Welcome MSQC Surgeon Champions and Surgeons!

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Surgeons are instrumental in advancing Quality Improvement for surgical patients. MSQC requires each hospital to have a lead Surgeon Champion (SC), who is a designated surgeon chosen to oversee the implementation and administration of the MSQC program at your institution. MSQC focuses on data and quality initiatives for general, colorectal and gynecologic surgeries, so Surgeon Champions must be attending surgeons in one of these specialties. As an integral partner to MSQC, Surgeon Champions advance patient care improvements by learning about quality and by sharing learning and best practices with peers and other specialists in your hospital and across Collaborative hospitals.

 

Resources for MSQC Surgeon Champions

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• The Role of Surgeon Champion – The MSQC Coordinating Center is here to help Surgeon Champions get up and running in your role, to enable you to effectively move forward surgical patient care quality improvements. Collaboration is key to your success and the success of other surgeons in hospitals in Michigan. Sharing best practices will ultimately enhance patient outcomes. MSQC has just a few ground rules for your role as Surgeon Champion.

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• Surgeon-Specific Reports – MSQC provides surgeon-specific reports to participating surgeons as a way to self-assess performance and provide an impetus to improve at the individual level. Real-time, risk-adjusted reports offer a look at each surgeon’s individual outcomes data, with a detailed drill-down on patient data included in the analysis. Surgeons can view their performance relative to their hospital or to the collaborative as a whole. Surgeons can also view their performance in comparison to other contributing surgeons in a de-identified manner. MSQC participating surgeons may request access to view charts and reports demonstrating surgeon performance based on outcome measures collected by the MSQC Surgical Clinical Quality Reviewer (SCQR) at their hospital. These Surgeon-specific reports provide the same set of measure definitions and reporting templates as the MSQC hospital-level reports.

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• MSQC ​Surgeon-­Specific Reporting Access Policy

• Surgeon-­Specific Reporting Toolkit – An Introduction to MSQC Surgeon-Level Reporting (PowerPoint)

• Surgeons can request access to their Surgeon­-Specific Reports by contacting MSQC Customer Support.

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• MSQC Administrative Toolkit – The MSQC Administrative Toolkit contains a selection of slides explaining MSQC, its background, structure, role as a CQI, and value proposition. It contains details of MSQC’s collaborative, evidence-based approach to best practice and quality improvement, some key results and achievements, and informational screenshots of MSQC’s unique data and reporting platform. We make the Toolkit available as a PowerPoint slide deck to be modified for customization for use and distribution at your site. This Toolkit has been made available with the sole intent of assisting sites with the initiation and development of the MSQC program. In the interest of improving surgical care, favorably affecting patient outcomes, and wide promotion of best practices, MSQC has made this documents accessible with minimal restriction. Please be respectful of its use and refrain from reproducing or using these slides outside of their intended purpose.​​​

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• Maintenance of Certification – MSQC data reports are available for access by surgeons, which means that you can claim Maintenance of Certification (MOC) Part 4 points for participation in MSQC.

 

MSQC Programs and Initiatives

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• MSQC Enhanced Recovery Program (ERP) – Evidence-based protocols bring a standardized approach to better perioperative care. Implementing prehabilitation training and ERP can help hospitals reduce both complications and length of stay for patients postoperatively.

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• Early Post-Discharge Clinic – To help avoid visits to the emergency room and to reduce readmissions to the hospital following surgery, MSQC partner hospitals are exploring the benefits of early post-discharge interventions. When patients are seen soon after discharge, preventable causes for readmission can be more easily identified and mitigated.

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• Opioid Crisis Programs – It is no secret that the US is experiencing an epidemic of opioid misuse and abuse. Many people who become dependent on prescription opioids get their first dose following a surgery. MSQC is partnering with Michigan-OPEN (Michigan Opioid Prescribing Engagement Network) on a novel preventive approach for the state of Michigan, while at the same time ensuring that postoperative patients are receiving appropriate pain management and palliative care. Together we aim to protect Michigan’s patients and communities.

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• MSQC Patient Reported Outcomes (PROs) – MSQC recognizes that the true measure of quality care is rooted in the perspective of the patient, so capturing Patient Reported Outcomes is key to evaluating success. Measures of satisfaction, functional status, quality of life, pain, and opioid use are collected directly from patients after surgery to better evaluate the full impact of care on the patient. Surgeons can use these data to make meaningful differences in their patients’ surgical experience.

 

How You Can Get Involved

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• Surgeon Video Review Project- Surgical Video Review allows surgeons to reflect on their own surgical techniques through self-evaluation and learning via anonymous peer feedback. Practicing surgeons can submit a de-identified laparoscopic colectomy surgical video for objective peer evaluation and feedback to assist in improving surgical technical skills and subsequently, reduce negative patient outcomes. The tool used for surgeon assessment has been validated for laparoscopic right colectomy in conjunction with the American Society of Colon and Rectal Surgeons (ASCRS). Click here to get more information on this Program.

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• Cancer Steering Committee – We welcome you to participate as a committee member to identify opportunities for QI projects that focus on abdominal cancer surgeries, such as pancreatectomy, colon and rectal cancer resections, surgery for liver metastases. This group also serves as a network for clinicians with similar interests and is an interactive, collaborative outlet for turning good ideas into action. This committee meets as a group in conjunction with MSQC Collaborative Meetings. If you would like to receive information about the Cancer Steering Committee, please contact MSQC Customer Support.

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