May 2017 EDITION
Advancing patient and family engaged care by building the evidence base

Patient and family-engaged care (PFEC) ---- also referred to as patient-centered care ---- has been recognized as an essential piece of the national strategy for delivering improved care, patient experiences, and reducing costs. In December 2015, the National Academy of Medicine charged a Scientific Advisory Panel to guide the Academy's effort to advance widespread adoption of PFEC, by assessing the empirical evidence base supporting PFEC approaches.

Ann-Marie Rosland, M.D., M.S., assistant professor of internal medicine, and research scientist at VA Ann Arbor's Center for Clinical Management Research, helped develop the framework as a member of the panel.

Nursing homes cut urinary tract infections in half through focused effort on catheter care

A new U-M study led by Lona Mody, M.D., M.Sc. Sarah Krein, Ph.D., R.N., and  Sanjay Saint, M.D., M.P.H., shows how nursing homes can protect more patients from common and potentially dangerous urinary tract infections.

New research shows that urinary tract infections related to catheters fell by 54 percent in 404 nursing homes in 38 states that took part in a national patient safety effort funded by the Agency for Healthcare Research and Quality (AHRQ); AHRQ offers its toolkit of training materials for best practices in infection prevention online.

Probing problems with bariatric surgery: reoperations, variation are common

Three new studies from a U-M look at reoperations, costs and quality---- and find tremendous room for improvement.

After more than two decades of steadily increasing numbers of operations, American bariatric surgery centers still vary greatly in the quality of care they provide. That's the finding from University of Michigan researchers   Andrew Ibrahim, M.D., M.Sc., Justin Dimick, M.D., M.P.H., and Amir Ghaferi, M.D., M.S. who used data from insurers that pay for bariatric operations, and from a statewide partnership of bariatric surgery teams, to study the issue of bariatric surgery outcomes.

Four hours. Six locations. 15,000 opioids out of circulation.

Six locations across the State of Michigan participated in drug take-back events on May 20, 2017. The free, no questions asked chance to get rid of opioids and other unneeded medicines out of the house took place in Ann Arbor, Jackson, Saginaw, Traverse City, Escanaba, and Pontiac. 
The results of the combined events were significant, bringing in close to 600 people dropping off 421 pounds of pills.

U-M Poll: 1/3 of parents would allow child to be in pool unsupervised

As kids get ready to splash around in pools this summer, some parents may underestimate drowning risks, a new national poll suggests.

While relatively few parents would allow their child to be unsupervised in a lake (16 percent) or the ocean (13 percent), more than a third (37 percent) would allow their child to be in a home, hotel or neighborhood pool without adult supervision, according to a new report from the C.S. Mott Children's Hospital National Poll on Children's Health.

Ayanian discusses U.S. House vote on AHCA on Michigan Radio's Stateside program

In the wake of the U.S. House's May 4 vote to approve the American Health Care Act (AHCA) to replace the Affordable Care Act,  IHPI Director John Z. Ayanian, M.D., M.P.P. , was interviewed on Michigan Radio's Stateside news program.

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The Institute brings great minds together to address healthcare's biggest challenges. More than 500 investigators come to IHPI from U-M's top-ranked schools of medicine, nursing, public health, engineering, social work, law, business, and public policy, among others, as well as members of affiliated local research organizations.
Cunningham serves as expert panelist on State of Michigan opioid misuse and abuse round table

Rebecca Cunningham, M.D., professor of emergency medicine and director of the U-M Injury Research Center, was an invited panelist at a May 9 State of Michigan round table on opioid misuse and abuse. The meeting included Sec. Tom Price, Kellyanne Conway, Gov. Snyder, Lieutenant Gov. Calley, law enforcement, and citizens directly impacted by the opioid epidemic.

Price and Conway were on hand to listen and discuss the current federal Administration's interest in and commitment to the opioid crisis. Federal officials recently announced nearly a half-billion dollars earmarked for prevention and treatment programs, with Michigan receiving $16.3 million towards the efforts.

Dr. Cunningham shared current surveillance efforts that include emergency department interventions, an overview of U-M's Michigan Opioid Prescribing Engagement Network (M- OPEN), and the problems seen with gaps in insurance for people struggling with addiction or in recovery.  Cunningham has been appointed by Governor Snyder to serve on the Michigan Prescription Drug & Opioid Abuse Commission. 
Kerr receives top Veteran's Affairs award for research

Eve A. Kerr, M.D., M.P.H., U-M professor of internal medicine and director of the VA Center for Clinical Management Research (CCMR), has earned the 2016 Under Secretary's Award for Outstanding Achievement in Health Services Research ---- the highest honor for a VA health services researcher. The award recognizes her expertise in improving understanding of factors that affect the health of Veterans and the quality of their care.

Kerr is recognized internationally for developing innovative, clinically meaningful methods to assess and improve quality of care, evaluating the influence of care processes on quality, and understanding the challenges of providing care to patients with multiple chronic conditions

She directs M-PROVE, an IHPI strategic initiative focused on value and quality of care.

See all upcoming events on our Events page
Watch: Third Annual IHPI Director's Lecture

Earlier this month, IHPI was pleased to welcome Andrew Bindman, M.D. as the key speaker for our third annual IHPI Director's Lecture. Dr. Bindman, a professor at UCSF and former director of the Agency for Healthcare Research and Quality (AHRQ), provided his insightful perspective on the role of evidence in federal health policymaking.

Click on the photo below to watch the IHPI Third Annual Director's Lecture.

You can also read the tweets from the lecture here.
Webcast from The National Academies of Sciences, Engineering, and Medicine: Accounting for Social Risk Factors in Medicare Payment

On June 13, the National Academies of Sciences, Engineering, and Medicine will host a dissemination meeting to discuss the report series Accounting for Social Risk Factors in Medicare Payment.

In this day-long meeting in Washington, DC, former authoring committee members, representatives from the Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation (the sponsor of the report series), and relevant stakeholders will convene to discuss future implementation of the reports' conclusions and recommendations on accounting for social risk factors in Medicare payment.

IHPI Director John Ayanian, M.D., M.P.P. will moderate the panel "Strategies for supporting better outcomes for Medicare beneficiaries with social risk factors."

To learn more about the report series or to download the reports for free, please visit
U-M Kidney Epidemiology and Cost Center (KECC)

The Kidney Epidemiology and Cost Center (KECC), promotes health, improves clinical practice and patient outcomes, optimizes resource utilization, and informs public policy regarding organ failure and organ transplantation through high quality research, advances in biostatistics, and post-graduate education and training. Learn more about KECC's work and collaborations with IHPI in this issue brief.

The Institute for Healthcare Policy and Innovation is committed to improving the quality, safety, equity, and affordability of healthcare services.

To carry out our ambitious mission, our efforts are focused in four areas:
  • Evaluating the impact of healthcare reforms
  • Improving the health of communities
  • Promoting greater value in healthcare
  • Innovating in IT and healthcare delivery

If you are interested in supporting health services and health policy research at the University of Michigan, click here

IHPI Informs is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.
U-M Institute for Healthcare Policy & Innovation
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Christina Camilli-Whisenhunt
IHPI Communications Manager

Kara Gavin
IHPI Research & Policy Media Relations Manager
Eileen Kostanecki
IHPI Government & External Relations Director

Patrick Cliff
IHPI Associate Director of Development

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