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What the research tells us

Improving the quality of surgical care is a national priority, as surgical care comprises approximately 40 percent, or $500 billion, of hospital and physician healthcare dollars.1 Furthermore, when patients experience surgical complications, the costs of care increase on average by 93 percent.2 The Michigan Surgical Quality Collaborative (MSQC) is a regional collaborative dedicated to decreasing complications, improving outcomes, and enhancing the cost-effectiveness of general and vascular surgery. Founded in 2005 under the sponsorship of Blue Cross Blue Shield of Michigan and Blue Care Network and led by Dr. Darrell Campbell Jr., the MSQC focuses on improving care before, during, and after surgery by reducing common surgical complications. The MSQC compiles hospitaland physicianlevel clinical data3 from 66 Michigan hospitals and identifies high-performing sites within the collaborative. Highperforming sites are then visited to identify best practices for improving surgical outcomes and reducing costs.4 Best practices are disseminated to member hospitals, along with de-identified, aggregated reports of performance metrics based largely on short-term morbidity and mortality.5 This peer-to-peer learning network allows hospitals to assess their performance and address the identified areas for quality improvement.