全州诊所登记处：密歇根外科质量协作组织
Statewide Clinic Registries: The Michigan Surgical Quality Collaborative.
作者信息
Nikolian Vahagn C, Regenbogen Scott E
机构信息
Department of Surgery, University of Michigan, Ann Arbor, Michigan.
出版信息
Clin Colon Rectal Surg. 2019 Jan;32(1):16-24. doi: 10.1055/s-0038-1673350. Epub 2019 Jan 8.
Abstract
Regional clinical registries provide a unique opportunity for shared learning and population-based analyses of the quality of surgical care. Through the "Michigan Model" of pay for participation in strategic Value Partnerships, exemplified by the Michigan Surgical Quality Collaborative (MSQC), the state's dominant private insurer, Blue Cross Blue Shield of Michigan, has sponsored 20 statewide clinical quality improvement collaboratives. MSQC represents a partnership among 73 Michigan hospitals with a robust data infrastructure and flexible platform for the promulgation of best practices in surgical quality improvement. This article will describe the organizational structure of the MSQC, the contributions the registry has made to quality improvement in colorectal surgery, and how future work will align to improve the reliability of improvement-relevant registry data.
摘要
区域临床登记处为外科护理质量的共同学习和基于人群的分析提供了独特的机会。通过以密歇根外科质量协作组织（MSQC）为例的“密歇根模式”，即参与战略价值伙伴关系的付费模式，该州占主导地位的私人保险公司——密歇根蓝十字蓝盾公司，赞助了20个全州范围的临床质量改进协作组织。MSQC代表了密歇根州73家医院之间的合作关系，拥有强大的数据基础设施和灵活的平台，用于传播外科质量改进的最佳实践。本文将描述MSQC的组织结构、该登记处对结直肠手术质量改进所做的贡献，以及未来的工作将如何协调，以提高与改进相关的登记数据的可靠性。
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