title: The Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) collaborative quality improvement initiative in percutaneous coronary interventions.
abstract: The past decade has been characterized by increased scrutiny of outcomes of surgical and percutaneous coronary interventions (PCIs). This increased scrutiny has led to the development of regional, state, and national databases for outcome assessment and for public reporting. This report describes the initial development of a regional, collaborative, cardiovascular consortium and the progress made so far by this collaborative group. In 1997, a group of hospitals in the state Michigan agreed to create a regional collaborative consortium for the development of a quality improvement program in interventional cardiology. The project included the creation of a comprehensive database of PCIs to be used for risk assessment, feedback on absolute and risk-adjusted outcomes, and sharing of information. To date, information from nearly 20,000 PCIs have been collected. A risk prediction tool for death in the hospital and additional risk prediction tools for other outcomes have been developed from the data collected, and are currently used by the participating centers for risk assessment and for quality improvement. As the project enters into year 5, the participating centers are deeply engaged in the quality improvement phase, and expansion to a total of 17 hospitals with active PCI programs is in process. In conclusion, the Blue Cross Blue Shield of Michigan Cardiovascular Consortium is an example of a regional collaborative effort to assess and improve quality of care and outcomes that overcome the barriers of traditional market and academic competition.
authors.affiliation: University of Michigan, Division of Cardiology, Blue Cross Blue Shield of Michigan Cardiovascular Consortium Coordinating Center, Ann Arbor, Michigan, USA. moscucci@umich.edu
authors.forename: Mauro
authors.initials: M
authors.lastname: Moscucci
authors.forename: David
authors.initials: D
authors.lastname: Share
authors.forename: Eva
authors.initials: E
authors.lastname: Kline-Rogers
authors.forename: Michael
authors.initials: M
authors.lastname: O'Donnell
authors.forename: Ann
authors.initials: A
authors.lastname: Maxwell-Eward
authors.forename: William L
authors.initials: WL
authors.lastname: Meengs
authors.forename: Vivian L
authors.initials: VL
authors.lastname: Clark
authors.forename: Phillip
authors.initials: P
authors.lastname: Kraft
authors.forename: Anthony C
authors.initials: AC
authors.lastname: De Franco
authors.forename: James L
authors.initials: JL
authors.lastname: Chambers
authors.forename: Kirit
authors.initials: K
authors.lastname: Patel
authors.forename: John G
authors.initials: JG
authors.lastname: McGinnity
authors.forename: Kim A
authors.initials: KA
authors.lastname: Eagle
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000592:standards*; D003625:Data Collection; D006302:Health Services Research; D006801:Humans; D007373:Interinstitutional Relations; D008824:Michigan; D017063:Outcome Assessment, Health Care; D011785:Quality Assurance, Health Care; D018570:Risk Assessment