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:
Evaluating and improving patterns of care in the radiographic staging of men with newly diagnosed prostate cancer
Reducing biopsy-related infectious hospitalizations
Optimizing treatment appropriateness for newly diagnosed prostate cancer patients with favorable risk disease
Enhancing patient-centered decision making among men considering local therapy
Improving outcomes after radical prostatectomy (prostate surgery)
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.
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:
MUSIC Website. Accessed July 2020. https://musicurology.com/
Blue Cross Blue Shield Website. Accessed July 2020. https://www.bcbsm.com/providers/value-partnerships/physician-group-incentive-prog/specialists/opportunities/michigan-urological-surgery-improvement-collaborative.html
Learn more about MUSIC at musicurology.com.
The Michigan Urological Surgery Improvement Collaborative is a physician-led collaborative that strives to improve outcomes for men with urological conditions across the state of Michigan.