Michigan Quality Improvement Consortium

1
Michigan Quality Improvement
Consortium 2006 Activity Highlights
2
Member Organizations

• Blue Cross Blue Shield of Michigan
• Blue Care Network
• Care Choices
• Great Lakes Health Plan
• Health Alliance Plan
• HealthPlus of Michigan
• Health Plan of Michigan
• M-CARE
• Midwest Health Plan
• Michigan Association of Health Plans
• Michigan Department of Community Health

3
Member Organizations

• Michigan Osteopathic Association
• Michigan State Medical Society
• Molina Health Care of Michigan
• Michigan Peer Review Organization
• OmniCare, A Coventry Health Care Plan New
  Member
• Physicians Health Plan of Mid-Michigan
• Physicians Health Plan of South Michigan
• Physicians Health Plan of Southwest Michigan
• Priority Health
• Total Health Care, Inc.
• University of Michigan Health System

4
Medical Directors Activities

• Guideline review/updating in 2006
• Management of Adults with Major Depression
• Acute Pharyngitis in Children (updated 04/06
• revised 11/06)
• Management of Diabetes Mellitus
• Management of Persistent Asthma in Adults
• and Children Older Than 5 Years of Age
• Adult Preventive Services (Ages 18 49)
• Adult Preventive Services (Ages 50 65)

5
Medical Directors Activities

• New guideline development in 2006
• Routine Prenatal and Postnatal Care (approved
  07/06)
• Prevention and Identification of Childhood
  Overweight
• (approved 07/06)
• Management of Persistent Asthma in Infants and
  Children
• 5 Years of Age and Younger (approved 08/06)
• Treatment of Childhood Overweight (approved
  11/06)
• Diagnosis and Management of Adults with Chronic
  Kidney
• Disease (approved 11/06)

6
Medical Directors Activities

• Future Guideline Development Agenda
• Low Back Pain
• ADHD
• COPD
• Medical Management Post Myocardial Infarction
• Acute Bronchitis
• Upper Respiratory Infection in Pediatrics
• Metabolic Syndrome

7
MQIC Measurement Group

• HEDIS and non-HEDIS compliance measures and
• measurement specifications have been developed
  for
• the following MQIC guidelines
• Diabetes
• Asthma
• Tobacco Control
• Depression
• Substance Use
• Hyperlipidemia
• Hypertension
• Acute Pharyngitis
• Adult Preventive Services

8
MQIC Measurement Group

• New chairperson - Ed Tuller, Director Quality
  Development and Clinical Informatics, Care
  Choices
• Reviewed MQIC measures and specifications and
  revised as indicated
• Potential measures identified for osteoporosis
  and DVT guidelines

9
MQIC Measurement Group

• Adopted HEDIS measures for adult preventive
  services guidelines non-HEDIS measures
  identified
• Health plans submitted HEDIS 2006 and non-HEDIS
  data for MQIC annual performance reporting
• Agreement to share HEDIS data with Save Lives
  Save Dollars for calculation of a community
  rate and comparative reporting of health plan
  performance

10
MQIC Implementation Group

• Instrumental in the distribution and review of
  MQIC guidelines and collection of feedback
• Tools selected for heart failure, hypertension,
  and hyperlipidemia guidelines
• Additional tools selected for asthma guidelines

11
MQIC Implementation Group

• Potential tools identified for adult obesity,
  childhood overweight, tobacco cessation and
  osteoporosis guidelines
• Identification of health plan promotional
  activities to increase MQIC awareness
• Assisted Michigan Academy of Family Physicians
  with recruitment efforts for physician practices
  and mentors for AAFPs Practice Enhancement Forum

12
Coordination with Other Efforts

• GDAHC Save Lives Save Dollars Initiative
• Primary Care Initiative for a Healthier Michigan
• Governors Blueprint for Preventing Unintended
  Pregnancies
• - Michigan Provider Task Force Guideline
  Development/Evaluation Subcommittee

13

• Provider Task Force of the Governor's Blueprint
  for Preventing Unintended Pregnancies

14
Provider Task ForceGovernors Blueprint for
Preventing Unintended PregnanciesFall 2006

• Objective Challenge and engage Michigans health
  care community in a statewide effort to reduce
  Michigans unintended pregnancies
• Champion Kimberlydawn Wisdom, MD, MS
• Michigan Surgeon
  General
• Department of Community
  Health
• Chairperson Thomas Petroff, D.O., F.A.C.O.O.G.
• Assistant Professor
  MSU-COM Osteopathic Surgical
• Services, MSU-CHM
  Dept. of Internal Medicine Chair,
• Medical Directors
  Committee, Michigan Association of
• Health Plans Chief
  Medical Officer, McLaren Health
• Plan Medical
  Director, Womens Health Services ICHD

15
Provider Task ForceGovernors Blueprint for
Preventing Unintended PregnanciesFall 2006

• Guideline Development/Evaluation Subcommittee
  Chairperson
• Sheryl F. Lowe, RN, MA
• Goal Develop an evidence-based clinical practice
  guideline for preventing unintended pregnancies
  and present to MQIC Medical Directors Committee
  for approval, second quarter 2007

16
Provider Task ForceGovernors Blueprint for
Preventing Unintended PregnanciesFall 2006

• Subcommittee Progress
• Guideline will focus on adults (18 and over)
  based on data which shows the overwhelming
  majority of unintended pregnancies occur in this
  age group
• Eligible populations will include both men and
  women
• Focus on identifying patients at high risk for
  experiencing or creating an unintended pregnancy
  and interventions to decrease that risk

17
Provider Task ForceGovernors Blueprint for
Preventing Unintended PregnanciesFall 2006

• Interventions to reduce risk for both females and
  males will include components contained in
  tobacco cessation guidelines (Ask, Advise,
  Assess, Assist and Arrange)
• Supporting physician tools and patient
  educational materials should be identified or
  developed to help with implementation
• The guideline will be developed to maximize its
  usefulness in different settings and by
  practitioners of different specialties