Goal

• Achieve 100% adherence to selected guidelines
• Produce savings of $500 million over 3 years, or reduce the rate of increase health care expenditures by 1–3 % in Southeast Michigan

Strategy

Align all stakeholders in SEM to:  

• Adopt standard performance metrics and measure performance
• Accelerate compliance with evidence-based guidelines
• Pay providers based on performance metrics
• Foster organized systems of care

Significant Milestones and Deliverables 

The regional momentum of Save Lives Save Dollars is strong.   The following has been accomplished through multi-stakeholder leadership and participation:

• Recruited a collaborative group of diverse stakeholders to drive change — long-term commitments are in place.

• Created a forum for active physician engagement and leadership.

• Adopted standard quality measures for hospital and ambulatory care performance to help drive common targets for improvement, payment and reporting.

• Established performance measurement targets:  diabetes, surgical site infection, generic drugs, heart attack and heart failure, and pneumonia.

• Developed and launched online Health Care Performance Report capturing hospital quality performance, a health plan report and physician organization report — www.savelivessavedollars.org.  The Physician Organization Report is the first of its kind in Michigan.

• Completed groundwork for building infrastructure for long-term results.

• Launched several pilot programs and quality improvement initiatives — Diabetes/Blood Pressure Management Pilot, a Generic Drug Pilot to encourage generic prescribing by physicians and utilization by consumers, the Diabetes Self Management Education program for worksites, and Pneumonia CSI which shares best practices on hospital care for pneumonia.

•  Implemented a consumer engagement strategy to engage and educate residents about performance reports and self-management of chronic diseases— informed consumers are informed employees.

   

• Gerald Fitzgerald, former president and CEO, Oakwood Healthcare, Transitional Chair
• Edward Wolking, senior vice president, Detroit Regional Chamber, Transitional Vice Chair

 Results Improvement Team (RITE)

• Jack Billi, University of Michigan
• Gerald Fitzgerald 
• Richard Frank, MD, HealthPlus of Michigan 
• Steve Grant, MD, United Physicians, PC
• Paul Harkaway, MD, Huron Valley Physicians Association
• Mark Johnson, Beaumont Hospitals
• Kate Kohn-Parrott, Chrysler LLC
• Deb O'Leary, Michigan American Diabetes Association
• Richard Lueders, DTE Energy
• Marsha Manning, General Motors
• Sue Moran, Michigan Department of Community Health  
• Cassandra Saunders, Chrysler LLC
• Nancy Schlichting, Henry Ford Health System
• Philip Schloop, IUOE, Local 547
• Thomas Simmer, MD, Blue Cross Blue Shield of Michigan
• Matthew Walsh, Health Alliance Plan
• Jack Weiner, Trinity Health System
• Corri Wofford, Michigan American Diabetes Association
• Edward Wolking