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MVC Opens Registration for May Collaborative-Wide Meeting

MVC Opens Registration for May Collaborative-Wide Meeting

Registration is now open to join the MVC Coordinating Center for its spring collaborative-wide meeting on Friday, May 10, from 10 a.m. to 3 p.m. at the H Hotel in Midland, MI. This meeting's agenda is focused on promoting care coordination across the continuum, and will feature unblinded MVC data, member presentations on quality improvement strategies and programs, networking opportunities, and insights about improving value-based healthcare. Members and partners may register here.

Discounted Hotel Room Rate

The event will occur at The H Hotel in Midland, MI, 111 W. Main St., Midland, MI. If you plan to stay overnight at the H Hotel, please book your stay directly through MVC's H Hotel room block.

P4P Updates, Unblinded Data, & Networking

The MVC team will share updates on team activity, including the MVC Component of the BCBSM P4P Program. MVC will also share report and data insights, initiative resources, and an unblinded data presentation. Attendees will have several opportunities to network with peers from hospitals, physician organizations, and Collaborative Quality Initiatives (CQIs) from across the state of Michigan via a poster session and roundtable discussions.

In the coming weeks, MVC will share a finalized agenda with speaker details and other updates on its collaborative-wide meeting webpage.

P4P Engagement Points

Hospitals that send a site representative to one of MVC’s 2024 collaborative-wide meetings will be eligible to earn 0.25 engagement points toward their PY24 P4P score, following the completion of a post-meeting survey. Hospitals that send a site representative to BOTH of MVC’s 2024 collaborative-wide meetings and complete both post-meeting surveys will be eligible to earn 0.75 engagement points toward their PY24 P4P score. View all eligible engagement activities for PY24 engagement points here.

REGISTER NOW

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Refreshed Hospital-Level, ED-Based Episode Push Reports Coming Soon to Members

Refreshed Hospital-Level, ED-Based Episode Push Reports Coming Soon to Members

The MVC Coordinating Center will soon distribute refreshed hospital-level versions of its push report utilizing emergency department-based episodes (“ED-based episodes”). MVC generated separate versions for acute care hospitals and Critical Access Hospitals (CAHs) with tailored comparison groups. In addition to reflecting more recent data across all included payers, these refreshed hospital-level reports differ from prior versions due to the addition of three high-volume ED conditions and the incorporation of Michigan Medicaid claims.

Each page of the report is dedicated to a specific condition with the same metrics throughout, such as risk-adjusted, price-standardized 30-day total episode spending, inpatient admission rates, and rates of post-ED utilization. Reports feature each hospital’s own attributed ED-based episode data for eight high-volume ED conditions: abdominal pain, cellulitis, chest pain (nonspecific), congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes with long-term complications (including renal, eye, neurological, or circulatory), diabetes with short-term complications (including ketoacidosis, hyperosmolarity, or coma), and urinary tract infection (UTI). The three new conditions included in this year’s refresh include diabetes with long-term complications, diabetes with short-term complications, and UTI.

Among general acute care hospitals receiving a report, the average risk-adjusted, price-standardized 30-day total episode payment (Figure 1) for the reported conditions is highest for diabetes with long-term complications ($20,568), CHF ED-based episodes ($17,245), diabetes with short-term complications ($12,087), and COPD ED-based episodes ($10,289). The collaborative-wide average is lowest for chest pain ($3,111) and abdominal pain ($3,123) ED-based episodes. Within each condition, MVC 30-day total episode payments are consistently higher for episodes in which the patient had a same-day inpatient admission compared to episodes in which the patient did not have an inpatient stay beginning on the date of their ED visit. With that information in mind, hospital members can also use their individualized reports to track their same-day inpatient admission rate at six-month intervals using trend graphs for each included ED-based condition (Figure 2).

Figure 1.

Figure 2.

A key goal for these ED-based episode reports is to provide insight into healthcare utilization following index ED visits. Therefore, reports continue to include a dot plot (Figure 3) comparing patient post-ED utilization at a member hospital against their peer comparison group. Dot plots provide information on what percent of episodes had a same-day inpatient admission, what percent did not have a same-day inpatient admission but did see the patient admitted in the 1 to 30 days following the index ED visit, and the percent of patients who had two or more inpatient admissions (thus, at least one readmission) during the episode of care. Also provided are rates of subsequent ED visits, receipt of outpatient services, home health, skilled nursing facility care, and inpatient or outpatient rehab.

Figure 3.

These ED-based episodes are built using MVC’s most recent medical claims data from Medicare FFS, Blue Cross Blue Shield of Michigan PPO Commercial and Medicare Advantage plans, Blue Care Network HMO Commercial and Medicare Advantage plans, and Michigan Medicaid.

ED-based episodes utilize MVC’s newest episode of care data structure, which was developed last year in collaboration with the Michigan Emergency Department Improvement Collaborative (MEDIC), a BCBSM-funded Collaborative Quality Initiative with the goal of improving care and patient outcomes in Michigan emergency departments. MVC and MEDIC team members worked closely to develop 30-day episodes of care initialized by a patient’s visit to the ED and including all claims-documented care received in the 30 days following a patient’s index ED visit.

Please share your feedback with the MVC team if certain report measures are helpful or if you wish to see additional ED-based episode reporting for certain conditions and metrics. MVC is now also accepting custom report requests using its new ED-based data. Contact MVC to learn more.

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BMC2 Recognized as a 2023 Eisenberg Patient Safety & Quality Award Recipient by NQF, Joint Commission

BMC2 Recognized as a 2023 Eisenberg Patient Safety & Quality Award Recipient by NQF, Joint Commission

BMC2 (Blue Cross Blue Shield of Michigan Cardiovascular Consortium) has been recognized with the prestigious John M. Eisenberg Patient Safety and Quality Award in the Local Level Innovation in Patient Safety and Quality category.

BMC2 has been honored for its remarkable improvements in the documentation of radiation use, a decrease in high-dose radiation exposure, and reduction in opioid pill prescribing rates. BMC2 is a statewide quality improvement collaborative that develops and administers a portfolio of quality improvement interventions for patients who undergo heart stenting, vascular surgical procedures, and transcatheter valve procedures in Michigan. The consortium is one of 22 Collaborative Quality Initiatives sponsored by Blue Cross Blue Shield of Michigan and Blue Care Network as part of the BCBSM Value Partnerships program.

The Eisenberg Awards honor the late John M. Eisenberg, MD, MBA, and bring together the quality community to recognize groundbreaking initiatives in healthcare that are consistent with the aims of the National Quality Strategy: better care, healthy people and communities, and smarter spending. Dr. Eisenberg was the former administrator of the Agency for Healthcare Research and Quality (AHRQ) and an impassioned advocate for healthcare quality improvement. The award, presented annually by The Joint Commission and the National Quality Forum (NQF), recognizes major individual, local, and national achievements in healthcare that improve patient safety and healthcare quality.

“BMC2’s work impacts 30,000 patients treated by hundreds of physicians from more than 100 hospital teams each year,” shares Dr. Hitinder Gurm, Director of BMC2. “We are fortunate to have this unique partnership between providers, hospitals, and payers, that is focused solely on improving safety, quality, and appropriateness of care. The collaborative creates data-driven quality improvement goals and initiatives, shares best practices, and distributes reports benchmarked to statewide performance, all focused on improving cardiovascular care throughout Michigan.”

In Michigan, documentation of radiation use improved from 73.1% in 2019 to 85.5% in 2021, and BMC2 sites are outperforming national rates, which were 57.5% in 2019 and 74.3% in 2021. BMC2 sites achieved an overall 43% decrease in cases with high-dose radiation exposure (2.8% in 2018 to 1.2% in 2021), affecting hundreds of patients and care teams. BMC2 also reduced opioid pill prescribing; data showed improvement in the rate of patients with a prescription of less than 10 opioid pills by approximately 30% between 2018 (62%) and 2021 (91%). In addition, BMC2 has been exploring strategies to address healthcare disparities and partners with a patient advisory council to create resources for patients and providers.

The Eisenberg Award panel was impressed by BMC2’s dissemination of its work. BMC2 data has supported more than 100 publications in peer-reviewed medical journals and more than 100 presentations at national and international conferences. The panel noted that this kind of collaborative, best-practice approach improved outcomes, reduced costs, and could be replicated by other states. The panel was inspired by BMC2’s inclusive scope across so many clinicians, physicians, teams, and sites, acknowledging the collaborative is “working to improve care, at every institution, and for every patient. It's remarkable.”

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BMC2 is a collaborative consortium of health care providers in the State of Michigan comprised of three statewide quality improvement projects addressing percutaneous coronary interventions (BMC2 PCI), vascular and carotid interventions (BMC2 Vascular Surgery), and transcatheter aortic and mitral valve procedures (MISHC) in collaboration with the Michigan Society of Thoracic and Cardiovascular Surgeons. Learn more about BMC2’s activities and achievements in their 2023 Annual Report.

Like MVC, support for BMC2  is provided by Blue Cross Blue Shield of Michigan and Blue Care Network as part of the BCBSM Value Partnerships program.

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MVC Celebrates Heart Month, Annual Cardiac Rehab Week

MVC Celebrates Heart Month, Annual Cardiac Rehab Week

Throughout February’s American Heart Month, the Michigan Value Collaborative (MVC) has and will continue to provide cardiac rehab resources and information on behalf of the Michigan Cardiac Rehab Network (MiCR). This week, MVC also shared content as part of National Cardiac Rehabilitation Week, joining other organizations across the country to promote the benefits of the program and share information on statewide initiatives. As cardiac rehab week comes to a close, MVC is proud to highlight recent activity.

The MiCR partnership was established by MVC and the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2), who have partnered in recent years to support quality improvement and innovation around cardiac rehabilitation participation. Although the strategies and initiatives have changed and expanded over time, the key goal remains: to equitably increase cardiac rehabilitation utilization among eligible patients across the state of Michigan. This week, MiCR sought to educate providers within the BMC2 and MVC collaborative about the benefits of the program, current statewide participation rates, and novel initiatives in place to support improvement.

One product highlighted this week was the MiCR cardiac rehab hospital-level push reports, which benchmark cardiac rehabilitation participation across the collaborative. The 2023 report highlighted significant variation in performance and also demonstrated that several hospitals in Michigan are already successfully reaching or exceeding goals for utilization (Figure 1).

Figure 1.

Current MiCR resources, including both hospital-level cardiac rehab benchmarking reports and the MiCR Best Practices Toolkit, were designed to serve members in tracking hospital cardiac rehabilitation utilization and provide guidance to improve enrollment and adherence to the program; however, neither resource specifically investigated patient barriers to participation. To bolster successful referrals to cardiac rehabilitation in Michigan, MiCR recently partnered with Healthy Behavior Optimization for Michigan (HBOM) to launch a new program titled NewBeat. Designed to deliver heartfelt, pragmatic support to new cardiac rehabilitation patients, NewBeat is a multi-component intervention designed to address three common barriers to patient enrollment and participation: lack of education, unclear physician endorsements, and transportation access.

To address the first barrier, MiCR recently launched its website, which houses patient and provider-facing resources, MiCR event dates, and publications in one convenient location. The website already includes features such as a cardiac rehabilitation location finder and unified cardiac rehabilitation resources, but over the coming months will continue to expand.

There is research evidence that strong, personal physician referrals increase the likelihood of cardiac rehabilitation participation. For many patients, in fact, a personal referral is the only reason they sign up. Following the data, NewBeat’s second intervention component is its Cardiac Care Cards, which leverage the influence of cardiovascular providers in encouraging cardiac rehabilitation enrollment in a memorable and personal way. The cards, which can be saved and displayed on kitchen tables and refrigerators, serve as a reminder to patients that the care team understands their recovery process and supports them as they enter cardiac rehabilitation as the next step in their recovery (Figure 2). Hospitals and rehab program staff can request on the MiCR website.

Figure 2.

As the initiative continues to develop, NewBeat will grow to include patient success stories, provider-facing videos, and an informational handout on transportation resources.

One of MiCR’s key strategies in promoting the benefits of cardiac rehabilitation is fostering collaboration between providers and program staff. One of these opportunities is through an MVC workgroup series focused on cardiac rehabilitation, with the next session taking place at noon on Thurs., Feb. 22 (Figure 3). The workgroup will include a guest presentation by Devraj Sukul, MD, MSc, Co-Director of MiCR and Associate Director of BMC2 PCI. The presentation will feature recent findings about cardiac rehabilitation liaisons and their impact on patient enrollment. Register here to participate. MiCR also recently sent a save the date for its next stakeholder meeting, which will take place virtually on Fri., April 5, 10-11 a.m.

Figure 3.

MVC would like to thank everyone who contributed to Cardiac Rehabilitation Week this year. Advocating for cardiac rehabilitation continues to be a high priority for the MVC team, and the Coordinating Center is inspired by the recent growth and interest in this endeavor. Collectively, by promoting cardiac rehabilitation we can save lives and help patients in Michigan get back on their feet faster. Please contact the MVC team with any questions about attending future cardiac rehabilitation events or receiving related materials.

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MVC Welcomes Program Assistant Shannon Beattie to Support MVC Special Projects

MVC Welcomes Program Assistant Shannon Beattie to Support MVC Special Projects

I am delighted and grateful to have the opportunity to return to the Michigan Value Collaborative (MVC) as a Program Assistant.  Through my experiences, I have become passionate about the intersection of clinical care and quality improvement, and I am excited to be part of a team innovating in this space.

I am a recent graduate of the University of Michigan with a Bachelor of Science in biology, health, and society as well as gender and health. As such, I have just begun to venture into the multifaceted healthcare industry. With two years of experience as a DONA-trained birth doula, I have a particular interest in advocating for patient-centered care within the space of women’s reproductive health. In my free time, I volunteer as an on-call birth doula at the University of Michigan’s Von Voightlander Women’s Hospital, providing support to those in need during labor and delivery.

This past summer, I had the opportunity to work with MVC in the role of Marketing and Health Communications Intern. Working alongside the rest of the MVC team, I explored a new side of healthcare, learned about the impactful work of Michigan CQIs, and developed my communication and brand-building skills.

As Program Assistant, I look forward to continuing to collaborate with this wonderful team to improve the quality and value of healthcare in Michigan. If you have any questions or would like to connect, please reach out to shannobe@med.umich.edu.

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CQI Leader Selected as 2024 Presidential Leadership Scholar

CQI Leader Selected as 2024 Presidential Leadership Scholar

The Collaborative Quality Initiatives (CQIs) will be represented in this year’s Presidential Leadership Scholars (PLS) program, which invites 60 scholars to participate in a six-month, one-of-a-kind, bipartisan initiative focused on learning from the presidencies of George W. Bush, William J. Clinton, George H.W. Bush, Lyndon B. Johnson, and their administrations.

Scholars are chosen from a highly competitive field and must undergo a rigorous application and review process. They are selected based on leadership growth potential and the strength of their personal leadership projects addressing local, national, or international challenges.

For Amanda Stricklen, RN, MSN, it’s an opportunity to continue her lifelong professional journey of improving healthcare, and she brings robust experience in healthcare quality improvement and patient safety to the PLS program. She earned bachelor’s and master’s degrees from the University of Michigan School of Nursing before gaining years of experience in bedside nursing. Currently, Stricklen serves as the program manager for the Michigan Bariatric Surgical Collaborative (MBSC) and the Michigan Surgical Quality Collaborative (MSQC) focusing on improving clinical outcomes, enhancing patient experiences, and building a statewide community of providers who work together to elevate the care of surgical patients. Like the Michigan Value Collaborative, the coordinating centers for MSQC and MBSC are housed at Michigan Medicine.

“I am honored to be one of 60 scholars for this year’s Presidential Leadership Scholars Program,” said Stricklen. “I look forward to learning new leadership skills and representing the Collaborative Quality Initiatives, Michigan Medicine, Blue Cross Blue Shield of Michigan, and the University of Michigan as a whole. My goal is to learn new leadership goals to empower and provide support to participating hospitals and healthcare providers to enhance care in Michigan and across the nation.”

“Amanda Stricklen is one of the longest serving program managers in Blue Cross Blue Shield of Michigan’s Collaborative Quality Initiative program, the first of its kind, internationally recognized, award-winning model that focuses on a critical challenge – improving health care quality and value,” said Tom Leyden, director of the BCBSM Value Partnerships program, which provides funding for the CQIs. “Amanda is an accomplished leader who demonstrates a strong commitment to the CQIs’ shared principles of transparency, collaboration, trust, and measuring performance.”

Stricklen will join leaders from across the country representing the military, non-profit organizations, public and private sectors. Scholars will travel to each participating presidential center to learn from key former administration officials, business and civic leaders, and leading academics. They will study, put into practice varying approaches to leadership, and exchange ideas to help strengthen their impact in the communities they serve.

“Amanda, a beacon of excellence in Michigan's quality improvement landscape, has earned her place as a Presidential Leadership Scholar, illuminating the path of leadership with dedication and innovation,” said CQI Portfolio Director Michael Englesbe, MD. “We look forward to benefiting from the enhanced skills she will gain through this program.”

The 2024 program kicks off Jan. 24 in Washington, D.C.

About the Presidential Leadership Scholars

The Presidential Leadership Scholars program is a partnership among the presidential centers of George W. Bush, William J. Clinton, George H.W. Bush, and Lyndon B. Johnson. To learn more, visit presidentialleadershipscholars.org.

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MVC Welcomes Faculty Advisor and Physician Nora Becker

MVC Welcomes Faculty Advisor and Physician Nora Becker

I am a primary care physician, health economist and health policy researcher, and Assistant Professor of General Medicine at the University of Michigan. I’m excited to join the MVC team as a faculty advisor.

My research uses large administrative and financial databases to examine the bidirectional relationship between health and financial outcomes for patients. I obtained my Ph.D. from the Wharton School of Business at the University of Pennsylvania in 2015, and my M.D. from the University of Pennsylvania School of Medicine in 2017. My doctoral dissertation demonstrated that the Affordable Care Act’s mandate for insurance coverage of prescription contraceptives had a dramatic impact on out-of-pocket spending and utilization of birth control among commercially insured women, increasing their use of highly effective methods of contraception like intrauterine devices (IUDs). After completing my M.D./Ph.D. degrees, I went on to complete my clinical training in Internal Medicine/Primary Care at Brigham and Women’s Hospital in Boston.

Since beginning my faculty position at U-M in 2020, I have expanded my research agenda by studying the impact of the COVID-19 pandemic on the utilization of health services and out-of-pocket spending among vulnerable populations, and examining the impact of health shocks and policy changes on patient financial outcomes using consumer credit report data. These novel data overcome a measurement barrier—the lack of detailed health and financial data for large patient populations—that has limited prior work in this area. My ultimate goal is to produce research that will inform the development of health and social policies that improve patient health outcomes and protect them from the financial consequences of illness.

I’m thrilled to join the MVC team as a faculty advisor because I believe strongly that the impacts of research should not stop when the work is published, but need to be translated and communicated to policymakers, providers, and health insurers so that patients can reap the benefits of what we learn from our work. MVC uses large administrative datasets and advanced analytics to help providers improve the quality of care delivered to patients in Michigan; this is exactly the type of research translation to which I’m excited to contribute. I’m particularly excited to help MVC expand their work in the areas of health equity, new data sources, and new patient populations.

 

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MVC Reflects on Legacy of Dr. Martin Luther King Jr. and Equity Opportunities in Healthcare

MVC Reflects on Legacy of Dr. Martin Luther King Jr. and Equity Opportunities in Healthcare

On Monday, organizations large and small will honor the work and legacy of Dr. Martin Luther King Jr. His work has continued to inspire the country on issues such as equality, discrimination, and systemic racism. As the MVC Coordinating Center approaches this national holiday, we reflect on the continued relevance of one of Dr. King’s famous quotations about healthcare injustices: "Of all the forms of inequality, injustice in health is the most shocking and inhuman.” Dr. King made this comment and others about healthcare discrimination in 1955, and yet almost 70 years later our healthcare system continues to grapple with issues of inequity, discrimination, and racism.

As a result, health equity is currently a priority across most major healthcare and government agencies. The MVC Coordinating Center has similarly identified health equity as a strategic priority in recent years and in its newest strategy refresh. This means that a variety of health equity conversations, reporting, and learning opportunities will be offered to MVC members throughout the year. In discussions with members to date, it has been evident that many are still in an information-gathering phase and desire advice around best practices. Therefore, MVC will seek to identify differing approaches to health equity across the collaborative through a health equity survey, which will be shared with members at the end of January. Members will have until mid-April to complete this survey, after which MVC will report aggregate results and facilitate connections between members.

MVC also plans to continue integrating health equity into its workgroup offerings, with each workgroup series (e.g., cardiac rehab, preoperative testing, post-discharge follow-up, rural health, sepsis, health in action) offering at least one session focused on equity. In addition, MVC is planning to offer a reimagined health equity report informed by the results of the survey that integrates supplemental data sets tied to social determinants of health.

MVC’s equity activities this year come on the heels of MVC’s fall collaborative-wide meeting, which focused on how interdisciplinary collaboration can support efforts to reduce disparities and provide equitable healthcare. The agenda incorporated the voices of key leaders and community-based organizations working to improve equity in care delivery, including keynote speaker Renée Branch Canady, PhD, MPA, who serves as CEO of the Michigan Public Health Institute (MPHI) and is a recognized national thought leader in the areas of health inequities and disparities, cultural competence, and social justice. Key takeaways and links to slides from Dr. Canady and other guests are available in MVC’s meeting summary. The session also included roundtable speakers from community-based organizations, which helped to facilitate collaboration and networking to support direct patient support services. MVC will strive to offer similar networking and collaboration opportunities at future collaborative-wide meetings.

The MVC Coordinating Center wishes its members and partners well as they celebrate MLK Day in their way. We are grateful for your continued engagement and partnership on important issues as we collectively strive to provide high-quality care for all.

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MVC Coordinating Center Looking Back at 2023 and Forward to 2024

MVC Coordinating Center Looking Back at 2023 and Forward to 2024

On behalf of the MVC Coordinating Center, I’d like to start by wishing you all a very happy and healthy new year! MVC had an outstanding 2023, which included celebrating our 10th anniversary and continued support of our hospital and physician organization members along with CQI partners.

Throughout 2023, MVC welcomed three new hospital members to the collaborative, distributed 17 push reports, grew its analytic offerings by adding ED-based episodes of care, delivered 24 custom analytic requests, hosted 24 virtual workgroups across six focus areas, advanced both of its value coalition campaigns, completed 37 member meet and greets, and hosted two collaborative-wide meetings. Additionally, several exciting improvements were made to the MVC registry, including new reports for payment and value metrics for Program Year (PY) 2024-2025 of the MVC Component of the BCBSM Pay-for-Performance (P4P) Program along with new measures and filters for long term acute care hospital utilization.

As MVC begins its 11th year, the Coordinating Center is excited to continue to advance the vision of more sustainable, high-value healthcare in Michigan. As highlighted in a recent blog outlining MVC’s refreshed strategy, there are a number of developments planned to advance our work in the areas of population health management, sites of care across the continuum, patient-centeredness, and equity. In addition to these strategic pillars, MVC has several operational plans for the coming year that I am excited to share with you.

New Engagement Point Menu for PY 2024

For hospital members participating in the MVC Component of the BCBSM P4P program, PY 2024 kicks off the new engagement point component of the program cycle’s scoring structure, which was developed as a mechanism for increasing and enhancing collaborative learning across the MVC network. Using MVC’s engagement point menu, participating members can choose the MVC engagement offerings that best meet the needs of their site to earn up to two points toward their PY 2024 score. Please visit MVC’s PY 2024 Engagement Point Menu for a complete list of offerings. For additional information on MVC’s PY 2024 engagement point component, you may access the MVC PY 2024 Engagement Point Webinar.

Actionable Data through MVC Push Reports

In 2024, MVC will continue to provide members with site-specific push reports to support quality improvement. Several new reports will be added to MVC’s suite of reporting in 2024, focusing on topics such as statewide health equity, pharmacy utilization, and alternative sites of care. The Coordinating Center will work closely with members, the broader CQI community, and other stakeholders to ensure the continued distribution of novel and valuable reporting.

Collaborative-Wide Meetings and Virtual Workgroups

The MVC Coordinating Center will host two collaborative-wide meetings in 2024. MVC’s spring 2024 meeting will take place on Friday, May 10 at the H Hotel in Midland, and the fall 2024 meeting will be held on Friday, October 25 at the VistaTech Center in Livonia. We are in the process of planning engaging agendas and are excited to see you in person at these events. Keep an eye on MVC’s blog as additional details are announced throughout the year.

Additionally, the Coordinating Center’s suite of peer-to-peer virtual workgroups will continue to provide a highly accessible online platform for hospital and PO members to come together, collaborate, and share practices. The 2024 workgroups will include series focused on MVC’s PY 2024-2025 P4P value metrics – cardiac rehabilitation, post-discharge follow-up, preoperative testing, and sepsis – along with a health in action series and a newly launched rural health series. To review the complete list and register for specific workgroup dates, please visit MVC’s 2024 Events Calendar.

Assessing Value and Site-Specific Opportunities

The MVC Coordinating Center continued its efforts in 2023 to help partners measure the impact of their initiatives from an investment and value perspective. MVC’s expertise in this area and its strong relationships throughout the CQI portfolio led to the commission and completion of three value assessment exercises last year with additional value assessments underway for 2024. Similarly, MVC continues to offer its members the ability to request custom analyses to better understand site-specific areas of interest and opportunity. If you are interested in a custom report, please submit a Custom Analytics Request and a member of the MVC team will follow up.

As we kick off 2024, I’d like to thank our hospital members, PO members, and CQI partners for their continued collaboration and support. We look forward to working with you throughout the coming year!

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MVC Celebrates Q4 Updates and Successes to Close Out 2023

MVC Celebrates Q4 Updates and Successes to Close Out 2023

The Michigan Value Collaborative distributes a quarterly newsletter to highlight recent MVC events, reporting, partnerships, and member activity. The final newsletter of 2023 was emailed to subscribers this week and summarizes activities and accomplishments from Q4. First and foremost, the Coordinating Center is grateful to its members for their partnership throughout 2023 - MVC's 10th year in operation as a value-based Collaborative Quality Initiative. This was a special year for the MVC team as we celebrated key successes from the last decade (Figure 1). MVC also celebrated a new addition to the Coordinating Center team in Q4, with MVC Engagement Manager Jessica Souva joining in October (Figure 2).

Figure 1.

Figure 2.

The Q4 newsletter included summary highlights from MVC's fall collaborative-wide meeting, which was held Oct. 20 in Lansing with the theme of "high-value care for all." This newsletter edition also highlighted important updates to MVC's strategy, which were informed by member insights and strategic planning activities over the past year. The resulting revised strategic framework will shape MVC's priorities and activities in 2024 and beyond.

Another key focus of the Q4 newsletter was the release of MVC's Program Year 2024 Engagement Point Menu, available here. Hospitals may earn up to two MVC P4P engagement points toward their PY24 scorecard by mixing and matching the included offerings. MVC hosted an Engagement Point Menu Webinar to introduce this menu and answer questions in November 2023. The webinar recording can be accessed here. In addition, MVC developed a Frequently Asked Questions guide available here.

The Q4 newsletter highlighted a large portfolio of reports and activities completed by MVC staff from October through December. MVC prepared several refreshed hospital-level push reports that were then shared with hospital and physician organization members via their unique Dropbox folders, including refreshed versions of MVC's preoperating testing, sepsis, common condition, and chronic disease management reports. Additionally, MVC and MUSIC worked together on a pair of value-based improvement exercises to assess the impact of MUSIC initiatives on opioid prescription use. One of these exercises focused on the impact of MUSIC's ROCKs initiative on opioid spending following kidney stone surgery, and a second focused on the impact of MUSIC's Michigan Pain-control Optimization Pathway (MPOP) initiative on opioid spending following prostate surgery. MVC also partnered with BMC2, HBOM, and Trinity Health Ann Arbor to co-host the Michigan Cardiac Rehab Network Fall 2023 Stakeholder Meeting in November, during which the new MiCR website and other cardiac rehab resources were announced. 

In January, BCBSM will be conducting its 2024 CQI Coordinating Center Survey, which provides an opportunity for members to evaluate the MVC Coordinating Center staff. We value your feedback and thank you in advance for your participation. The MVC Coordinating Center looks forward to continuing its work in 2024 and wishes everyone a happy holiday season and new year!