The Blue Cross and Blue Shield of Michigan Percutaneous Coronary Interventions Collaborative (BMC2 PCI)

The Blue Cross and Blue Shield of Michigan Percutaneous Coronary Interventions Collaborative (BMC2 PCI)

The Blue Cross Blue Shield of Michigan Cardiovascular Consortium Percutaneous Coronary Intervention Quality Improvement Initiative (BMC2 PCI) is a prospective, multicenter registry that represents a regional collaborative effort to assess and improve quality of care and outcomes of patients with coronary disease undergo percutaneous coronary intervention. The registry has collected information for approximately 360,000 interventional cases since its inception in year 1997, from 33 participating PCI hospitals and an additional 14 Primary PCI Hospitals that participate with BMC2 at the request of the State of Michigan Certificate of Need Commission.

Long Term BMC2 PCI Goals:

  • Evaluate evidence-based disease management in patients undergoing percutaneous coronary interventions
  • Identify opportunities for quality improvement
  • Implement QI projects
    • Locally (hospital-specific initiatives)
    • Across consortium
  • Decrease practice variation
  • Develop risk assessment models and tools

Specific numeric objectives for BMC2-PCI are to:

  • Reduce vascular access complications to a rate of     < 3%
  • Reduce the post PCI transfusion rate to < 5%
  • Reduce the rate of contrast induced nephropathy to < 3%
  • Reduce nephropathy requiring dialysis to < 0.4%
  • Increase rate of referral for cardiac rehabilitation to > 75%

___________________________________________________________________________________________

 

BMC2 PCI Participating Hospitals

___________________________________________________________________________________________

 

Primary PCI – A separate but related initiative:

  • State of Michigan Certificate of Need Commission mandated quality oversight by BMC2 for hospitals approved to offer PCI without surgical backup
  • Fourteen sites across Michigan
  • BMC2 reviews 100% of all PCI cases
  • Sites receive data reports quarterly
  • Site representatives attend BMC2 Consortium Meetings

The Michigan Certificate of Need Review Standards for Cardiac Catheterization Services require all primary PCI sites in Michigan to enter all PPCI cases into the BMC2 Registry and BMC2 is required to audit all of them annually. 

Sec. 13. (1) An applicant shall agree that, if approved, the project shall be delivered in compliance with the following terms of CON approval:

(3) The applicant shall participate in a data registry, administered by the Department or its designee. The Department or its designee shall require that the applicant submit data on all consecutive cases of primary PCI as is necessary to comprehensively assess and provide comparative analyses of case selection, processes and outcome of care, and trend in efficiency. The applicant shall provide the required data in a format established by the Department or its designee. The applicant shall be liable for the cost of data submission and on-site reviews in order for the Department to verify and monitor volumes and assure quality.

 

BMC2 Primary PCI Hospitals

 

______________________________________________________________________________________

 

 

Quality Improvement results to date: