2019 Participation FAQ

 1)      What is required to be an OBI hospital? 

a.      Complete and submit the OBI Participation Agreement to the OBI Coordinating Center.

b.      Obtain institutional approval for OBI data collection and transmission requirements, as specified by the Coordinating Center (e.g., a signed Hospital Data Collaborative Agreement).

c.       Work closely with the OBI Coordinating Center and the other participating Michigan maternity hospitals to develop a quality improvement program to advance collaborative-wide performance using feedback from OBI registry data.

d.      Participate in the OBI 2019 activities outlined in the 2019 OBI Performance Index Scorecard.

e.      Collaborate with other participating sites in overall process improvement essential to the success of the program, including sharing of and learning from best practices.

f.        Implement a process to extract and accurately submit the required OBI data elements into the OBI clinical registry in a timely manner.

2) Many hospitals are already engaged in multiple initiatives. What are the benefits of joining OBI?

The Obstetrics Initiative:
•    Facilitates a statewide community of maternity hospitals and maternity clinicians
•    Promotes consistent and standardized approaches to obstetrical care
•    Supports evidence-based labor and delivery practices
•    Provides educational webinars
•    Promotes evidence-based resources and tools
•    Presents data-driven insights into areas for focused quality improvement
•    Provide the opportunity to share experiences, outcomes (challenges AND successes), and        best practices so that all can learn
•    Supports hospitals to develop their own site-specific goals with regards to obstetric    care, specifically around supporting vaginal births and safely reducing cesarean births

In addition, BCBSM:

1.      Supports OBI as a required CQI in 2019 with their pay-for-performance, or P4P hospital incentive-based program.   

2.      Provide Clinical Data Abstractors at OBI hospitals to support OBI data validation and collection efforts. The percentage of the FTE at each hospital will be based on BCBSM’s algorithm based in part on delivery volume.

 3) My hospital is not eligible for the BCBSM P4P financial incentive. If my hospital voluntarily participates in the OBI CQI without the need to achieve P4P points, would my hospital need to fulfill the 2019 OBI Performance Index Scorecard in full to participate in the CQI?

OBI encourages all Michigan maternity hospitals to join OBI regardless of whether they are eligible for P4P, because it will benefit your hospital’s labor and delivery practices. Despite not being eligible for P4P, BCBSM is generously willing to support a CDA at your hospital. If your hospitals decides to join OBI in 2019, your hospital must submit the Participation Agreement and participate fully in the OBI Performance Index activities or BCBSM reserves the right to retract the funding for the Clinical Data Abstractor.

There are 3 levels of participation in OBI:

I. Fully participate in the 2019 OBI Performance Index Scorecard activities AND receive P4P AND receive salary support for a Clinical Data Abstractor. Participation Agreement required.

II. Fully participate in the 2019 OBI Performance Index Scorecard activities AND receive salary support for a Clinical Data Abstractor. Participation Agreement required.

III. Join OBI webinars, meetings, video workgroup conferences, and events as convenient. Participation Agreement required.

What is criteria is used to determine if a hospital is eligible for P4P?

A hospital’s P4P eligibility is determined by BCBSM. BCBSM has an internal system of designating hospitals as Peer Group 1-4 which is determined by the Hospital Contracting department at an individual level. Here is the list of the 2019 P4P eligible Michigan Maternity Hospitals.

4) OBI is a required CQI in 2019. What does that mean?

Hospitals eligible for, but voluntarily electing not to participate in a “required” CQI like the Obstetrics Initiative, will forfeit the ability to earn the portion of their P4P associated with the CQI. Hospitals can earn up to 40% of their P4P through participation in CQIs. If a hospital participates in 1 CQI, that CQI would be worth 40%. If a hospital participates in 2 CQIs, each would be worth 20%, up to 10 CQIs at 4% each. The amount of P4P you will forfeit is tied to the number of CQIs that your hospital participates in.

5) are MVC and OBI part of the same CQI?

OBI was a quality improvement project within the Michigan Value Collaborative (MVC) in 2018. In 2019, OBI is a CQI separate from MVC. OBI will host our own SemiAnnual meetings and our P4P scorecard is also distinct from MVC’s scorecard.

6)  Is the P4P incentive payable to the hospital or to the individuals who participate for example the physicians directly?

The Pay for Performance (P4P) Program pays the hospitals. BCBSM also has an incentive-based program called Value Based Reimbursement (VBR) that provides the incentive to the physicians. OBI may participate in VBR in 2020. OBI has a couple of P4P pages that might provide some additional insight in addition to the OBI scorecard page.


Contact Clinical Site Engagement Coordinator, Jill Brown, RN at jillbrow@med.umich.edu or (734) 763-2740.