2006 Michigan Health and Safety Coalition Consumer Report

Survey Results for University of Michigan Hospitals & Health Centers

In the Annual Volume Results column, the lower bar always represents the Coalition's recommended volume and the upper bar always represents the hospital's volume. The actual volume numbers are displayed below the bars.

Click the links in the Treatment Area column to view the survey results for a specific treatment.

Treatment Area

Activity Results

Annual Volume Results

Open Heart Surgery

•••••


774 (actual volume)


200 (coalition threshold)

Percutaneous Coronary Intervention

•••••


645 (actual volume)


400 (coalition threshold)

Abdominal Aortic Aneurysm Repair

•••••


214 (actual volume)


20 (coalition threshold)

Carotid Endarterectomy Surgery

•••••


152 (actual volume)


50 (coalition threshold)

Esophagectomy

•••••


135 (actual volume)


7 (coalition threshold)

Low Birthweight Infants

•••••


92 (actual volume)


70 (coalition threshold)

Infants with Congenital Anomalies

•••••


92 (actual volume)


70 (coalition threshold)

Intensive Care Unit Physician Staffing (IPS)

•••••

n/a

Hospital Comments

Percutaneous Coronary Intervention

The University of Michigan does not participate in the ACC-NCDR because our division of Cardiology is leading a statewide quality improvement program for PTCA with Blue Cross Blue Shield of Michigan. This program includes submission of clinical data to a statewide registry. Each participating hospital receives detailed quarterly reports of clinical, procedure and risk-adjusted outcomes which are used to initiate quality improvement interventions. * (For #2 PTCA)The median door to balloon time for 43 patients undergoing primary PCI was 88 minutes with 75% undergoing PCI within 90 minutes.

General Comments on Patient Safety Activities

1. Regular Patient Safety Rounds, conducted by the Chief of Staff 2. Regular Survey of all UMHHC staff on culture of safety 3. Regular reinforcement of Speak Up for Patient Safety policy 4. Regular review of all reported medical errors and near misses 5. Regular review of evidence based literature and AHRQ recommendations by Patient Safety Committee of patient safety initiatives 6. Full implementation of peer review process 7. Active participation in patient safety collaboratives, including MHA Keystone ICU Patient Safety project, IHI 100,000 Lives Campaign, the AAMC Rapid Response Team collaborative, and the annual National Comprehensive Cancer Center (NCCN) Patient Safety Summit 8. Leadership in the National Surgical Quality Improvement Program both at the state and national level