وبینار امور بین الملل: Collaborative quality improvement in hip and knee arthroplasty

Total joint replacement (arthroplasty) is definitive treatment for end-stage osteoarthritis of the knee and hip. While it is proven to be highly effective, it carries risk of infection, deep vein thrombosis, pulmonary embolism, mortality, early revision, and other complications. In 2021, Dr. Hughes collaborated with a joint replacement surgeon, Dr. Brian Hallstrom, to create the Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI). The goal of MARCQI is to improve the quality of care for hip and knee replacement patients in Michigan. Sixty-two hospitals and five ambulatory surgery centers participate in MARCQI. Data on all elective hip and knee replacement cases are abstracted into a registry that now contains more than 300,000 surgical cases. This registry is used to measure quality and facilitate improvement. This talk will describe how MARCQI improves health care quality across the state of Michigan and highlight the analytical challenges posed by using observational data for surgical quality improvement

Richard Hughes

Richard E. Hughes is an Associate Professor of Orthopaedic Surgery, Biomedical Engineering, and Industrial and Operations Engineering at the University of Michigan. He graduated from Princeton University before attending the University of Michigan for his doctoral studies in Industrial and Operations Engineering, which he completed in 1991. Dr. Hughes focused his research on shoulder biomechanics before turning to hip and knee replacement quality improvement in 2012. He has published 110 peer-reviewed papers and been President of the American Society of Biomechanics. He is currently Co-Director of MARCQI