Journal of Thrombosis and Thrombolysis

, Volume 33, Issue 3, pp 274–279 | Cite as

Venous thromboembolism: a collaborative quality improvement model for practitioners, hospitals, and insurers

  • Geoffrey D. Barnes
  • Nancy Birkmeyer
  • Scott A. Flanders
  • James B. Froehlich
  • Mark Hemmila
  • Peter K. Henke
  • Richard L. Prager
  • Tom Leyden
  • David Share
Article

Abstract

Venous thromboembolism (VTE) carries significant morbidity and mortality and affects a large portion of hospitalized patients. VTE prophylaxis is rated by the Agency for Healthcare Research and Quality as the most effective of 79 patient safety practices it assessed in 2001. Since 1997, Blue Cross Blue Shield of Michigan/Blue Care Network (BCBSM/BCN) have partnered with Michigan hospitals and providers in statewide registry-based collaborative quality improvement initiatives (CQI) aimed at improving the safety and quality of surgical and medical care; many of these collaborative have a particular focus on VTE prevention. The CQIs are uniquely structured to catalyze hospitals and practitioners to become self-optimizing. In this review, we describe the model BCBSM/BCN and participating Michigan hospitals have developed to improve the prevention and diagnosis of VTE for patients in the state of Michigan.

Keywords

Venous thromboembolism Thromboprophylaxis Managed care Warfarin Low molecular weight heparin 

Notes

Disclosures

GDB—none, NB—none, SAF—Funding from Blue Cross Blue Shield of Michigan, JBF—Funding from Sanofi-Aventis, BlueCross Blue Shield of Michigan, Mardigian Foundation, Fibromuscular Disease Society of America. Consulting fees from Sanofi-Aventis, Ortho-McNeil, Merck, MH—Funding from Blue Cross Blue Shield of Michigan, PKH—Funding from Sanofi-Aventis, RLP—none, TL—none, DS—none.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Geoffrey D. Barnes
    • 1
  • Nancy Birkmeyer
    • 2
  • Scott A. Flanders
    • 3
  • James B. Froehlich
    • 1
  • Mark Hemmila
    • 2
  • Peter K. Henke
    • 1
  • Richard L. Prager
    • 1
  • Tom Leyden
    • 4
  • David Share
    • 4
  1. 1.Cardiovascular CenterUniversity of Michigan Health SystemAnn ArborUSA
  2. 2.Department of SurgeryUniversity of Michigan Health SystemAnn ArborUSA
  3. 3.Department of Internal MedicineUniversity of Michigan Health SystemAnn ArborUSA
  4. 4.Blue Cross Blue Shield of MichiganDetroitUSA

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