Nancy J. O. Birkmeyer, Ph.D.
Associate Professor of Surgery and Director of the Michigan Bariatric Surgery Collaborative
Senior Scientist, Center for Healthcare Outcomes and Policy University of Michigan
Dr. Nancy J. O. Birkmeyer received a Bachelor of Arts degree from the University of Massachusetts-Amherst, a Master of Science degree in Epidemiology, a fellowship in the Epidemiology of Cardiovascular Disease at Harvard and was the first graduate of the Ph.D. program at Dartmouth's Center for the Evaluative Clinical Sciences. Her dissertation work focused on issues related to outcomes and clinical decision making for patients undergoing aortic valve replacement. While a faculty member at the Department of Surgery at Dartmouth Medical School, Dr. Birkmeyer worked with the Northern New England Cardiovascular Disease Research Group and the Spine Patients Outcomes Research Trial on the design and conduct of epidemiologic and outcomes studies for evaluating treatments and improving care in cardiovascular and musculoskeletal surgery. In her current role as the associate director of M-SCORE, Dr. Birkmeyer is working on evaluating surgical treatments and quality of care in cancer, obesity and cardiovascular diseases.
John D. Birkmeyer, M.D.
George D. Zuidema Professor of Surgery, University of Michigan Health System
Medical Director, Michigan Bariatric Surgery Collaborative
John D. Birkmeyer, M.D., professor of Surgery, is a member of the Division of Minimally Invasive Surgery. He received his bachelor's degree at Boston College and his medical degree from Harvard Medical School. Dr. Birkmeyer completed his general surgery residency and a fellowship in Medical Informatics at Dartmouth-Hitchcock Medical Center. He then joined the Dartmouth faculty, later serving as chief of the Section of General Surgery. He joined the University of Michigan faculty as the George D. Zuidema Professor and Chair of Surgical Outcomes Research.
Dr. Birkmeyer specializes in advanced laparoscopy, including surgery for gastroesophageal reflux, gallbladder disease, and abdominal wall and groin hernias. His expertise also includes surgery for severe obesity. In 2005, he became director of Bariatric Surgery at the University of Michigan.
Dr. Birkmeyer is a national leader in surgical outcomes research, quality, and health policy. He has a long record of research funding by the National Institutes of Health and the Agency for Healthcare Research & Quality. He has served in advisory roles for the Center for Medicare and Medicaid Services, the Institute of Medicine, the National Surgical Quality Improvement Program, and the Leapfrog Group, a large coalition of health care purchasers. Dr. Birkmeyer is director of the Healthcare Outcomes and Policy center at the University of Michigan.
Amanda O'Reilly, R.N., M.S.
Senior Project Manager, Michigan Bariatric Surgery Collaborative
Amanda O'Reilly, RN, MS is the Senior Project Manager, Michigan Bariatric Surgery Collaborative. Ms. O'Reilly received her Bachelor of Science degree in Nursing and a MS in Community and Public Health Nursing from the University of Michigan. Since completing her education, she has worked on a post-surgical floor, which included urology, gastrointestinal and transplant patients, at University of Michigan hospital. As the clinical nurse project manager for MBSC, Ms. O'Reilly is is currently involved in measuring and improving the quality of care for the Michigan Bariatric Surgery Collaborative, which is a statewide registry. Her responsibilities include reviewing the accuracy of submitted data, performing site audits and providing collaboration between the coordinating center and participating sites.
Andrea Machovic McVeigh, M.S.
Program Evaluation Specialist, Michigan Bariatric Surgery Collaborative
Andrea Machovic McVeigh, received her Bachelor of Science degree in microbiology from the University of New Hampshire and her Master of Science degree from Dartmouth Medical School's Center for the Evaluative Clinical Sciences. Since completing her education, McVeigh worked for the Veteran's Affairs National Center for Patient Safety field office in White River Junction, Vermont. In 2005, she joined Drs. Nancy and John Birkmeyer as a project manager for M-SCORE. She assisted in the development of the Michigan Bariatric Surgery Collaborative and continues to manage the regulatory affairs and contracts for MBSC.
Rachel Ross, R.N., M.S.
Senior Project Manager, Michigan Bariatric Surgery Collaborative
Rachel Ross received her Bachelor of Science degree in Nursing and her Master's degree in Nursing Business and Health Systems from the University of Michigan. Since completing her education, Cook has worked on a post-surgical floor, which includes gastrointestinal and transplant patients, at the University of Michigan hospital. As the clinical nurse coordinator for MBSC, Cook is currently involved in measuring and improving the quality of care for the Michigan Bariatric Surgery Collaborative. Her responsibilities include ensuring the accuracy of submitted data, performing site audits, providing collaboration between sites, and assisting the project managers.
Mary Oerline, M.S.
Mary Oerline holds a Master of Science degree in Applied Statistics from Purdue University and a Bachelor of Science degree in Mathematics and Statistics from the University of Michigan. Before she joined M-SCORE, Ms. Oerline worked as a senior biostatistician for the Scientific Registry of Transplant Recipients contract, formerly held by Arbor Research Collaborative for Health. At the University of Michigan, Ms. Oerline performs statistical analysis of the data provided by participating trauma centers for MTQIP and participating bariatric centers for the Michigan Bariatric Surgery Collaborative (MBSC).
Anne Cain-Nielsen, M.S.
Anne Cain-Nielsen received an M.S. in Biostatistics from the University of Michigan and a B.A. in Economics from the University of Minnesota. She has previously been employed as a staff researcher at the University of Minnesota's HIV/STI Intervention and Prevention Studies Program and completed an internship at the Mayo Clinic's Division of Health Care Policy and Research. In her current position at the University of Michigan, she performs data analysis for the Michigan Bariatric Surgery Collaborative (MBSC), Michigan Trauma Quality Improvement Program (MTQIP), Michigan Value Collaborative (MVC), and other Center for Healthcare Outcomes and Policy research projects.
MBSC aims to advance the science and practice of bariatric surgery-in Michigan and across the United States. The program is a unique partnership between Blue Cross and Blue Shield of Michigan, researchers at the University of Michigan, and clinicians from the 40 bariatric surgery programs across the state. MBSC rests on the core pillars of collaborative quality improvement: collection of detailed clinical data on outcomes and practice; timely, rigorous performance feedback to clinicians; and continuous improvement based on empirical analysis and collaborative learning.
Since the program started in 2006, rates of venous thromboembolism-the leading killer after surgery-have fallen by half. As described in Health Affairs, Michigan mortality rates are now a fraction of the national average. According to BCBSM actuaries, quality improvement in bariatric surgery saved Michigan payers $15 million between 2008 and 2010.
The University of Michigan Health System serves as the Coordinating Center and is responsible for collecting and analyzing comprehensive clinical data from the participating hospitals. It uses these analyses to examine practice patterns, generate new knowledge linking processes of care to outcomes and identify best practices and opportunities for quality and efficiency improvement. The Center further supports participants in establishing quality improvement goals and assists them in implementing best practices.
Nancy Birkmeyer, Ph.D., associate professor of surgery, University of Michigan Health
System, serves as project director. John Birkmeyer, M.D., professor of surgery, UMHS, serves
as the project's co-director. Amanda O'Reilly, R.N., serves as clinical nurse project
manager and Andrea Osborne, M.S., serves as project coordinator.
See Program Leads ➡