Impact

Michigan Spine Surgery Improvement Collaborative

To improve quality of care of spine surgery by reducing surgical complications, improve patient functional outcomes, reduce costs and episodes of care, and reduce the need for repeat surgeries

Performance:

10%

Reduction of lumbar surgical site infection

21%

Reduction of hospital readmissions within 90 days of discharge

63%

Reduction of urinary retention

170%

Improvement in ambulation within 8 hours of spine surgery

25%

Improvement in 1-2 level lumbar decompressions discharged on >225 MME

33%

Improvement in 1-2 level anterior cervical discharged on < 225 MME

Performance:

More than 27000 patients ambulated within 8 hours that previously would not have since 2020
Development and implementation of Enhanced Recovery After Surgery for spine patients at all MSSIC sites
Reducing urinary retention, surgical site infections, and readmissions
Promoting ambulation within 8 hours of surgery to reduce complications, improve outcomes, and shorten hospital stays
Improving patient-reported outcomes such as satisfaction, functional status, pain, and return to work
Reduction of ED visits within 90 days after spine surgery
Reduction of opioids prescribed at discharge for opioid naïve patients