Trauma

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.

For more information, go to mtqip.org.

 Results

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