“Without the collection of credible data, via a secure platform trusted by all participants, MUSIC would not be able to make the strides in improving care that we see today.”
Urology practices provide the majority of prostate cancer-related services, so they represent a logical focal point for efforts aimed at improving the value of prostate cancer care.
Historically the ability for urologists to improve care has been limited by two significant concerns. First, most urologists have little or no access to data regarding the quality of care provided in their own practice. Second, even when such “quality data” is available, few understand how to use the data to change their practice in order to achieve measurable improvements.
The Michigan Urological Surgery Improvement Collaborative (MUSIC) has spent nearly a decade changing all of this.
MUSIC is a physician-led quality improvement collaborative comprised of a consortium of urology practices in the state of Michigan. Since 2011, the collaborative has brought urologists together to evaluate and improve the quality and cost efficiency of prostate cancer care for men across the state.
MUSIC’s specific goals include:
When it started, MUSIC was the only physician-led urology quality improvement initiative in the U.S. Today, 90 percent of urologists in Michigan participate.
Collaboration, transparency, and data are the core of MUSIC. They use a secure, web‐based, clinical data registry to identify opportunities to improve processes of care, develop strategies for quality improvement (QI), and monitor the success of the implementation of QI interventions.
The flexibility of MUSIC’s data infrastructure and registry has enabled the collaborative to expand its focus to cover a variety of urological diseases and procedures. Here are a few examples of recent initiatives:
MUSIC also has a solid patient engagement and patient-reported outcomes program. The registry collects and analyzes patient-reported outcomes (PROs) to assess health-related quality of life and functional status before and after radical prostatectomy. Patient-reported outcomes provide researchers access to otherwise unavailable data, such as symptom status and quality of life that are crucial to improving patient health. The platform allows patients to interact directly with the registry via a PRO Patient Trend Report, which helps the patient and provider better plan for the patient’s recovery pathway following surgery.
MUSIC-PRO’s streamlined, web-based format has yielded impressive levels of patient engagement, despite the sensitive subject matter of some patient surveys.
MUSIC was the winner of the inaugural Clinical Innovator Technology Accelerator Award and was awarded the Blue Cross Blue Shield Association Best of Blue award for clinical distinction. Some of its award-winning results include:
- 50 percent reduction in prostate biopsy-related hospitalizations
- Decreased adverse events associated with prostate-cancer related procedures
- State-wide reductions in the utilization of radiographic imaging for staging patients with low-risk prostate cancer reductions in the frequency of biopsy-related infectious complications
- Laid the groundwork for using video review as a quality improvement strategy for assessing surgeons’ technical skill and identifying a potential correlation between case volumes and certain surgical outcomes.
- Impressive levels of patient engagement, with the MUSIC-PRO survey completion rate at “88%, 84%, and 90% preoperatively, at 3 months, and 6 months. Electronic completion rates preoperatively, at 3 months, and 6 months were 70%, 70%, and 68%, respectively.” The same study concluded that “Collection of electronic PRO via this unified, web-based format was successful and provided results that reflect expected recovery and identify opportunities for improvement.” (Lucas et al., 2017).
- Publishing numerous peer-reviewed manuscripts and abstracts in such publications as the Journal of Urology.
Learn more about MUSIC at musicurology.com.