POCMA Presentation - The Bree Collaborative
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Transcript POCMA Presentation - The Bree Collaborative
Next Steps for COAP and the Bree Collaborative:
Phase of Care Mortality Analysis (POCMA)
November 30th, 2012
Chris Bryson, MD, MS – COAP Medical Director
Kristin Sitcov – COAP Program Director
COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA)
Developed by the Michigan Society of Thoracic & Cardiovascular Surgery Quality
Collaborative (MSTCVS - 33 cardiac surgery programs) – Frank Shannon, MD & colleagues.
Surgeons & team members were shown how to identify the seminal event (death trigger)
that initiated deterioration resulting in death.
The surgeon & team complete a POCMA form for every mortality.
Each death is reviewed by the “Mortality Outcomes Review Group” (MORG), consisting of
16 cardiac surgeons from around the state with specific interest in quality improvement.
POCMA data is linked with STS data to facilitate ad hoc analysis to correlate risk factors &
clinical variables with the POCMA assessment.
A death is judged avoidable if >50% likelihood that optimal care or absence of the clinical
event would have resulted in survival.
Implementation has resulted in 50% reduction in overall mortality (from 2% to 1%).
Provides a structured platform for discussion, education, quality improvement and
improved outcomes
COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA)
Shannon, FL, et al. Ann Thorac Surg.
2011.07.057
ARMUS
COAP Quality Improvement Efforts: Phase of Care Mortality Analysis (POCMA)
Shannon, FL, et al. Ann Thorac Surg.
2011.07.057
ARMUS
Washington State POCMA Efforts:
May 2011 COAP Statewide Meeting –
Frank Shannon, MD, William Beaumont Hospital, Troy, Michigan
Overview of the Michigan experience with POCMA
May 2012 COAP Statewide Meeting –
Pat Ryan, MD, Providence Regional Medical Center, Everett
Eric Lehr, MD, Swedish Medical Center, Seattle
Reviewed experiences with “internal” POCMA efforts
Proposed collaborative approach in WA State
August 2012 COAP Management Committee –
Approved secure online collaborative tool developed by Armus
November 2012 –
Online tool ready for testing
January 2013 –
Anticipate online tool will be ready for collaborative use by WA hospitals
ARMUS
How the Bree Collaborative can support this effort:
Recognition of participation?
Promote incentives for participation?
Requirement based on mortality outcomes?
Other thoughts??
ARMUS