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VTE Initiative
The VTE initiative launched in January of 2011 and data on over 100,000 cases was collected prior to the end of the initiative. Through participation, member hospitals successfully increased rates of VTE risk assessment, pharmacologic prophylaxis in patients at risk of developing a VTE, and mechanical prophylaxis in patients with contraindications to prophylaxis. Data from the collaborative showed that some hospitalized medical patients are at minimal risk of developing a VTE. Consequently, member hospitals had success avoiding prophylaxis in this low-risk population. Minimizing the use of drugs that have associated risks and costs was viewed as valuable by the collaborative.
Performance Goals
- All hospitalized medicine patients should have a VTE risk assessment completed on admission.
- Medicine patients without contraindications most at risk of developing a VTE should receive pharmacologic prophylaxis.
- Medicine patients with contraindications to pharmacologic prophylaxis most at risk of developing a VTE should receive mechanical prophylaxis.
- Medicine patients at low risk of developing a VTE should not receive pharmacological prophylaxis.
VTE Resources for Patients
Mi-COVID 19 Initiative
In April 2020, HMS, with assistance from several BCBSM CQIs, launched a registry focused on patients with COVID19 in Michigan hospitals in direct response to the global pandemic. This initiative, titled Mi-COVID19, consisted of 40+ hospitals across the State of Michigan working together to improve care for patients with COVID-19.
The goals of the registry were as follows:
- Identify factors associated with critical illness/severe course and outcomes
- Identify patient characteristics, care practices, and treatment regimens associated with improved outcomes
- Understand the long-term complications for hospitalized patients including subsequent rates of readmission, mortality, and return-to-normal activities
- Evaluate variability of care processes across Mi-COVID19 hospitals and identify processes associated with improved outcomes
- Utilizing established CQI models, facilitate improvement in care across Michigan hospitals
The Mi-COVID19 initiative was a joint CQI venture across numerous BCBSM Quality Collaborative. Below is a timeline of events that depicts the launch of the registry during the onset of the pandemic.
Past Mi-COVID 19 Webinars
- 05/26/2020 – CQI Wide Webinar Recording
- 07/29/2020 – Empiric Antibacterial Therapy and Community-onset Bacterial Co-infection in Patients Hospitalized with COVID-19 Recording
- 07/29/2020 – Mi-COVID19 60 Day Outcomes Recording
- 11/16/2020 – Mi-COVID19 Initiative Webinar Recording
- 12/09/2020 – COVID-19 Best Practices, Protocols, & Guidelines Recording
- 12/16/2020 – Hospital at Home & COVID-19 Therapeutics
- 12/23/2020 – Ask the Experts – Q & A
- 12/30/2020 – Ask the Experts – Q & A
- 01/06/2021 – COVID-19 Vaccine Strategies
- 01/13/2021 – Ask the Experts – Managing COVID-19 at Critical Access & Rural Hospitals
- 01/20/2021 – Summary of COVID-19 Care Practices Across Michigan and Opportunities for Improvement
- 01/27/2021 – Ask the Experts – Q & A
- 02/10/2021 – Ask the Experts – COVID-19 Approach to Monoclonal Antibody Treatment
- 02/17/2021 – Provider Wellness
- 06/14/2021 – COVID-19 Summit
Participating Mi-COVID 19 Hospitals
- Bronson Battle Creek Hospital
- Bronson Methodist Hospital
- Chelsea Hospital
- Corewell Health Dearborn Hospital
- Corewell Health Farmington Hills Hospital
- Corewell Health Grosse Pointe Hospital
- Corewell Health Lakeland Hospitals
- Corewell Health Taylor Hospital
- Corewell Health Trenton Hospital
- Corewell Health Wayne Hospital
- Detroit Receiving Hospital
- Harper Hutzel Hospital
- Henry Ford Health
- Henry Ford Jackson
- Henry Ford Macomb
- Henry Ford West Bloomfield
- Henry Ford Wyandotte
- Holland Hospital
- Hurley Medical Center
- Huron Valley Sinai Hospital
- McLaren Flint
- McLaren Greater Lansing
- McLaren Port Huron
- Michigan Medicine
- Munson Medical Center
- MyMichigan Medical Center – Alma
- MyMichigan Medical Center – Alpena
- MyMichigan Medical Center – Midland
- Oaklawn Hospital
- Sinai Grace Hospital
- Trinity Health Ann Arbor
- Trinity Health Grand Rapids
- Trinity Health Livingston
- Trinity Health Livonia
- Trinity Health Muskegon
- Trinity Health Oakland
- University of Michigan Health – Sparrow Lansing
- University of Michigan Health – West
MiCOVID-19 Partnering CQIs
- Michigan Anticoagulation Quality Improvement Initiative (MAQI2)
- Michigan Arthroplasty Collaborative Quality Initiative (MARCQI)
- Michigan Value Collaborative) (MVC)
- Michigan Emergency Department Improvement Collaborative (MEDIC)
- Michigan Surgical Quality Collaborative (MSQC)
- Michigan Bariatric Surgery Collaborative (MBSC)
- Michigan Spine Surgery Improvement Collaborative (MSSIC)
- Michigan Radiation Oncology Quality Consortium (MROQC)
- Integrated Michigan Patient-Centered Alliance in Care Transitions (IMPACT)
- Michigan Trauma Quality Improvement Program (MTQIP)
- Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
COVID-19 Resources
COVID-19 Toolkit
Mi-COVID19 Data Request Form:
Treatment & Management of COVID-19:
- Michigan Critical Care Collaborative Network
- Mechanical Ventilation Part II: Beyond the Basics (Society of Hospital Medicine – Cost: Free)
- COVID-19 Guidance and Resources (Institute for Healthcare Improvement)
- Therapeutic Management of Patients with COVID-19 (NIH COVID-19 Treatment Guidelines)
- Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19 (IDSA)
- Clinical Management of COVID-19 (World Health Organization)
- Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (CDC)
- CDC Toolkit for Healthcare Providers (CDC)
- Coronavirus (COVID-19) Partner Toolkit (CMS)
- COVID-19 Resources, Clinical Reports, Management Guidelines, Commentary (NEJM)
- Monoclonal Antibodies for COVID-19 (JAMA)
- COVID-19 Therapeutics Information Page (Michigan.gov)
Management of Post-COVID-19:
Mental Health & Well-Being:
- COVID-19 Well-Being Resources (Society of Hospital Medicine)
- COVID-19 Patient and Caregiver Collaborative Care Workbook (Michigan Medicine)
- Caring for our caregivers during COVID-19 (American Medical Association)
Other Resources:
- COVID-19 Databases and Journals (CDC)
- Topic Collection: COVID-19 Information and Peer-Reviewed Resources (HHS)
- NCBI SARS-CoV-2 Resources(link is external) (NIH National Library of Medicine)
- COVID-19 Non-Hospitalist Onboarding Resources (Society of Hospital Medicine)
- Template for The COVID-19 Caregiving Collaborative Care Workbook (Michigan Medicine)
- You can now customize the workbooks to different healthcare settings. The link to the template is a zip file and has the workbook template and a README file that provides support for users who wish to adapt the COVID-19 Patient & Caregiver Collaborative Care Workbook
- Users will receive instruction on how to cite the authors, replace images, tailor content, and other practical information on adapting the Workbook to their institutions.
- Although tips and guidance are provided, general working knowledge of Adobe InDesign (or similar software) is assumed.
- Learn more about Adobe InDesign here: https://helpx.adobe.com/support/indesign.html