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Michigan Collaboration Saves Lives, Improves Outcomes for Heart Surgery Patients
Date:2/2/2009

DETROIT, Feb. 2 /PRNewswire/ -- A collaboration among the Michigan Society of Thoracic and Cardiovascular Surgeons (MSTCVS), Michigan hospitals and Blue Cross Blue Shield of Michigan (BCBSM) is facilitating improved outcomes in cardiac surgery and decreasing complications and costs in Michigan.

The MSTCVS/BCBSM Cardiac Surgery Quality Collaborative was formed in December 2005 to advance cardiac surgery quality in the state. By collecting, sharing and analyzing patient and hospital outcomes, cardiac surgery team members have implemented process improvement plans based on their best practices to benefit all heart surgery patients in the state.

Significant outcomes to date include:

-- Increased use of the internal mammary artery (IMA) graft for coronary bypass among seven cardiac surgery programs from 82.1 percent in 2005 to 91.3 percent in 2008. The use of IMA is associated with improved long-term survival after coronary bypass surgery.

-- A decrease in the number of patients requiring ventilator support for more than 24 hours post-surgery, from 19 percent in 2005 to 16.8 percent in 2008. This represents a cost savings of approximately $25,000 for each case and is associated with improved post operative outcomes.

-- Clinical data base accuracy, positioning Michigan as a national leader in cardiac surgery quality data. The MSTCVS Quality Collaborative initiated yearly data audits at all 33 adult cardiac surgery programs in the state. The mean data accuracy audit score in 2006 was 95.3 percent and 97.6 percent in 2008.

"This initiative works because of the partnership among cardiac surgeons, hospitals and the Blues. As physicians share data, patients' quality of care improves," says Richard L. Prager, M.D., MSTCVS Quality Collaborative program director and Director of the University of Michigan Cardiovascular Center. "Participation
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SOURCE Blue Cross Blue Shield of Michigan
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