Michigan Quality Improvement Consortium 2006 Activity Highlights

Member Organizations Blue Cross Blue Shield of Michigan Blue Care Network Care Choices Great Lakes Health Plan Health Alliance Plan HealthPlus of Michigan Health Plan of Michigan M-CARE Midwest Health Plan Michigan Association of Health Plans Michigan Department of Community Health

Member Organizations Michigan Osteopathic Association Michigan State Medical Society Molina Health Care of Michigan Michigan Peer Review Organization OmniCare, A Coventry Health Care Plan – New Member Physicians Health Plan of Mid-Michigan Physicians Health Plan of South Michigan Physicians Health Plan of Southwest Michigan Priority Health Total Health Care, Inc. University of Michigan Health System

Guideline review/updating in 2006: Management of Adults with Major Depression Acute Pharyngitis in Children (updated 04/06; revised 11/06) Management of Diabetes Mellitus Management of Persistent Asthma in Adults and Children Older Than 5 Years of Age Adult Preventive Services (Ages 18 – 49) Adult Preventive Services (Ages 50 – 65+) Medical Directors’ Activities

New guideline development in 2006: Routine Prenatal and Postnatal Care (approved 07/06) Prevention and Identification of Childhood Overweight (approved 07/06) Management of Persistent Asthma in Infants and Children 5 Years of Age and Younger (approved 08/06) Treatment of Childhood Overweight (approved 11/06) Diagnosis and Management of Adults with Chronic Kidney Disease (approved 11/06) Medical Directors’ Activities

Future Guideline Development Agenda: Low Back Pain ADHD COPD Medical Management Post Myocardial Infarction Acute Bronchitis Upper Respiratory Infection in Pediatrics Metabolic Syndrome

MQIC Measurement Group HEDIS ® and non-HEDIS ® compliance measures and measurement specifications have been developed for the following MQIC guidelines: Diabetes Asthma Tobacco Control Depression Substance Use Hyperlipidemia Hypertension Acute Pharyngitis Adult Preventive Services

MQIC Measurement Group New chairperson - Ed Tuller, Director Quality Development and Clinical Informatics, Care Choices Reviewed MQIC measures and specifications and revised as indicated Potential measures identified for osteoporosis and DVT guidelines

MQIC Measurement Group Adopted HEDIS ® measures for adult preventive services guidelines; non-HEDIS ® measures identified Health plans submitted HEDIS ® 2006 and non- HEDIS ® data for MQIC annual performance reporting Agreement to share HEDIS ® data with Save Lives Save Dollars for calculation of a “ community rate ” and comparative reporting of health plan performance

MQIC Implementation Group Instrumental in the distribution and review of MQIC guidelines and collection of feedback Tools selected for heart failure, hypertension, and hyperlipidemia guidelines Additional tools selected for asthma guidelines

MQIC Implementation Group Potential tools identified for adult obesity, childhood overweight, tobacco cessation and osteoporosis guidelines Identification of health plan promotional activities to increase MQIC “awareness” Assisted Michigan Academy of Family Physicians with recruitment efforts for physician practices and mentors for AAFP’s Practice Enhancement Forum

Coordination with Other Efforts  GDAHC “Save Lives Save Dollars” Initiative  Primary Care Initiative for a Healthier Michigan  Governor’s Blueprint for Preventing Unintended Pregnancies - Michigan Provider Task Force Guideline Development/Evaluation Subcommittee

Provider Task Force of the Governor's Blueprint for Preventing Unintended Pregnancies

Provider Task Force Governor’s Blueprint for Preventing Unintended Pregnancies Fall 2006 Objective: Challenge and engage Michigan’s health care community in a statewide effort to reduce Michigan’s unintended pregnancies Champion: Kimberlydawn Wisdom, MD, MS Michigan Surgeon General Department of Community Health Chairperson: Thomas Petroff, D.O., F.A.C.O.O.G. Assistant Professor MSU-COM Osteopathic Surgical Services, MSU-CHM Dept. of Internal Medicine; Chair, Medical Directors’ Committee, Michigan Association of Health Plans; Chief Medical Officer, McLaren Health Plan; Medical Director, Women’s Health Services ICHD

Provider Task Force Governor’s Blueprint for Preventing Unintended Pregnancies Fall 2006 Guideline Development/Evaluation Subcommittee Chairperson: –Sheryl F. Lowe, RN, MA Goal: Develop an evidence-based clinical practice guideline for preventing unintended pregnancies and present to MQIC Medical Director’s Committee for approval, second quarter 2007

Provider Task Force Governor’s Blueprint for Preventing Unintended Pregnancies Fall 2006 Subcommittee Progress: Guideline will focus on adults (18 and over) based on data which shows the overwhelming majority of unintended pregnancies occur in this age group Eligible populations will include both men and women Focus on identifying patients at high risk for experiencing or creating an unintended pregnancy and interventions to decrease that risk

Provider Task Force Governor’s Blueprint for Preventing Unintended Pregnancies Fall 2006 Interventions to reduce risk for both females and males will include components contained in tobacco cessation guidelines (“Ask, Advise, Assess, Assist and Arrange”) Supporting physician tools and patient educational materials should be identified or developed to help with implementation The guideline will be developed to maximize its usefulness in different settings and by practitioners of different specialties