POCMA Presentation - The Bree Collaborative

Report
Next Steps for COAP and the Bree Collaborative:
Phase of Care Mortality Analysis (POCMA)
November 30th, 2012
Chris Bryson, MD, MS – COAP Medical Director
Kristin Sitcov – COAP Program Director
COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA)
 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)
Shannon, FL, et al. Ann Thorac Surg.
2011.07.057
ARMUS
COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA)
Shannon, FL, et al. Ann Thorac Surg.
2011.07.057
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??
ARMUS

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