Program Design

• Three times annually (February, May/June, and October)
• Benchmark feedback reports are returned to centers
• Functions as an instrument for ongoing education and discussion
• Development of quality improvement initiatives

• Requests for data submission occur approximately every 4 months and cover a one year timeframe of trauma patient admissions
• Each data submission is frame-shifted forward four months resulting in a purposeful overlap of data submissions
• Information provided in benchmark feedback reports include: raw data (%), risk-adjusted mortality, risk-adjusted morbidity, length of hospital stay, mechanical ventilator days and ICU days
• Feedback reports are confidential and are for the sole use of the participating center. Individual center to aggregate data comparisons are provided
• MTQIP sample report

Support for MTQIP collaborative quality initiative (CQI) is provided by Blue Cross Blue Shield of Michigan and Blue Care Network as part of the BCBSM Value Partnerships program. Although Blue Cross Blue Shield of Michigan, Blue Care Network and MTQIP work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.

The initial program was made possible through grant funding provided by Blue Cross Blue Shield of Michigan Foundation. Their three-year contribution supported creation of the pilot program, data coordination, data analysis, and report generation.

The trauma registry is an essential component of any trauma program. The trauma registry should function to drive an efficient and effective performance improvement program for the care of the injured patient.

MTQIP utilizes the existing trauma center registries as their database to form a sustainable and cost-efficient system to track patient outcomes. All de-identified registry data are transferred tri-annually to the MTQIP Coordinating Center for collation, data analysis, and generation of feedback reports.

The registry vendors that MTQIP accommodate include:

• V5 by Digital Innovations, Inc.
• Trauma Base by Clinical Data Management

Data validation is performed through inter-rater reliability audits conducted remotely or on-site by MTQIP for participating centers.

The exchange of ideas between collaborative sites can lead to new quality improvement effort and the sharing of best practices in a cooperative environment. The collaborative performance improvement projects include:

• Complication rate improvement
• Hemorrhage management
• Inferior vena cava filter placement
• Mortality rate improvement
• Timely antibiotic administration for open fractures
• Traumatic brain injury management including patients on anticoagulants
• Venous thromboembolism prophylaxis timing and type

Site visits by MTQIP staff are conducted to review registry operations, complications and morbidities tracking, review of MTIQP reports, trauma center PI processes and integration of guidelines.