Urology

Launched in 2012, the Michigan Urological Surgery Improvement Collaborative works to improve the quality of urologic care for patients in Michigan.  Ninety percent of the urologists in the state participate, as well as seven patient advocates who serve as the moral compass for all of the collaborative’s QI activities.

MUSIC has several areas of focus:

  1. Prostate cancer care, including improving radiographic staging of men with newly diagnosed prostate cancer, reducing biopsy-related complications, and improving patient outcomes after radical prostatectomy.
  2. Kidney stone care, including reducing operative complications after kidney stone surgery, reducing emergency department visits after kidney stone surgery including ureteroscopy and shockwave lithotripsy and decreasing the overall cost of care.
  3. Improving the quality of care for patients with small renal mass diagnoses.

For more information, go to musicurology.com.

Results

  • Collected data on more than 55,000 prostate patients, 10,000 kidney stone patients and nearly 1,000 renal mass patients.
  • Approved by CMS as a Merit-Based Incentive Payment System (MIPS) Qualified Clinical Data Registry (QCDR).
  • Achieved a 50 percent reduction in transrectal ultrasound guided prostate biopsy-related hospitalizations by implementing process changes for antibiotic prophylaxis focused on addressing fluoroquinolone resistance.
  • Achieved a statewide decrease in the utilization of both bone scans and CT scans for men with low-risk prostate cancer.
  • Used MUSIC data to subsequently develop and implement evidence-based appropriateness criteria for radiographic staging of all men with newly-diagnosed prostate cancer.
  • Supported the implementation of the BCBSM Michigan Pain-control Optimization Pathway (MPOP) to address the current opioid epidemic through more judicious use of opioid medications in the post-operative setting.
  • Created a statewide, electronic infrastructure for measuring and improving patient-reported functional outcomes after radical prostatectomy, MUSIC Patient Reported Outcomes (PRO).
  • Established a tri-annual robotic prostatectomy skills workshop program that allows for peer-to-peer video review and mentorship.
  • Developed appropriateness criteria and a standardized Roadmap for the management of men with favorable-risk prostate cancer.
  • Created askMUSIC, a web-based platform that hosts a suite of tools and resources designed to help urologists and patients make better decisions about prostate cancer care harnessing the power of the MUSIC clinical registry (ask.musicurology.com).
  • Introduced a new MUSIC Pain Optimization Pathway (POP) for reducing post-operative symptoms after ureteroscopy.