Skip to main content
NEJM Catalyst homepage

Improving the Quality of Health Care through 25 Years of Statewide Collaboration in Michigan

Published August 17, 2022
NEJM Catal Innov Care Deliv 2022;3(9)
DOI: 10.1056/CAT.22.0153

Summary

For the past 25 years in Michigan, the Collaborative Quality Initiatives (CQIs) have taken a cooperative bottom-up approach to health care quality improvement. Made up of physician organizations and hospitals around the state and led by local clinicians who set the quality improvement agenda, the CQIs rely on an approach that uses granular data collection, analysis, and transparency to develop and implement practice improvements to support a learning health system. The quality improvement work of the CQIs is administered directly by clinician leaders who direct statewide consortiums of their peers. Each CQI is financially supported by Blue Cross Blue Shield of Michigan. There are currently 23 active CQIs, each of which focuses on a specific clinical specialty or challenge. In this article, the authors review the processes and results of this collaborative approach to health care quality improvement.

Notes

Michael Englesbe receives partial salary support from BCBSM related to his work as portfolio director for the CQIs. Ryan Howard, James Grant, and Thomas Leyden have nothing to disclose.

Information & Authors

Information

Published In

NEJM Catalyst Innovations in Care Delivery

History

Published online: August 17, 2022
Published in issue: August 17, 2022

Topics

Authors

Affiliations

Ryan Howard, MD, MS
General Surgery Resident, Department of Surgery, Michigan Medicine, Ann Arbor, Michigan, USA
James Grant, MD, MBA, FASA
Senior Vice President and Chief Medical Officer, Blue Cross Blue Shield of Michigan, Detroit, Michigan, USA
Thomas Leyden, MBA
Director of Value Partnerships, Blue Cross Blue Shield of Michigan, Detroit, Michigan, USA
Michael Englesbe, MD
Cyrenus G. Darling Sr. and Cyrenus G. Darling Jr. Professor of Surgery, Department of Surgery, Michigan Medicine, Ann Arbor, Michigan, USA
Director, Blue Cross Blue Shield of Michigan Collaborative Quality Initiatives Portfolio, Michigan Medicine, Ann Arbor, Michigan, USA

Metrics & Citations

Metrics

Altmetrics

Citations

Export citation

Select the format you want to export the citation of this publication.

Cited by

  1. Value-Based Health Care at an Inflection Point: A Global Agenda for the Next Decade, Catalyst non-issue content, 4, 1, (2023)./doi/10.1056/CAT.22.0332
    Abstract
Loading...

View Options

View options

PDF

View PDF

Full Text

View Full Text

Media

Figures

Other

Tables

Share

Share

CONTENT LINK

Share

Innovation Cover - Mobile
Innovation Cover - Tablet Innovation Cover - Desktop

Fostering an Innovation Culture
to Reimagine Care Delivery

A collection of forward-thinking articles from NEJM Catalyst on innovative approaches to the biggest problems facing health care.