MAQI2: Michigan Anticoagulation Quality Improvement Initiative

MAQI logoMichigan Anticoagulation Quality Improvement Initiative (MAQI2) is a multi-center, collaborative quality initiative sponsored by Blue Cross Blue Shield of Michigan. Data is collected on patients taking oral anticoagulants from 6 participating Michigan health systems and entered into a data registry managed by the MAQI2 Coordinating Center located within MCORRP. Data collected include patient demographics, medications, co-morbidities, time in therapeutic range (TTR), and frequency of adverse events. Information on each site’s protocols, processes, and structure is also collected in an effort to link outcomes with variations in clinic operations. Over 15,000 patients have been entered into the registry along with over 450,000 follow-ups.

MAQI group at UM football stadiumOpportunities for improvement have been identified, best practices have been shared between sites, and interventions are underway. These quality improvement projects include: reducing the inappropriate use of warfarin, developing more effective patient education materials, performing regular root-cause-analyses of adverse events; and reducing unnecessary lab testing, inappropriate aspirin use, and off-label dosing.

In addition, the MAQI2 collaborative has developed the MAQI2  Anticoagulation Toolkit, which includes a downloadable collection of guidelines, protocols, and a mobile app to help providers manage anticoagulation patients more safely and effectively.  The toolkit also includes patient education resources in multiple languages for patients to learn more about how to take anticoagulants safely.  Information for the toolkit and mobile app can be found at:  Thousands of providers and patients across the country are using the toolkit to improve anticoagulation safety and effectiveness.

Site Map

Site map

Please Contact the Project Managers for Further Information:

Project Managers:

Brian Haymart, RN, MSN (734) 998-5631
Tina Alexandris-Souphis, RN, BSN, BS (734) 998-0655
Debbie  DeCamillo, RN BSN (734) 998-5616


MAQI Coordinating Center
University of Michigan Health System
Jim Froehlich MD, MPH
Geoff Barnes MD, Research Fellow

William Beaumont Hospital
Steven Almany, MD

Cardiology and Vascular Associates/ Huron Valley Sinai
Jay Kozlowski, MD, FACC

Henry Ford Hospital and Medical Center
Vinay Shah, MD; FACP
Greg Krol, M.D.
Scott Kaatz, DO, MSc, FACP

Memorial Healthcare
Thomas Teal, MD

West Michigan Heart — a member of Spectrum Health
Musa Daho, MD

Michael McNamara  MD 

Scott Kaatz, DO, MSc, FACP