In 1997, a group of five hospitals in Michigan joined with the Blue Cross Blue Shield of Michigan Foundation and Blue Care Network to collaborate on the study of variation in angioplasty procedures and treatment. Recommendations from the group’s analysis contributed to dramatic decreases in emergency bypass surgeries and other complications.
Now, close to 20 initiatives have launched to address many of the most common and costly areas of surgical and medical care in Michigan. We call them Collaborative Quality Initiatives, or CQIs. Hospitals and physicians across the state are collecting, sharing and analyzing data, then designing and implementing changes to improve patient care, and it is working. In fact, five of the longest-running CQIs have saved an estimated $1.4 billion in statewide health care costs, due to decreased complications and improved patient outcomes. Much of the success comes from the three-part approach to each initiative:
- Funding from the Blues enables hospitals and physicians to work in a collaborative environment, providing resources for data collection and analysis along with administrative oversight.
- A separate coordinating center serves as a data warehouse, conducts data audits, performs data analyses and generates comparative performance reports
- Participants work together by sharing data and best practices to improve patient care throughout the state of Michigan.
This award-winning model is the first of its kind, nationally, and is highly regarded as an innovative approach to improving health care quality and value. Findings from these initiatives have been extensively published in peer-reviewed medical journals.
For more information about participating in a Collaborative Quality Initiative, please contact the CQI Administration Team at CQIPrograms@bcbsm.com.
Each initiative uses a coordinating center that works with Blue Cross and participating hospitals and physicians to identify opportunities and implement interventions to improve quality.
The coordinating center receives demographic and procedural data from participants to identify appropriate use and best practices. The center reviews data quality and monitors participating sites to ensure data validity. A physician champion serves as director of the coordinating center for each initiative.
Coordinating centers also:
- Convene quarterly meetings to share data.
- Guide quality improvement efforts.
- Evaluate providers’ participation.
Providers participating in these initiatives are responsible for submitting timely and accurate data directly to the coordinating center or data warehouse. In addition, participants actively share data, cooperate with data audits, learn from best practices and implement improvement efforts within their facilities.
These initiatives have been recognized with many awards including:
eValue8 Health Plan Innovation Award
National Business Coalition on Health
'06, '11, '12, '15
Best of Blue Award
Blue Cross and Blue Shield Association, for collaborative efforts in excellence and innovation
Cancer Center Innovator Award
Foley & Lardner, LLP, for innovative payment reform for and improvement in oncology treatment
Accelerator Award by Clinical Innovation + Technology Magazine
Institute for Healthcare Policy and Innovation (IHPI) Impact Accelerator Award
Dorland health Platinum Award
For Health Information Technology Systems/Quality Reporting Systems
MHA Keystone Center Patient Safety & Quality Leadership Award
Physician Leadership Award given to Hitinder S. Gurm, MD, associate professor of internal medicine, University of Michigan Health System, for his leadership of the Blue Cross Blue Shield Cardiovascular Consortium - PCI Collaborative Quality Initiative
2011, 2014, 2015
Spirit of Collaboration Award
Michigan Cancer Consortium, for contributing to the improvement of cancer care in Michigan
Best Published Paper in Robotic Surgery
Best Paper in Robotic Surgery Published in European Urology in 2016