Helping Michigan hospitals achieve the best possible outcomes at the lowest reasonable cost Collaborating with all important stakeholders in fostering high-value healthcare in Michigan Making Dollars and Sense out of MSQC Reports: A Partnership with the Michigan Value Collaborative October 10, 2019 John Syrjamaki, MPH Manager, Data Analytics
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Helping Michigan hospitals achieve the best possible outcomes at the lowest reasonable cost
Collaborating with all important stakeholders in fostering high-value healthcare in Michigan
Making Dollars and Sense out of MSQC Reports: A Partnership with the Michigan Value Collaborative
October 10, 2019
John Syrjamaki, MPHManager, Data Analytics
What is the Michigan Value Collaborative?
• Collaborative quality initiative– Established 2013– Funded by BCBSM
• Coalition of 87 hospitals– Hospital quality leaders– Coordinating Center at
University of Michigan
• Now involves 31 physician organizations
How does MVC work?
• Data Analytics• CQI collaborations• Peer-to-peer best
practice sharing
Pending data sources:Adjudicated data:
MVC Data Sources
• Medicare FFS: 1.9 million• BCBSM PPO: 3.5 million• Blue Care Network (BCN): 800K• BCBSM Medicare Advantage PPO: 300K• BCN Medicare Advantage HMO:100K• Michigan Medicaid (pending): 1.8 million
MVC data sources will comprise >80% of Michigan’s insured population
What does MVC measure?
Index Admission ReadmissionProfessional
ServicesPost-acute
Care
30 & 90-day episodes for 33 medical & surgical conditions
How do we define clinical episodes?
Concept • Clinically-designed cohorts• Homogenous patient groups
Goal • Face validity for front-line providers• Comparability across hospitals