In March...I had the opportunity to learn about the impressive work carried out at the U-M Institute for Healthcare Policy & Innovation (IHPI), the Blue Cross Blue Shield of Michigan Collaborative Quality Initiatives (BCBSM CQI) program, and the Michigan Value Collaborative (MVC). These programs, which all work together, exemplify the type of synergistic efforts that will shape health policy moving forward. As the nation seeks to implement a patient-centered health care system that emphasizes quality, safety, and cost controls, it will become increasingly necessary for surgeons and their institutions to participate in collaborative quality improvement activities.
September 17, 2015 by by Caleb Stowell, MD, and Christina Akerman, MD
This philosophy underlies a remarkable collaboration between Blue Cross Blue Shield of Michigan (BCBS Michigan), the state’s largest commercial payor, and a collection of public and private providers in the state. These “Collaborative Quality Initiatives (CQIs),” financially supported by BCBS of Michigan, focus on state-wide outcome measurement for particular medical conditions or procedures coupled with frequent in-person discussions among would-be competitors to understand variations in practice and performance and to debate how best to improve outcomes.
Over the last 10 years, Blue Cross Blue Shield of Michigan, together with hospitals, physicians and care providers across the state, have collaboratively improved clinical quality, efficiency and health outcomes, saved lives and directly prevented $1.4 billion in health expenses.
July 30, 2015 by Khurshid R. Ghani, James E. Montie and David C. Miller
In mid-July, the investigative journalism group ProPublica unveiled an online "Surgeon Scorecard." While it may be easy to criticize the ProPublica data and methods, the harder and more appropriate question is: What is a better alternative? We would start by asking the purpose of measuring in the first place. In the case of ProPublica's scorecard approach, it appears that the primary purpose is to judge – to determine whether one surgeon is better than another on a limited set of outcomes for a particular procedure. A better alternative, in our view, is measuring to improve.