MQIC Clinical Guidelines

The medical services industry, with its numerous competing insurers and managed care organizations, has created a set of overlapping, sometimes conflicting, quality improvement initiatives. The resulting complexity and variation pose serious barriers to consistent delivery of services that scientific evidence links to better health outcomes. Variation in performance measurement also generates non-comparable data, leading to lack of accountability and informed consumer choice. As new methods for rapid-cycle process improvement are available for application to clinical processes, there is a need for a standard set of performance guidelines, measures, and comparable performance data across health plans.

Through a collaborative approach to developing and implementing common clinical practice guidelines and performance measures, Michigan health plans will achieve consistent delivery of evidence-based services and better health outcomes. This approach also will augment the practice environment for physicians by reducing the administrative burdens imposed by compliance with diverse health plan guidelines and associated requirements.

The Michigan Quality Improvement Consortium will establish and implement a core set of clinical practice guidelines and performance measures. The interventions designed and implemented by each plan to improve consistent delivery of services will be at the discretion of individual plans, but guidelines, performance goals, measurement methodology, and performance reporting will be standardized.

To view the MQIC Guidelines please click here.