MISHC physicians develop best practice protocols using current research and discussion among our consortium members. Best practice protocols are intended to be a brief, easily digestible snapshot of current best practices. They are intended to promote consistent application of best practices among physicians in Michigan, and should be viewed as a supplement to national guidelines.

MISHC best practice protocols are based on consortium-wide consensus at the time of publication. Protocols will be updated regularly, should not be considered formal guidance, and do not replace the professional opinion of the treating physician.


Groin Bleed zip file with Multiple Resources

Radial and Ulnar Bleed zip file with Multiple Resources

Management of Blood Loss and Transfusions Following TAVR

Timeout for TAVR

TAVR Nephropathy

Vascular Access Management in Percutaneous Transcatheter Aortic Valve Replacement

TAVR Peri-Procedural Care Pathway

Antithrombotic Therapy Post-TAVR

MISHC TAVR Readmission Prevention

Post-TAVR Conduction System Abnormalities

Shared Decision Making

Mitral Valve Procedures
Coming soon