April 21, 2023
Quarterly Collaborative
Meeting
Englesbe Disclosures
• Salary support several State, Federal, and
BCBSM sources
• Equity stakeholder in Eubu Health
• Today I am speaking as the Director of the
MSQC. I also serve as the Director of the CQI
Portfolio
COLLABORATIVE QUALITY INITIATIVES
CONGRATULATIONS
to D r. Sachin Kheterpal on his election to the
It is considered the highest honorary society in the country for researchers in the
fields of health and medicine.
National Academy of Medicine!
Sachin Kheterpal, MD, MBA
Executive Director,
Multicenter Perioperative Outcomes Group and
Anesthesiology Performance Improvement and
Reporting Exchange
COLLABORATIVE QUALITY INITIATIVES
COLLABORATIVE QUALITY INITIATIVES
Partnering with the ABS
COLLABORATIVE QUALITY INITIATIVES
Progress on complications in Michigan
COLLABORATIVE QUALITY INITIATIVES
New targets for QI within the MSQC
Consideration for changing our approach to data
• Appropriateness – right operation, right patient, right time
• Patient centered outcomes – are you satisfied with your hernia repair
• Cancer specific outcomes – disease free survival
• Health equity and health behaviors – longitudinal outcomes in our patients
• Measures of provider and patient dignity and autonomy
Statewide P4P QI option with great
hospital participation – 32 sites
Statewide P4P value metric,
hospital reporting & engagement
Developed clear guidelines to
de-implement low-value tests
(based on baseline data & learnings)
LEARN FROM DATA &
CLINICIAN INPUT
RECOMMEND HIGH-
VALUE TESTS ONLY
COLLABORATIVE
PARTNERSHIP
Recap of Right-sizing Pre-op Testing
& De-implementing Low-value tests
Increases Pre-op
Efficiency
Reduces
clinician effort
Reduces
patient harm
Reduces
patient burden
Requires clinician input to
define risk & criteria
IMPACT
Social determinants of health have twice the impact on
overall health outcomes of clinical care
Michigan Social Health Interventions
to Eliminate Disparities
• Current design of the US healthcare
system not well aligned with actual
drivers of health
• Clinical care accounts for only 20% of
patients’ health outcomes, yet for the
overwhelming majority of health care
spending
• Little investment has been made in
addressing the social determinants of
health, which account for 40% of health
outcomes
COLLABORATIVE QUALITY INITIATIVES
MSQC and smoking cessation
Make Every
Contact Count
