MP66-15 MEASURING THE IMPACT OF A PHYSICIAN-LED COLLABORATIVE ON THE QUALITY OF PROSTATE CANCER CARE: 7 YEARS OF MAKING MUSIC

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety III (MP66)1 Apr 2020MP66-15 MEASURING THE IMPACT OF A PHYSICIAN-LED COLLABORATIVE ON THE QUALITY OF PROSTATE CANCER CARE: 7 YEARS OF MAKING MUSIC Mahin Mirza*, Susan Linsell, Ji Qi, Richard Sarle, Arvin George, Khurshid Ghani, James Montie, David Miller, and for the Michigan Urological Surgery Improvement Collaborative Mahin Mirza*Mahin Mirza* More articles by this author , Susan LinsellSusan Linsell More articles by this author , Ji QiJi Qi More articles by this author , Richard SarleRichard Sarle More articles by this author , Arvin GeorgeArvin George More articles by this author , Khurshid GhaniKhurshid Ghani More articles by this author , James MontieJames Montie More articles by this author , David MillerDavid Miller More articles by this author , and for the Michigan Urological Surgery Improvement Collaborative More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000941.015AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Beginning in 2012, the Michigan Urological Surgery Improvement Collaborative (MUSIC) endeavored to build on the success of the Collaborative Quality Initiatives program of Blue Cross Blue Shield of Michigan and improve the quality of urologic care for patients in Michigan with an initial focus on prostate cancer (PCa). We sought to evaluate the effectiveness MUSIC’s prostate-related QI initiatives. METHODS: MUSIC is comprised of > 250 urologists representing 90% of the urologists in Michigan. Prospective data collection began in 2012 with more than 65,000 patients with, or at risk for, PCa in the registry to date. From 2012 - 2018 efforts to improve PCa care included reducing prostate biopsy-related infectious hospitalizations, optimizing the utilization of radiographic staging for men with newly diagnosed PCa, enhancing treatment appropriateness for favorable risk PCa patients, and establishing the MUSIC patient reported outcomes (PRO) program, an electronic infrastructure for measuring and improving functional outcomes after radical prostatectomy (RP). RESULTS: From 2012 - 2018, the overall rate of prostate biopsy-related infectious hospitalizations decreased from 1.2% pre-intervention to 0.7% post-intervention (p<0.001) representing the avoidance of 280 hospitalizations. The use of radiographic staging (i.e., CT scan and/or bone scan) for non-indicated patients (i.e., PSA ≤ 20 or Gleason < 8 or Clinical T stage < cT3) decreased from 16.4% to 5.9% (p<0.001) resulting in approximately 1750 patients avoiding inappropriate imaging. For favorable-risk PCa patients, verified active surveillance increased from 42.2% to 67.3% (p<0.001), equivalent to 1600 patients avoiding initial definitive treatment where its benefits are less apparent. The proportion of RP patients enrolled in PRO from 2014-2018 increased from 22.0% to 70.0% (p<0.001). (Refer to figure 1 below). CONCLUSIONS: By collecting credible data, sharing best practices and implementing system-level changes and modifications in clinical behavior, MUSIC is enhancing the quality, value, and outcomes of care for PCa patients in Michigan. Source of Funding: Blue Cross Blue Shield of Michigan © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e989-e989 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mahin Mirza* More articles by this author Susan Linsell More articles by this author Ji Qi More articles by this author Richard Sarle More articles by this author Arvin George More articles by this author Khurshid Ghani More articles by this author James Montie More articles by this author David Miller More articles by this author for the Michigan Urological Surgery Improvement Collaborative More articles by this author Expand All Advertisement PDF downloadLoading ...