{"id":727,"date":"2022-06-30T16:22:00","date_gmt":"2022-06-30T16:22:00","guid":{"rendered":"https:\/\/michigancr.org\/?p=727"},"modified":"2024-01-26T16:33:57","modified_gmt":"2024-01-26T16:33:57","slug":"efforts-of-bmc2-and-mvc-align-to-form-michigan-cardiac-rehab-network","status":"publish","type":"post","link":"https:\/\/michigancr.org\/zh\/efforts-of-bmc2-and-mvc-align-to-form-michigan-cardiac-rehab-network\/","title":{"rendered":"BMC2 \u548c MVC \u534f\u529b\u7ec4\u5efa\u5bc6\u6b47\u6839\u5fc3\u810f\u5eb7\u590d\u7f51\u7edc"},"content":{"rendered":"<p><a href=\"https:\/\/www.bcbsm.com\/content\/dam\/microsites\/corpcomm\/provider\/VPU\/2022\/jun\/0622h.html\"><em><strong>\u9605\u8bfb\u300a\u5bc6\u6b47\u6839\u5dde\u84dd\u5341\u5b57\u84dd\u76fe\u4ef7\u503c\u5408\u4f5c\u4f19\u4f34\u5173\u7cfb 2022 \u5e74 6 \u6708\u901a\u8baf\u300b\u539f\u6587<\/strong><\/em><\/a><\/p>\n<p><strong>\u4e00\u5bb6\u65b0\u7684\u5408\u8d44\u4f01\u4e1a\uff0c\u65e8\u5728\u516c\u5e73\u5730\u63d0\u9ad8\u5bc6\u6b47\u6839\u5dde\u6240\u6709\u7b26\u5408\u6761\u4ef6\u7684\u60a3\u8005\u5bf9\u5fc3\u810f\u5eb7\u590d\u7684\u53c2\u4e0e\u5ea6<\/strong><\/p>\n<p>\u5728\u7f8e\u56fd\uff0c\u4eca\u5e74\u5c06\u6709\u4e09\u5206\u4e4b\u4e00\u7684\u5973\u6027\u548c\u56db\u5206\u4e4b\u4e00\u7684\u7537\u6027\u88ab\u8bca\u65ad\u51fa\u60a3\u6709\u5fc3\u810f\u75c5\uff0c\u8d85\u8fc7\u4e00\u767e\u4e07\u4e2a\u5bb6\u5ead\u5c06\u773c\u7741\u7741\u5730\u770b\u7740\u81ea\u5df1\u7684\u4eb2\u4eba\u5728\u51a0\u5fc3\u75c5\u6216\u5fc3\u810f\u624b\u672f\u7684\u75db\u82e6\u4e2d\u6323\u624e\u3002\u5c3d\u7ba1\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u53d1\u75c5\u7387\u5f88\u9ad8\uff0c\u4f46\u5f88\u5c11\u6709\u60a3\u8005\u548c\u4eb2\u4eba\u4e86\u89e3\u5fc3\u810f\u5eb7\u590d\u8fd9\u4e00\u6539\u53d8\u5fc3\u810f\u75c5\u60a3\u8005\u751f\u6d3b\u7684\u9879\u76ee\u3002\u4e3a\u4e86\u5bf9\u5168\u5dde\u7684\u5fc3\u810f\u5eb7\u590d\u5229\u7528\u7387\u4ea7\u751f\u6709\u610f\u4e49\u7684\u5f71\u54cd\uff0c\u7531\u533b\u751f\u3001\u7814\u7a76\u4eba\u5458\u3001\u6570\u636e\u5206\u6790\u5e08\u548c\u6765\u81ea\u4e24\u4e2a\u5408\u4f5c\u8d28\u91cf\u8ba1\u5212\u7684\u53c2\u4e0e\u4e13\u5bb6\u7ec4\u6210\u7684\u5408\u4f5c\u56e2\u961f\u5efa\u7acb\u4e86\u4e00\u4e2a\u65b0\u7684\u5bc6\u6b47\u6839\u5fc3\u810f\u5eb7\u590d\u7f51\u7edc\uff0c\u7b80\u79f0 MiCR\uff1a \u00a0<a href=\"https:\/\/michiganvalue.org\/\" target=\"_blank\" rel=\"noopener\">\u5bc6\u6b47\u6839\u4ef7\u503c\u5408\u4f5c\u7ec4\u7ec7<\/a>\u6216 MVC\uff0c\u4ee5\u53ca\u00a0<a href=\"https:\/\/bmc2.org\/\" target=\"_blank\" rel=\"noopener\">\u5bc6\u6b47\u6839\u5dde\u84dd\u5341\u5b57\u84dd\u76fe\u5fc3\u8840\u7ba1\u8054\u76df<\/a>\u6216 BMC2\u3002MVC \u8054\u5408\u4e3b\u4efb\u662f\u5bc6\u6b47\u6839\u533b\u5b66\u9662\u5fc3\u810f\u5916\u79d1\u7cfb\u52a9\u7406\u6559\u6388 Mike Thompson \u535a\u58eb\u548c BMC2 \u526f\u4e3b\u4efb\u3001\u4ecb\u5165\u5fc3\u810f\u75c5\u4e13\u5bb6 Devraj Sukul \u533b\u5b66\u535a\u58eb\u3002<\/p>\n<p><em>\u5fc3\u810f\u5eb7\u590d\u7684\u76ca\u5904<\/em><\/p>\n<p>\u5fc3\u810f\u5eb7\u590d\uff08Cardiac rehabilitation\uff0c\u7b80\u79f0 CR\uff09\u5c5e\u4e8e IA \u7ea7\u9002\u5e94\u75c7\uff0c\u9002\u7528\u4e8e\u8fd1\u671f\u53d1\u751f\u7684\u5fc3\u810f\u76f8\u5173\u4e8b\u4ef6\u6216\u624b\u672f\u3002\u8fd9\u610f\u5473\u7740\u9ad8\u8d28\u91cf\u7684\u8bc1\u636e\u8868\u660e\uff0c\u5fc3\u810f\u5eb7\u590d\u5bf9\u60a3\u8005\u6709\u76ca\u3002\u4e8b\u5b9e\u4e0a\uff0c\u5b8c\u6210\u5168\u90e8 36 \u4e2a\u7597\u7a0b\u7684\u60a3\u8005\u6709\u00a0<a href=\"https:\/\/millionhearts.hhs.gov\/data-reports\/factsheets\/cardiac.html\" target=\"_blank\" rel=\"noopener\">\u6b7b\u4ea1\u98ce\u9669\u964d\u4f4e 47%\uff0c\u5fc3\u810f\u75c5\u53d1\u4f5c\u98ce\u9669\u964d\u4f4e 31%<\/a>\u00a0\u6bd4\u53ea\u53c2\u52a0\u4e00\u4e2a\u7597\u7a0b\u7684\u75c5\u4eba\u591a\u3002\u6b64\u5916\uff0c\u5b83\u8fd8\u80fd\u51cf\u5c11\u518d\u5165\u9662\u7387\uff0c\u6bcf\u633d\u6551\u4e00\u540d\u60a3\u8005\u4e00\u5e74\u7684\u751f\u547d\uff0c\u5c31\u80fd\u4e3a\u5176\u8282\u7701\u6570\u5343\u7f8e\u5143\u3002\u7136\u800c\uff0cCR \u7684\u5229\u7528\u7387\u666e\u904d\u504f\u4f4e\uff0c\u5168\u56fd\u5229\u7528\u7387\u4ec5\u4e3a 25-50%\u3002\"\u8bc1\u636e\u786e\u51ff\uff0c\"\u6c64\u666e\u68ee\u8bf4\u3002\"\u5fc3\u810f\u5eb7\u590d\u6cbb\u7597\u53ef\u4ee5\u5ef6\u957f\u8fd1\u671f\u53d1\u751f\u8fc7\u5fc3\u810f\u76f8\u5173\u4e8b\u4ef6\u6216\u624b\u672f\u7684\u60a3\u8005\u7684\u751f\u547d\uff0c\u5e76\u63d0\u9ad8\u5176\u751f\u6d3b\u8d28\u91cf\u3002\u9057\u61be\u7684\u662f\uff0c\u6bcf\u4e09\u4e2a\u7b26\u5408\u5fc3\u810f\u5eb7\u590d\u6761\u4ef6\u7684\u5bc6\u6b47\u6839\u4eba\u4e2d\uff0c\u5c31\u6709\u4e24\u4e2a\u4eba\u4ece\u672a\u53c2\u52a0\u8fc7\u5fc3\u810f\u5eb7\u590d\u3002<\/p>\n<p><em>\u505a\u51fa\u6539\u53d8<\/em><\/p>\n<p>MiCR \u7684\u521b\u5efa\u65e8\u5728\u516c\u5e73\u5730\u63d0\u9ad8\u5168\u5dde\u6240\u6709\u7b26\u5408\u6761\u4ef6\u8005\u7684 CR \u53c2\u4e0e\u7387\u3002BMC2 \u662f\u4e00\u4e2a\u7531\u533b\u7597\u670d\u52a1\u63d0\u4f9b\u8005\u7ec4\u6210\u7684\u5408\u4f5c\u8054\u76df\uff0c\u81f4\u529b\u4e8e\u63d0\u9ad8\u5bc6\u6b47\u6839\u5dde\u5fc3\u8840\u7ba1\u60a3\u8005\u7684\u533b\u7597\u8d28\u91cf\u548c\u7597\u6548\u3002MVC \u662f\u4e00\u4e2a\u5408\u4f5c\u7ec4\u7ec7\uff0c\u5e2e\u52a9\u5bc6\u6b47\u6839\u5dde\u7684 100 \u5bb6\u533b\u9662\u548c 40 \u5bb6\u533b\u751f\u7ec4\u7ec7\u901a\u8fc7\u53ef\u6301\u7eed\u7684\u9ad8\u4ef7\u503c\u533b\u7597\u4fdd\u5065\u6539\u5584\u5bc6\u6b47\u6839\u5dde\u7684\u5065\u5eb7\u72b6\u51b5\u3002MVC \u5229\u7528\u5f3a\u5927\u7684\u591a\u652f\u4ed8\u65b9\u6570\u636e\u3001\u5b9a\u5236\u5206\u6790\u548c\u534f\u4f5c\u5b66\u4e60\u673a\u4f1a\uff0c\u5e2e\u52a9\u5176\u6210\u5458\u66f4\u597d\u5730\u4e86\u89e3\u81ea\u5df1\u7684\u7ee9\u6548\uff0c\u4f7f\u533b\u7597\u670d\u52a1\u63d0\u4f9b\u8005\u80fd\u591f\u5728\u5408\u4f5c\u3001\u975e\u7ade\u4e89\u7684\u7a7a\u95f4\u4e2d\u76f8\u4e92\u5b66\u4e60\u3002<\/p>\n<p>MiCR \u5c06\u5b9a\u671f\u5411\u533b\u7597\u670d\u52a1\u63d0\u4f9b\u8005\u5206\u53d1 CR \u5229\u7528\u7387\u603b\u7ed3\uff0c\u53ec\u96c6\u5229\u76ca\u76f8\u5173\u8005\u548c\u54a8\u8be2\u5c0f\u7ec4\u4f1a\u8bae\uff0c\u521b\u5efa\u8d44\u6e90\u4ee5\u5e2e\u52a9\u533b\u9662\u548c CR \u673a\u6784\u4f18\u5316\u5229\u7528\u7387\uff0c\u5e76\u7ee7\u7eed\u5229\u7528\u4e24\u4e2a CQI \u7684\u4e13\u4e1a\u77e5\u8bc6\u3002MiCR \u5df2\u5b8c\u6210\u4e86\u5bf9\u533b\u9662\u7684\u5fc3\u810f\u5eb7\u590d\u5b9e\u5730\u8003\u5bdf\uff0c\u5e76\u63a8\u51fa\u4e86\u5fc3\u810f\u5eb7\u590d\u6700\u4f73\u5b9e\u8df5\u5de5\u5177\u5305\u3002\u8be5\u5de5\u5177\u5305\u7531\u4e13\u95e8\u7684\u5fc3\u810f\u5eb7\u590d\u670d\u52a1\u63d0\u4f9b\u8005\u548c\u5185\u5bb9\u4e13\u5bb6\u5171\u540c\u52aa\u529b\uff0c\u4e3a\u5fc3\u810f\u5eb7\u590d\u673a\u6784\u3001\u533b\u9662\u548c\u533b\u7597\u7cfb\u7edf\u786e\u5b9a\u6700\u4f73\u5b9e\u8df5\u3002\u64b0\u7a3f\u4eba\u9f13\u52b1\u5730\u65b9\u8d28\u91cf\u6539\u8fdb\u56e2\u961f\u6839\u636e\u5404\u81ea\u533b\u9662\u7684\u60c5\u51b5\u91c7\u53d6\u76f8\u5e94\u7684\u5e72\u9884\u63aa\u65bd\u3002<\/p>\n<p>\"\u82cf\u5e93\u5c14\u8bf4\uff1a\"\u6211\u4eec\u975e\u5e38\u9ad8\u5174\u80fd\u5c06 BMC2 \u548c MVC \u7684\u4f18\u52bf\u4e0e\u5168\u5dde\u533b\u7597\u670d\u52a1\u63d0\u4f9b\u8005\u548c\u4eba\u5458\u5bf9\u5fc3\u810f\u5eb7\u590d\u7684\u5de8\u5927\u70ed\u60c5\u7ed3\u5408\u8d77\u6765\uff0c\u52aa\u529b\u6539\u5584\u6bcf\u5e74\u6570\u5343\u540d\u60a3\u8005\u7684\u62a4\u7406\u3002<\/p>\n<p><em>\u76ee\u6807<\/em><\/p>\n<p>MiCR \u8fd8\u521a\u521a\u5ba3\u5e03\u4e86\u5728\u5168\u5dde\u8303\u56f4\u5185\u63d0\u9ad8 CR \u5229\u7528\u7387\u7684\u65b0\u76ee\u6807\u3002\u76ee\u524d\uff0c\u53ea\u6709 30% \u7684\u60a3\u8005\u5728\u7ecf\u5bfc\u7ba1\u4e3b\u52a8\u8109\u74e3\u7f6e\u6362\u672f\uff08TAVR\uff09\u3001\u5916\u79d1\u4e3b\u52a8\u8109\u74e3\u7f6e\u6362\u672f\uff08SAVR\uff09\u3001\u51a0\u72b6\u52a8\u8109\u65c1\u8def\u79fb\u690d\u624b\u672f\uff08CAB\uff09\u3001\u7ecf\u76ae\u51a0\u72b6\u52a8\u8109\u4ecb\u5165\u6cbb\u7597\uff08PCI\uff09\u548c\u6025\u6027\u5fc3\u808c\u6897\u6b7b\uff08AMI\uff09\u540e\u4f7f\u7528 CR\u3002\u7b2c\u4e00\u4e2a\u76ee\u6807\u662f\u4f7f\u6240\u6709\u8fd9\u4e9b\u60a3\u8005\u7684 CR \u4f7f\u7528\u7387\u8fbe\u5230 40%\u3002MVC \u5c06\u786e\u5b9a\u56e0\u8fd9\u4e9b\u75c5\u75c7\u5728\u4f1a\u5458\u533b\u9662\u4f4f\u9662\u7684\u60a3\u8005\uff0c\u5e76\u7edf\u8ba1\u6709\u591a\u5c11\u60a3\u8005\u5728\u51fa\u9662\u540e 90 \u5929\u5185\u81f3\u5c11\u63a5\u53d7\u4e86\u4e00\u6b21\u95e8\u8bca CR \u8bbf\u95ee\u3002\u7531\u4e8e\u76ee\u524d\u53ea\u6709 3% \u7684\u5145\u8840\u6027\u5fc3\u529b\u8870\u7aed\uff08CHF\uff09\u60a3\u8005\u4f7f\u7528 CR\uff0c\u56e0\u6b64\u7b2c\u4e8c\u4e2a\u76ee\u6807\u662f\u4f7f\u6574\u4e2a\u5408\u4f5c\u7ec4\u7ec7\u7684 CHF \u60a3\u8005\u4f7f\u7528\u7387\u8fbe\u5230 10%\uff0c\u5e76\u8ba1\u7b97\u51fa\u51fa\u9662\u540e 365 \u5929\u5185\u81f3\u5c11\u6709\u4e00\u6b21\u95e8\u8bca CR \u5c31\u8bca\u7684\u60a3\u8005\u4eba\u6570\u3002\u533b\u7597\u4e2d\u5fc3\u5c06\u5728\u6bcf\u516d\u4e2a\u6708\u53d1\u9001\u7684 CR \u62a5\u544a\u4e2d\u5206\u4eab\u533b\u7597\u70b9\u7684\u8fdb\u5c55\u60c5\u51b5\u3002<\/p>\n<p>\u4e3a\u652f\u6301 MiCR \u5408\u4f5c\u5b9e\u65bd\u7684\u91cd\u5927\u4e3e\u63aa\uff0c\u4e24\u4e2a CQI \u4e5f\u5c06\u7ee7\u7eed\u5728 CR \u9886\u57df\u5f00\u5c55\u5404\u81ea\u7684\u6d3b\u52a8\u3002MVC \u901a\u8fc7\u4e24\u79cd\u65b9\u5f0f\u652f\u6301\u516c\u7ea6\u4e0e\u5efa\u8bae\u59d4\u5458\u4f1a\u7684\u53c2\u4e0e\uff1a1) \u4e3a MVC \u6210\u5458\u63d0\u4f9b\u5408\u4f5c\u673a\u4f1a\uff1b2) \u4f7f\u7528\u72ec\u7279\u7684\u591a\u652f\u4ed8\u65b9\u6570\u636e\u6e90\u7f16\u5236\u62a5\u544a\u3002MVC \u56e2\u961f\u901a\u8fc7\u5229\u76ca\u76f8\u5173\u8005\u4f1a\u8bae\u548c\u5de5\u4f5c\u7ec4\u652f\u6301\u5408\u4f5c\uff0c\u4f7f\u533b\u7597\u70b9\u548c\u4e34\u5e8a\u533b\u751f\u80fd\u591f\u5206\u4eab\u5e94\u5bf9\u5171\u540c\u6311\u6218\u7684\u89e3\u51b3\u65b9\u6848\u3002MVC \u7684\u62a5\u544a\u901a\u8fc7\u7279\u5b9a\u65f6\u95f4\u7684\u533b\u9662\u7ea7 CR \u6ce8\u518c\u4fe1\u606f\u548c\u51fa\u9662\u540e\u4e00\u5e74\u5185\u5b8c\u6210\u7684\u5c31\u8bca\u60c5\u51b5\uff0c\u5bf9\u4f1a\u5458\u62a5\u9500\u6570\u636e\u8fdb\u884c\u5206\u6790\u3002\u8fd9\u4f7f\u533b\u9662\u80fd\u591f\u5c06\u5176\u7ee9\u6548\u4e0e\u540c\u884c\u8fdb\u884c\u6bd4\u8f83\uff0c\u5e76\u786e\u5b9a\u9700\u8981\u6539\u8fdb\u7684\u5730\u65b9\u3002MVC \u8fd8\u5c06\u5728\u4e94\u6708\u4efd\u7684\u534a\u5e74\u5ea6\u4f1a\u8bae\u4e0a\u4e0e\u4f1a\u5458\u5206\u4eab\u6709\u5173 CR \u7387\u7684\u975e\u76f2\u6cd5\u6570\u636e\uff0c\u4ee5\u63a8\u52a8\u5bf9\u8bdd\u5e76\u9f13\u52b1\u5728 CQI \u4e2d\u5206\u4eab\u6700\u4f73\u5b9e\u8df5\u3002<\/p>\n<p><em>\u53ef\u884c\u6027<\/em><\/p>\n<p>\"MVC \u5206\u6790\u5e08\u6770\u897f\u5361-\u96c5\u745f\uff08Jessica Yaser\uff09\u8bf4\uff1a\"\u5728\u7d22\u8d54\u6570\u636e\u4e2d\uff0c\u6211\u4eec\u53ef\u4ee5\u8bc4\u4f30\u542f\u52a8\u548c\u575a\u6301\u60c5\u51b5--\u67d0\u4eba\u662f\u5426\u4ee5\u53ca\u4f55\u65f6\u5f00\u59cb\u5fc3\u810f\u5eb7\u590d\u6cbb\u7597\uff0c\u4ed6\u4eec\u575a\u6301\u4e86\u591a\u957f\u65f6\u95f4\u3002\"\u5728\u533b\u9662\u3001\u5408\u683c\u4e8b\u4ef6\u548c\u4ed8\u6b3e\u4eba\u7b49\u591a\u4e2a\u65b9\u9762\uff0c\u5fc3\u810f\u5eb7\u590d\u7387\u90fd\u5b58\u5728\u5de8\u5927\u5dee\u5f02\u3002CAB \u540e\u5fc3\u810f\u5eb7\u590d\u7387\u6700\u9ad8\u7684\u533b\u9662\u5c06 75% \u7684\u60a3\u8005\u9001\u53bb CR\uff0c\u800c\u53e6\u4e00\u5bb6\u533b\u9662\u53ea\u5c06 28% \u7684 CAB \u60a3\u8005\u9001\u53bb 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