Year: 2020
Type: article
Abstract: The state of Michigan is home to the largest group of continuous quality improvement (CQI) collaboratives in the United States.In response to a charge from health care consumers and several large employers to improve the value of care, the state's dominant private payer made the strategic decision to invest in a portfolio of collaboratives to create a statewide learning health system.These programs acknowledge that patients, clinicians, hospitals, and payers all want the same thing-highvalue care.In Michigan, the physician community sets a quality improvement agenda, which ultimately informs value-based reimbursement and pay-for-performance programs.These initiatives are pragmatic and evidence-based.Performance benchmarks and criteria for hospital and provider participation are set by the collaboratives and clinical community.This model acknowledges that effective quality improvement respects the tribal nature of medicine.Said another way, orthopedic surgeons will listen most to other orthopedic surgeons about how to improve orthopedic surgery.There are 17 CQI collaboratives in Michigan today.Costs are among the lowest in the country, quality is high, and patients are satisfied with their care. 1-4While some have proposed that more states adopt the CQI model, others have rightfully questioned whether Michigan's experience is generalizable and can be replicated elsewhere.Acknowledging these concerns, there are several considerations for expanding the use of CQI collaboratives to improve the value of health care.
Source: JAMA Health Forum
Authors: Kyle H. Sheetz, Michael J. Englesbe
Institution: University of Michigan
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $5,000
OpenAlex ID: W3029501902