"We've been focused on improving the quality of care around ureteroscopy for kidney stones, especially around a post operative emergency department visits," says Khurshid R. Ghani, MD.
In this video, Khurshid R. Ghani, MD, highlights work being done by the Michigan Urological Surgery Improvement Collaborative (MUSIC), including the recently published study "What is the Optimal Stenting Duration after Ureteroscopy and Stone Intervention? Impact of Dwell Time on Post-operative Emergency Department Visits". Ghani is a professor of urology at the University of Michigan in Ann Arbor, Michigan and the director of MUSIC.
We, in the MUSIC group have been looking at the quality of surgery for ureteroscopy in the state of Michigan for the last 5 to 6 years. This body of work has just been part of been part of that journey over the many years. One thing about MUSIC, I should expand, is that we're a Quality Improvement Collaborative. We have around 46 urology practices that contribute data. We collect that data, and then look at outcomes of care practice patterns, look at some gaps in care, see what variation might be going on. And then as a group together in the state of Michigan, we've developed quality interventions to try and fix things that we see. So, MUSIC is funded by Blue Cross Blue Shield of Michigan, which is an insurance company, and we're very fortunate to have their support. They fund that data collection and all the efforts around that.
But any patient in the state of Michigan undergoing ureteroscopy, as long as that practice is a member of MUSIC, and around 90% of the practices are, the data of that ureteroscopy gets entered into a registry. We've been focused on improving the quality of care around ureteroscopy for kidney stones, especially around a post operative emergency department visits. So, patients having ureteroscopy, coming back to the emergency room, and sometimes even being hospitalized as a result of the surgery. So, we've been studying that [and] trying to work out what are the drivers for post operative visits? What can we do to reduce that? And one of the big things that we've been studying is around ureteral stenting after ureteroscopy.
This transcription has been edited for clarity.