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About MQIC
Background
The medical services industry, with its numerous competing insurers and managed care organizations, has created a set of overlapping, sometimes conflicting, quality improvement initiatives. The resulting complexity and variation pose serious barriers to consistent delivery of services that scientific evidence links to better health outcomes. Variation in performance measurement also generates non-comparable data, leading to lack of accountability and informed consumer choice. As new methods for rapid-cycle process improvement are available for application to clinical processes, there is a need for a standard set of performance guidelines, measures, and comparable performance data across health plans.
Vision
Through a collaborative approach to developing and implementing common clinical practice guidelines and performance measures, Michigan health plans will achieve consistent delivery of evidence-based services and better health outcomes. This approach also will augment the practice environment for physicians by reducing the administrative burdens imposed by compliance with diverse health plan guidelines and associated requirements.
Mission
The Michigan Quality Improvement Consortium will establish and implement a core set of clinical practice guidelines and performance measures. The interventions designed and implemented by each plan to improve consistent delivery of services will be at the discretion of individual plans, but guidelines, performance goals, measurement methodology, and performance reporting will be standardized.
Process
The leadership of MQIC member plans and organizations are committed to the principles
reflected in the Michigan Quality Improvement Consortium's mission and vision.
Representatives from MQIC plans and organizations have formed three working groups:
the medical director's group works to achieve agreement on a common set of evidence-based
clinical recommendations, a performance measurement group that develops common
performance measurement and reporting processes, and an implementation group that
works to ensure coordination and that the guidelines are put into consistent practice.
Membership
MQIC membership is diverse and includes physicians, health plan administrators, researchers, quality improvement experts, and specialty societies. The consortium recognizes the need to collaborate with other entities and experts to successfully achieve the consortium's vision.
Structure
Medical Directors' Committee
- Develop common evidence-based clinical practice guidelines
- Provide direction and final decisions for MQIC
Measurement Workgroup
- Establish common definitions of populations
- Establish common measurement protocols consistent with MQIC guidelines
Implementation Workgroup
- Coordinate MQIC communications
- Coordinate health plan and physician activities that are complementary to
MQIC activities
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