To make surgery safer & less expensive for all, take the Michigan model national

Half the dollars spent on health care in America have something to do with a surgical procedure, so any chance to make surgery safer, and avoid complications, could have a major impact on both the nation's health and bottom line.

A team of IHPI members including Darrell Campbell, M.D., Greta Krapohl, Ph.D., R.N., and Michael Englesbe, M.D., published a new paper in  JAMA Surgery about the Value Partnership model that surgeons and nurses in 72 hospitals across Michigan have quietly built over the last decade, fueled by funding from Blue Cross Blue Shield of Michigan, and driven by data on tens of thousands of operations.

At the root of the approach is a network of participating hospitals that gather and analyze a wide range of data from every health care encounter, creating benchmark outcomes with similar hospitals in the region. Coaching the lower-performing outliers can improve care, and analysis of high performers can identify best practices that can be shared with others, or even be rolled out as part of "bundles" of tactics that all should use.

U-M researchers plan to cut opioid use in half in Michigan

Prescription opioids are prescribed for pain, but the medications can be highly addictive. People who become addicted may switch to heroin when they can no longer get pills at the pharmacy or on the black market.

Chad Brummett, M.D., associate professor of anesthesiology, and director of the Division of Pain Research at the University of Michigan, joined Michigan Radio's Stateside program to talk about why opioids are overprescribed and how Michigan Opioid Prescribing Engagement Network is working to prevent addiction.

Increasing rates of chronic conditions putting more moms, babies at risk

A study finds increasing prevalence of pre-existing, chronic conditions among childbearing women that are linked to negative health outcomes for both moms and newborns.

Pregnant women today are more likely to have chronic conditions that could cause life-threatening complications than at any other time in the past decade ---- particularly poor women and those living in rural communities, according to a new study led by Lindsay Admon, M.D., an obstetrician-gynecologist at University of Michigan Von Voigtlander Women's Hospital and a clinician-scholar at the U-M Institute for Healthcare Policy and Innovation.

Prenatal Medicaid benefits boost health gains across generations

The expansion of Medicaid to provide low-income women with prenatal care in the 1980s and 1990s was a success in improving birth outcomes. Children with mothers who benefited from this program were not only healthier at birth, but also more likely to graduate high school and have higher incomes.

In a new study examining how large-scale U.S. health interventions affect later generations, IHPI member and U-M Assistant Professor of business  Sarah Miller, Ph.D. found that people whose mothers received this prenatal care are now having children themselves with higher birth weights and fewer cases of very low birth weight.

For 1 in 10 cancer patients, surgery means opioid dependence 

Opioids are an effective post-surgery pain management option, but they come with a risk.

About 6 percent of patients who take opioids for the first time to relieve pain after surgery end up taking the medications for far longer than is clinically recommended. And more than 10 percent of people who had never taken opioids prior to curative-intent surgery for cancer continued to take the drugs three to six months later a U-M study found earlier this year. 

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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.
V-BID Center receives 2017 National Forum Public Policy Award

The U-M Center for Value-Based Insurance Design (V-BID Center) and Director Mark Fendrick, M.D., were recognized by the National Forum for Heart Disease & Stroke Prevention for "advancing value-based care and prevention through legislation and executive policy making. The Center's development of policy proposals and persistence in educating policy makers has led to action by both Congress and the Administration, resulting in more people benefiting from high-value health care."
V-BID Center Director, A. Mark Fendrick, M.D., and Executive Director of the National Forum, John Clymer
See all upcoming events on our Events page
Richard & Hinda Rosenthal Symposium: Pain & the Opioid Epidemic---- A Path Forward

Co-hosted by the National Academy of Medicine and the University of Michigan

Date:  November 27, 2017
Time: 3:00 p.m. --- 5:00 p.m.
Michigan LocationUniversity of Michigan, Ford Auditorium, 1500 East Medical Center Drive, Ann Arbor, Michigan 48109
Speaker: Dr. Allan Basbaum, Professor and Chair of the Department of Anatomy at the University of California, San Francisco, and member of the National Academy of Medicine

This symposium will focus on how challenges associated with managing acute and chronic pain have led to an explosion in the abuse of prescription pain medications and a nationwide epidemic.
Michigan Opioid Prescribing Engagement Network (OPEN) shows the benefits of creating safe drug disposal events

To help turn the tide on the opioid epidemic, Michigan OPEN works to prevent opioid abuse before it starts. Increasing safe and convenient opportunities for community members to dispose of their unused and leftover medications is essential.

In this new video, the Michigan OPEN team describes how community opioid and medication take-back events provide a safe process for disposing of unused medications while protecting communities, children and the environment.

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

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IHPI Informs is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.
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IHPI Research & Policy Media Relations Manager
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IHPI Associate Director of Development

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