The American Journal of Surgery
Volume 198, Issue 5, Supplement , Pages S49-S55, November 2009

The Michigan Surgical Quality Collaborative: a legacy of Shukri Khuri

  • Darrell A. Campbell Jr., M.D., F.A.C.S.

      Affiliations

    • Department of Surgery, University of Michigan, MI, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 734 936 5814; fax: +1 734 763 3187
    • ,
  • James J. Kubus, M.S., B.S.

      Affiliations

    • Department of Surgery, University of Michigan, MI, USA
    • ,
  • Peter K. Henke, M.D.

      Affiliations

    • Department of Surgery, University of Michigan, MI, USA
    • ,
  • Max Hutton, M.D., F.A.C.S.

      Affiliations

    • Allegiance Health Ann Arbor, MI, USA
    • ,
  • Michael J. Englesbe, M.D.

      Affiliations

    • Department of Surgery, University of Michigan, MI, USA

Received 23 June 2009; received in revised form 5 August 2009

Abstract 

Background

From the legacy of Shukri Khuri, we have successfully implemented a regional quality collaborative in Michigan, the Michigan Surgical Quality Collaborative (MSQC).

Methods

The MSQC represents a partnership between the American College of Surgeons (ACS), 34 Michigan hospitals, and a large private payer. It is based on a “pay for participation” rather than a “pay for performance” model. Although based on the ACS National Surgical Quality Improvement Program (NSQIP) platform, this collaborative has a unique infrastructure for information technology, collaboration, and ad hoc quality improvement (QI) initiatives.

Results

Specific initiatives have been implemented with colectomy, myocardial ischemia, and surgical site infection (SSI). Based on these initiatives, best practices have been implemented. Adherence to these best practices is modest, but despite this, there has been significant QI.

Conclusions

The improved quality was likely the result of diverse process measures, many not yet recognized in the literature, which came together effectively in specific hospitals.

Keywords: Morbidity, Regional quality collaborative, Pay for participation, Quality improvement, Surgical outcomes

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PII: S0002-9610(09)00465-6

doi:10.1016/j.amjsurg.2009.08.002

The American Journal of Surgery
Volume 198, Issue 5, Supplement , Pages S49-S55, November 2009

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