Quality Improvement in Healthcare

Michigan hospitals were among the first to heed the call for greater patient safety and quality. And today, there is a new reality: one of clinical empowerment through large-scale collaboration. Doctors, nurses and hospital leaders are voluntarily working to identify and share best practices with their colleagues around the state, nation and world to make sure patients are receiving the best care possible. The MHA Keystone Center in 2016 moved its quality improvement work under the Great Lakes Partners for Patients HIIN and Michigan Alliance for Innovation on Maternal Health (MI AIM) initivatives.

Great Lakes Partners for Patients HIIN

In September 2016 the Michigan Health & Hospital Association (MHA) Keystone Center was awarded a two-year contract (with an optional third year based on performance) Hospital Improvement Innovation Network (HIIN) contract by the Centers for Medicare & Medicaid Services (CMS). 

Under the contract, the MHA Keystone Center has partnered with the Illinois Health and Hospital Association (IHA) and Wisconsin Hospital Association (WHA) to form the Great Lakes Partners for Patients HIIN to reduce hospital-acquired conditions (HACs) by 20 percent and readmissions by 12 percent, from a 2014 baseline.

The Great Lakes Partners for Patients partnership will build on the quality improvement work of the MHA, IHA and WHA through CMS’ national Partnership for Patients Hospital Engagement Network (HEN) 1.0 and 2.0, contracts awarded from 2011 to 2015. Over the next three years, Great Lakes Partners for Patients hospitals will focus on implementing person and family engagement practices, enhance antimicrobial stewardship, build cultures of high reliability, reduce readmissions and address the following 11 types of inpatient harm:

  • Adverse drug events
  • Central line-associated blood stream infections
  • Catheter-associated urinary tract infections
  • Clostridium difficile bacterial infection, including antibiotic stewardship
  • Injury from falls and immobility
  • Pressure ulcers
  • Sepsis and septic shock
  • Surgical site infections
  • Venous thromboembolism
  • Ventilator-associated events
  • Readmissions

The Great Lakes Partners for Patients gives participating hospitals the opportunity to share solutions that have been successful in rural, urban and suburban communities across Michigan, Illinois and Wisconsin. The partnership allows us to continue implementing innovations necessary to achieve goals to prevent harm, save lives and lower healthcare costs.

Michigan Alliance for Innovation on Maternal Health

The MHA Keystone: Obstetrics (OB) collaborative was launched in 2009. The collaborative has focused on implementing best practices and timely interventions for elective induction of labor and elective cesarean birth, coordinating a safe progression of labor, promoting appropriate responses to fetal distress, reducing obstetrical hemorrhage (postpartum hemorrhage) and preeclampsia, implementing the Comprehensive Unit-based Safety Program (CUSP) and improving best practices for OB care.

In 2016, the MHA Keystone Center announced a strategic partnership with the Michigan Alliance for Innovation on Maternal Health (MI AIM) to bring together resources to help reduce morbidity and mortality for moms and babies across the state. Under the partnership the MHA Keystone: Obstetrics (OB) collaborative unites with MI AIM to work as the single quality improvement initiative for all Michigan birthing hospitals. 

The MHA Keystone Center and MI AIM are working under the Alliance for Innovation on Maternal Health's (AIMs) national partnership of organizations poised to reduce severe maternal morbidity by 100,000 events and maternal mortality by 1,000 deaths by 2018.

Past Quality Improvement Work

To learn about the MHA Keystone Center's past quality improvement work visit the collaboratives page.

Reports & Publications

Leading Michigan to Better Health

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