Michigan Bariatric Surgery Collaborative

About MBSC

The MBSC is a regional, voluntary consortium of hospitals and surgeons that perform bariatric (weight loss) surgery in Michigan. The goal of the project is to improve the quality of care for patients undergoing bariatric surgery. To do this, the participating hospitals submit data to the MBSC clinical outcomes registry. Three times per year the group meets to examine this data and to design and implement changes in care that result in better outcomes for bariatric patients. The project is funded by Blue Cross and Blue Shield of Michigan (BCBSM) and coordinated by the Michigan Surgical Collaboration for Outcomes Research and Evaluation (M-SCORE) at the University of Michigan.

• Participating Hospitals
• Clinical Registry
• Patient Surveys Database
• Quality Improvement Program

Participating Hospitals

• Bay Regional Medical Center, Bay City
• Borgess Medical Center, Kalamazoo
• Central Michigan Community Hospital, Mount Pleasant
• Crittenton Hospital Medical Center, Rochester
• Forest Health Medical Center, Ypsilanti
• Gratiot Medical Center, Alma
• Harper University Hospital, Detroit
• Henry Ford Bi-County Hospital, Warren
• Henry Ford Hospital, Detroit
• Henry Ford Wyandotte Hospital, Wyandotte
• Hurley Medical Center, Flint
• McLaren Regional Medical Center, Flint
• Mercy General Health Partners, Muskegon
• Munson Medical Center, Traverse City
• Port Huron Hospital, Port Huron
• Sparrow Health System, Lansing
• Spectrum Health, Grand Rapids
• St. John Detroit Riverview Hospital, Detroit
• St. John Hospital and Medical Center, Detroit
• St. John Oakland Hospital, Madison Heights
• St. Mary Mercy Hospital, Livonia
• University of Michigan Health System, Ann Arbor
• William Beaumont Hospital, Royal Oak
• William Beaumont Hospital, Troy

Clinical Registry

Participating hospitals submit data from a review of the medical records for all of their bariatric surgery patients. This review, which is conducted for each patient at the end of the peri-operative period (inhospital/30 days after surgery) includes information regarding pre-operative clinical characteristics and conditions as well as peri-operative clinical care and outcomes. Each patient in the database is assigned a unique study identification number by the participating site prior to submission of the data to the coordinating center so that the clinical registry contains no sensitive, identifiable personal information such as name or social security number.

• RYGB Registry 30-day/In-hospital data form (July 2007 version) (pdf)
• RYGB Instructions for Registry 30-day/In-hospital data form (July 2007 version) (pdf)
• Lap-Band Registry 30-day/In-hospital data form (July 2007 version) (pdf)
• Lap-Band Instructions for Registry 30-day/In-hospital data form (July 2007 version) (pdf)
• BPD/DS/Sleeve Gastrectomy 30-day/In-hospital data form (July 2007 version) (pdf)
• BDP/DS/Sleeve Gastrectomy Instructions for Registry 30+day/In-hospital data form (July 2007 version) (pdf)

Patient Survey Database

MBSC participating hospitals also invite their bariatric surgery patients to participate in the MBSC Patient Survey Database. Patients that agree to participate complete a survey prior to surgery and another annually from the date of their surgery for three years. These surveys include information about the patient's current medications and weight, late complications, and quality of life.

• Baseline Patient Survey (pdf)
• Follow Up Patient Survey (pdf)
• MBSC Patient Information Brochure (pdf)

Quality Improvement Program

The MBSC participants meet three times per year to review and compare data and to develop and broadly implement strategies to improve bariatric care and outcomes at all sites.

• References
• Birkmeyer NJO, Share D, Campbell DA, Prager RL, Moscucci M, Birkmeyer JD. Partnering with payers to improve surgical quality: The Michigan plan. Surgery 2005; 138(5):815-820.
  
  
• Birkmeyer NJO, Wei Y, Goldfaden AM, Birkmeyer JD. Characteristics of hospitals performing bariatric surgery. JAMA 2006; 295(3):282-284.
  
  
• Birkmeyer NJO, Birkmeyer JD. Sounding Board. Strategies for Improving Surgical Quality: Should Payers Reward Excellence or Effort? NEJM 2006; 354(8):864-870.