May 2024 Meeting Summaries

Dr. Nick Osborne presents to a room of BMC2 Vascular Surgery participants at the Radisson at Kalamazoo Center on May 1st, 2024.

Did you miss a meeting or do you need a refresher? Read our May 2024 meeting summaries.

The BMC2 Vascular Surgery Physician Meeting was held on May 1st, 2024, at the Radisson Plaza in Kalamazoo. Dr. Nicholas Osborne presented BMC2 VS data slides which engaged attendees in discussion about ways to present data differently for EVAR and CEA complications, pre-procedure Heparin dose versus post-procedure DAPT for CEA procedures, and Protamine administration during a CEA for asymptomatic carotid stenosis versus post-procedure stroke and bleeding rates. Also, during the meeting:

  • Dr. Bove presented the differences in carotid velocities for asymptomatic carotid stenosis between Michigan hospitals and proposed an initiative to standardize them.
  • Dr. Keys reviewed the guidelines for asymptomatic carotid artery stenosis and proposed that the literature shows that there is little evidence that screening reduces stroke or mortality rates among this patient population.
  • Dr. Halabi showed us in his presentation that a multidisciplinary team of professionals should manage the treatment of carotid artery stenosis.
  • Dr. Mouawad discussed how the delivery of the stent contributes to outcomes after CAS and that the TCAR procedure has a more accurate stent delivery.
  • Dr. Lee presented the role of the FDA in regulating aortic endovascular devices and the provider’s responsibility in ensuring the safe use of these devices.

There was also discussion about ways to enter more carotid information into the VQI database.

You can access a PDF of the entire meeting via our secure shared space. A slideshow of photos from the meeting is available via Canva.


The PCI Coordinator Meeting was held on May 10th, 2024, from 10 am – 3 pm at the Kellogg Hotel and Conference Center, East Lansing. We reviewed resources available on BMC2.org and MichiganCR.org and reviewed coordinator expectations, including report distribution. If you were unable to attend, you can access a PDF of presentations from the entire meeting on our secure shared space.

During the meeting:

  • BMC2 Statistician, Milan Seth, described the BMC2 composite measure and how the risk-adjusted outcomes are calculated.
  • Michelle Guenther, of Michigan Medicine, shared tips for navigating challenging conversations to drive change.
  • Joe Wiejaczka, from University of Michigan Health West, and Tyler Nickels, of Corewell Grand Rapids Hospitals, shared their processes for tracking performance internally.
  • Dr. Carlos Fernandez of University of Michigan Health - Sparrow, reviewed information about stress testing.

Participants shared feedback on the pros and cons of current BMC2 reports and offered suggestions for improvement. Amy Shirato and Kathleen Frazier reviewed definition and field questions. Please continue to share your report feedback with the coordinating center and send in your field questions—we will use them at future meetings to help coordinators across the state improve abstraction quality.
 

The PCI Collaborative Meeting was held on May 11th, 2024, from 10 am – 3 pm at the Kellogg Hotel and Conference Center, East Lansing. If you were unable to attend, you can access a PDF of presentations from the entire meeting on our secure shared space.

We opened the meeting with a special tribute from the State of Michigan signed by Forty-Seventh District State Representative, Carrie Rheingans; Fourteenth-District State Senator, Sue Shink; Lieutenant Governor, Garlin Gilchrist, II; and Governor, Gretchen Whitmer. The tribute recognizes BMC2’s “innovative spirit and unwavering dedication” as a pioneer in cardiovascular care.

During the meeting:

  • Patient Advisory Council member, Carol Miller, shared her story and challenged the consortium to take good care of themselves so they can take good care of Michigan patients.
  • Dr. Jo Shapiro of Harvard Medical School, shared about managing challenging outcomes and using peer support.
  • Dr. Jennifer Rymer, of Duke Clinical Research Institute, discussed management of stent failure.
  • Dr. Stewart Thornhill, of the University of Michigan Ross School of Business, inspired us to think about new ways to negotiate and lead change.
  • Dr. Chadi Alraies, of DMC Heart Hospital, represented the BMC2 PCI Advisory Council and shared initiatives the Council is focusing on in 2024. He also gave a sneak peek of the health disparities data dashboard.

BMC2 recognized sites for perfect performance on the Outcomes and Process Composite Goal (2022Q4 – 2023Q3) with the BMC2 PCI 2023 Excellence in Cardiovascular Quality Improvement Award.

The scores measure:

  • Death rates
  • Kidney injury
  • Major bleeding events
  • Cardiac rehabilitation referral
  • Prescription of guideline-directed medications at discharge from the hospital

Congratulations to:

  • Ascension Genesys Hospital
  • Ascension Macomb-Oakland Hospital
  • Corewell Health William Beaumont University Hospital
  • Corewell Health Dearborn Hospital
  • Corewell Health Beaumont Grosse Pointe Hospital
  • DMC Huron Valley Sinai Hospital
  • Garden City Hospital
  • Henry Ford Macomb Hospital
  • Henry Ford West Bloomfield Hospital
  • MyMichigan Health
  • University of Michigan Health-West

We celebrate the many physicians, data abstractors, quality improvement leaders, and countless others who contribute to the success these hospitals have achieved. This is just one example of the amazing contributions ALL members of our consortium make to improve care for patients not only in Michigan, but nationally and globally.