15 May 2024
0
View Post
Hospitals Receive New Push Reports on MVC’s P4P Episode Spending and Value Metrics

Hospitals Receive New Push Reports on MVC’s P4P Episode Spending and Value Metrics

May 15, 2024 | 0 Comments

The Michigan Value Collaborative (MVC) Coordinating Center distributed a new report earlier this month focused on Program Years (PYs) 2024 and 2025 for the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. PYs 2024 and 2025 retained the episode spending component of the program but incorporated MVC’s value metrics – specific process measures of utilization that are evidence-based, actionable, and show variability across the state. This report, therefore, highlighted data for each hospital’s specific PY 24-25 episode spending and value metric selections. We hope that these reports will be utilized to inform quality improvement efforts by identifying areas of opportunity for episode spending conditions or value-based practices.

Hospitals selected chronic obstructive pulmonary disease (COPD), colectomy (non-cancer), congestive heart failure (CHF), coronary artery bypass grafting (CABG), joint replacement, or pneumonia for their episode spending scoring. Seven value metrics were available to choose from, including cardiac rehabilitation after CABG, cardiac rehabilitation after percutaneous coronary intervention (PCI), seven-day follow-up after CHF, 14-day follow-up after COPD, seven-day follow-up after pneumonia, preoperative testing, and risk-adjusted readmission after sepsis. With the exception of the trend figure on the report’s value metric page (which has a data range of 1/1/2020 – 12/31/2022), the data in this report reflected baseline year data (2021) for PY 2024. Any impact to utilization or patient outcomes achieved by hospitals this year will contribute to their performance year data for PY 2025.

The first data page focused on a hospital’s episode spending selection, and provided a caterpillar plot (Figure 1) for price-standardized and risk-adjusted total episode payments for that hospital compared to other MVC hospitals as well as the MVC collaborative-wide average and that hospital’s P4P cohort average. P4P cohorts were determined based on hospital bed size, case mix index, and critical access status.

Figure 1.

The report also included episode spending figures focused on price-standardized, risk-adjusted payments for major episode components (index, professional, readmission, and post-discharge) as well as post-discharge payment components (emergency department, home health, skilled nursing facility, inpatient and outpatient rehab, and outpatient services). These two figures (Figure 2 and 3) could be used to identify the components contributing most significantly towards a hospital’s total episode payment.

Figure 2.

Figure 3.

The second data page provided information about a hospital’s value metric selection. The first figure was a caterpillar plot (Figure 4) displaying that hospital’s value metric rate compared to other MVC hospitals as well as the MVC collaborative-wide average and that hospital’s P4P cohort average.

Figure 4.

The value metric page also included a trend graph detailing a hospital’s value metric rate by six-month interval, and a final figure that varied by hospital to provide additional metric-specific insights. Hospitals being scored on cardiac rehab after CABG or PCI received a caterpillar plot of average days to the first cardiac rehab visit among cardiac rehab utilizers. Hospitals being scored on follow-up after CHF, COPD, or pneumonia received a bar chart of follow-up rates by setting (in-person only, remote only, or both in-person and remote). Hospitals being scored on preoperative testing will see a bar chart of preoperative testing rates by test type. Lastly, hospitals being scored on 30-day readmissions after sepsis received a table of the most common reasons for readmission after the initial sepsis episode’s discharge.

For more information about your hospital’s episode spending and value metric selections and data, as well as other conditions and value metrics not selected, hospitals can utilize the PY 2024-2025 reports on the MVC Registry. PYs 2024 and 2025 also introduced a new engagement component, awarding 2 out of the 10 program year points for completed engagement activities. Please see the following event list and calendar for 2024 engagement opportunities, which will contribute to a hospital’s PY 2024 score.

If you have any questions regarding the MVC Component of the BCBSM P4P Program, please reference the P4P Technical Document for Program Years 2024 and 2025. If you would like to set up a meeting to review your hospital’s performance, please contact the Coordinating Center at Michigan-Value-Collaborative@med.umich.edu.

07 May 2024
0
View Post
MVC Welcomes Emily Bair, MS, MPH, RDN as Site Engagement Coordinator

MVC Welcomes Emily Bair, MS, MPH, RDN as Site Engagement Coordinator

May 7, 2024 | 0 Comments |

I’m excited to be joining the Michigan Value Collaborative (MVC) as a Site Engagement Coordinator. As a new member of MVC, I am looking forward to learning and working alongside this talented team of forward-thinking coordinators, administrators and analysts in their efforts to improve the health of Michigan through accessible, high-value healthcare.

Throughout my training I have always been fascinated by the intersection of physical and social sciences. Specifically, how healthcare and medical practices are influenced by social constructs such as race, education and economic stability. I was first introduced to this during my undergraduate education when I pursued a Bachelor of Arts in Anthropology & Biology at Kalamazoo College. I then continued in this vein of study earning a Master of Science in Biomedical Anthropology at SUNY Binghamton University and then a Master of Public Health (MPH) in Nutrition Sciences at the University of Michigan School of Public Health.

Following this portion of my educational journey, I decided to additionally train to become a registered dietitian and was honored in being selected for a Michigan Leadership Education in Neurodevelopmental and Related Disabilities (MI-LEND) fellowship. Through these experiences I developed a greater understanding of the barriers to accessing healthcare for specific populations, namely women, children and the disabled, as well as a passion for educating both patients and providers in these issues.

For the last 5 years I have practiced as a clinical registered dietitian specializing in pediatric gastrointestinal disorders, surgical recovery, and developmental disabilities. I’ve also engaged with projects spanning simulated medical education, hospital volunteer program development, and clinical research writing. This collection of experiences has provided me with a unique lens through which to observe and drive future healthcare efforts.

As Site Engagement Coordinator, I look forward to working with MVC and its members to continue to identify equitable health practices and opportunities for improved health outcomes. If you have any questions or wish to get in touch, please feel free to email me at baire@med.umich.edu.

24 Apr 2024
0
View Post
Health Equity in Action: Using Data to Drive Systematic Change

Health Equity in Action: Using Data to Drive Systematic Change

April 24, 2024 | 0 Comments

In the United States, disproportionate rates of chronic disease and illness are commonly documented among communities of color. National Minority Health Month (NMHM) takes place throughout April as a way to raise awareness about health disparities among minority groups and how racism and barriers to healthcare access have historically marginalized such groups. According to the CDC, health equity is “the state in which every individual has a fair and just opportunity to attain their highest level of health.” To achieve such a state, extensive efforts are necessary to address systematic injustices and support equitable access to healthcare.

At MVC, emphasizing this vast issue and supporting change begins with one critical step: identifying and quantifying current disparities within patient communities in Michigan. MVC is utilizing claims-based data analytics to identify differences in care for specific patient demographic groups. For instance, in a recent analysis of MVC claims, MVC found differences by race in the rates of patients attending cardiac rehabilitation after a coronary artery bypass graft (CABG), with lower average utilization rates among some minority groups compared to patients who are white and higher average utilization rates among other minority groups (Figure 1). There are also significant disparities in cardiac rehabilitation utilization rates after CABG by gender and payer categories. Highlighting the landscape of current healthcare utilization may help quality improvement teams understand where disparities exist within their patient populations and prompt discussions about the social and environmental circumstances that may contribute to such findings.

Figure 1.

MVC also recently collected surveys from its members on their health equity priorities, challenges, and initiatives to date. The survey results will be summarized at MVC’s upcoming spring collaborative-wide meeting, and some of the survey responses will be further expanded upon and shared with members as blogs and case studies to provide real-world examples of the work happening in hospitals across the state. Since health equity is a strategic priority for many healthcare teams, MVC’s recent survey was developed to help members understand what others are doing and facilitate shared learning on this topic.

However, there is also much to learn from national examples and strategies. In December 2022, for example, Blue Cross Blue Shield of Massachusetts announced the creation of payment contracts that provide financial rewards to practices addressing racial and ethnic inequities in healthcare delivery. Dr. Mark Friedberg, Senior Vice President, Performance Measurement and Improvement at Blue Cross explained, “This encourages health care systems to increase their investments in developing, expanding and sustaining programs that produce measurable improvements in equity.” This financial investment is a huge breakthrough for Blue Cross which will allow healthcare providers and organizations to learn what barriers to care exist and methods of resolution.

Financial incentives focused on equity are also a large component of State Medicaid strategies. In California, Medicaid plans could earn incentive funds by demonstrating improvement in the two race/ethnicity groups with the lowest baseline vaccination rates. In Michigan, there are financial incentives for using withheld funds for improvement on a subset of quality measures within the African American and Hispanic population groups. As more states and systems begin to invest in financial incentives with equity goals, MVC is working to re-evaluate the methodologies and metrics of the MVC Component of the BCBSM Pay-for-Performance (P4P) Program for opportunities to similarly incentivize and reward achievement and/or improvement in equitable care delivery.

As health equity activity continues to grow and evolve, MVC is committed to expanding its data sources and reporting to support members' understanding of the needs of their patients. Studies emphasize that disparate health outcomes are closely related to social determinants/influencers of health (SDOH/SIOH), with social factors often predicting the incidence of illness and disease. It is for this reason that MVC has continued to incorporate Distressed Communities Index (DCI) data into patient demographic tables in MVC push reports, in addition to stratifying select outcome measures by relevant demographic categories. MVC continues to explore opportunities to integrate additional supplemental SDOH data sets into its analyses – a recent example was shared at MVC’s October collaborative-wide meeting presentation (see slides), which focused on the relationship between county-level social need indicators and post-discharge care utilization.

Organizational strategies and investments are rapidly growing and evolving within healthcare, and will likely be necessary for years to achieve meaningful improvements. MVC is eager to support member activity in this space to achieve high-value care for all and will continue to highlight the excellent work and success stories happening across its membership. If you have a success story to share or would like to request a custom analysis focused on a specific patient population, please contact the MVC Coordinating Center.

10 Apr 2024
0
View Post
MVC Coordinating Center Releases 2023 Annual Report

MVC Coordinating Center Releases 2023 Annual Report

April 10, 2024 | 0 Comments |

The Coordinating Center published its 2023 annual report to the MVC website recently. It outlines key successes and activities accomplished last year and the new strategy guiding MVC's 2024 efforts. Read the report below or view the PDF Parts A [LINK] and B [LINK]) now.

03 Apr 2024
0
View Post
MVC Component of the BCBSM P4P Program: PY23 in Review

MVC Component of the BCBSM P4P Program: PY23 in Review

April 3, 2024 | 0 Comments |

This month the Michigan Value Collaborative (MVC) Coordinating Center distributed the final scorecards for Program Year (PY) 2023 of the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. The 2023 program year was the second year of a two-year cycle for which hospitals were evaluated using MVC data. Hospitals were scored on two conditions that they selected from seven options: chronic obstructive pulmonary disease (COPD), colectomy, congestive heart failure (CHF), coronary artery bypass graft (CABG), joint replacement, pneumonia, and spine surgery. Figure one shows the frequency of hospital condition selections for the two-year program cycle. Joint replacement was the most commonly selected condition, and colectomy was selected the least.

Figure 1. Distribution of Hospital Condition Selections for PY 2023

The MVC Component of the BCBSM P4P Program evaluates each participating hospital’s risk-adjusted, price-standardized, average 30-day episode payments for their two selected conditions through two methods. Hospitals can earn points by reducing their payments from the baseline period (which included index admissions in 2020) to the performance period (which included index admissions in 2022). These are termed “improvement points.” Alternatively, hospitals can earn points by being less expensive than the other hospitals in their cohort. These are referred to as “achievement points.” The MVC cohorts are groups of hospitals determined to be peers using bed size and case mix index.

While participants are scored on both improvement and achievement, members receive the higher of the two scores for each condition. Hospitals were also eligible to receive a bonus point for each condition by completing a questionnaire designed to inform MVC of member hospital quality improvement practices. While 12 points were available, a maximum of 10 points were awarded to participating members. Figure 2 shows the distribution of total points earned by hospitals for the 2023 program year.

Figure 2. Distribution of Total P4P Scores for PY 2023

On average hospitals earned 7.4 points total, a decrease of 0.3 points from PY 2022’s average of 7.7 points. The majority (90.7%) of hospitals earned at least one of the two possible bonus points. As shown in Figure 3, the condition with the highest average point total was joint replacement (4.5 points) followed by spine surgery (4.3 points).

Figure 3. Average Points by Condition

If you have any questions regarding the MVC Component of the BCBSM P4P Program, please reference the P4P Technical Document for Program Years 2022 and 2023 and the MVC P4P FAQ PY 2022-2023. If you would like to set up a meeting to review your hospital’s performance, please contact the Coordinating Center at Michigan-Value-Collaborative@med.umich.edu.  The Coordinating Center will evaluate and release mid-year scorecards for PY 2024 in the summer of 2024.

27 Mar 2024
0
View Post
Post-Discharge Workgroup Highlights Systems Approach to Caring for Multiple-Visit Patients

Post-Discharge Workgroup Highlights Systems Approach to Caring for Multiple-Visit Patients

March 27, 2024 | 0 Comments

This month MVC hosted its first post-discharge follow-up workgroup presentation of the year, which featured a presentation by guest speaker Lisa Powell, MBA, PTA, Clinical Director of Operations of Sparrow Hospital. She shared insights from a recent Sparrow Hospital project launched to reduce readmissions and acute care utilization.

The project came about when E.W. Sparrow Hospital identified that readmissions were a key driver of capacity limitations in the acute care setting and that Sparrow was underperforming compared to peers. After observing high readmission rates for their facility, Sparrow investigated utilization by asking questions about the social determinants of health impacting the patient population and looking into specific identity metrics.

Figure 1.

As part of Sparrow’s investigation, they drilled down on specific patient cases for context, discovering 35 discrete patients in 2021 who accounted for a total of 434 admissions and 2,088 acute care days. This unique subset of patients was defined by the Sparrow team as multiple-visit patients (MVPs)—those with 10 or more combined inpatient and observation admissions over the past 12 months. The data available on MVPs exemplified a disconnect in the delivery, management, and transition of care, and a need for a care plan that could be implemented the next time an MVP patient presented to the emergency department. The resulting plan was designed to transition away from episodic care, close the primary care gap to improve care in the right setting, and remove barriers to accessing specialty care, all within Sparrow's resource and time constraints.

Focusing on one patient at a time, the physicians and care team members were tasked to work offline on their own time to articulate a brief care plan and synopsis of the patient from their respective disciplines. The providers later came together at one-hour multidisciplinary virtual meetings to discuss each patient and achieve consensus on their proposed plan. Once a plan was established and agreed upon, the team distributed the information to hospital staff utilizing layered EMR tools such as FYI flags, specialized note types for MVP care plans, and best practice advisories (BPA).

After receiving initial feedback and analyzing usage data, providers found certain EMR tools more effective than others. FYI flags were the least utilized tool and not effective on their own in changing clinical behavior, as they were often ignored. Implementing a specialized note type for MVP care plans, however, was extremely effective and user-friendly (Figure 2). Through this development, providers no longer needed to search through lengthy patient medical histories to locate their MVP care plan, increasing the likelihood that the care provided would be in line with the agreed upon multidisciplinary plan.

Figure 2.

Four months after Sparrow Hospital launched this EMR systems approach, they reduced acute care days as well as the number of patients who met the multi-visit patient definition of 10 or more admissions over 12 months (see Figures 3 and 4) with sustained improvement for over two years. Providers consistently provide positive feedback and Sparrow has continued to expand the scope and use of the approach.

Figure 3.

Figure 4.

Although over the past two years, readmission rates and the number of MVPs that frequent their hospital have decreased (Figure 5), the impact of this project expands far beyond improving hospital readmission rates and acute care utilization. Sparrow Hospital’s systems approach to MVPs keeps patients out of the hospital and improves their lives. Although no patient-reported outcomes data has been collected on this to date, Sparrow Hospital is confident that this approach is improving the quality of life for many patients.

Figure 5.

As the project continues to evolve, Sparrow Hospital hopes to expand the utilization of multidisciplinary care plans delivered through EMR tools, which are inherently designed for flexibility in use. The target population can be broadened, providers can escalate patients who may benefit from an MVP plan of care, and tools can be utilized for difficult transitions of care.

Sparrow’s systems-level approach to supporting MVPs in a hospital setting has shown great promise in care management and improvement, and the participants in last week’s workgroup were eager to share the success of this project with their sites and colleagues. Sparrow Hospital identified an area of poor performance and collaborated to design an initiative that addressed patient needs within established systems and resources. As we look toward the future of healthcare quality improvement, feasibility in implementation must be a high priority to achieve success.

MVC workgroups consist of a diverse group of representatives from Michigan hospitals and physician organizations that meet virtually to collaborate and share ideas. If you were unable to attend this workgroup, you can access the recording here. To register for upcoming workgroups, visit MVC’s 2024 events calendar. If your team has a successful initiative or project to share with the Collaborative, please reach out to MVC.

20 Mar 2024
0
View Post
MVC Opens Registration for May Collaborative-Wide Meeting

MVC Opens Registration for May Collaborative-Wide Meeting

March 20, 2024 | 0 Comments |

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

13 Mar 2024
0
View Post
Refreshed Hospital-Level, ED-Based Episode Push Reports Coming Soon to Members

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

March 13, 2024 | 0 Comments | , ,

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.

23 Feb 2024
0
View Post
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

February 23, 2024 | 0 Comments | ,

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.”

--

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.

16 Feb 2024
0
View Post
MVC Celebrates Heart Month, Annual Cardiac Rehab Week

MVC Celebrates Heart Month, Annual Cardiac Rehab Week

February 16, 2024 | 0 Comments | , ,

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.