2019 Quality Improvement Projects
By focusing on two project areas in 2019 we hope to increase the impact our work has on the lives of surgical patients across Michigan. The Colectomy Care Pathway Project was developed based on our previous work creating the colon bundle, a group of evidence-based practices shown to decrease surgical site infection rates for colectomy patients. The Opioid Prescribing Project is a continuation of the 2018 project and continues the efforts of Michigan OPEN and MSQC to address the opioid epidemic by targeting excess opioid prescribing after surgery.
- MSQC Quality Improvement Timeline 2018-2019
- MSQC 2019 Performance Index Scorecard (updated 6/19/2019)
Colectomy Care Pathway Project
The focus of this project is to work toward the development and implementation of a care pathway to improve the outcomes of patients undergoing elective colectomy surgery. Using widely accepted clinical practice guidelines as a starting point, hospitals will develop their own colectomy care pathway. We hope that this project will inspire multidisciplinary discussions to standardize, document and drive best practice at each hospital to improve the lives of surgical patients.
- Full Project Description
- CPT Code List
- Colectomy Care Pathway Project Kick-off Webinar – February 4, 2019
- Colectomy Care Pathway QI Webinar – August 1, 2019
- Project Tracking Sheet
- Variable Options
- Colectomy Care Pathway Guidance
- Colectomy Care Pathway (template)
- Colectomy Care Pathway (example)
Postoperative Opioid Prescribing Project
The focus of this project is to reduce the number of opioids prescribed by MSQC surgeons, educate patients regarding pain management and opioid safety, prevent opioid diversion into the community, and increase patient awareness of safe opioid use and proper disposal. By focusing on a more evidence-based approach to prescribing and better patient education, we hope to improve the patient experience that is commonly impacted by postoperative pain.
Resources
- Project Description
- CPT Code List
- Opioid Prescribing Recommendations (with CPT codes)
- Link to M OPEN Provider and Patient Education Resources
- Opioid Prescribing Pathway Project Kick-off Webinar – February 4, 2019
- Collecting Follow-up data: Completing Pain and Opioid Tabs!
- Pain Pathway Overview
- Project Tracking Sheet
Opioid Dose Conversions
For the purposes of the 2019 QI Project, any discharge prescription for a drug other than 5 mg Oxycodone will be converted to OME in order to determine whether or not the prescribing recommendation was exceeded.
To determine the total oral morphine equivalent (OME) of a discharge prescription, use this equation:
CONVERSION FACTOR x PILL DOSE x TOTAL NUMBER OF PILLS GIVEN
Table of Opioid Oral Morphine Milligram Equivalent (MME) Conversion Factors from the CDC