next steps for coap and the bree collaborative: phase of care mortality analysis (pocma)
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Next Steps for COAP and the Bree Collaborative: Phase of Care Mortality Analysis (POCMA) November 30 th , 2012 Chris Bryson, MD, MS – COAP Medical Director Kristin Sitcov – COAP Program Director . COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA). - PowerPoint PPT PresentationTRANSCRIPT
Next Steps for COAP and the Bree Collaborative:
Phase of Care Mortality Analysis (POCMA)
November 30th, 2012
Chris Bryson, MD, MS – COAP Medical DirectorKristin Sitcov – COAP Program Director
Developed by the Michigan Society of Thoracic & Cardiovascular Surgery Quality Collaborative (MSTCVS - 33 cardiac surgery programs) – Frank Shannon, MD & colleagues. Surgeons & team members were shown how to identify the seminal event (death trigger) that initiated deterioration resulting in death. The surgeon & team complete a POCMA form for every mortality. Each death is reviewed by the “Mortality Outcomes Review Group” (MORG), consisting of 16 cardiac surgeons from around the state with specific interest in quality improvement. POCMA data is linked with STS data to facilitate ad hoc analysis to correlate risk factors & clinical variables with the POCMA assessment. A death is judged avoidable if >50% likelihood that optimal care or absence of the clinical event would have resulted in survival. Implementation has resulted in 50% reduction in overall mortality (from 2% to 1%). Provides a structured platform for discussion, education, quality improvement and improved outcomes
COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA)
ARMUSShannon, FL, et al. Ann Thorac Surg. 2011.07.057
COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA)
ARMUSShannon, FL, et al. Ann Thorac Surg. 2011.07.057
COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA)
ARMUS
Washington State POCMA Efforts:
May 2011 COAP Statewide Meeting – Frank Shannon, MD, William Beaumont Hospital, Troy, Michigan
Overview of the Michigan experience with POCMA
May 2012 COAP Statewide Meeting – Pat Ryan, MD, Providence Regional Medical Center, Everett Eric Lehr, MD, Swedish Medical Center, Seattle
Reviewed experiences with “internal” POCMA efforts Proposed collaborative approach in WA State
August 2012 COAP Management Committee – Approved secure online collaborative tool developed by Armus
November 2012 – Online tool ready for testing
January 2013 – Anticipate online tool will be ready for collaborative use by WA hospitals
ARMUS
How the Bree Collaborative can support this effort:
Recognition of participation? Promote incentives for participation? Requirement based on mortality outcomes? Other thoughts??