Quality Committee
Meeting
January 24, 2022 @10:00 ET
Announcements
TOC 01 Update
Measure Review PUL 03
Joel Kileny, MD (St. Joseph Mercy Ann Arbor)
Provider Feedback Emails Study
Zach Landis Lewis, University of Michigan
Delirium Project
Phil Vlisides, MD, University of Michigan
Agenda
Meeting Minutes
November 2021
Roll Call – via Zoom or
contact us
Announcements
PONV 05
released!
Featured Member
Provider Feedback Email Selection Notification
• Reminder: Quality Champions and
ACQRs receive an automated
email in January and July as a
reminder of site selected measures
• Opportunity to review and modify
measure selection
• Last email was sent at the
beginning of January
• Michigan sites: May want to add
new P4P measures at this time
Upload Reminders
• Calendar invites have been sent to
those individuals at each site who are
responsible for uploading data to the
MPOG database on a monthly basis
• If you did not receive a calendar
reminder and would like to be
included, please contact
support@mpog.zendesk.com
Goal: Communicate upload deadlines more effectively to prevent provider
feedback emails from being held
Upcoming Events
ASPIRE Quality Committee Meeting: Monday, February 28, 2022
ASPIRE/MSQC Meeting: Friday April 8th, 2022
2022 Calendar is up
to date at
mpog.org/calendar/
Smoking
Cessation
BCBSM VBR
Program:
Smoking
Cessation
Measurement Period: 12/01/2021-11/30/2022
Additional New Measures:
1) Improve smoking status documentation within 30
days prior to surgery. Target: 70%
2) Increase the proportion of smokers who receive
treatment/cessation counseling. Target: 1%
Coordinating Center to send communication with more
details later this week.
New additional reimbursement: 2%*
* In addition to the potential 5% from standard VBR
TOC 01 Update
Reviewed measure 11/2022 (Drs. Davies and Bouwhuis)
Discussed “modify” votes with quality champions - most were
interested in better EHR tools to complete the handover
process and/or include supervising providers
Several MI still working on handover initiatives - keep on
dashboard
Multicenter Handoff Collaborative (APSF) and Epic
workgroups - workshop 2/2022
Measure Review
PUL 03
Joel Kileny, MD
St. Joseph Mercy Ann Arbor
QC Voting
rules
1 vote/ site
Continue as is/ modify/ retire
Need > 50% to retire measure
Coordinating center will review all votes after
meeting to ensure no duplication
Precision Feedback
Study
Zach Landis-Lewis, PhD
Evaluation and Improvement of Provider Feedback
Project Title: A scalable service to improve
healthcare quality through precision audit and
feedback
Direct Sponsor: Health and Human Services,
Department of-National Institutes of Health,
1R01LM01389401
Project Dates: 9/2021 - 8/2025
Zach Landis-Lewis, PhD, MLIS
Assistant Professor of Learning Health Sciences
NLM R01 Aims and key system functions
Delirium Project
Phil Vlisides, MD
New QI Project to improve delirium screening in routine
clinical setting
Phillip Eleas Vlisides, MD
University of Michigan
3 phased approach
Conduct surveys and focus groups with
nursing colleagues to determine barriers to
delirium screening practices on hospital
wards.
Based on barriers identified, conduct a pilot
implementation trial with the goal of
improving delirium screening frequency and
accuracy.
Collaborate with the Michigan Value
Collaborative to determine the impact of
delirium detection on healthcare value and
costs during hospitalization
Thank You!
