The Michigan Surgical Quality Collaborative: a legacy of Shukri Khuri

被引：110

作者：

Campbell, Darrell A., Jr. ^{[1
]}

Kubus, James J. ^{[1
]}

Henke, Peter K. ^{[1
]}

Hutton, Max ^{[2
]}

Englesbe, Michael J. ^{[1
]}

机构：

[1] Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USA

[2] Allegiance Hlth Ann Arbor, Ann Arbor, MI 48109 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2009年 / 198卷 / 5A期

关键词：

Morbidity; Regional quality collaborative; Pay for participation; Quality improvement; Surgical outcomes; IMPROVEMENT PROGRAM; RISK ADJUSTMENT; CARE;

D O I：

10.1016/j.amjsurg.2009.08.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: From the legacy of Shukri Khuri, we have successfully implemented a regional quality collaborative in Michigan, the Michigan Surgical Quality Collaborative (MSQC). METHODS: The MSQC represents a partnership between the American College of Surgeons (ACS), 34 Michigan hospitals, and a large private payer. It is based on a "pay for participation" rather than a "pay for performance" model. Although based on the ACS National Surgical Quality Improvement Program (NSQIP) platform, this collaborative has a unique infrastructure for information technology, collaboration, and ad hoc quality improvement (QI) initiatives. RESULTS: Specific initiatives have been implemented with colectomy, myocardial ischemia, and surgical site infection (SSI). Based on these initiatives, best practices have been implemented. Adherence to these best practices is modest, but despite this, there has been significant QI. CONCLUSIONS: The improved quality was likely the result of diverse process measures, many not yet recognized in the literature, which came together effectively in specific hospitals. (C) 2009 Elsevier Inc. All rights reserved.

引用

页码：S49 / S55

页数：7

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