Improvement Program at the national level.

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The Michigan Trauma Quality Improvement Program is focused on the following quality improvement initiatives:

  • Traumatic brain injury (TBI): Intracranial Pressure monitoring or operation in severe TBI within 8 hours of emergency department arrival
    • Initial collaborative aggregate performance – 67 percent (2012)
    • Target aggregate performance – 80 percent
    • Current performance to date – 78 percent (2015)
  • Venous thromboembolism (VTE): VTE rate
    • Initial collaborative aggregate performance – 2.3 percent (2008-2010)
    • Target aggregate performance – 1.5 percent
    • Current performance to date – 1.2 percent (2015)
  • Venous thromboembolism (VTE): Pharmacologic VTE prophylaxis on/before day 3 following admission
    • Initial collaborative aggregate performance – 34 percent (2012)
    • Target aggregate performance – 50 percent
    • Current performance to date – 48 percent (2015)
  • Hemorrhage control: Increase the percent of patients receiving a ratio of blood to plasma of ≤ 2.5 in the first 4 hours of a massive transfusion event
    • Initial collaborative aggregate performance – 28 percent (2011)
    • Target aggregate performance – 80 percent
    • Current performance to date – 64 percent (2015)

Participating Hospitals

Beaumont Hospital, Dearborn
Beaumont Hospital, Farmington Hills
Beaumont Hospital, Royal Oak
Beaumont Hospital, Trenton
Borgess Medical Center
Bronson Methodist Hospital
Covenant Medical Center
Detroit Receiving Hospital And University Health Center
Genesys Regional Medical Center
Henry Ford Hospital (Detroit)
Henry Ford Macomb Hospital – Clinton Township
Hurley Medical Center
McLaren Lapeer Regional Medical Center
McLaren Macomb
McLaren Oakland
Mercy Health – St. Mary’s Campus
Michigan Medicine
MidMichigan Medical Center – Midland
Munson Medical Center
St. John Hospital and Medical Center
St. John Providence Hospital
St. Joseph Mercy Hospital Ann Arbor
St. Joseph Mercy Oakland
St. Mary’s of Michigan
St. Mary Mercy Hospital Livonia
Sinai-Grace Hospital
Sparrow Hospital
Spectrum Health Butterworth Hospital
UP Health System Marquette