MISHC 2025 Q1-3 Meeting Summaries

Did you miss a meeting, or do you need a refresher? Read our meeting summaries.

Highlights and key takeaways from the January 29th MISHC Coordinator/Abstractor Meeting:

  • Report Highlight - M&M reports are available for every procedure type, TAVR, MTEER and TMVR. The report lists patients that do not meet MISHC goals or CMS requirements and/or do meet select Events.

The patients are listed by NCDR ID, birthdate, procedure date and admission date. Please contact the Coordinating Center if you would like to see additional data listed in these reports.

  • Breakout rooms were used for MISHC participants to discuss VBR goal progress and challenges.
  • Remember to explore mishc.org for best practices, including:
    • Shared Decision Making
    • Vascular Access Management
    • Readmission Prevention
    • Post-TAVR Conduction Abnormalities
  • Key takeaways for VBR goal success:
    • Quality work cannot be the work of one person. Foster and achieve team buy-in for goals, documentation, processes, ownership, and responsibilities.
    • Educate patients about follow-up requirements before the procedure and throughout the process.
    • Educate new team members or when a new goal is implemented
    • Utilize real-time tracking
    • Present progress to the structural heart team at regular intervals
    • Being engaged with the Structural Heart team and hospital teams that participate in care – cath lab, imaging, etc.

A PDF of slides from the April 17th MISHC Coordinator/Abstractor Meeting is available via your secure NextCloud link. Listed below are a few highlights and key takeaways from this meeting:

  • Emily Bair, Site Engagement Coordinator from MVC, shared how to access the Cardiac Rehab utilization reports on the MVC website. Please refer to her slide for contact information and further guidance.
  • Sara Babcock, Clinical Data Specialist from Corewell Health Grand Rapids, discussed her persistence with obtaining direction from TVT and other ways of networking to problem solve challenging definitions and abstraction. The TVT guidance she received for TTE regurgitation values for all procedure types and timeframes was included in the meeting follow-up email.
    • Sara also emphasized the value of MISHC mentoring. If you would like to be a mentor or have a mentor, reach out to Sheryl or Alondra.
       
  • 2026 VBR Goals Project Form needs to be completed and returned to the MISHC Coordinating Center by December 1, 2025. Send completed forms to Sheryl and Alondra.

 

Slide presentations from the April 23rd MISHC Mitral Webinar are available via your secure link on NextCloud. You’ll also find recordings of meeting presentations on the MISHC YouTube Channel. Presentations include:

  • Stan Chetcuti, MD - MISHC Mitral Goals
  • Will Merhi, DO - MISHC Mitral Data
  • Mayra Guerrero, MD - Transcatheter Mitral Valve Replacement in Mitral Annular Calcification
  • Stan Chetcuti, MD - Mitral and TAVR Workgroup sign up – Consider signing up for the TAVR Workgroup or Mitral Publication and Best Practice Workgroup to help guide the future of MISHC.
  • Mary Casey, MPA, MISHC Project Manager - MISHC Publication Process Improvements

The MISHC TAVR Webinar was held on June 17th, 2025. Use the following link, MISHC Best Practices, to find the MISHC Best Practice Protocols, including our Post-TAVR Conduction System Abnormalities BPP. Listed below are a few highlights and key takeaways from this meeting.

A PDF of the slide presentations is available via NextCloud. The video is available on MISHC’s YouTube page. Presentations include:

  • Stephane Leung, MD, MISHC Hemodynamic TAVR Data Review
  • Stephanie Sellers, MSc PhD, TAVR Translational Science: Insights to Degeneration, Durability & Redo TAVR
  • P. Michael Grossman, MD, PPM Data Review
  • Raed Alnajjar, MD, Cardiac Rehab Best Practice Protocol finalized
  • Himanshu Patel, MD, MISHC VBR Goals

 

MISHC 2027 VBR Goals with the measurement period of 2026 Q1 & Q2 were discussed with the following key updates:

Sites must meet 3/4 goals to receive uplift payment from BCBS

  • Cardiac Rehab Referral Prior to Discharge with a goal of ≥95%
  • Site Specific- A list of potential goals will be provided for sites to choose by August 1
  • Meeting Attendance:
    • Requirement: A physician representative per site in 2026
    • Attend 1 Virtual Meeting and Attend 1 In-Person Collaborative Meeting
      • Bonus for having both a surgeon and cardiologist attend the in-person meeting equals meeting 2/4 goals
  • AV Mean Gradient documented at 1 year with a goal of ≥85% was voted as the fourth 2027 VBR goal by participants at the webinar

 

Highlights and key takeaways from the July 30th, 2025 MISHC Coordinator/Abstractor Meeting included updates to the Exit Interview process.

Exit interview attendance is now required for Physician Champions. MISHC Co-Directors will also join site exit interviews. Please tell us if you would like the physician director to be prepared to share data or answer specific questions.

Beginning with Q2 2025, MISHC follow-up reporting will require CMS-mandated KCCQ and TTE values to be entered for a record to be considered completed. Deaths will be excluded from this requirement.

Site-specific 2027 VBR goals – selected from the list below – were due by September 1st.  Sites already meeting all listed goals were permitted to submit a unique goal for approval. All goals must be entered in the QI Project Plan on mishc.org.

  • Echocardiogram post-procedure ≥ 95%
  • 30 Day Follow-Up Submission ≥ 95%
  • 1 Year Follow-Up Submission ≥ 95%
  • Bleeding/Vascular Complications ≤ 2%
  • Transfusion ≤ 7%
  • CV/eGFR ≥ 3 (no concomitant proc) ≤ 5%
  • KCCQ at baseline and 30 D ≥ 95%
  • NYHA class documented at 30 D ≥ 92%

Public Reporting:

Eight Michigan sites were recognized as High Performing by U.S. News & World Report: Corewell Grand Rapids, Corewell Health William Beaumont University Hospital RO, Corewell Health Dearborn, Corewell Health Troy, Henry Ford Detroit, Michigan Medicine, Henry Ford Providence Southfield, and Munson!

MISHC Report Attestation Forms are due December 1st, 2025

 

You can view the slides from the September 23rd MISHC Coordinator/Abstractor Meeting via your secure link in NextCloud. Listed below are a few highlights and key takeaways from this meeting:

 

  • 2026 site specific VBR Goal Project Form needs to be completed and returned to the MISHC Coordinating Center by December 1, 2025. Send completed forms to Sheryl and Alondra. Reach out if you need a copy of the submitted 2026 QI project summary form to complete.
  • 2025 Report attestation is due December 1, 2025
  • Reach out if you have questions about how to find your TVT star rating
  • MISHC will add TVT public reporting measures to the MISHC TAVR reports and include in exit interview discussions once reporting is implemented
  • A star rating presentation will be scheduled for a future MISHC coordinator meeting and discussed for a future MISHC webinar

 

As always, please contact the MISHC Coordinating Center with any questions or concerns.