Article

The Michigan Surgical Quality Collaborative: a legacy of Shukri Khuri.

Department of Surgery, University of Michigan, MI, USA.
American journal of surgery (impact factor: 2.36). 11/2009; 198(5 Suppl):S49-55. DOI:10.1016/j.amjsurg.2009.08.002
Source: PubMed

ABSTRACT From the legacy of Shukri Khuri, we have successfully implemented a regional quality collaborative in Michigan, the Michigan Surgical Quality Collaborative (MSQC).
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.
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.
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.

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Keywords

34 Michigan hospitals
 
ACS
 
ACS National Surgical Quality Improvement Program
 
ad hoc quality improvement
 
Adherence
 
colectomy
 
collaborative
 
diverse process measures
 
improved quality
 
initiatives
 
Michigan Surgical Quality Collaborative
 
NSQIP
 
QI
 
regional quality collaborative
 
Shukri Khuri
 
specific hospitals
 
Specific initiatives
 
Surgeons
 
surgical site infection
 
unique infrastructure