June 2022

CQI incentive program now available for ambulatory surgery facilities

Our Collaborative Quality Initiatives are statewide, clinician-led quality improvement initiatives that address many of the most common areas of surgical and medical care in Michigan. Historically, the CQI program has involved the engagement and participation of hospitals and physician practices in CQI activities.

We recently expanded the program to include procedures performed at independent, free-standing ambulatory surgery facilities.** As a result, we’ve developed a CQI incentive program for ambulatory surgery facilities to support their participation and engagement in specific CQIs.

This CQI incentive will reward ambulatory surgery facilities that meet all of these requirements:

They participate in our CQI program.
They contribute data to the statewide registry.
They learn and share best practices.
They participate in continuous quality improvement activities.

Ambulatory surgery facilities that participate in this CQI incentive program will be eligible for a facility fee increase of 1%, or 101% of the standard fee schedule amount for Blue Cross Blue Shield of Michigan and Blue Care Network commercial members.

This increase will apply to all services reimbursed at the facility level. The following CQIs are participating in the CQI incentive program for ambulatory surgery facilities:

The Michigan Arthroplasty Registry Collaborative Quality Initiative (marcqi.org***)
The Michigan Spine Surgery Improvement Collaborative (mssic.org***)

Background information on our CQI program
With the Collaborative Quality Initiatives model, participants submit clinical condition- or procedure-specific data to a center responsible for analyzing the data to identify best practices and opportunities for improvement.

Quality improvement interventions are implemented, and collaborative participants meet regularly to share and learn best practices based on relevant, timely clinical data. For more information, visit our Collaborative Quality Initiatives site.

**Independent free-standing ASFs are entities that operate exclusively for the purpose of providing outpatient surgical services to patients and aren’t associated with one or more of Blue Cross Blue Shield of Michigan’s participating hospital agreements related to hospital outpatient services.

***Blue Cross Blue Shield of Michigan doesn’t own or control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.